To describe how changes in recommendations regarding aspirating for blood return prior to intramuscular immunization have diffused into perinatal nurses' practice using the diffusions of innovations theory as a framework and to explore what factors influenced decisions to adopt new administration techniques. This descriptive study used a survey design with ...

CUTTER J. (2011) Commentary: the importance of education and vaccination in reducing the risk of hepatitis infection among nursing students. International Nursing Review58, 186-187 Background:  Healthcare workers are at risk of contracting blood-borne viral infection during contact with blood and body fluids. Nursing students may be at particular risk because ...

Yamazhan T., Durusoy R., Tasbakan M.I., Tokem Y., Pullukcu H., Sipahi O.R., Ulusoy S. & Turkish Nursing Hepatitis Study Group (2011) Nursing students' immunisation status and knowledge about viral hepatitis in Turkey: a multi-centre cross-sectional study. International Nursing Review58, 181-185 Background:  The aims of this multi-centre cross-sectional survey were to ...

OBJECTIVES:: The aims of this study were to estimate the hepatitis B vaccination coverage levels among nurses and understand the reasons for receiving or not receiving the preventive vaccination. METHODS:: This cross-sectional study was based on a self-reported questionnaire, which was administered to 788 nurses working in 17 hospitals in ...

frazer k., glacken m., coughlan b., staines a. & daly l. (2011) Hepatitis C virus in primary care: survey of nurses' attitudes to caring. Journal of Advanced Nursing 67(3), 598-608. ABSTRACT: Aim.  This paper is a report of a study measuring attitudes of primary care nurses towards caring for people with hepatitis ...

Equality is a central concept in the Western way of thinking and in health care. In ethics research within nursing science, equality is a key concept but the meaning of its contents is more or less presumptive. The purpose of this study was to define the concept of equality as ...

This article explores the social and ethical elements of cultural safety and combines them in a model of culturally safe practice that should be of interest and relevance for nurses, nurse educators and nurse ethicists in other cultures. To achieve this, the article briefly reviews and critiques the main underpinnings ...

Nursing is at the same time a vocation, a profession and a job. By nature, nursing is a moral endeavor, and being a 'good nurse' is an issue and an aspiration for professionals. The aim of our qualitative research project carried out with 18 nurse teachers at a university nursing ...

Changes in health care have created a variety of new roles and opportunities for nurses in advanced practice. One of these changes is the increasing number of advanced practice nurses carrying out independent consultation. Differences in goals between business and health care may create ethical dilemmas for nurse consultants. The ...

Much has been written regarding the global nurse shortage. Frequently, authors and speakers who represent the discipline of nursing raise the topic of contextual barriers and limitations experienced in the practice setting as potential for the de-valuing of human dignity in the worklife of nurses. Quality of worklife issues arise ...

The presence of multiple educational pathways into professional nursing is not without ethical consequences. If the essential duty of nursing is to the patient then education must focus on teaching the highest provision of patient care. The humanities component of the baccalaureate provides both insight into the human condition and ...

Research on physicians', nurses' and enrolled nurses' experiences of ethical dilemmas have been conducted in many healthcare fields. The aim of this study was to elucidate ethical dilemmas before and during the induction of anaesthesia of children aged three to six years as described by nurse anaesthetists (NAs). Two group ...

The Mental Capacity Act 2005, which came into force in 2007, sought to provide a statutory framework to facilitate empowerment and provide protection to individuals who lack capacity. District nurses must be aware of the legislation regarding mental capacity (Nursing and Midwifery Council, 2008) and understand how and when they ...

To investigate similarities and differences in the perception of hospital ethical practices using different seniority of doctors, nurses and administrators, and between these healthcare professionals (HCPs). Intra- and inter-professional similarities and differences had implications for HCPs' morale, hospital ethics climate and quality of patient care. HCPs (n = 1.910) with ...

Nurses spend more time with patients at the end of life than any other member of the health care team, giving them early insight into futility-of-care issues for a particular patient. Providing futile care to dying patients is a well-known source of moral distress for nurses. Traditional ethical models are ...

Nurses are challenged with ethical problems on a daily basis, yet when they are students, nurses may have never had an opportunity to explore the complexities of how ethics will influence every facet of their nursing practice. This article describes how a large health care system, through collaboration between academic ...

