Ethical Issues Experienced by Primary Care Nurse Practitioners Caring for Vulnerable Patients in Nursing Centers

2.50
Hdl Handle:
http://hdl.handle.net/10755/150748
Type:
Presentation
Title:
Ethical Issues Experienced by Primary Care Nurse Practitioners Caring for Vulnerable Patients in Nursing Centers
Abstract:
Ethical Issues Experienced by Primary Care Nurse Practitioners Caring for Vulnerable Patients in Nursing Centers
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Conference Date:July 10-12, 2003
Author:Beidler, Susan M., PhD, MBe, MSN, BC
P.I. Institution Name:Florida Atlantic University
Title:Assistant Professor
Objectives: Explore ethical issues and manner in which handled. Design: Multiple naturalistic case studies with cross-case analysis. Population, Sample, Setting, Years: Eleven primary care NPs. Ten nursing centers - majority small (n=4) and in urban settings (n=6). Half affiliated with university. Study conducted 2001-2002. Concepts: Primary care NPs, ethical issues, vulnerable patients, nursing centers. Methods: In-depth audiotaped interviews and documents. Constant comparative method. Findings: Ethical issues were commonplace. NPs utilized some ethical terminology. Infrequent references to principles or codes. Issues occurred at different levels within sociopolitical context of health care delivery. Ability for NP to change circumstances of issues depended upon level at which they occurred. Nurse Practitioners handled ethical issues with stance akin to ethical principles and theories. None identified method of ethical decision making or theoretical framework. Conclusions: Issues identified clearly represented NPs’ understanding and interest in upholding both ethical and legal practice of nursing. Whenever issue described (in which action might potentially be labeled illegal, never with blatant disregard for law. Nurse Practitioners explained rationale as attempt to act responsibly and on behalf of patients. Preliminary typology of ethical issues induced and Level of Ethical Issues Framework inductively derived. Ethical knowledge possibly transitioning from universalistic principle-based approach to postmodern relational narrative ethic, consistent with emphasis of patient-nurse relationship as foundation of ethical knowing. Implications: Further development and utilization of typology and framework could assist NPs and NP students in articulating ethical issues. Enhanced understanding has potential of maximizing NPs’ ability to prevent issues or minimize patient and practitioner distress over those impossible to prevent. Further understanding will help NPs develop strategies toward development of socially just health care delivery system.<P> <!--Abstract 13475 modified by 131.91.92.135 on 11-5-2002--></P>
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Jul-2003
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEthical Issues Experienced by Primary Care Nurse Practitioners Caring for Vulnerable Patients in Nursing Centersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150748-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Ethical Issues Experienced by Primary Care Nurse Practitioners Caring for Vulnerable Patients in Nursing Centers</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">2003</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 10-12, 2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Beidler, Susan M., PhD, MBe, MSN, BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Florida Atlantic 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">sbeidler@fau.edu</td></tr><tr><td colspan="2" class="item-abstract">Objectives: Explore ethical issues and manner in which handled. Design: Multiple naturalistic case studies with cross-case analysis. Population, Sample, Setting, Years: Eleven primary care NPs. Ten nursing centers - majority small (n=4) and in urban settings (n=6). Half affiliated with university. Study conducted 2001-2002. Concepts: Primary care NPs, ethical issues, vulnerable patients, nursing centers. Methods: In-depth audiotaped interviews and documents. Constant comparative method. Findings: Ethical issues were commonplace. NPs utilized some ethical terminology. Infrequent references to principles or codes. Issues occurred at different levels within sociopolitical context of health care delivery. Ability for NP to change circumstances of issues depended upon level at which they occurred. Nurse Practitioners handled ethical issues with stance akin to ethical principles and theories. None identified method of ethical decision making or theoretical framework. Conclusions: Issues identified clearly represented NPs&rsquo; understanding and interest in upholding both ethical and legal practice of nursing. Whenever issue described (in which action might potentially be labeled illegal, never with blatant disregard for law. Nurse Practitioners explained rationale as attempt to act responsibly and on behalf of patients. Preliminary typology of ethical issues induced and Level of Ethical Issues Framework inductively derived. Ethical knowledge possibly transitioning from universalistic principle-based approach to postmodern relational narrative ethic, consistent with emphasis of patient-nurse relationship as foundation of ethical knowing. Implications: Further development and utilization of typology and framework could assist NPs and NP students in articulating ethical issues. Enhanced understanding has potential of maximizing NPs&rsquo; ability to prevent issues or minimize patient and practitioner distress over those impossible to prevent. Further understanding will help NPs develop strategies toward development of socially just health care delivery system.&lt;P&gt; &lt;!--Abstract 13475 modified by 131.91.92.135 on 11-5-2002--&gt;&lt;/P&gt;</td></tr></table>en_GB
dc.date.available2011-10-26T10:41:48Z-
dc.date.issued2003-07-10en_GB
dc.date.accessioned2011-10-26T10:41:48Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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