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  1. Principles of Biomedical Ethics.Ezekiel J. Emanuel, Tom L. Beauchamp & James F. Childress - 1995 - Hastings Center Report 25 (4):37.
    Book reviewed in this article: Principles of Biomedical Ethics. By Tom L. Beauchamp and James F. Childress.
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  • Ethical issues experienced by healthcare workers in nursing homes.Deborah H. L. Preshaw, Kevin Brazil, Dorry McLaughlin & Andrea Frolic - 2016 - Nursing Ethics 23 (5):490-506.
    Background:Ethical issues are increasingly being reported by care-providers; however, little is known about the nature of these issues within the nursing home. Ethical issues are unavoidable in healthcare and can result in opportunities for improving work and care conditions; however, they are also associated with detrimental outcomes including staff burnout and moral distress.Objectives:The purpose of this review was to identify prior research which focuses on ethical issues in the nursing home and to explore staffs’ experiences of ethical issues.Methods:Using a systematic (...)
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  • Ethics rounds.Marit Silén, Mia Ramklint, Mats G. Hansson & Kristina Haglund - 2016 - Nursing Ethics 23 (2):203-213.
    Background:Ethics rounds are one way to support healthcare personnel in handling ethically difficult situations. A previous study in the present project showed that ethics rounds did not result in significant changes in perceptions of how ethical issues were handled, that is, in the ethical climate. However, there was anecdotal evidence that the ethics rounds were viewed as a positive experience and that they stimulated ethical reflection.Aim:The aim of this study was to gain a deeper understanding of how the ethics rounds (...)
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  • Long-Term Nursing Care of Elderly People: Identifying ethically problematic experiences among patients, relatives and nurses in Finland.Sari Teeri, Helena Leino-Kilpi & Maritta Välimäki - 2006 - Nursing Ethics 13 (2):116-129.
    The aim of this study was to explore ethically problematic situations in the long-term nursing care of elderly people. It was assumed that greater awareness of ethical problems in caring for elderly people helps to ensure ethically high standards of nursing care. To obtain a broad perspective on the current situation, the data for this study were collected among elderly patients, their relatives and nurses in one long-term care institution in Finland. The patients (n=10) were interviewed, while the relatives (n=17) (...)
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  • “Here’s My Dilemma”. Moral Case Deliberation as a Platform for Discussing Everyday Ethics in Elderly Care.S. van der Dam, T. A. Abma, M. J. M. Kardol & G. A. M. Widdershoven - 2012 - Health Care Analysis 20 (3):250-267.
    Our study presents an overview of the issues that were brought forward by participants of a moral case deliberation (MCD) project in two elderly care organizations. The overview was inductively derived from all case descriptions (N = 202) provided by participants of seven mixed MCD groups, consisting of care providers from various professional backgrounds, from nursing assistant to physician. The MCD groups were part of a larger MCD project within two care institutions (residential homes and nursing homes). Care providers are (...)
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  • Ethical issues experienced by intensive care unit nurses in everyday practice.Maria I. D. Fernandes & Isabel M. P. B. Moreira - 2013 - Nursing Ethics 20 (1):0969733012452683.
    This research aims to identify the ethical issues perceived by intensive care nurses in their everyday practice. It also aims to understand why these situations were considered an ethical issue and what interventions/strategies have been or are expected to be developed so as to minimize them. Data were collected using a semi-structured interview with 15 nurses working at polyvalent intensive care units in 4 Portuguese hospitals, who were selected by the homogenization of multiple samples. The qualitative content analysis identified end-of-life (...)
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  • Ethical difficulties in clinical practice: experiences of European doctors.S. A. Hurst, A. Perrier, R. Pegoraro, S. Reiter-Theil, R. Forde, A.-M. Slowther, E. Garrett-Mayer & M. Danis - 2007 - Journal of Medical Ethics 33 (1):51-57.
    Background: Ethics support services are growing in Europe to help doctors in dealing with ethical difficulties. Currently, insufficient attention has been focused on the experiences of doctors who have faced ethical difficulties in these countries to provide an evidence base for the development of these services.Methods: A survey instrument was adapted to explore the types of ethical dilemma faced by European doctors, how they ranked the difficulty of these dilemmas, their satisfaction with the resolution of a recent ethically difficult case (...)
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  • Teaching ethics in the clinic. The theory and practice of moral case deliberation.A. C. Molewijk, T. Abma, M. Stolper & G. Widdershoven - 2008 - Journal of Medical Ethics 34 (2):120-124.
