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An enquiry into a combined approach for nursing ethics
1School of Nursing and Midwifery, University of Glamorgan, Glyntaf, Pontypridd, UK.
Nursing Ethics
|June 9, 1998
Summary
Nurses utilize a combined approach, integrating justice and care orientations, to navigate complex ethical decisions in clinical practice. External factors like colleagues and organizational structures significantly influence these daily ethical choices.
Area of Science:
- Nursing Ethics
- Healthcare Decision-Making
- Qualitative Research
Background:
- A universally accepted theory for ethical decision-making in nursing remains elusive.
- Existing literature predominantly explores justice and care orientations, or their combination.
Purpose of the Study:
- To explore the practical methods nurses employ for ethical decision-making in clinical settings.
- To identify factors influencing nurses' daily ethical choices.
Main Methods:
- Employed a grounded theory approach for exploratory research.
- Collected and analyzed data from nurses regarding their ethical decision-making processes.
Main Results:
- Identified significant influences on ethical decision-making, including physicians, colleagues, and organizational factors.
- Nurses commonly use a combined approach, integrating both care and justice orientations.
- The study highlights the practical, multifaceted nature of nursing ethics.
Conclusions:
- The findings suggest a tentative model for ethical decision-making in nursing practice.
- Recommendations are provided for enhancing ethical decision-making support within healthcare organizations.