Ethical dilemmas and ethical competence in the daily work of research nurses

Health Care Analysis

Volumn 18, Issue 3, 2010, Pages 239-251

  Hoglund A T ^a   Helgesson, G ^b   Eriksson, S ^a  

^a UPPSALA UNIVERSITY   (Sweden)

^b KAROLINSKA INSTITUTE   (Sweden)

Author keywords

Clinical studies; Ethical competence; Ethical dilemmas; Moral distress; Research nurses

Indexed keywords

ADULT; ARTICLE; CLINICAL COMPETENCE; DECISION MAKING; DOCTOR NURSE RELATION; ETHICS; HUMAN; MEDICAL ETHICS; MIDDLE AGED; MORALITY; NURSE PATIENT RELATIONSHIP; NURSING METHODOLOGY RESEARCH; NURSING STAFF; PSYCHOLOGICAL ASPECT; QUALITATIVE RESEARCH; SWEDEN;

ADULT; CLINICAL COMPETENCE; DECISION MAKING; ETHICS, NURSING; HUMANS; MIDDLE AGED; MORALS; NURSE-PATIENT RELATIONS; NURSING METHODOLOGY RESEARCH; NURSING STAFF, HOSPITAL; PHYSICIAN-NURSE RELATIONS; QUALITATIVE RESEARCH; SWEDEN;

EID: 78149358469     PISSN: 10653058     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10728-009-0126-z     Document Type: Article

References (45)

