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Related Concept Videos

Ethical Issues01:27

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 II01:27

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...
Patient-centered Care01:13

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...
Professional Values01:29

Professional Values

Nurses are responsible for caring for patients during birth, death, illness, and healing. Professional values guide the decisions and actions that nurses make in their careers. If nurses know the decisions and actions to take, providing patients with exceptional care is possible.
The values that are the foundation of the nursing profession are altruism, autonomy, human dignity, and social justice.
First, altruism refers to the concern for the welfare and well-being of others without personal...
Nursing Ethical Principles I01:22

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
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting the...
Ethical Dilemmas II01:30

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:

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Published on: February 16, 2011

Putting Principles into Practice: Pediatric Trainee Experiences in Discussing and Practicing High-Value Care.

Laura Thompson-Martin1, Jimmy Beck2, L Barry Seltz3

  • 1Pediatric Resident, Department of Pediatrics, Stanford University School of Medicine, 725 Welch Road, Palo Alto CA 94034.

Academic Pediatrics
|June 23, 2026
PubMed
Summary
This summary is machine-generated.

Senior pediatric residents desire training in high-value care (HVC) through discussions and role-modeling. However, barriers and lack of autonomy hinder learning and cause distress.

Keywords:
high value caremedical educationpediatric residents

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Area of Science:

  • Medical Education
  • Healthcare Management
  • Patient Outcomes

Background:

  • High-value care (HVC) optimizes patient outcomes by maximizing benefits and minimizing costs/harms.
  • Pediatric residency programs have limited formal HVC training.
  • The "hidden curriculum" may inadvertently promote low-value practices.

Purpose of the Study:

  • Describe senior residents' experiences with discussing and practicing HVC.
  • Explore factors influencing HVC discussions.
  • Understand how training impacts HVC attitudes and future practice.

Main Methods:

  • Multicenter qualitative study at 3 university-affiliated children's hospitals (2022).
  • Constructivist approach with focus groups and thematic analysis.
  • Four focus groups conducted with 18 senior pediatric residents.

Main Results:

  • Residents learn HVC across diverse settings and cultures.
  • Intentional conversations and supervisor role-modeling cultivate HVC.
  • Barriers, lack of autonomy, and limited role-modeling impede HVC learning and cause distress.

Conclusions:

  • Senior residents are motivated to learn and practice HVC via explicit training and role-modeling.
  • Lack of autonomy and systemic barriers negatively impact resident learning and well-being.
  • Enhancing faculty role-modeling and patient communication strategies is crucial for effective HVC education.