Dear Friends lets share different issues related to nursing practice,education, ethics and research these matters in our country/region/hospital etc.
Nurs Times. 2014 Jan 15-21;110(1-3):20-3.
Nursing research: ethics, consent and good practice.
Bowrey S1, Thompson JP1.
Author information
Abstract
Nursing practice must be based on reliable evidence and nurse education must equip practitioners with the skills to challenge existing practices, read published research critically and evaluate its role in clinical practice. Health professionals are likely to come into contact with patients taking part in clinical trials, and have a role to play in maintaining a culture of improving care using a strong evidence base. This article explains the responsibilities of research nurses in clinical trials and how patient safety is maintained. It outlines the role of nurses in clinical research and the regulatory frameworks that underpin it, and explores the consent process and ethical principles.
PMID:
24597204
[Indexed for MEDLINE]
Bowrey S, Thompson JP (2014) Nursing research: ethics, consent and good practice. Nursing Times; 110: 1/3, 20-23.
Nursing practice must be based on reliable evidence and nurse education must equip practitioners with the skills to challenge existing practices, read published research critically and evaluate its role in clinical practice. Health professionals are likely to come into contact with patients taking part in clinical trials, and have a role to play in maintaining a culture of improving care using a strong evidence base.
This article explains the responsibilities of research nurses in clinical trials and how patient safety is maintained. It outlines the role of nurses in clinical research and the regulatory frameworks that underpin it, and explores the consent process and ethical principles.
https://www.nursingtimes.net/roles/nurse-educators/nursing-research-ethics-consent-and-good-practice/5066949.article
What are the major ethical issues in conducting research? is there a conflict between the research ethics and the nature of nursing?
Georgia Fouka1, Marianna Mantzorou2*
RN, PhD, Assistant Professor of Nursing, Department of Nursing Β΄, Technological Educational Institute (TEI) of Athens, Greece
RN, MSc, Lecturer, Department of Nursing Β΄, Technological Educational Institute (TEI) of Athens, Greece
Corresponding Author : Mantzorou Marianna, 13, Tassopoulou str. Ag. Paraskevi, 15342, Tel : 210 6398958, Mobile: 6937849980,E-mail: [email protected]
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Abstract
Background: Research ethics involve requirements on daily work, the protection of dignity of subjects and the publication of the information in the research. However, when nurses participate in research they have to cope with three value systems; society; nursing and science which may be in conflict with the values of subjects, communities, and societies and create tensions and dilemmas in nursing. Method and material: Using the Medline and the Nursing Cinahl data base, the most important ethical issues which appear in bibliography, will be addressed. After a short description of the nature of nursing, and the advocacy role of nurses, the writer will attempt to highlight the possible conflicts that nurses have to deal with, when undertaking or participating in research. Results: The major ethical issues in conducting research are: a) Informed consent, b) Beneficence- Do not harm c) Respect for anonymity and confidentiality d) Respect for privacy. However, both the nature of nursing which focuses on caring, preventing harm and protecting dignity and the advocates role of nurses which calls for defending the rights of subjects, are sometimes incongruent with the ethics in research. Conclusions: Ethical issues, conflicting values, and ambiguity in decision making, are recurrently emerging from literature review on nursing research. Because of lack of clarity in ethical standards, nurses must develop an awareness of these issues and an effective framework to deal with problems involving human rights.
Key words
http://www.hsj.gr/medicine/what-are-the-major-ethical-issues-in-conducting-research-is-there-a-conflict-between-the-research-ethics-and-the-nature-of-nursing.php?aid=3485
Francine Mancuso Parker, RN, MSN, EdD
Citation: Parker, F., (Nov. 26, 2007) Ethics Column: "The Power of One" OJIN: Online Journal of Issues in Nursing. Vol. 13, No. 1.
DOI: 10.3912/OJIN.Vol13No01EthCol01
The ability to influence patient care outcomes depends on a variety of forces, each of which the nurse must consider in order to influence care outcomes in an ethically appropriate manner. The introductory articles in the topic, “The Power to Influence Patient Care,” have already defined and described power. This Ethics Column will focus on the forces each individual nurse will want to consider in obtaining the power needed to practice in an ethical manner. These forces include nursing knowledge and skills, an understanding of ethical principles and models, good relationships with patients and the health care team, and the communication skills to nurture these relationships.
