Subject(s)
Decision Making , Emergency Medical Services/ethics , Emergency Nursing/ethics , Ethics, Nursing , Models, Nursing , Adolescent , Adult , Communication , Emergency Medical Services/legislation & jurisprudence , Evaluation Studies as Topic , Humans , Informed Consent , Interviews as Topic , Minors , Nurse's Role , Patient Advocacy/ethics , Patient Self-Determination Act , Personal Autonomy , Resuscitation Orders , Time Factors , Treatment Refusal , United StatesSubject(s)
Beneficence , Ethics, Nursing , Nursing Care/standards , Electronic Data Processing , Humans , Morals , Patient AdvocacyABSTRACT
When ethical or pragmatic questions arise concerning surrogate decision-making, nurse administrators often are consulted, so they must be knowledgeable about current legislation as well as the surrogate decision-maker's role and ethical obligations. Case exemplars are presented in this article to facilitate the reader's awareness on how value conflicts and communication failures can complicate surrogate decision-making. Recommendations for clinical practice and research are presented.
Subject(s)
Decision Making , Nurse Administrators , Third-Party Consent/legislation & jurisprudence , Ethics, Nursing , Guidelines as Topic , Humans , Informed Consent , Mental CompetencySubject(s)
Community Health Nursing/standards , Ethics, Nursing , Holocaust/psychology , Home Care Services/standards , Prejudice , Refusal to Treat , Aged , Aged, 80 and over , Conscience , Ethics, Institutional , Humans , Joint Commission on Accreditation of Healthcare Organizations , Male , United StatesSubject(s)
Decision Making , Disabled Children , Disabled Persons , Ethics, Clinical , Child , Ethics Consultation , Humans , Palliative Care , Parental Consent , Parents , Patient Care Team , Skilled Nursing FacilitiesABSTRACT
Though Americans are a religious people, there are times when religion or religious views may confound the ethical process. This article claims that religious values may be expressed as either principles or narratives, then seeks to establish a case for dealing with religious claims as "principled narratives." Methods of evaluation are explored and then seven guidelines are offered for dealing with religion in ethics consultations.
Subject(s)
Professional-Patient Relations , Religion and Medicine , Ethics Consultation , Ethics, Clinical , Humans , Life Support Care/ethics , Medical Futility , Moral Development , Narration , Personal Autonomy , Postmodernism , Spirituality , Treatment Refusal/ethicsABSTRACT
Pediatric nurses have the opportunity to facilitate genetic testing decisions made by parents on behalf og their children. When facilitating and evaluating the genetic testing decision, the pediatric nurse should consider whether the decision is in the best interest of the child and protects the child's right to an open future. Pediatric nurses should take advantage of the various formal and informal educational genetic and ethics resources available.
Subject(s)
Child Advocacy , Ethics, Nursing , Genetic Testing/trends , Pediatric Nursing/trends , Child , Child Advocacy/legislation & jurisprudence , Forecasting , Genetic Testing/legislation & jurisprudence , Humans , Pediatric Nursing/legislation & jurisprudence , United StatesSubject(s)
Burnout, Professional/psychology , Double Effect Principle , Electric Countershock/adverse effects , Ethics, Nursing , Nursing Staff, Hospital/psychology , Pain/etiology , Stress, Psychological , Tachycardia, Ventricular/psychology , Tachycardia, Ventricular/therapy , Aged , Coronary Care Units , Fatal Outcome , Guilt , Humans , Male , Patient AdvocacyABSTRACT
A male patient was admitted to the acquired immune deficiency syndrome (AIDS) unit for hemodialysis. His history revealed that he was homeless and that he had tested positive for human immunodeficiency virus (HIV+). He also had a history of alcohol and intravenous drug abuse and tuberculosis. Based on the results of a chest X-ray, he was placed in respiratory isolation. During the next few days of his hospitalization, he exhibited nonadherent behavior toward the treatment regime. Because of previous verbal and physical abuse to staff and patients, all local hemodialysis centers refused to accept him as a patient. Thus, he became a patient who seemingly could never be discharged. A discussion related to the theoretical and practical scope of patient autonomy, institutional altruism vs. institutional self-interest, and the need for social policy to facilitate a just and humane resolution to this ethical situation is presented here.
Subject(s)
AIDS-Related Opportunistic Infections/psychology , Ethics, Medical , Patient Advocacy/legislation & jurisprudence , Patient Discharge/legislation & jurisprudence , Refusal to Treat/legislation & jurisprudence , Treatment Refusal/psychology , Tuberculosis, Pulmonary/psychology , AIDS-Related Opportunistic Infections/complications , AIDS-Related Opportunistic Infections/drug therapy , Adult , Alcoholism/complications , Attitude to Health , Ethical Analysis , Ethics Committees , Ethics Consultation , Ethics, Institutional , Ill-Housed Persons/psychology , Humans , Male , Patient Compliance , Personal Autonomy , Renal Dialysis , Social Values , Substance Abuse, Intravenous/complications , Tuberculosis, Pulmonary/complications , Tuberculosis, Pulmonary/drug therapySubject(s)
Curriculum , Education, Nursing , Ethics, Nursing , Humans , Nursing Care , Teaching/methodsSubject(s)
Decision Support Techniques , Dissent and Disputes , Ethics, Nursing , Group Processes , Living Wills , Personal Autonomy , Social Values , Aged , Aged, 80 and over , Beneficence , Critical Care , Female , Humans , Intubation, Intratracheal , Mental Competency , Paternalism , Patient Advocacy , Risk Assessment , Withholding TreatmentABSTRACT
Assisted suicide is creating intense discussion and controversy within the health care system and society in general. As a result, nurses may be placed in situations where they are asked to participate in the suicide of an individual. Very little has been written about the role and responsibility of the nurse in assisted suicide. The purpose of this article is to provide insight into the history of suicide, address legal and ethical issues in assisted suicide, and provide information on the nurse's role in assisted suicide.
