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Evaluating Nurse Conscientious Objection: Application of a Novel Framework
Maya Zumstein-Shaha1,2,3, Lucia D Wocial4, Vicki D Lachman5
1Department of Health, Bern University of Applied Sciences Health, Murtenstrasse 10, Bern, CH-3008, Switzerland. maya.zumsteinshaha@bfh.ch.
Summary
Nurses
Area of Science:
- Bioethics
- Nursing Ethics
- Healthcare Policy
Background:
- Moral beliefs can lead healthcare professionals to conscientious objections (COs).
- COs can complicate patient care and healthcare delivery.
- Evaluating the soundness of COs is crucial.
Purpose of the Study:
- Introduce the Ethical Evaluation of a Nurse's Conscientious Objection (EENCO) framework.
- Apply EENCO to analyze nurse CO scenarios and inform policy.
- Reduce harms associated with nurse COs.
Main Methods:
- Applied the EENCO framework to analyze two CO scenarios.
- Scenario 1: Nurse objection to end-of-life pain medication orders.
- Scenario 2: Nurse objection to COVID-19 visitation policies.
Main Results:
- The EENCO framework exposed nuances in CO claims.
- Analysis revealed ethical implications for all involved parties.
- Identified necessary elements for institutional policies addressing COs.
Conclusions:
- The EENCO framework aids in scrutinizing and clarifying CO claims.
- EENCO provides guidance for developing institutional CO policies.
- Application of EENCO deepens understanding of CO implications.
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