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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.
Ethical Concerns in Healthcare:
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Kubler Ross's Stages of Dying01:21

Kubler Ross's Stages of Dying

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Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
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Nursing Ethical Principles II01:27

Nursing Ethical Principles II

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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.
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...
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Ethical Dilemmas II01:30

Ethical Dilemmas II

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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:
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Nurses' Legal Responsibilities III01:16

Nurses' Legal Responsibilities III

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Nurse-to-nurse relationships are legally required to adhere to professional standards, ensuring a respectful and positive working environment. Professional conduct demands that nurses treat all colleagues respectfully and courteously, fostering a productive, supportive workplace. Nurses must actively eliminate bullying, discrimination, and harassment to maintain a safe and inclusive environment.
Cultivating a culture of collaboration and mutual respect among nurses transcends mere enhancement...
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Nursing Ethical Principles I01:22

Nursing Ethical Principles I

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Ethical principles serve as the moral compass in the longstanding tradition of nursing, guiding healthcare professionals in their interactions with patients and families. These principles, namely autonomy, beneficence, non-maleficence, justice, and fidelity, provide a robust framework for navigating the ethical complexities of daily nursing practice.
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting...
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Related Experiment Video

Updated: Mar 15, 2026

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

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Coping with Death Among Nurses in Ecuador: A Mixed-Methods Study.

Mónica Alexandra Valdiviezo-Maygua1,2, Abigail Rivas-Lorefice1, Alejandro Martínez-Granados3

  • 1Programa de Doctorado de Medicina Clínica y Salud Pública, Universidad de Granada, 18071 Granada, Spain.

Healthcare (Basel, Switzerland)
|March 14, 2026
PubMed
Summary
This summary is machine-generated.

Nurses in Ecuador exhibit moderate coping skills with death, yet face significant emotional distress and communication challenges. Enhanced training and support are crucial for improving end-of-life care and nurse resilience.

Keywords:
Bugen’s Coping with Death ScaleEcuadorcommunicationcomprehensive healthcarenursesnursingpalliative carepalliative medicineresearch methodologyterminal care

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Area of Science:

  • Nursing
  • Psychology
  • Sociology

Background:

  • Coping with death is a critical nursing skill, influenced by training and culture in Ecuador.
  • Limited preparedness and cultural factors impact how nurses manage death and dying.
  • This study explores nurses' perspectives on death and dying in Ecuador.

Purpose of the Study:

  • To explore Ecuadorian nurses' perspectives on coping with death.
  • To assess the congruence between quantitative and qualitative data on nurses' coping mechanisms.
  • To identify challenges and resources in end-of-life care from the nurses' viewpoint.

Main Methods:

  • Sequential explanatory mixed-methods design (QUAN → qual).
  • Quantitative phase: 497 nurses completed the Bugen Coping with Death Scale.
  • Qualitative phase: Semi-structured interviews with 18 nurses, analyzed thematically.

Main Results:

  • Nurses reported moderate coping levels but experienced significant emotional distress and unpreparedness.
  • Challenges include end-of-life communication and personal mortality concerns, especially with pediatric or young maternal deaths.
  • Spirituality emerged as a vital coping resource for nurses.

Conclusions:

  • Coping with death is complex and emotionally taxing for nurses in Ecuador.
  • Continuous education and emotional/spiritual support are essential for nurse resilience.
  • Strengthening nurses' coping abilities can enhance the quality of end-of-life care.