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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 cancer...

Therapeutic Communication

Therapeutic Communication

Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...

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:

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
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Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...

Ethical Standards II

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Confidentiality is crucial, embodying respect for individual privacy and...

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Related Experiment Video

Updated: May 23, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

First Do No Harm: Communication Surrounding Non-Beneficial Treatments.

Cassie Stanzler¹, Adam Marks¹, Kayla Sheehan²

¹Department of Internal Medicine, Division of Geriatric and Palliative Medicine, University of Michigan, Ann Arbor, MI, USA.

The American Journal of Hospice & Palliative Care

|May 21, 2026

Summary

Clinicians need better communication strategies for discussing non-beneficial treatments (NBTs) with patients. A new framework focuses on compassionate limit-setting and trust-building to improve end-of-life care.

Keywords:

bioethics clinician-family communication conflict management end-of-life care non-beneficial treatment palliative care

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Last Updated: May 23, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Published on: February 16, 2011

Transauricular Vagus Nerve Stimulation and Electroencephalographic Assessment in Disorders of Consciousness

Transauricular Vagus Nerve Stimulation and Electroencephalographic Assessment in Disorders of Consciousness

Published on: July 11, 2025

Area of Science:

Medical Communication
Palliative Care
Bioethics

Background:

Consensus exists that clinicians should not offer non-beneficial treatments (NBTs).
Limited guidance is available for communicating NBTs, which can cause patient/family distress and conflict.
Setting limits on NBTs may be perceived as abandonment by patients and families.

Purpose of the Study:

To propose a framework for Palliative Care clinicians communicating about NBTs.
To provide practical language and strategies for navigating these sensitive discussions.
To enhance trust and minimize conflict in end-of-life care communication.

Main Methods:

Development of a communication framework for Palliative Care clinicians.
Inclusion of illustrative case studies with suggested communication language.
Emphasis on proactive relationship building and understanding patient values.

Main Results:

The proposed framework guides clinicians in compassionate limit-setting.
Utilizing a
breaking bad news
approach is recommended over shared decision-making.
Effective communication can build trust and avoid false choices for patients.

Conclusions:

Improved communication strategies are crucial for discussing NBTs.
A focus on relationship building and values-based limit-setting enhances patient care.
This approach minimizes conflict and fears of abandonment for seriously ill patients.