Caught in the Middle: Ethical Dilemmas Identified by Medical and Surgical Registered Nurses

2.50
Hdl Handle:
http://hdl.handle.net/10755/150054
Type:
Presentation
Title:
Caught in the Middle: Ethical Dilemmas Identified by Medical and Surgical Registered Nurses
Abstract:
Caught in the Middle: Ethical Dilemmas Identified by Medical and Surgical Registered Nurses
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Lanigan, Kathleen, PhD
P.I. Institution Name:Salisbury University
Title:Assistant Professor
The purpose of this qualitative study was to describe the perceptions of and responses to ethical dilemmas reported by medical/surgical staff nurses. The major theme ?caught in the middle? was identified following analysis of the interviews using the naturalistic process of data management recommended by Lincoln & Guba (1985). Four distinct but interconnected themes were derived. The primary theme ?caught in the middle? represented a sense of being ?trapped? between others in the caring relationship. It resulted from a violation of one or both of two other themes: the ?sense of professional self? and the connection to the patient. The final theme addressed the consequences of this dilemma. The sense of feeling ?caught in the middle? was provoked by an event in the trajectory of care for the patient. Although the specific situation differed, the event itself represented an ethical dilemma for the nurse when either the perceived connection to the patient/family or ?sense of professional self? or both would be violated by acting. This violation of connection or of professional self resulted in feelings of powerlessness, anger, frustration, and fear of getting into trouble. Many participants felt strongly about the situation, identifying significant personal and professional consequences. Most, however, indicated that the ethical dilemma contributed to their growth as individuals and nurses. Few participants indicated they had any formal exposure to ethics in their basic nursing preparation and none who did believed the preparation was adequate. Participants indicated that they were unsure of what an ethical dilemma was. They undervalued their roles in the situation and expressed feelings of powerlessness, frustration and inadequacy as patient advocates. Results of this study have implications for nurse educators in pre-licensure and graduate programs as well as for clinical nurse specialists and others involved in continuing education for staff nurses.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCaught in the Middle: Ethical Dilemmas Identified by Medical and Surgical Registered Nursesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150054-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Caught in the Middle: Ethical Dilemmas Identified by Medical and Surgical Registered Nurses</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lanigan, Kathleen, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Salisbury University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kmlanigan@salisbury.edu</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this qualitative study was to describe the perceptions of and responses to ethical dilemmas reported by medical/surgical staff nurses. The major theme ?caught in the middle? was identified following analysis of the interviews using the naturalistic process of data management recommended by Lincoln &amp; Guba (1985). Four distinct but interconnected themes were derived. The primary theme ?caught in the middle? represented a sense of being ?trapped? between others in the caring relationship. It resulted from a violation of one or both of two other themes: the ?sense of professional self? and the connection to the patient. The final theme addressed the consequences of this dilemma. The sense of feeling ?caught in the middle? was provoked by an event in the trajectory of care for the patient. Although the specific situation differed, the event itself represented an ethical dilemma for the nurse when either the perceived connection to the patient/family or ?sense of professional self? or both would be violated by acting. This violation of connection or of professional self resulted in feelings of powerlessness, anger, frustration, and fear of getting into trouble. Many participants felt strongly about the situation, identifying significant personal and professional consequences. Most, however, indicated that the ethical dilemma contributed to their growth as individuals and nurses. Few participants indicated they had any formal exposure to ethics in their basic nursing preparation and none who did believed the preparation was adequate. Participants indicated that they were unsure of what an ethical dilemma was. They undervalued their roles in the situation and expressed feelings of powerlessness, frustration and inadequacy as patient advocates. Results of this study have implications for nurse educators in pre-licensure and graduate programs as well as for clinical nurse specialists and others involved in continuing education for staff nurses.</td></tr></table>en_GB
dc.date.available2011-10-26T10:15:26Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:15:26Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.