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Ethical Issues

Ethical Issues

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.
Ethical Concerns in Healthcare:

The Professional Nurse

The Professional Nurse

Professional nurses are not limited to bedside care and are taking roles of greater responsibility. A nurse should have a knowledge-based practice, including personal, theoretical, procedural, cultural, and reflexive knowledge. Additionally, nurses must be competent in cognitive, technical, interpersonal, and ethical/legal skills. Some of the best attributes of successful nurses include the following:
Communication skills: These are critical characteristics, especially speaking and listening.

Ethical Dilemmas I

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...

Nursing Ethical Principles II

Nursing Ethical Principles II

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.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...

Ethical Dilemmas II

Ethical Dilemmas II

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:

Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation

Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation

Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...

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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

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Published on: August 5, 2020

Simulation, Storytelling, and Pediatric End-of-Life Care: A Continuing Professional Development Approach for Nurse

Avery McNall^1,2, Karen Lucas Breda², Katherine A Hinderer^3,4,5

¹Connecticut Children's, Hartford, CT, USA.

Journal of Pediatric Hematology/Oncology Nursing

|March 25, 2024

Summary

This study found that a simulation module improved new nurses' knowledge of end-of-life (EOL) care for pediatric oncology patients. However, their attitudes and comfort levels did not change, indicating a need for further training strategies.

Keywords:

education end-of-life evidence-based practice nursing pediatric simulation

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Area of Science:

Nursing Education
Pediatric Oncology
End-of-Life Care

Background:

Pediatric end-of-life (EOL) care presents unique challenges, particularly for newly licensed nurses in hematology/oncology.
Lack of experience among new nurses necessitates specialized training for providing EOL care to dying children.

Purpose of the Study:

To evaluate an evidence-based continuing professional development activity designed to enhance pediatric EOL care knowledge, attitudes, and comfort levels in nurse residents.
To assess the effectiveness of a high-fidelity simulation module incorporating a storytelling approach.

Main Methods:

A 12-month nurse residency program included a high-fidelity simulation module focused on EOL pediatric oncology care.
Teaching strategies comprised simulation and a storytelling approach.

Main Results:

Thirteen pediatric nurse residents participated in the intervention.
The simulation-based activity significantly increased participants' knowledge of pediatric EOL care.
No significant changes were observed in participants' attitudes or comfort levels regarding pediatric EOL care.

Conclusions:

EOL simulation, especially with a storytelling component, is an effective method for educating nurses on caring for dying pediatric patients.
Further research is required to identify strategies for improving new nurses' comfort levels in pediatric hematology/oncology EOL care.