2.50
Hdl Handle:
http://hdl.handle.net/10755/162822
Type:
Presentation
Title:
Ethical Decision-Making by Emergency Nurses
Abstract:
Ethical Decision-Making by Emergency Nurses
Conference Sponsor:Emergency Nurses Association
Conference Year:1996
Author:Bosek, Marcia, DNSc, RN
Rapidly increasing medical knowledge and available technology are creating new ethical situations for emergency nurses. Traditional ethical decision-making resources may not be useful in resolving ethical situations in the emergency department due to time limitations, lack of an established nurse-patient relationship, and incompetent patients. The purposes of this study are to: a) identify the types of ethical situations experienced by emergency nurses, and b) describe and analyze the process used by emergency nurses when resolving an ethical situation. A grounded theory method was used since the ethical decision-making process used by emergency nurses is an unexplored phenomenon. Fifteen subjects (12 females, 3 males) were self-selected from a population of registered nurses employed in three mid-west emergency departments (one trauma center, one private teaching hospital, and one community hospital). Each subject participated in a semi-structured, audio taped interview. Actions were taken to insure the trustworthiness (reliability and validity) of the data, for example: triangulation with multiple sources, product and process trail auditing including double coding every third interview, the use of descriptive illustrations, and a comprehensive member check at the completion of the study. Ethical situations experienced by the emergency nurses included: confidentiality, justice issues, aggressiveness of treatment, compromised employees, and informed consent. Autonomy, the Basic Social Psychological Process, describes the social psychological process which helps the emergency nurse to resolve clinical ethical situations. The Basic Social Structural Process describes the environment in which the phenomenon occurs. The emergency nurseÆs ethical decision-making occurs within an environment of advocacy. A conceptual model describing the nurses' perception of the ethical situation and process used when resolving an ethical situation in the emergency clinical setting will be presented. Recommendations identifying actions nursing administration could implement to facilitate the emergency nurse's ethical decision-making abilities and patient advocacy role will be made. In addition, resources for facilitating the emergency nurse's ethical decision-making skill will be identified. [Research Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEthical Decision-Making by Emergency Nursesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162822-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Ethical Decision-Making by Emergency Nurses</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1996</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bosek, Marcia, DNSc, RN</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">res@ena.org</td></tr><tr><td colspan="2" class="item-abstract">Rapidly increasing medical knowledge and available technology are creating new ethical situations for emergency nurses. Traditional ethical decision-making resources may not be useful in resolving ethical situations in the emergency department due to time limitations, lack of an established nurse-patient relationship, and incompetent patients. The purposes of this study are to: a) identify the types of ethical situations experienced by emergency nurses, and b) describe and analyze the process used by emergency nurses when resolving an ethical situation. A grounded theory method was used since the ethical decision-making process used by emergency nurses is an unexplored phenomenon. Fifteen subjects (12 females, 3 males) were self-selected from a population of registered nurses employed in three mid-west emergency departments (one trauma center, one private teaching hospital, and one community hospital). Each subject participated in a semi-structured, audio taped interview. Actions were taken to insure the trustworthiness (reliability and validity) of the data, for example: triangulation with multiple sources, product and process trail auditing including double coding every third interview, the use of descriptive illustrations, and a comprehensive member check at the completion of the study. Ethical situations experienced by the emergency nurses included: confidentiality, justice issues, aggressiveness of treatment, compromised employees, and informed consent. Autonomy, the Basic Social Psychological Process, describes the social psychological process which helps the emergency nurse to resolve clinical ethical situations. The Basic Social Structural Process describes the environment in which the phenomenon occurs. The emergency nurse&AElig;s ethical decision-making occurs within an environment of advocacy. A conceptual model describing the nurses' perception of the ethical situation and process used when resolving an ethical situation in the emergency clinical setting will be presented. Recommendations identifying actions nursing administration could implement to facilitate the emergency nurse's ethical decision-making abilities and patient advocacy role will be made. In addition, resources for facilitating the emergency nurse's ethical decision-making skill will be identified. [Research Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:34:45Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:34:45Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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