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Area of Science:

  • Nursing Ethics
  • Bioethics
  • Qualitative Research

Background:

  • Nursing practice is guided by professional standards, often utilizing the biomedical ethical framework (autonomy, beneficence, non-maleficence, justice).
  • Nurses frequently face ethical dilemmas requiring navigation of conflicting ethical principles.
  • Understanding how nurses adhere to these principles in complex situations is crucial.

Purpose of the Study:

  • To explore how registered nurses adhere to core ethical principles when confronted with workplace ethical dilemmas.
  • Investigate the strategies and thought processes nurses employ during ethical challenges.

Main Methods:

  • Qualitative descriptive study design.
  • Semi-structured interviews conducted with 21 registered nurses from a teaching hospital (August-December 2023).
  • Thematic analysis using Braun and Clarke's approach.

Main Results:

  • Four major themes emerged: 'Addressing the dilemma,' 'Contemplating the principles and consequences,' 'Coordinating for well-informed, ethical decision,' and 'Self-reflecting and finding consolation.'
  • Fifteen subthemes further detailed nurses' experiences and adherence strategies.
  • Findings highlight the multifaceted nature of ethical decision-making in nursing.

Conclusions:

  • This study elucidates how nurses strive to uphold ethical principles in patient care.
  • Full adherence to ethical principles presents challenges, particularly in end-of-life care.
  • Further research is recommended to explore nurses' experiences in complex clinical scenarios.