2.50
Hdl Handle:
http://hdl.handle.net/10755/316842
Category:
Full-text
Type:
Presentation
Title:
Using Narratives to Inform Nursing Ethics Education
Author(s):
Hold, Judith L.
Lead Author STTI Affiliation:
Non-member
Author Details:
Judith L. Hold, EdD, RN, email: jhold@kennesaw.edu
Abstract:

Session presented on: Friday, April 4, 2014

Background: During end-of-life care, nurses face ethical dilemmas on a daily basis with minimal operative scholastic preparation and professional expertise. The diverse source of ethical quandaries include patient care issues related to legalities, inappropriate medical interventions, social roles, and professional and personal values. It is imperative that ethics education take into account the professional and social context of nursing, in addition to traditional teachings focused on principles and theories, codes of conduct, and legal ramifications.

Purpose: To explore how experienced nurses’ successful resolution of day to day ethical dilemmas during end of life care can inform nursing ethics education.

Methodology: This study utilized narrative analysis to analyze data generated from one-on-one interviews with six hospice nurses. Using core story creation, several different ethical dilemmas were identified divulging struggles with key stakeholders. Thematic analysis was then used to create three main themes:  Ethics within Practice, Ethical Knowledge, and Ethical Solutions discussed within the framework of Situational Context, Deliberations, and Ethical Actions.

Findings: The results gained from this research provide information on how to improve nursing ethics education through the use of experienced nurses' narratives. The nurses used in this research told their stories depicting a keen awareness of ethical conflicts situated by contextual factors including social, political and personal issues.  Their deliberations were informed through formal, experiential, and intuitive knowledge creating a sense of phronesis as they negotiated right course of actions. The nurses solved ethical predicaments by either following rules or choosing acts of resistance.

Implications: It is my contention that the results of this study will empower practicing nurses and nurse educators to appreciate and incorporate context and different forms of knowledge to inform ethical discourse. We can utilize the experienced nurses’ wisdom to improve nursing ethics education which ultimately translates to providing better deaths for patients.

Keywords:
narratives; ethics education
Repository Posting Date:
13-May-2014
Date of Publication:
13-May-2014
Conference Date:
2014
Conference Name:
Nursing Education Research Conference 2014
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing; National League of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
Nursing Education Research Conference 2014 Theme: Nursing Education Research, held in Hyatt Regency Indianapolis

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryFull-texten_GB
dc.typePresentationen_GB
dc.titleUsing Narratives to Inform Nursing Ethics Educationen_GB
dc.contributor.authorHold, Judith L.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsJudith L. Hold, EdD, RN, email: jhold@kennesaw.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/316842-
dc.description.abstract<p>Session presented on: Friday, April 4, 2014</p><b>Background</b>: During end-of-life care, nurses face ethical dilemmas on a daily basis with minimal operative scholastic preparation and professional expertise. The diverse source of ethical quandaries include patient care issues related to legalities, inappropriate medical interventions, social roles, and professional and personal values. It is imperative that ethics education take into account the professional and social context of nursing, in addition to traditional teachings focused on principles and theories, codes of conduct, and legal ramifications. <p class="APA"><b>Purpose</b>: To explore how experienced nurses’ successful resolution of day to day ethical dilemmas during end of life care can inform nursing ethics education. <p class="APA"><b>Methodology</b>: This study utilized narrative analysis to analyze data generated from one-on-one interviews with six hospice nurses. Using core story creation, several different ethical dilemmas were identified divulging struggles with key stakeholders. Thematic analysis was then used to create three main themes: <i> Ethics within Practice, Ethical Knowledge, </i>and<i> Ethical Solutions </i>discussed within the framework of Situational Context, Deliberations, and Ethical Actions. <p><b>Findings</b>: The results gained from this research provide information on how to improve nursing ethics education through the use of experienced nurses' narratives. The nurses used in this research told their stories depicting a keen awareness of ethical conflicts situated by contextual factors including social, political and personal issues.  Their deliberations were informed through formal, experiential, and intuitive knowledge creating a sense of phronesis as they negotiated right course of actions. The nurses solved ethical predicaments by either following rules or choosing acts of resistance. <p><strong>Implications</strong>: It is my contention that the results of this study will empower practicing nurses and nurse educators to appreciate and incorporate context and different forms of knowledge to inform ethical discourse. We can utilize the experienced nurses’ wisdom to improve nursing ethics education which ultimately translates to providing better deaths for patients.en_GB
dc.subjectnarrativesen_GB
dc.subjectethics educationen_GB
dc.date.available2014-05-13T16:43:46Z-
dc.date.issued2014-05-13-
dc.date.accessioned2014-05-13T16:43:46Z-
dc.conference.date2014en_GB
dc.conference.nameNursing Education Research Conference 2014en_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.hostNational League of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.descriptionNursing Education Research Conference 2014 Theme: Nursing Education Research, held in Hyatt Regency Indianapolisen_GB
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