1. Armstrong, A. E. (2006). Towards a strong virtue ethics for nursing practice. Nursing Philosophy, 7, 110-124.
2. Barker, P. (2000). Reflections on caring as a virtue ethic within an evidence-based culture. International Journal of Nursing Studies, 37, 329-336.
3. Beachamp, T. L., & Childress, J. F. (2008). Principles of Biomedical Ethics (6th ed.). New York: Oxford University Press.
4. Bolmsjö, I. A., Edberg, A. K., & Sandman, L. (2006). Everyday ethical problems in dementia care: A teleological model. Nursing Ethics, 13, 340-359.
5. Bradshaw, P. (1996). Yes! There is an ethics of care: An answer for Peter Allmark. Journal of Medical Ethics, 22, 8-12.
6. Carlton, T., Callister, L. C., & Stoneman, E. (2005). Decision-making in labouring women: Ethical issues for perinatal nurses. Journal of Perinatal and Neonatal Nursing, 19, 145-154.
7. Chang, A. (2008). An exploratory survey of nurses' perceptions of phase I clinical trials in pediatric oncology. Journal of Pediatric Oncology Nursing, 25, 14-23.
8. Croudass, A., Hughes, C., Phillips, H., & Tye, K. (2008). An approach to obtaining informed consent from patients with cancer. Nursing Standards, 22, 35-38.
9. Edwards, S. D. (1996). Nursing ethics. A principle-based approach. Basingstoke: Macmillan.
10. Eriksson, S., Helgesson, G., & Höglund, A. T. (2007). Being, doing, and knowing: Developing ethical competence in health care practice. Journal of Academic Ethics, 5, 207-216.
11. Fry, S. T. (1989). Toward a theory of nursing ethics. Advances in Nursing Science, 11, 9-22.
12. Gilligan, C. (1982). In a different voice: Psychological theory and women's development. Boston: Harvard University Press.
13. Gross, D., & Fogg, L. (2001). Clinical trials in the 21st century: The case for participant-centred research. Research in Nursing and Health, 24, 530-539.
14. Guba, E., & Lincoln, Y. S. (1989). Fourth generation evaluation. Newbury Park, London, New Delhi: Sage Publications.
15. Haggerty, L. A., & Grace, P. (2008). Clinical wisdom: The essential foundation of "good" nursing care. Journal of Professional Nursing, 24, 235-240.
16. Hansson, M. G. (2002). Imaginative ethics. Bringing ethical practice into sharper relief. Medicine, Health Care and Philosophy, 5, 33-42.
17. Helgesson, G., & Eriksson, S. (2008). Against the principle that the individual shall have priority over science. Journal of Medical Ethics, 34, 54-56.
18. Holm, S. (1997). Ethical problems in clinical practice. Manchester: Manchester University Press.
19. Holmström, I., & Höglund, A. T. (2007). The faceless encounter. Ethical dilemmas in telephone nursing. Journal of Clinical Nursing, 16, 1865-1871.
20. Jameton, A. (1993). Dilemmas of moral distress: Moral responsibility and nursing practice. AWHONN's Clinical Issues, 4, 542-551.
21. Jormsri, P., Kunaviktikul, W., Ketefian, S., & Chaowalit, A. (2005). Moral competence in nursing practice. Nursing Ethics, 12, 582-594.
22. Kälvemark Sporrong, S., Arnetz, B., Hansson, M. G., Westerholm, P., & Höglund, A. T. (2007). Developing ethical competence in health care organizations. Nursing Ethics, 14, 825-837.
23. Kälvemark, S., Höglund, A. T., Hansson, M. G., Westerholm, P., & Arnetz, B. (2004). Living with conflicts: Ethical dilemmas and moral distress in the health care system. Social Science and Medicine, 58, 1075-1084.
24. Kim, Y. S., Park, J. W., You, M. A., Seo, Y. S., & Han, S. S. (2005). Sensitivity to ethical issues confronted by Korean hospital staff nurses. Nursing Ethics, 12, 595-605.
25. Laabs, C. A. (2007). Primary care nurse practitioners' integrity when faced with moral conflict. Nursing Ethics, 14, 795-809.
26. Lützén, K., Cronqvist, A., & Magnusson, A. (2003). Moral stress: Synthesis of a concept. Nursing Ethics, 10, 312-322.
27. Malterud, K. (2009). Kvalitativa metoder i medicinsk forskning: En introduktion. (Qualitative methods in medical research: An introduction) (2nd ed.). Lund: Studentlitteratur.
28. McCarthy, J., & Deady, R. (2008). Moral distress reconsidered. Nursing Ethics, 15, 254-262.
29. Noddings, N. (1984). Caring: A feminine approach to ethics and moral education. Berkeley: University of California Press.
30. Noureddine, S. (2001). Development of the ethical dimension in nursing theory. International Journal of Nursing Practice, 7, 2-7.
31. Oakley, J., & Cocking, D. (2001). Virtue ethics and professional roles. Cambridge: Cambridge University Press.
32. Oberle, K., & Allen, M. (2006). Ethical considerations for nurses in clinical trials. Nursing Ethics, 13, 180-186.
33. Oberle, K., & Huges, D. (2001). Doctors' and nurses' perceptions of ethical problems in end-of-life decisions. Journal of Advanced Nursing, 33, 707-715.
34. Patton, M. (1990). Qualitative evaluation and research methods (2nd ed.). Newbury Park, London, New Delhi: Sage Publications.
35. Pellegrino, E. (2002). Professionalism, profession and the virtues of the good physician. The Mount Sinai Journal of Medicine, 69, 378-384.
36. Raines, M. (2000). Ethical decision-making in nurses. Relationship among moral reasoning, coping style and ethics stress. JONA's Healthcare, Law, Ethics and Regulation, 2, 29-41.
37. Redman, B., & Fry, S. (2000). Nurses' ethical conflicts: What is really known about them? Nursing Ethics, 7, 360-366.
38. Severinsson, E. (2003). Moral stress and burn out: Qualitative content analysis. Nursing and Health Sciences, 5, 59-66.
39. Smith, K. V., & Godfrey, N. S. (2002). Being a good nurse and doing the right thing: A qualitative study. Nursing Ethics, 9, 301-312.
40. Svantesson, M., Anderzén-Carlsson, A., Thorsén, H., Kallenberg, K., & Ahlström, G. (2008). Interprofessional ethics rounds concerning dialysis patients: Staff's ethical reflections before and after rounds. Journal of Medical Ethics, 34, 407-413.
41. Tong, R. (1998). The ethics of care: A feminist virtue ethics of care for healthcare practitioners. Journal of Medicine and Philosophy, 23, 131-152.
42. Wilkes, L., & Beale, B. (2005). Role conflict: Appropriateness of a nurse researcher's action in the clinical field. Nurse Researcher, 12, 57-70.
43. Wolf, Z. R., & Zuzelo, P. R. (2006). "Never again". Stories of nurses: Dilemmas in nursing practice. Quality Health Research, 16, 1191-1206.
44. Zhang, Z., Luk, W., Arthur, D., & Wong, T. (2001). Nursing competencies: Personal characteristics contributing to effective nursing performance. Journal of Advanced Nursing, 33, 467-474.
45. Zuzelo, P. G. (2007). Exploring the moral distress of registered nurses. Nursing Ethics, 14, 344-359.