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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:

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...

Barriers to Effective Communication II

Barriers to Effective Communication II

The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...

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...

Patient-centered Care

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...

Ethical Dilemmas I

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...

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Related Experiment Video

Updated: May 28, 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

Racially and Ethnically Marginalized Patients' Perspectives on Nurse-Led Serious Illness Conversations.

Masami Tabata-Kelly^1,2,3, Christina Sheu^1,2, Amy L Bulger^2,4

¹Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, USA.

Journal of Palliative Medicine

|May 27, 2026

Summary

This summary is machine-generated.

Nurse-led serious illness conversations boosted confidence in marginalized patients discussing future care. However, multifaceted distress impacted their readiness, indicating a need for additional support.

Keywords:

marginalized groups nurse-led interventions serious illness serious illness conversation

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Area of Science:

Health Disparities
Serious Illness Communication
Patient Experience

Background:

Racial and ethnic disparities in serious illness conversations are documented.
Experiences of marginalized patients in nurse-led conversations are underexplored.

Purpose of the Study:

To explore marginalized patients' experiences in nurse-led serious illness conversations.
To assess engagement in discussions about goals and future care.

Main Methods:

Mixed-methods convergent study utilizing surveys and semi-structured interviews.
Involved racially and ethnically marginalized adult patients from a U.S. healthcare system.
Employed Advance Care Planning Engagement Survey and Serious Illness Conversation Patient Experience Survey.

Main Results:

Participants felt confident in advance care planning but less ready to act.
Nearly half reported increased hopefulness, closeness with nurses, and control over decisions.
Nurse-led conversations moderately improved feeling heard and understood (mean score 3.00).
Confidence in discussing goals and future care increased, alongside better health understanding.
Confidence did not fully translate to readiness due to multifaceted distress.

Conclusions:

Nurse-led conversations enhanced patient confidence in discussing goals and future health.
Understanding of future health improved among participants.
Additional support is crucial to address multifaceted distress impacting patient readiness for serious illness discussions.