Ethics For Nurses Research Articles

The Ethics Resource Caregiver Program: Equipping Nurses as Ethics Champions.

As part of a quality improvement project, pre- and post-training surveys were developed to assess whether the program was feasible and sustainable, enhanced nurse confidence in recognizing and addressing ethical issues and moral distress, and increased nurse knowledge of institutional resources for addressing the same. Qualitative and quantitative analyses were performed. Thirteen nurses from both the critical care and medical/surgical settings participated in the program. The program proved feasible. Attrition after the educational sessions raised concerns about sustainability. Survey results suggest an association between participating in the program's educational sessions and increased nurse confidence in recognizing and addressing ethical issues and moral distress, as well as identifying institutional resources that can assist nurses with the same. Opportunities for future nursing ethics champion programs include increasing the interactivity and duration of educational sessions, making programs multidisciplinary, and creating materials for nurses to more easily share with colleagues. It would be valuable for future research to measure the impact of nursing ethics champion programs on nursing turnover. A nursing ethics champion program has the potential to help nurses feel better equipped to navigate ethical issues and moral distress in their everyday work.

Actual conditions survey regarding nursing ethics and research ethics for nurses in the field of emergency nursing

Actual conditions survey regarding nursing ethics and research ethics for nurses in the field of emergency nursing

Standing in the Gap.

FigureFigure“So I sought for a man among them who would make a wall, and stand in the gap before me on behalf of the land, that I should not destroy it; but I found no one” (Ezekiel 22:30, NKJV). I'm sure everyone is familiar with this lament from God through the Old Testament prophet Ezekiel about how the leaders of God's people abused their power and oppressed the people in ancient Israel. The same is true around the world today. Leaders are supposed to shepherd those under their care and in their sphere of influence; abuse of power is common, whereas true loving kindness and compassionate care are rare. However, in Haiti, nurses under the leadership of NCF-Haiti chapter leaders have taken on the challenge to “stand in the gap” for their people. Recognizing the tremendous need for education and guidance in face of the COVID-19 pandemic, a team of nurses led by NCF-Haiti vice president Vanessa Roland and her colleagues began providing health education in churches and other venues where people could gather. Nurses handed out masks and taught about health and hygiene, especially in relation to prevention of COVID-19. INITIATING HEALTH BOOTHS Moreover, the nurses initiated the practice of street corner “health booths” to provide hand sanitation and masks which are hard for the general public to obtain. This effort spread among nurses and college students as well as the Scouts organization that had done this kind of outreach all across Haiti in 2010 during the cholera epidemic. Efforts by nurses and other public health-minded leaders and individuals have mitigated the spread of coronavirus even though the vaccine is not readily available in Haiti. Another way NCF-Haiti nurse leaders stood in the gap for individuals and communities in Haiti was after the 2021 earthquake and hurricane that devastated southern Haiti; these nurse leaders gathered a team of nurses, doctors, and other healthcare personnel. Even though vicious gangs prowled along the main roads in the affected areas, these courageous nurses led their group by back roads to the town nearest to the epicenter where there was much suffering and great need. This team provided healthcare, food, and help with rescue efforts, clearing viable shelters that could protect people from the elements. EDUCATING AND PROMOTING HEALTH Today, NCF-Haiti nurse leaders continue to provide health education and promotion among the Haitians. Currently, they see a need to explain the odd behaviors of Americans and others who are opposed to mask mandates and vaccination requirements. With the Internet and telephone communication, multiple opinions from the world are readily available, producing confusion and lessening the positive health impact of education on people's behaviors. Nurses in Haiti now need to counteract misinformation as well as provide accurate information. According to the International Council of Nurses (ICN), compassionate care is mandated by The ICN Code of Ethics for Nurses (ICN, 2021). This kind of care requires nurses to be creative and to think outside the box to give the best care possible. Solutions are not always easy and may require sacrifice on our part, as shown by the nurse leaders of NCF-Haiti and their colleagues. Additionally, loving kindness is promoted throughout the Bible as the practice of kind attitudes and actions that flow out of the well of love within us who are followers of Jesus Christ. Christ in us is not only the “hope of glory” (Colossians 1:27) but also the fountain or wellspring from which flow life and light and love (Psalm 36:9). This is the basis for the kindness and compassion that should characterize all of our service as nurses in a hurting world. God calls all nurses to stand in the gap wherever he has placed us. This means that we need to sacrificially do our part in the great effort to alleviate suffering and to promote health. How this looks in practice may be different for each of us, but it is required of all nurses in our role as workers in God's Kingdom and ministers of health and healing.

