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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...

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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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Ethical Dilemmas II

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:

Nursing Ethical Principles I

Nursing Ethical Principles I

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
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Related Experiment Video

Updated: Jun 23, 2026

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

Parents Value Shared Decision-Making and Sensitive Communication During End-of-Life Care in Neonatal Intensive Care:

Ana Morillo Palomo^1,2,3, Ana Riverola de Veciana^1,2, Montserrat Esquerda Aresté^4,5

¹Neonatal Intensive Care Unit, Sant Joan de Déu Hospital, Barcelona, Spain.

Acta Paediatrica (Oslo, Norway : 1992)

|June 22, 2026

Summary

Parents navigating end-of-life decisions in the neonatal intensive care unit (NICU) need clear communication and support. Shared decision-making, respecting values with professional guidance, is crucial for positive end-of-life experiences.

Keywords:

comfort‐focused care end‐of‐life decision‐making neonatal intensive care unit parental involvement shared decision‐making

More Related Videos

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Related Experiment Videos

Last Updated: Jun 23, 2026

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Area of Science:

Neonatal intensive care
Pediatric palliative care
Bioethics

Background:

End-of-life decision-making in neonatal intensive care units (NICUs) presents unique challenges for parents.
Understanding parental needs is critical for improving care quality during this sensitive period.

Purpose of the Study:

To explore parental needs during end-of-life decision-making in the NICU.
To understand parents' experiences following a child's death in the NICU.

Main Methods:

Observational, retrospective study in a tertiary-level hospital NICU.
Structured questionnaires administered to parents after neonatal death.
Explored domains: information/communication, decision-making, comfort-focused care.

Main Results:

High ratings for information delivery (6.5/7) and comfort care (6.13/7).
Most parents felt supported in decision-making (5.6/7) and preferred professional guidance.
Only half perceived concordance between their preferences and the final decision; limited choice in place of death.

Conclusions:

Parents value shared decision-making, respecting their values and offering professional guidance.
Emphasizes the need for sensitive communication, adequate reflection time, ongoing support, and opportunities to say goodbye.