( ISSN 2277 - 9809 (online) ISSN 2348 - 9359 (Print) ) New DOI : 10.32804/IRJMSH

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THE NURSES’ DELIBERATIONS TO RESOLVE THE ETHICAL PROBLEMS

    1 Author(s):  K. LALITHA

Vol -  2, Issue- 2 ,         Page(s) : 99 - 103  (2011 ) DOI : https://doi.org/10.32804/IRJMSH

Abstract

A growing body of research has drawn attention to the hierarchical and bureaucratic nature of the hospital organizational environment in which nurses seek to resolve ethical problems related to patient care, whereas other studies have focused on the impact of nurses’ personal or professional qualities on those nurses’ ethical problem solving. This qualitative investigation sought to elucidate the extent to which nurses perceived their personal or professional qualities, as well as organizational characteristics, as influencing their ethical decision making. This investigator interviewed 10 registered nurses in 2 acute-care hospitals that were different in size, location, and type. A relational ethics lens assisted in the analysis of the data, emphasizing ways in which the nurses’ ethical problem solving was socially situated within a complex of relationships with others, including patients, families, physicians, and coworkers. Data analysis revealed key themes, including the nurses’ concern for patients, professional experience, layered relationships with others, interactions within the organization, and situational analysis of contexts and relationships. Subthemes included the nurses’ relationships with patients, physicians, patients’ families, and coworkers.

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Books with single Author:
  1. Canadian Nursing Advisory Committee. (2002). our health, our future: Creating quality workplaces for Canadian nurses, final report of the Canadian Nursing Advisory Committee. Ottawa, ON: Author
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  4. . Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J. A., Busse, R., Clarke, H., et al. (2001). Nurses’ reports on hospital care in five countries. Health Affairs, 20(3), 43-54. 
  5. Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J. A., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of the American Medical Association, 288, 1988-1995. 
Magazine Articles:
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  2. Kohlberg, L. (1978). The cognitive-developmental approach to moral education. In P. Scharf (Ed.), Readings in moral education (pp. 36-51). Minneapolis, MN: Winston Press.
Miscellaneous Articles:

  1. Cretilli, P. K. (1994). The experience of being ethical: A study of nurses’ workplace behavior. Unpublished doctoral dissertation, University of Minnesota. 
  2. Benner, P., & Wrubel, J. (1989). The primacy of caring. Menlo Park, CA: Addison-Wesley.
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  5. Websites:
  6. Canadian Nurses Association. (2008). Code of ethics for registered nurses 2008 centennial edition. Retrieved from http://www.cna-nurses.ca/CNA/documents/ pdf/publications/ Code_of_Ethics_2008_e.pdf
  7. College of Nurses of Ontario. (2002). Professional standards, revised 2002. Retrieved from http://www.cno.org/Global/docs/prac/41006_ProfStds.pdf

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