    A traditional approach to teaching medical ethics aims to provide knowledge about ethics. This is in line with an epistemological view on ethics in which moral expertise is assumed to be located in theoretical knowledge and not in the moral experience of healthcare professionals. The aim of this paper is to present an alternative, contextual approach to teaching ethics, which is grounded in a pragmatic-hermeneutical and dialogical ethics. This approach is called moral case deliberation. Within moral case deliberation, healthcare professionals (...)
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  • Ethical decision making in an acute medical ward: Australian findings on dealing with conflict and tension.Pam McGrath & Hamish Holewa - 2006 - Ethics and Behavior 16 (3):233 – 252.
    It is now common in health care for a diverse range of professions and disciplines to work together in regular and close contact. Thus, there are now calls in the literature for research that documents insights on the ethical dimension of multidisciplinary relationships. Recent Australian research has responded to this call by examining how a multidisciplinary team of health professionals define and operationalize the notion of ethics in an acute ward hospital setting. This article provides findings from the research study (...)
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  • Ethical issues experienced during palliative care provision in nursing homes.Deborah H. L. Muldrew, Dorry McLaughlin & Kevin Brazil - 2019 - Nursing Ethics 26 (6):1848-1860.
    Background:Palliative care is acknowledged as an appropriate approach to support older people in nursing homes. Ethical issues arise from many aspects of palliative care provision in nursing homes; however, they have not been investigated in this context.Aim:To explore the ethical issues associated with palliative care in nursing homes in the United Kingdom.Design:Exploratory, sequential, mixed-methods design.Methods:Semi-structured interviews with 13 registered nurses and 10 healthcare assistants (HCAs) working in 13 nursing homes in the United Kingdom were used to explore ethical issues in (...)
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  • Patient autonomy in home care: Nurses’ relational practices of responsibility.Gaby Jacobs - 2019 - Nursing Ethics 26 (6):1638-1653.
    Background: Over the last decade, new healthcare policies are transforming healthcare practices towards independent living and self-care of older people and people with a chronic disease or disability within the community. For professional caregivers in home care, such as nurses, this requires a shift from a caring attitude towards the promotion of patient autonomy. Aim: To explore how nurses in home care deal with the transformation towards fostering patient autonomy and self-care. Research design and context: A case study was conducted (...)
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  • Explorations of disgust: A narrative inquiry into the experiences of nurses working in palliative care.Mara Kaiser, Helen Kohlen & Vera Caine - 2019 - Nursing Inquiry 26 (3):e12290.
    While feelings of disgust and repulsion are experienced and accepted as part of care practices of nurses who work in palliative care, they are often silenced. Working alongside two palliative care nurses in a hospice setting, we engaged in a narrative inquiry to inquire into their experiences of disgust. The study took place in a palliative care setting in a large urban city in Germany. We understand care practices as actions that follow a logic of care. According to a logic (...)
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  • A Survey Of Ethical Issues Experienced By Nurses Caring For Terminally Ill Elderly People.S. D. Enes & Kay de Vries - 2004 - Nursing Ethics 11 (2):150-164.
    This study examined the ethical issues experienced by nurses working in a small group of elderly persons’ care settings in the UK, using a survey questionnaire previously used in other countries for examining the cultural aspects of ethical issues. However ‘culture’ relates not only to ethnicity but also the organizational culture in which care is delivered. Nurses working in elderly persons’ care settings described a range of issues faced when caring for elderly terminally ill people, which illustrated the different needs (...)
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  • Ethical difficulties in nursing, educational needs and attitudes about using ethics resources.Cinzia Leuter, Cristina Petrucci, Antonella Mattei, Gianpietro Tabassi & Loreto Lancia - 2013 - Nursing Ethics 20 (3):348-358.
    Ethical difficulties arise in healthcare practices. However, despite extensive research findings that demonstrate that most nurses are involved in recurrent ethical problems, institutions are not always able to effectively support nursing care professionals. The limited availability of ethics consultation services and traditional nursing training fails to meet the frequent and strong requests by health workers to support their ethical dilemmas. A questionnaire was administered to 374 nurses attending a specialist training and a lifetime learning programme in Italy. The respondents reported (...)
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  • What healthcare teams find ethically difficult.D. Rasoal, A. Kihlgren, I. James & M. Svantesson - 2016 - Nursing Ethics 23 (8):825-837.
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  • Ethically difficult situations in hemodialysis care - Nurses' narratives.C. E. Fischer Gronlund, A. I. Soderberg, K. M. Zingmark, S. M. Sandlund & V. Dahlqvist - 2015 - Nursing Ethics 22 (6):711-722.