Incorporating Faith into Ethics Education.

Preparing students for ethical situations they will face in practice should be incorporated into nursing curricula, especially programs with a Christian focus. Linking ethical concepts with tenets from Scripture can increase students' confidence in their ability to respond through a biblical worldview to ethical dilemmas in nursing practice. Specific assignments can be geared to help students think critically about the Code of Ethics for Nurses with Interpretive Statements (Code) and biblical responses to ethical situations. Sample assignments are presented for the nine provisions of the Code.

The Perception of Islamic Nursing Ethics among Nurses in Pahang, Malaysia

Introduction: A recent international survey discovered that nurses face a wide variety of ethical dilemmas. The intrinsic value of human thought and reliability can still be argued in major nursing ethics theories, such as deontology and utilitarianism. A Muslim nurse must be versed in Islamic thought. The issue is the extent to which Islamic nursing ethics can be applied to nursing practice continues to be debated. This study aims to examine nurses’ perceptions in two government hospitals in Pahang, Malaysia, regarding Islamic nursing ethics. Method: Between February and March 2017, a self-administered questionnaire assessing the comprehension of Islamic nursing ethics was developed, validated, tested, and distributed to nurses at Pahang’s Tunku Ampuan Afzan Hospital and Sultan Haji Ahmad Shah Hospital (tertiary care hospitals). Convenience sampling was applied in this study.Results: The study collected complete data on 118 nurses. The frequency with which nurses encountered ethical dilemmas ranged from ‘daily’ to ‘yearly’. Only 24.6 per cent of nurses reported encountering ethical dilemmas in their work. 43.2 per cent of nurses responded that they are ‘moderately’ knowledgeable about the Islamic nursing ethics applicable to their work. Over half (69.5 per cent) of nurses scored at a moderate level, while 17.8 per cent perceived Islamic nursing ethics competently. Only 20.3 per cent of respondents believed that adherence to patients’ wishes is consistent with Islamic nursing ethics. Conclusion: Nursing and religious authorities should take more actions to develop the understanding and awareness of Islamic nursing ethics to make it understandable for all Muslim nurses.

Original Research: TikTok's 'Dancing Nurses' During the COVID-19 Pandemic: A Content Analysis.

Amid the challenges of the ongoing COVID-19 pandemic, health care workers are using social media to publish increasing numbers of posts, memes, and videos. On TikTok, a rapidly growing and widely used social networking platform, videos labeled "dancing nurses" have recently been trending. Whether nurses or the general public consider such videos to breach professional ethical standards is unknown. The aim of this study was to analyze and describe the use of the social media platform TikTok by nurses whose videos featured dancing nurses during the ongoing pandemic. Between March 1 and December 31, 2020, we conducted a search on TikTok using terms such as dancing nurse and hashtags such as "#dancingnurse." For each identified video, the numbers of followers, views, likes, concurrent COVID-19 morbidity and mortality rates, and other data were collected. For videos meeting the inclusion criteria, content analysis was performed to evaluate dancing nurse behaviors and apply the American Nurses Association (ANA) Code of Ethics for Nurses with Interpretive Statements, ANA social networking principles, and National Council of State Boards of Nursing social media guidelines. A total of 52 videos met all inclusion criteria and were included for analysis. These videos had a mean of 1.51 million views each. Among these videos, there were 356 violations of Code of Ethics provisions, social networking principles, and social media guidelines. Forty of the videos (77%) included a choreographed dance; 24 (46%) contained twerking and three (6%) featured dance moves such as pelvic thrusts and gyrations. The findings offer insight into how nurses are using TikTok, specifically with regard to posting videos that feature dancing nurses. Some of the analyzed videos included content that could be construed, in our view, as inappropriate and even sexually suggestive. The concern is that such videos could damage the professional image of nurses and downplay the seriousness of the current pandemic. It's essential that nurses who use social media consider the content and presentation of what they post. There is an urgent need for nurses to understand professional and workplace guidelines and policies regarding the use of social media, and how these may apply to content developed and posted on platforms such as TikTok.