Ethically speaking, ‘what should be done’ in an individual, patient-care situation is at the heart of many practice dilemmas nurses face on a regular basis. Consider, for example, the nurse who has received a discharge order for a homeless patient hospitalized for pneumonia. The nurse knows the patient needs further care that will not likely be delivered ‘at home.’ The nurse also knows the bottom financial line is that the patient has ‘used up’ the days allotted for the medical condition and discharge is imminent. This example illustrates the dilemma related to the ethical issue of the distribution of scant resources that occurs frequently within health care arenas. The ethical principle of justice guides the fair and equal treatment of all people; yet, the nurse wrestles with the consequences of limited organizational and societal financial resources.
A nurse’s knowledge and skill are important forces that can contribute to the power to influence patient care in an ethical manner. This power comes from the health care team’s dependence on the nurse’s knowledge and expert skill. There is no substitute for the respect that is earned by a nurse who gives consistent, excellent, holistic care. The reputation for excellence in practice is power! The nurse who diligently reads current professional literature, and shares evidence-based research with colleagues so as to enhance their nursing knowledge and skills, strengthens practice and influences the actions of others, thus improving patient care. This is the power one nurse can have for the good of all - the power of one!
To influence patient care from an ethical perspective, a nurse also needs an understanding of ethical principles and models. Knowledge of ethical principles, such as autonomy and beneficence, arms the nurse with power to be a major player in the decision-making process regarding patient care. A nurse who understands ethical principles, and can use this understanding to influence the health care team to apply these principles, has successfully used power by influencing the action and behaviors of others.
Using ethical principles to arrive at a solution should be done in an atmosphere of caring, respect, openness, and honesty. This process should be based on a sound ethical, decision-making model, using the best evidence-based-practice guidelines available. Chally and Loriz (1998) and also Koloroutis and Thorstenson (1999) have noted the importance of nurse managers assuming the responsibility of integrating an ethical framework (model) for decision making into the nursing practice of their assigned areas. Facilitating discussions of health care dilemmas among staff nurses and other team members is an excellent way to promote an organizational climate where ethical principles are used in a systematic manner. Encouraging nurses to engage in hospital ethics committee meetings, which provide structure for addressing ethical dilemmas, promotes professional growth of individual nurses as the multidisciplinary voices on these committees share perspectives for addressing the dilemma at hand.
Ethical decision making is a process that can be refined and used in addressing any ethical dilemma. Adhering to principles of autonomy and beneficence are foundational to the ethical decision-making process. Respecting a patients’ autonomy means the patient has the right to make choices regarding care and treatment, regardless of medical opinions and other recommendations. A competent patient of sound mind has the right and should be allowed to make personal decisions regarding health care, including the refusal of treatment. The American Nurses Association (ANA) Code of Ethics includes a directive guiding the nurse to promote and advocate for the rights of the patient, an activity which should be at the heart of all decision making (ANA, 2001). The nurse, as patient advocate, plays an important role in communicating and supporting the wishes of the patient, even when doing so may be against the opinions of the family and physician.
The ability to influence patient care outcomes also depends on the power a nurse has in relationships with physicians and other team members. A nurse gains power through establishing positive, collegial, working relationships with physicians, other nurses, and all the members of the health care team. Productive relationships increase a nurse’s power to base care decisions on ethical principles.
Finally, communication skills are essential to establish and maintain effective working relationships with health care colleagues. These skills require acquisition of ‘tools,’ such as conflict management, team-building, and effective communication skills to use in discussing ethical issues. The power of each nurse comes as s/he commits to the organization and unit by serving as an exemplary role model, innovator, critical thinker, and communicator for the health care team. Owning one’s power translates to conscious, deliberate, and participative decision making regarding ethical dilemmas.
I encourage you to examine your current level of power, the extent you are using this power to provide care based on ethical principles, and to develop a systematic plan to develop and strengthen these important forces for influencing your patient’s care through sound decisions by the health care team. You may be the essential link in advocating for your patient and assuring your health care team practices according to the highest of ethical standards.
