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Related Concept Videos

Nursing Ethical Principles II01:27

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 cancer...
Ethical Issues01:27

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:
Ethical Dilemmas I01:17

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...
Ethical Dilemmas II01:30

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:
Psychosurgery01:30

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...

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Related Experiment Video

Updated: Jun 14, 2026

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
06:04

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex

Published on: July 4, 2018

Surrogates' Decisional Conflict and Needs Regarding Invasive Procedures for Intensive Care Unit Patients: A

Wan-Na Sun1,2, Su-Ying Fang1,3

  • 1Department of Nursing, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Journal of Clinical Nursing
|February 2, 2026
PubMed
Summary

Surrogates making decisions for critically ill patients need clear information and support to reduce decisional conflict. Addressing these needs can alleviate distress and long-term regret for family members involved in intensive care unit (ICU) decision-making.

Keywords:
decisional conflictdecisional needintensive care unitmixed‐methodssurrogate

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Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

Related Experiment Videos

Last Updated: Jun 14, 2026

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
06:04

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex

Published on: July 4, 2018

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

Area of Science:

  • Medical Ethics
  • Critical Care Medicine
  • Psychology

Background:

  • Surrogates frequently experience decisional conflict when making critical care decisions for patients in intensive care units (ICUs).
  • This conflict can lead to significant long-term regret and psychological distress for the surrogate.
  • Understanding surrogate needs is crucial for improving patient outcomes.

Purpose of the Study:

  • To identify and analyze the needs of surrogates during the decision-making process for invasive procedures in ICUs.
  • To assess the decisional conflict experienced by these surrogates.

Main Methods:

  • A convergent, parallel, mixed-methods study was conducted in a tertiary medical center.
  • Quantitative data were collected from 100 surrogates using questionnaires on decisional conflict and needs.
  • Qualitative data were gathered through in-depth interviews with 13 surrogates.

Main Results:

  • Lower education, lower family income, and resuscitative invasive procedures were associated with higher decisional conflict.
  • Informational needs were critical due to the complexity of medical information.
  • Support from family and internal resources helped alleviate decisional conflict.

Conclusions:

  • Surrogates' informational, support, and resource needs are critical in ICU decision-making for invasive procedures.
  • Difficulties in comprehending complex medical information and time constraints highlight informational needs.
  • Clear communication and emotional support can reduce decisional conflict and regret.