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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 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:

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...

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...

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

Obedience

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...

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Related Experiment Video

Updated: Jun 27, 2026

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Published on: January 7, 2020

Mitigating Moral Distress in Neonatal Intensive Care Unit Healthcare Professionals: A Pilot Program.

Stephanie Chambers¹, Lorie Sigmon

¹Author Affiliations: School of Nursing, College of Health and Human Services, University of North Carolina at Wilmington, Wilmington, North Carolina (Drs Chambers and Sigmon); and Neonatal Intensive Care Unit, Maynard Children's Hospital, ECU Health Medical Center, Greenville, North Carolina (Dr Chambers).

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses

|June 25, 2026

Summary

This summary is machine-generated.

Reflective emotional debriefing sessions (REDS) and education modules did not significantly reduce moral distress (MD) in neonatal intensive care unit (NICU) healthcare providers (HCPs). However, qualitative data showed positive staff feedback and clinical benefits.

Keywords:

debrief healthcare provider moral distress moral resiliency neonatal intensive care unit

Related Experiment Videos

Last Updated: Jun 27, 2026

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Published on: January 7, 2020

Area of Science:

Healthcare Management
Nursing Ethics
Occupational Psychology

Background:

Neonatal intensive care units (NICUs) present frequent ethically challenging experiences.
Unmanaged ethical challenges can lead to moral distress (MD), burnout, and decreased patient care quality.
MD in healthcare providers (HCPs) is multifactorial, influenced by personal, unit, and organizational factors.

Purpose of the Study:

To assess the impact of reflective emotional debriefing sessions (REDS) combined with an online education module on MD levels in NICU HCPs.
The study evaluated MD using the Measure of Moral Distress-Healthcare Professionals (MMD-HP) tool over a 12-week intervention period.

Main Methods:

Pre- and post-intervention electronic surveys, including the MMD-HP tool, were administered to NICU HCPs.
Interventions comprised an online education module and standardized, regular REDS.
Descriptive statistics analyzed respondent data, and an independent samples t-test compared MMD-HP composite scores.

Main Results:

A slight decrease in MMD-HP mean composite scores was observed, but it lacked statistical significance (P = .724).
Qualitative data from personal interviews and surveys indicated clinical significance and positive staff feedback regarding the intervention.

Conclusions:

Regularly scheduled REDS provide a safe platform to mitigate isolation, encourage emotional expression, and reduce bereavement overload and compassion fatigue.
Further research is necessary to establish a standard of care for managing HCP MD and identify best practices.