Author
Francine Mancuso Parker, RN, MSN, EdD
E-mail: [email protected]
Francine Parker received her baccalaureate degree from Troy State University in Montgomery, AL, and her master’s degree from the University of Alabama in Birmingham. Her doctorate, completed in the Department of Educational Foundations, Leadership, and Technology, was awarded by Auburn (AL) University in 2004. Dr. Parker served as nursing faculty at Auburn University Montgomery (AUM) for twelve years before joining Auburn University in the fall of 2006. At AUM she was a Distinguished Teaching Fellow and twice the recipient of the Irma Moore Faculty Excellence Award. Dr. Parker taught Legal and Ethical Issues in Healthcare at the undergraduate level for eight years and currently teaches Principles of Ethics for the Health Professional in the graduate program. Dr. Parker has presented on ethical issues at numerous local and state meetings. In the fall of 2006 Dr. Parker delivered a plenary address, “Making an Ethical Difference: One Nurse at a Time,” at the Alabama State Nurses Association (ASNA) Annual convention. Dr. Parker serves as chair of the ASNA Ethics and Human Rights Committee.
References
American Nurses Association. (2001). Code for nurses with interpretive statements. Washington, DC: Author.
Chally, P., & Loriz, L. (1998). Decision making in practice: A practical model for resolving the types of ethical dilemmas you face daily. American Journal of Nursing, 98(6), 17 – 20.
Koloroutis, M., & Thorstenson, T. (1999). An ethics framework for organizational change. Nursing Administration Quarterly, 23(2), 9 – 18.
© 2007 OJIN: The Online Journal of Issues in Nursing
Article published November 26, 2007
Nurses’ knowledge in ethics and their perceptions regarding continuing ethics education: a cross-sectional survey among nurses at three referral hospitals in Uganda
Charles Peter Osingada,
Gorrette Nalwadda,
Tom Ngabirano,
John Wakida,
Nelson Sewankambo and
Damalie NakanjakoEmail author
BMC Research Notes20158:319
DOI: 10.1186/s13104-015-1294-6
© Osingada et al. 2015
Received: 8 May 2014
Accepted: 22 July 2015
Published: 29 July 2015
Abstract
Background
High disease burden and scarcity of healthcare resources present complex ethical dilemmas for nurses working in developing countries. We assessed nurses’ knowledge in ethics and their perceptions about Continuous Nurses’ Ethics Education (CNEE) for in-service nurses.
Methods
Using an anonymous, pre-tested self-administered questionnaire, we assessed nurses’ knowledge in basic ethics concepts at three regional hospitals in Uganda. Adequate knowledge was measured by a score ≥50% in the knowledge assessment test. Nurses’ perceptions on CNEE were assessed using a six-point Likert scale.
Results
Of 114 nurses, 91% were female; with mean age 44.7 (SD 10) years. Half were diploma, 47 (41%) certificates, 6 (5%) bachelors’ degrees and one masters’ level training. Overall, 18 (16%) scored ≥50% in the ethics knowledge test. Nurses with diploma or higher level of nursing training were less likely to fail the ethics knowledge than certificate-level nurses (OR 0.14, 95% CI: 0.02–0.7). Only 45% had ever attended at least one CNEE session and up to 93% agreed that CNEE is required to improve nurses’ ethics knowledge and practice.
Conclusions
Nurses exhibited low knowledge in ethics and positive attitudes towards CNEE. We recommend structured CNEE programs to address basic concepts in nursing ethics and their application in clinical practice.
https://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-015-1294-6
Nursing research ethics, guidance and application in practice
Owen DoodyLecturer, Department of Nursing and Midwifery, University of Limerick, IrelandMaria NoonanLecturer, Department of Nursing and Midwifery, University of Limerick, Ireland
https://doi.org/10.12968/bjon.2016.25.14.803
Accepted: July 01, 2016
Published Online: July 28, 2016
http://www.magonlinelibrary.com/doi/abs/10.12968/bjon.2016.25.14.803
Very interesting scientific article, my congratulations and success in the next research
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