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Collaborative interdisciplinary bioethical decision making in intensive care units
1Strong Memorial Hospital, University of Rochester, NY.
Nursing Outlook
|May 1, 1993
Summary
Nurses and physicians often have differing views on patient care decisions, leading to potential disagreements. Interdisciplinary collaboration in bioethical decision-making is recommended to improve patient outcomes and shared decision-making processes.
Area of Science:
- Medical Ethics
- Nursing
- Healthcare Management
Background:
- Nurses and physicians may hold differing beliefs regarding patient care decision-making processes and involvement.
- Literature indicates nurses are often excluded from or disagree with physicians during ethical decision-making.
- Interdisciplinary collaboration is proposed to enhance healthcare decision-making and patient care.
Purpose of the Study:
- To explore the perceptions of nurses and physicians regarding their roles in bioethical decision-making.
- To examine the impact of interdisciplinary collaboration on patient care outcomes.
Main Methods:
- Literature review on nurses' and physicians' involvement in bioethical decision-making.
- Analysis of research supporting interdisciplinary collaboration in healthcare.
- Identification of ethical principles supporting collaborative decision-making.
Main Results:
- Evidence suggests differing professional beliefs on decision-making factors and involvement.
- Nurses' frequent disagreement with or exclusion from ethical decisions by physicians is noted.
- Collaboration promotes information sharing, respect for autonomy, and disclosure.
Conclusions:
- Further research is needed on interdisciplinary bioethical decision-making.
- Studies should assess professional role perceptions and the effects of collaboration on care outcomes.
- Ethical principles support inclusive, collaborative patient care decision-making involving all stakeholders.
Keywords:
Professional Patient Relationship