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  • Ethical Decision Making in Nurses.Marcia L. Raines - 2000 - Jona's Healthcare Law, Ethics, and Regulation 2 (1):29-41.
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  • Co‐creating possibilities for patients in palliative care to reach vital goals – a multiple case study of home‐care nursing encounters.Elisabeth Bergdahl, Eva Benzein, Britt-Marie Ternestedt, Eva Elmberger & Birgitta Andershed - 2013 - Nursing Inquiry 20 (4):341-351.
    The patient’s home is a common setting for palliative care. This means that we need to understand current palliative care philosophy and how its goals can be realized in home‐care nursing encounters (HCNEs) between the nurse, patient and patient’s relatives. The existing research on this topic describes both a negative and a positive perspective. There has, however, been a reliance on interview and descriptive methods in this context. The aim of this study was to explore planned HCNEs in palliative care. (...)
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  • Development of nurses’ abilities to reflect on how to create good caring relationships with patients in palliative care: an action research approach.Elisabeth Bergdahl, Eva Benzein, Britt-Marie Ternestedt & Birgitta Andershed - 2011 - Nursing Inquiry 18 (2):111-122.
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  • ‘Being appropriately unusual’: a challenge for nurses in health-promoting conversations with families.Eva Gunilla Benzein, Margaretha Hagberg & Britt-Inger Saveman - 2008 - Nursing Inquiry 15 (2):106-115.
    This study describes the theoretical assumptions and the application for health‐promoting conversations, as a communication tool for nurses when talking to patients and their families. The conversations can be used on a promotional, preventive and healing level when working with family‐focused nursing. They are based on a multiverse, salutogenetic, relational and reflecting approach, and acknowledge each person's experience as equally valid, and focus on families’ resources, and the relationship between the family and its environment. By posing reflective questions, reflection is (...)
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  • An Inquiry into the Freedom of Decision.D. J. O'Connor - 1964 - Philosophical Quarterly 14 (57):379.
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  • Nurses' Perceptions of Ethical Issues in the Care of Older People.Jenny Rees, Lindy King & Karl Schmitz - 2009 - Nursing Ethics 16 (4):436-452.
    The aim of this thematic literature review is to explore nurses' perceptions of ethical issues in the care of older people. Electronic databases were searched from September 1997 to September 2007 using specific key words with tight inclusion criteria, which revealed 17 primary research reports. The data analysis involved repeated reading of the findings and sorting of those findings into four themes. These themes are: sources of ethical issues for nurses; differences in perceptions between nurses and patients/relatives; nurses' personal responses (...)
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  • Nurses' Moral Problems in Dialisys.Maaike Hermsen & Marjolein van der Donk - 2009 - Nursing Ethics 16 (2):184-191.
    This article gives an overview of the moral problems experienced and described by nurses working in a dialysis unit in the Netherlands. The nurses raised a wide variety of issues that they considered were moral problems, which were grouped into seven topics. A selection of cases are described, one of which is analysed using the Nijmegen method of ethical case deliberation. This method facilitates practical approaches to the different types of moral problems encountered. The argument is made that, owing to (...)
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  • Ethical Problems in End-of-Life Decisions for Elderly Norwegians.Marjorie A. Schaffer - 2007 - Nursing Ethics 14 (2):242-257.
    Norwegian health professionals, elderly people and family members experience ethical problems involving end-of-life decision making for elders in the context of the values of Norwegian society. This study used ethical inquiry and qualitative methodology to conduct and analyze interviews carried out with 25 health professionals, six elderly people and five family members about the ethical problems they encountered in end-of-life decision making in Norway. All three participant groups experienced ethical problems involving the adequacy of health care for elderly Norwegians. Older (...)
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  • Meeting Ethical Challenges in Acute Care Work as Narrated by Enrolled Nurses.Venke Sørlie, Annica Larsson Kihlgren & Mona Kihlgren - 2004 - Nursing Ethics 11 (2):179-188.
    Five enrolled nurses (ENs) were interviewed as part of a comprehensive investigation into the narratives of registered nurses, ENs and patients about their experiences in an acute care ward. The ward opened in 1997 and provides patient care for a period of up to three days, during which time a decision has to be made regarding further care elsewhere or a return home. The ENs were interviewed concerning their experience of being in ethically difficult care situations and of acute care (...)
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  • A Survey of Ethical Issues Experienced by Nurses Caring for Terminally Ill Elderly People.S. Patricia D. Enes & Kay de Vries - 2004 - Nursing Ethics 11 (2):150-164.