Advocating for Equitable Healthcare for the Undocumented Immigrant.

Despite the healthcare community's increased efforts to reduce health disparities in the United States, undocumented immigrants (UIs) remain one of the highest at-risk populations. Health and public policies, societal and healthcare worker bias, and fear of deportation are among barriers to healthcare access, resulting in increasingly poor health and health outcomes. Christian nurses, guided by biblical principles and the American Nurses Association's Code of Ethics for Nurses, can advocate for UIs' healthcare needs by supporting and promoting more inclusive institutional and government policies.

Ethical Challenges and Implications of Deactivating Mechanical Circulatory Support for Patients With Preserved Cognitive Function.

Ethical Challenges and Implications of Deactivating Mechanical Circulatory Support for Patients With Preserved Cognitive Function.

Efficacy of a smartphone-based care support programme in improving post-traumatic stress in families with childhood cancer: protocol of a randomised controlled trial

IntroductionDiagnosis and treatment represent distressing experiences for the families of children with cancer. Psychosocial challenges are faced by these families in China because of limited health services and resources for...

CIṞUPĀṈMAI CŪḺAMAIVIL MUSLIM PEṆKAḶ TĀTIYARKAḶĀKAP PAṆIPURITAL: ŌR ISLĀMIYA CAṬṬAVIYAL PAKUPPĀYVU [SERVING AS MUSLIM FEMALE NURSES IN MINORITY CONTEXT: AN ISLAMIC LEGAL ANALYSIS

Nursing is one of the oldest and most sacred professions in the world. The nurses contribute immensely to society and healthcare organizations by providing their services in personal care, medical treatment management, and working with families and the communities. In Islam, the service of nurses is considered a phenomenal deed, and it is a Fardu Kifayah (Societal Obligation). However, Muslim female nurses face various challenges as they live as minority communities in pluralistic societies. Eventually, they are not interested in this sector. Accordingly, the study aims to identify the Islamic legal perspective on Muslim women's service as nurses in a minority context. Based on the qualitative research method, the data from primary sources of Islamic law, the Holy Qur'an and Sunnah, fatwas of Islamic scholars and international fiqh academies and the code of ethics for nurses found in topic-related data have been analysed using the content analysis method. This research deliberates the obstacles that Muslim women face when working as nurses in a minority environment, and the guidelines that they should adhere to when working as nurses in a minority context.

Nurses' Ethical Obligations Toward Unvaccinated Individuals.

Nurses' Ethical Obligations Toward Unvaccinated Individuals.

Maqasid al-Shari’ah as a Complementary Framework for International Council of Nurses (ICN) Code of Ethics for Nurses: Malaysian Context

Maqasid al-Shari’ah or the objectives of Islamic law and nursing share inherent intersections and sometimes work as integral subjects, the ultimate aim of which is “harm reduction” and “promotion of well-being” in life. The Maqasid al-Shari’ah provides values and principles of good conduct, while nursing achieves this aim through practical and hands-on healthcare services. In a country like Malaysia, where Muslims make up the majority of the population, Islam plays a crucial role in providing essential guidelines on the permissibility and acceptability of nursing services. The research uses an analytical method and presents a concise overview of Islamic nursing ethics, focusing on the applications of Maqasid al-Shari’ah in nursing services. Besides the literature review, the research highlights the primary contents and fields of both nursing and the objectives of Islamic law. The research identifies and analyses four principal elements that outline the standards of ethical conduct that the ICN Code of Ethics has stated for Nurses. The research then integrates the values of Maqasid al-Shari’ah in the ICN Code of Ethics to ensure in line with Islamic teaching. The discussion has integrated the element of preservation of religion in the ICN component of ‘nurses and patients or other people requiring services’, the element of preservation of life in the ICN component of ‘nurses and practice’ and ‘nurses and global health’, and finally, the element of preservation of dignity in the ICN component of nurses and profession’. For the future direction of this study, it is highly recommended to disseminate this knowledge and applying in nursing practices.

