Experience of Ethical Conflict in Advanced Practice Nurses and Nurse Managers

2.50
Hdl Handle:
http://hdl.handle.net/10755/335066
Category:
Full-text
Type:
Presentation
Title:
Experience of Ethical Conflict in Advanced Practice Nurses and Nurse Managers
Other Titles:
Ethical Issues in Nursing Practice
Author(s):
Lee, Shiuyu Katie C.
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Shiuyu Katie C. Lee, DNSc, shiuyu@ntunhs.edu.tw
Abstract:
Session presented on Thursday, July 24, 2014: Purpose: There is an increasing of new, advanced clinical or management nursing roles globally. The position in promoting ethical practice, such as preserving human rights and professional integrity may be challenged among these nursing professionals in advanced practice. Thus, this study aimed to describe the experience of ethical conflicts and distress in Advanced Practice Nurses (APN) and Nurse Managers (NM). Methods: A qualitative inquiry with constant comparative method was used. A purposive sample of 10 post-graduate nurses in advanced practice, including nurse practitioners, case managers, nurse managers or clinical nurse educators, were recruited in Taipei, Taiwan. Voice-recorded interviews via open-ended questions were conducted and transcribed. Constant comparative method was used across interviews and subsequent data analysis. Results: The post-graduate APNs or NMs had the age ranging from 32 to 45 and were trained in various specialties, such as ICU, oncology, mental health or management, and practiced in either acute care, community or nursing education setting for 5 to 7 years. The ethical conflict experience characterized as emotional difficulty, distressed or perception of "professional fatigue," which evoked by situational factors, institutional culture or policy, and role function in the era of advanced practice nursing within the traditional western medicine system. There were 26 ethical dilemma were identified, included care and nurse-patient relationship, collaboration with nurse and non-nurse colleagues, and conflict between profession and work. The experience challenged their professional accountability, professional value, and was a personal experience. Conclusion: The APNs and NMs' ethical conflict were associated with the code of ethic in nursing and the advanced practice, managerial or education role function. The healthcare system and situation factors played an important role. Training in moral justice and resourcing with ethical support may need to support the APNs' ethical practice.
Keywords:
ethical dilemma; advanced practice nursing; Ethical conflicts
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14A01
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleExperience of Ethical Conflict in Advanced Practice Nurses and Nurse Managersen
dc.title.alternativeEthical Issues in Nursing Practiceen
dc.contributor.authorLee, Shiuyu Katie C.en
dc.contributor.departmentLambda Beta-at-Largeen
dc.author.detailsShiuyu Katie C. Lee, DNSc, shiuyu@ntunhs.edu.twen
dc.identifier.urihttp://hdl.handle.net/10755/335066-
dc.description.abstractSession presented on Thursday, July 24, 2014: Purpose: There is an increasing of new, advanced clinical or management nursing roles globally. The position in promoting ethical practice, such as preserving human rights and professional integrity may be challenged among these nursing professionals in advanced practice. Thus, this study aimed to describe the experience of ethical conflicts and distress in Advanced Practice Nurses (APN) and Nurse Managers (NM). Methods: A qualitative inquiry with constant comparative method was used. A purposive sample of 10 post-graduate nurses in advanced practice, including nurse practitioners, case managers, nurse managers or clinical nurse educators, were recruited in Taipei, Taiwan. Voice-recorded interviews via open-ended questions were conducted and transcribed. Constant comparative method was used across interviews and subsequent data analysis. Results: The post-graduate APNs or NMs had the age ranging from 32 to 45 and were trained in various specialties, such as ICU, oncology, mental health or management, and practiced in either acute care, community or nursing education setting for 5 to 7 years. The ethical conflict experience characterized as emotional difficulty, distressed or perception of "professional fatigue," which evoked by situational factors, institutional culture or policy, and role function in the era of advanced practice nursing within the traditional western medicine system. There were 26 ethical dilemma were identified, included care and nurse-patient relationship, collaboration with nurse and non-nurse colleagues, and conflict between profession and work. The experience challenged their professional accountability, professional value, and was a personal experience. Conclusion: The APNs and NMs' ethical conflict were associated with the code of ethic in nursing and the advanced practice, managerial or education role function. The healthcare system and situation factors played an important role. Training in moral justice and resourcing with ethical support may need to support the APNs' ethical practice.en
dc.subjectethical dilemmaen
dc.subjectadvanced practice nursingen
dc.subjectEthical conflictsen
dc.date.available2014-11-17T13:43:21Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:43:21Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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