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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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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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Existential Care in Daily Nursing Practice.

Elise C Tarbi1, Elizabeth G Broden, William E Rosa

  • 1Elise C. Tarbi is an assistant professor in the Department of Nursing at the University of Vermont in Burlington. Elizabeth G. Broden is a fellow in the Yale National Clinician Scholars Program in New Haven, CT, and has received funding from a National Institutes of Health training grant (5T32HS017589) to the Yale School of Public Health. William E. Rosa is assistant attending behavioral scientist, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York City. Adam Hayden is an independent scholar and unaffiliated patient advocate. Brianna E. Morgan is a postdoctoral fellow in the Division of Geriatric Medicine and Palliative Care, Department of Medicine, NYU Langone Health in New York City. Contact author: Elise C. Tarbi, elise.tarbi@med.uvm.edu . The authors have disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing
|September 21, 2023
PubMed
Summary
This summary is machine-generated.

Palliative nurses face systemic barriers to providing existential care during serious illness. This study suggests practical strategies focusing on strengths, life course, relationships, and presence to enhance compassionate, human-centered care.

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Area of Science:

  • Nursing
  • Palliative Care
  • Existential Care

Background:

  • Serious illness necessitates existential care within relationship-centered palliative nursing.
  • Nurses encounter significant systemic barriers that impede their ability to deliver existential care.
  • Existing healthcare systems often lack structures supporting holistic, existential patient needs.

Purpose of the Study:

  • To identify and address multilevel systemic barriers hindering existential care in palliative nursing.
  • To propose practical, actionable priorities for nurses to integrate existential care into daily practice.
  • To advocate for a more compassionate and human-centered healthcare system through enhanced palliative nursing.

Main Methods:

  • Qualitative analysis of systemic barriers in palliative care settings.
  • Development of a framework for relationship-centered existential care.
  • Identification of key existential care priorities for nursing practice.

Main Results:

  • Four key priorities for existential care were identified: strengths-based orientation, life course perspective, relationship grounding, and moment-to-moment responsiveness.
  • Strategies to navigate systemic barriers were proposed, enabling nurses to provide more effective existential support.
  • The study highlights the feasibility of integrating existential care within current nursing workflows.

Conclusions:

  • Emphasizing existential care in palliative nursing can overcome systemic barriers.
  • Implementing the proposed priorities can foster a more human-centered and compassionate healthcare experience.
  • Relationship-centered approaches are crucial for addressing the existential dimensions of serious illness.