Effectiveness of an Instructional Program on Nurses-Midwifes' Practices about Application of Ethical Rules at the Delivery Room

Background: Nurse midwives are often expected to make ethical decisions in the context of their professional practice, which can lead to ethical confrontations, some of which may lead to ethical dilemmas. The nurses and midwives in the delivery room must keep ethical considerations in mind while caring for a woman in labor so that correct judgments can be made. As a result, the current study emphasized raising ethical efficacy by creating scenarios that simulate the reality of working in the field of reproductive health in order to prepare nurse-midwives who comply with ethical rules during professional practice. Purpose: The main aim of this study is examining how an instructional nursing professional ethics-focused program may affect practice among nurses- midwives in the delivery room. Methods: The quiz experimental design (one-group pretest–posttest design) was used. The purposive non-probability sample consisted of 50 nurse-midwives who worked during the data collection phase in the delivery room. Data collection began in May 2021 - June 2022, using a tool that contains 20 case-scenario that simulate the reality of reproductive care and clinical practice of nurses and midwives regarding professional ethical issues Results: The findings revealed that instructional intervention had a positive impact on nurses - midwife's ethical performance in terms of following professional ethics rules Conclusion: The use of the case-scenario based simulation approach to teach professional nursing ethics contributed to improving compliance with the ethical rules for nurses-midwives working in the delivery room Keywords: Ethical Rules, Instructional Program, Delivery Room, Nurses-midwifes, Practices

Healthy Food Choices, Physical Activity, and Screening Reduce the Risk of Colorectal Cancer.

Cancer is the second leading cause of death in the United States with an estimated 1,806,590 new cases and 606,520 deaths in 2020. Cancer is a public health concern due to the numbers of cases, financial costs, and morbidity and mortality rates. An estimated 42% of all diagnosed cancers and 45% of cancer deaths in the United States in 2014 could be attributed to modifiable risk factors. Colorectal cancer screening is effective because small polyps take years to grow and turn to cancers allowing for early detection and removal of precancerous polyps. Primary prevention of colorectal cancer by risk factor reduction is also effective as these factors cause over half of colorectal cancer cases and deaths. Physical activity, weight control, healthy dietary choices, and abstinence from alcohol and tobacco are protective. The gastroenterology nurse can assess physical activity and food choices as vital signs and recommend a gradual addition of physical activity and a more plant-based diet with reduced processed food. All nurses need to advocate for policy improvements per our pledge to the Code of Ethics for Nurses. Policy changes improve the health of large numbers of people and make healthy behaviors a normalized way of life.

Determinants of nurse ethical conduct in palliative care

Abstract Introduction. The work of a nurse in palliative care creates the necessity to respect appropriate ethical directives in fulfilling professional duties resulting from the need to protect patients’ basic values and rights. Aim. Assessing the determinants of nurse ethical behavior in palliative care. Material and methods. The study material was collected from 101 nurses working in the palliative care system. The study used the method of diagnostic survey by means of questionnaire technique. The research tool was the author’s survey questionnaire consisting of 26 questions. Non-parametric tests were used in data analysis: Pearson’s χ2 independence test, Mann-Whitney test and Kruskal-Wallis test. The significance level of p<0.05 was assumed. Calculations were performed with SPSS 20 program. Results. According to 69.3% of nurses, the character and personality of the nurse should be considered as the main determinant of ethical conduct in nursing work. In the opinion of 44.6%, they are the qualifications and professional competence that influence ethical conduct in the work of a nurse. Conclusions. The mean knowledge of the code of professional ethics of nurses in the study group was high, as it was 5.03 points (SD=0.64). Nurses and nurse practitioners who had higher knowledge of the principles of the code of professional ethics for nurses were more likely to be guided by ethical principles in their work.

