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Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
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Assertiveness in physicians' interpersonal professional encounters: A scoping review.

Maayan Gutgeld-Dror1,2, Nathaniel Laor2,3,4, Orit Karnieli-Miller1

  • 1Department of Medical Education, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

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This summary is machine-generated.

Physicians need clearer definitions and measures for assertiveness in communication. A proposed relational definition emphasizes respecting others while expressing needs, improving physician-patient relationships.

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Area of Science:

  • Medical Communication
  • Healthcare Professionalism
  • Physician-Patient Dynamics

Background:

  • Effective physician-patient relationships are crucial for high-quality healthcare.
  • Medical encounters can be challenging, requiring physicians to communicate assertively.
  • Physicians' assertiveness, considering power dynamics, requires comprehensive review.

Purpose of the Study:

  • To conduct a scoping review on physicians' assertiveness in communication.
  • To explore the concept of assertiveness in physician encounters.
  • To identify gaps in research regarding physician assertiveness.

Main Methods:

  • Searched four databases (MEDLINE, Embase, PsycINFO, WoS) for articles on physician assertiveness until February 2022.
  • Utilized the Joanna Briggs Institute approach and PRISMA checklist for the review protocol.
  • Screened 1513 articles, with 22 selected for full review.

Main Results:

  • Most studies focused on assertive communication with medical staff and bottom-up power relations.
  • A clear definition of assertiveness was lacking in 40% of the articles reviewed.
  • Definitions and measures of assertiveness varied significantly, hindering direct comparison.

Conclusions:

  • There is a need for a clearer definition and in-depth exploration of physician assertiveness.
  • A relational definition of assertiveness is proposed: communicating needs while respecting others.
  • This definition can guide future research and improve communication styles in healthcare.