This article aims to deepen the understanding of courage through a theoretical analysis of classical philosophers' work and a review of published and unpublished empirical research on courage in nursing. The authors sought answers to questions regarding how courage is understood from a philosophical viewpoint and how it is expressed ...

The purpose of this article is to explore enduring ethical vulnerabilities of the nursing profession as illustrated in historical chapters of nursing's past. It describes these events, then explores two ethical vulnerabilities in depth: conflicting loyalties and duties, and relationships with patients as 'other'. The article concludes with suggestions for ...

Understanding how a nurse acts in a particular situation reveals how nurses enact their ethics in day-to-day nursing. Our ethical frameworks assist us when we experience serious ethical dilemmas. Yet how a nurse responds in situations of daily practice is contingent upon all the presenting cues that build the current ...

In this article, the authors examine ethical and accountability issues that emerged from a recent retrospective grounded theory study exploring the challenges for preceptors when working with nursing students whose clinical practice is unsafe. A primary goal of nursing education is to prepare safe and competent practitioners who can be ...

Using an interpretative research approach to ethical and legal literature, it is argued that nursing in the battlefield is distinctly different to civilian nursing, even in an emergency, and that the environment is so different that a duty of care owed by military nurses to wounded soldiers should not apply. ...

This paper is a report of a study of the type, frequency, and level of stress of ethical issues encountered by nurses in their everyday practice. Everyday ethical issues in nursing practice attract little attention but can create stress for nurses. Nurses often feel uncomfortable in addressing the ethical issues ...

The case of Margaret Haywood, the 'undercover nurse', is a significant one for the UK's National Health Service (NHS). She investigated complaints made about the Royal Sussex County Hospital and covertly filmed inpatients experiencing care detrimental to their health. The material was subsequently broadcast on the BBC's Panorama programme. It ...

In Israel, whistleblowing in the nursing profession has been largely ignored. This topic is neither part of the professional-ethical discourse nor a subject for research. Focusing on the divide between internal and external whistleblowing, this article presents a study that explores nurses' willingness to disclose an act that could jeopardize ...

The aim of this study was to identify the ethical problems that nurse managers encounter in their work and the role of codes of ethics in the solutions to these difficulties. The data were collected using a structured questionnaire and analysed statistically. The target sample included all nurse managers in ...

Nurses are obliged to provide quality nursing care that meets the ethical standards of their profession. However, clear descriptions of ethical practice are largely missing in the literature. Qualitative research using a phenomenological approach was conducted to explicate ethical nursing practice in Japanese end-of-life care settings and to discover how ...

Nursing ethics centres on how nurses ought to respond to the moral situations that arise in their professional contexts. Nursing ethicists invoke normative approaches from moral philosophy. Specifically, it is increasingly common for nursing ethicists to apply virtue ethics to moral problems encountered by nurses. The point of this article ...

Nurses at the bedside have widely varied educational backgrounds. Most bedside nurses have insufficient knowledge in the area of ethical decision-making to feel confident in their ability to participate in ethical decision-making along with the health care team. Continuing education programs for staff nurses should focus on ethical decision-making to ...

As in other Western countries, most Norwegian nursing home patients are suffering from multi-pathological conditions and a large majority of them will die in the nursing home. End-of-life care represents many challenges, and it is a widespread concern that several nursing homes lack both resources and competence to ensure good ...

AIM: The aim of this study was to highlight community nurses' experiences of ethical dilemmas in palliative care. BACKGROUND: There are many studies on palliative care but research on how community nurses experience ethical dilemmas in palliative home care is lacking. The ethical dilemmas to which these nurses are exposed ...

The intention behind this series of interviews with members of the Nursing Ethics Editorial Board by other Board members is to introduce members of the Board to readers. Here, Elizabeth Niven from New Zealand interviews Leyla Dinç, from Turkey. Elizabeth and Leyla have known each other for over five years. ...

In the context of health care system complexity, nurses need responsive leadership and organizational support to maintain intrinsic motivation, moral sensitivity and a caring stance in the delivery of patient care. The current complexity of nurses' work environment promotes decreases in work motivation and moral satisfaction, thus creating motivational and ...

This article considers ethical dilemmas that nurse managers may confront and suggests an ethical decision-making model that could be used as a tool for resolving such dilemmas. The focus of the article is on the question: Can nurse managers choose the ethically right solution in conflicting situations when nurses' rights ...