    This study examined the ethical issues experienced by nurses working in a small group of elderly persons’ care settings in the UK, using a survey questionnaire previously used in other countries for examining the cultural aspects of ethical issues. However ‘culture’ relates not only to ethnicity but also the organizational culture in which care is delivered. Nurses working in elderly persons’ care settings described a range of issues faced when caring for elderly terminally ill people, which illustrated the different needs (...)
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  • Moral Problems Experienced by Nurses when Caring for Terminally Ill People: a literature review.Jean-Jacques Georges & Mieke Grypdonck - 2002 - Nursing Ethics 9 (2):155-178.
    This article is a review of the literature on the subject of how nurses who provide palliative care are affected by ethical issues. Few publications focus directly on the moral experience of palliative care nurses, so the review was expanded to include the moral problems experienced by nurses in the care of the terminally ill patients. The concepts are first defined, and then the moral attitudes of nurses, the threats to their moral integrity, the moral problems that are perceived by (...)
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  • Moral Dilemmas of Nursing in End-of-Life Care in Hungary: a personal perspective.Bela Blasszauer & Ilona Palfi - 2005 - Nursing Ethics 12 (1):92-105.
    The authors’ aim is to bring to the attention of readers the inadequacies of care for people in Hungary who are terminally ill. They believe that both objective and subjective factors cause these inadequacies. Most of these factors arise from moral dilemmas that could be eased or even solved if ethics education had a much more prominent place in the nursing curriculum. Even if nurses would not become automatically better persons morally, a much wider knowledge of medical/nursing ethics could significantly (...)
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  • Dignity of older people in a nursing home: Narratives of care providers.Rita Jakobsen & Venke Sørlie - 2010 - Nursing Ethics 17 (3):289-300.
    The purpose of this study was to illuminate the ethically difficult situations experienced by care providers working in a nursing home. Individual interviews using a narrative approach were conducted. A phenomenological-hermeneutic method developed for researching life experience was applied in the analysis. The findings showed that care providers experience ethical challenges in their everyday work. The informants in this study found the balance between the ideal, autonomy and dignity to be a daily problem. They defined the culture they work in (...)
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  • Ethical difficulties in nursing, educational needs and attitudes about using ethics resources.C. Leuter, C. Petrucci, A. Mattei, G. Tabassi & L. Lancia - 2012 - Nursing Ethics (3):0969733012455565.
    Ethical difficulties arise in health-care practices. However, despite extensive research findings that demonstrate that most nurses are involved in recurrent ethical problems, institutions are not always able to effectively support nursing care professionals. The limited availability of ethics consultation services and traditional nursing training fails to meet the frequent and strong requests by health workers to support their ethical dilemmas. A questionnaire was administered to 374 nurses attending a specialist training and a lifetime learning programme in Italy. The respondents reported (...)
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  • Defining end-of-life care from perspectives of nursing ethics.S. Izumi, H. Nagae, C. Sakurai & E. Imamura - 2012 - Nursing Ethics 19 (5):608-618.
    Despite increasing interests and urgent needs for quality end-of-life care, there is no exact definition of what is the interval referred to as end of life or what end-of-life care is. The purpose of this article is to report our examination of terms related to end-of-life care and define end-of-life care from nursing ethics perspectives. Current terms related to end-of-life care, such as terminal care, hospice care, and palliative care, are based on a medical model and are restrictive in terms (...)
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  • “Here's My Dilemma”. Moral Case Deliberation as a Platform for Discussing Everyday Ethics in Elderly Care.S. Dam, T. A. Abma, M. J. M. Kardol & G. A. M. Widdershoven - 2012 - Health Care Analysis 20 (3):250-267.
    Our study presents an overview of the issues that were brought forward by participants of a moral case deliberation (MCD) project in two elderly care organizations. The overview was inductively derived from all case descriptions (N = 202) provided by participants of seven mixed MCD groups, consisting of care providers from various professional backgrounds, from nursing assistant to physician. The MCD groups were part of a larger MCD project within two care institutions (residential homes and nursing homes). Care providers are (...)
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  • Evaluation and ethical review of a tool to explore patient preferences for information and involvement in decision making.F. E. M. Murtagh - 2006 - Journal of Medical Ethics 32 (6):311-315.
    Aim: To improve clinical and ethical understanding of patient preferences for information and involvement in decision making.Objectives: To develop and evaluate a clinical tool to elicit these preferences and to consider the ethical issues raised.Design: A before and after study.Setting: Three UK hospices.Participants: Patients with advanced life-threatening illnesses and their doctors.Intervention: Questionnaire on information and decision-making preferences.Main outcome measures: Patient-based outcome measures were satisfaction with the amount of information given, with the way information was given, with family or carer information, (...)
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