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Values influencing neonatal nurses' perceptions and choices

D A Raines1

  • 1School of Nursing, Virginia Commonwealth University, Richmond.

Western Journal of Nursing Research
|December 1, 1994
PubMed
Summary
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Nurses

Area of Science:

  • Nursing Practice
  • Bioethics
  • Healthcare Decision-Making

Background:

  • Human values significantly shape professional conduct.
  • Understanding nurses' value systems is crucial for ethical clinical decision-making.
  • Rokeach's value theory provides a framework for analyzing these influences.

Purpose of the Study:

  • To identify values guiding nurses' perceptions and behavioral choices in clinical scenarios.
  • To explore the interplay between nurses' values, information processing, and decision outcomes.
  • To examine these dynamics across diverse neonatal patient situations.

Main Methods:

  • Descriptive study utilizing a mailed survey.
  • Random sample of 331 members from the National Association of Neonatal Nurses.
Keywords:
Bioethics and Professional EthicsDeath and EuthanasiaEmpirical ApproachNational Association of Neonatal NursesProfessional Patient Relationship

Related Experiment Videos

  • Investigator-developed questionnaire assessing values, information perception, and behavioral choices via vignettes.
  • Main Results:

    • Nurses prioritize infant characteristics in decision-making.
    • External protocols gain influence in uncertain clinical situations.
    • Behavioral choice preferences varied by scenario, indicating clear decision-making patterns.
    • Significant relationships found between justice/protocol, right action/infant characteristics, and characteristics/choice options.

    Conclusions:

    • Nurses' value hierarchies directly impact clinical judgments.
    • Situational uncertainty necessitates reliance on established protocols.
    • Neonatal nurses demonstrate distinct, value-driven preferences in patient care decisions.