Advances within the NHS have recognised nurses in roles that go beyond the historical parameters of their initial training and role characteristics (DH 1999, DH 2000). Working within such a role creates added responsibilities of advancing practice and the continuing development of knowledge and skills. Nurses working at a higher ...

Ethical nursing practice can be referred to as doing what is best for those who are the recipient of one's services, according to the recipient. However, clear-cut lines of what is and is not in the best interest of the patient can become blurred. Nurses often encounter situations that require ...

This article briefly outlines some of the key problems with the way in which the moral realm has traditionally been understood and analysed. I propose two alternative views of what is morally interesting and applicable to nursing practice and I indicate that instability has its upsides. I begin with a ...

AIM: This paper is a discussion of the links between organizational justice and workplace aggression. BACKGROUND: Managers have been identified as key players in implementing and maintaining an organizational culture of trust and justice. Employees who perceive themselves to be victims of injustice may rebel, using various means to 'punish' ...

OBJECTIVES Improving nurses' competence in resolving clinical ethical issues must start with ethics education in training and clinical practice. However, many students complain that they cannot apply classroom learning to actual clinical scenarios. This study explored ethical issues and dilemmas, and their impact experienced by student nurses in clinical practice. ...

Two areas of ethical conflict in intercultural nursing - who needs single rooms more, and how far should nurses go to comply with ethnic minority patients' wishes? - are discussed from a utilitarian and common-sense morality point of view. These theories may mirror nurses' way of thinking better than principled ...

PAS is legal only in Oregon, Washington, and Montana. Studies show nurses receive requests for aid in dying from patients (Asch, 1996; Ferrell et al., 2000: Kuhse & Singer, 1993; Schwarz, 2003; Volker, 2003; Wurzbach, 2000). The simple answer to these requests is that the nurse is prohibited in participating ...

In this study, we examined the perception of actual and ideal ethical climate type among 95 nurses working in the internal medicine wards of one central hospital in the state of Israel. We also examined whether nurses' demographic characteristics influence that perception and if a relationship between perceptions of an ...

Ethical decision making in health care is a complex issue that requires nurses to critically think about situations. Active simulation through the use of role-play was used as a teaching strategy for education on ethics. Participants served in various roles in simulations that encouraged nurses to examine their thoughts and ...

Two case studies are presented reflecting the ethical dilemmas experienced by nurses who were striving to improve their practice in the provision of patient care. The cases are described in the context of finding alternatives to cohesive interventions such as chemical restraints and physical restraints. A summary of the literature ...

High-quality research is essential for the generation of scientific nursing knowledge and the achievement of the Millennium Development Goals. However, the incorporation of Western bioethical principles in the study design may not be suitable, sufficient or relevant to participants in low-income countries and may indeed be harmful and disrespectful. Before ...

Providing ethically competent care requires nurses to reflect not only on nursing ethics, but also on their own ethical traditions. New challenges for nurse educators over the last decade have been the increasing globalization of the nursing workforce and the internationalization of nursing education. In New Zealand, there has been ...

Reparative therapy aims to modify the sexual orientation of lesbian, gay, and bisexual (LGB) people into that of heterosexuals. Although denounced as harmful by most professional organizations, these treatments continue-youth may be particularly vulnerable to the negative consequences. The purpose of this article is to discuss reparative therapies, the potential ...

With the increase of technology in health care, oncology nurses often are involved in ethical discussions regarding the best use of aggressive interventions for patients. Conflicts between ethical principles and external forces can produce moral distress for oncology nurses caring for people with cancer. Moral distress can impact nurses in ...

BACKGROUND: Today's healthcare system requires that nurses have strong medical-technical competences and the ability to focus on the ethical dimension of care. For nurses, coping with the ethical dimension of care in practise is very difficult. Often nurses cannot act according to their own personal values and norms. This generates ...

Power in positions of authority and responsibility may be manifested in myriad ways in management positions, with all businesses and disciplines, including the discipline of nursing. From the nursing disciplinary theoretical perspective of humanbecoming, this column begins a discussion regarding the obligations of healthcare disciplines to address the ethical questions ...

Nurse educators have the responsibility of assisting students and their colleagues with understanding and practicing ethical conduct. There is an inherent responsibility to keep codes current and relevant for existing nursing practice. The code presented here is a revision of the Code of ethics for nurse educators originally published in ...