Caring Amidst Complexity: Practical Ethical Theory for Nurses' Ethical Reasoning Skills

2.50
Hdl Handle:
http://hdl.handle.net/10755/160085
Type:
Presentation
Title:
Caring Amidst Complexity: Practical Ethical Theory for Nurses' Ethical Reasoning Skills
Abstract:
Caring Amidst Complexity: Practical Ethical Theory for Nurses' Ethical Reasoning Skills
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Moody, Roseanne, PhD(c), MSN, RN
P.I. Institution Name:Indiana University Purdue University at Indianapolis
Title:Pre-doctoral Fellow
Contact Address:Department of Environments for Health, 1111 Middle Drive, NU 476, Indianapolis, IN, 46202, USA
Contact Telephone:(317) 882-0041
Purpose: Complexity in health care organizations involves managing unpredictability, change, and risk in the context of clinical decision-making and nurse-patient relationships. Complexity of care delivery promotes decreases in nurses' motivation and moral satisfaction, resulting in ethical dissonance for nurses as they attempt to engage clinical practice based upon the ethic of care. To engage caring amidst complexity, nurses need practical ethical theory and skills in order to maintain a caring stance in professional practice.

Theoretical Framework: Explanation of Nurses' Ethical Reasoning Skills (NERS) conceptual model. The NERS model is proposed as a theoretical framework for nursing research and professional development, to support nurses' ethical reasoning skills in the context of complexity in clinical settings.

Methods: Concepts of caring and complexity were explored and are contrasted from multiple perspectives across disciplines. Research questions: 1) What similarities and differences are discovered between concepts of caring and complexity, and how might these differences influence nurses' skill in managing ethical reasoning in the context of nursing practice? 2) What types of skills need to be developed to guide nurses' ethical reasoning in terms of caring amidst complexity?

Results: Development of NERS conceptual model. Practical ethical theory and a triad of ethical reasoning skills to support nurses' purposeful reflection and problem-solving related to ethical practice issues in the context of healthcare complexity are described. Clinical reference case for the model is presented and discussed.

Conclusions: Development of reflective skills congruent with the ethic of care influences nursing practice by encouraging evidence-based, values-based outcomes. The NERS model supports nurses' engagement in practical ethical theory, reasoning, and skills, and needs empirical testing. Research related to nurses' ethical reasoning in complex care environments is likely to yield knowledge useful to administrators, educators, and researchers.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCaring Amidst Complexity: Practical Ethical Theory for Nurses' Ethical Reasoning Skillsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160085-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Caring Amidst Complexity: Practical Ethical Theory for Nurses' Ethical Reasoning Skills</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Moody, Roseanne, PhD(c), MSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Indiana University Purdue University at Indianapolis</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Pre-doctoral Fellow</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Department of Environments for Health, 1111 Middle Drive, NU 476, Indianapolis, IN, 46202, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(317) 882-0041</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rfmoody@iupui.edu</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Complexity in health care organizations involves managing unpredictability, change, and risk in the context of clinical decision-making and nurse-patient relationships. Complexity of care delivery promotes decreases in nurses' motivation and moral satisfaction, resulting in ethical dissonance for nurses as they attempt to engage clinical practice based upon the ethic of care. To engage caring amidst complexity, nurses need practical ethical theory and skills in order to maintain a caring stance in professional practice. <br/><br/>Theoretical Framework: Explanation of Nurses' Ethical Reasoning Skills (NERS) conceptual model. The NERS model is proposed as a theoretical framework for nursing research and professional development, to support nurses' ethical reasoning skills in the context of complexity in clinical settings. <br/><br/>Methods: Concepts of caring and complexity were explored and are contrasted from multiple perspectives across disciplines. Research questions: 1) What similarities and differences are discovered between concepts of caring and complexity, and how might these differences influence nurses' skill in managing ethical reasoning in the context of nursing practice? 2) What types of skills need to be developed to guide nurses' ethical reasoning in terms of caring amidst complexity?<br/><br/>Results: Development of NERS conceptual model. Practical ethical theory and a triad of ethical reasoning skills to support nurses' purposeful reflection and problem-solving related to ethical practice issues in the context of healthcare complexity are described. Clinical reference case for the model is presented and discussed.<br/><br/>Conclusions: Development of reflective skills congruent with the ethic of care influences nursing practice by encouraging evidence-based, values-based outcomes. The NERS model supports nurses' engagement in practical ethical theory, reasoning, and skills, and needs empirical testing. Research related to nurses' ethical reasoning in complex care environments is likely to yield knowledge useful to administrators, educators, and researchers.</td></tr></table>en_GB
dc.date.available2011-10-26T22:36:44Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:36:44Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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