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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:

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...

Ethical Standards I

Ethical Standards I

The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...

Ethical Standards II

Ethical Standards II

Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy and...

Endoscopic Procedures I: Esophagogastroduodenoscopy

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:

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...

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Evaluation of the Effectiveness of Longitudinal Incision for Endoscopic Submucosal Excavation of Gastric Subepithelial Lesions

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Ethical Issues Perceived by Nurses Involved in Endoscopic Practices in Japan.

Emi Iwai¹, Masami Tamada²

¹Emi Iwai, MSN, RN, is an Assistant Professor, Faculty of Nursing, Kobe City College of Nursing, Kobe, Japan.

Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates

|May 29, 2026

Summary

This summary is machine-generated.

Endoscopy nurses face ethical challenges due to task efficiency demands, impacting patient-centered care. Addressing issues like pain, autonomy, and dignity is crucial for ethical nursing practices in endoscopy.

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Area of Science:

Nursing Ethics
Healthcare Management
Patient Care

Background:

Endoscopy departments prioritize efficiency, potentially compromising patient-centered nursing care.
Ethical issues in endoscopic nursing are under-explored despite time constraints and structured workflows.

Purpose of the Study:

To identify and clarify the ethical issues perceived by nurses in endoscopic practices.
To explore the challenges faced by nurses in delivering individualized care within endoscopy settings.

Main Methods:

Qualitative study involving 14 nurses from 3 Japanese hospitals.
Semi-structured interviews and qualitative content analysis were employed for data collection and analysis.

Main Results:

Eight key ethical issues were identified: physical restraints, unalleviated pain, undervalued autonomy, privacy concerns, professional uncertainty, inability to provide ideal care, lack of respect for nurses, and inequity in care delivery.
Common challenges include inadequate informed consent, sedation, time constraints, and physician-centered hierarchies.

Conclusions:

Endoscopy departments must address ethical challenges to improve patient-centered care.
Recommendations include enhancing ethical sensitivity, fostering collaboration, developing patient-centered systems, and setting ethical practice goals.