Protocol for black student well-being study: a multi-site qualitative study on the mental health and well-being experiences of black UK university students

IntroductionThere is an increasing concern about the mental health and mental well-being of university students in the UK. Black university students who report a mental health condition are less likely...

A call for nurses and interdisciplinary collaborators to urgently respond to the health and well-being needs of refugees across the world.

The COVID-19 pandemic is compounding the distress of millions of refugees (made up of displaced persons, forced migrants, refugees and asylum seekers) throughout the world. This discursive paper pitches a challenge for the global nursing profession, within the multidisciplinary context, to consider its collective agency in responding to the health and well-being needs of a priority portion of the global population. Nursing leaders are encouraged to renew their commitment to the International Council of Nurses' Code of Ethics and consider the role of their profession in assisting global refugees, because the extent of present need has become an escalating major global humanitarian crisis. The nursing profession comprises half the world's healthcare workforce. The World Health Organization considers that nurses play a fundamental role in ensuring access to universal healthcare as a basic human right, addressing the global need for health promotion care, disease prevention and primary and community healthcare (International Council of Nurses, The ICN code of ethics for nurses; 2012). It is a human right to seek asylum from persecution, and in doing so, people should not be subjected to cruel, inhumane or degrading treatment or circumstances. Nurses are increasingly interested in fostering a healthy and adaptive environment in which people can thrive, despite personal, political, emotional, physical or social adversity. Nursing care is indispensable for the easement of human distress and for the promotion of comfort and coping. Nurses have an essential role in advocating for policies that will enhance immigrants' access to health/mental health services and address barriers irrespective of migrant/refugee/asylum seeker status. These are challenging times as the world responds to the pandemic crisis, and nurses are called to rise to global and local leadership roles and join with other health and social care colleagues in addressing the universal human health, social and political crisis of our time. The global nursing collective must come to terms with the need to initiate additional compelling ways to improve and integrate health and social care processes so that nursing care, mental health and social care augment a holistic achievement of appropriate care for refugees.

The revision of the code of ethics for Japanese nurses: A critique of the revision draft and process

The revision of the code of ethics for Japanese nurses: A critique of the revision draft and process

Reflection of nurses' moral intelligence levels on care behaviors.

Moral intelligence is an important parameter that forms the basis and cornerstone of ethics in nursing. It is necessary to determine whether moral intelligence is reflected in the care that forms the basis of nursing. This study was carried out with the aim of determining the reflections of nurses' moral intelligence levels on their care behaviors. This study was descriptive and cross-sectional in nature. The study's sample size is 200 nurses. A personal Information Form, Moral Intelligence Scale, and Caring Behaviors Scale were used to collect data. It was determined that nurses' moral intelligence levels and caring behavior average scores were high. There was a highly significant positive connection (p = 0.001) between the mean scores of the moral intelligence total and subdimensions. And the mean scores of the caring behavior total and subdimensions. It is very important to determine the moral intelligence levels, which are acquired and developed ability and directly affect nursing care, and to take initiatives to improve the quality of the care provided.

Ethics in nursing: Progress on national nursing ethics summit

BackgroundIn 2014 a National Nursing Ethics Summit was undertaken to chart a future for nursing ethics in the United States. PurposeThe purpose of this study was to understand changes in the field over a 5-year period as a measure of longitudinal impact and identify recommendations for education, practice, research and scholarship, and policy. MethodsThis cross-sectional study used a mixed method design. FindingsNineteen participants from 15 institutions participated in the survey. The majority of respondents agreed or strongly agreed on their effort in promoting education (84%), contributing to scholarship (74%), creating a sustained environment for ethical practice (63%) and developing new initiatives (58%) in nursing ethics. DiscussionFurther investment is needed to establish a more broadly funded research agenda for ethical issues in nursing, improvement in evidence-based practice, and development of policy initiatives to promote ethical practice and infrastructure for sustainability and responsiveness to contemporary challenges.