Unmet Needs for Clinical Ethics Support Services in Nurse: Based on focus group interviews
Background:As nurses’ ethical competence in their own fields is essential, clinical ethics support services help nurses improve ethical competence.Objectives:The purpose of this study was to identify the unmet needs of ethical support for nurses in clinical settings and explore the differences by nu...
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| Contributors: | ; |
| Format: | Electronic Article |
| Language: | English |
| Check availability: | HBZ Gateway |
| Journals Online & Print: | Drawer...
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| Fernleihe: | Fernleihe für die Fachinformationsdienste |
| Published: |
2018
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| In: |
Nursing ethics
Year: 2018, Volume: 25, Issue: 4, Pages: 505-519 |
| Further subjects: | B
Focus Group
B Content Analysis B clinical ethics support B ethical competency |
| Online Access: |
Volltext (lizenzpflichtig) |
| Summary: | Background:As nurses’ ethical competence in their own fields is essential, clinical ethics support services help nurses improve ethical competence.Objectives:The purpose of this study was to identify the unmet needs of ethical support for nurses in clinical settings and explore the differences by nursing units.Research design:Focus group interview design was applied.Participants and research context:Data were collected via four rounds of focus group interviews with 37 nurses at intensive care units, medical-surgical units, emergency departments and oncology units. Major questions were as follows: ‘What is nurses’ experience of ethical difficulties while working as a clinical nurse?’ and ‘What kinds of clinical ethics support services do nurses require in different clinical settings?’ Inductive content analysis was performed to analyse the data.Ethical considerations:Ethical approval was obtained from the institutional review of board at the College of Nursing.Findings:Five categories (with 14 subcategories) were identified: difficulty providing evidence-based care, lack of support in maintaining patients’ and family members’ dignity, insufficient education regarding clinical ethics, loss of professional self-esteem and expectations concerning organizational support. Nurses’ desire for ethical support varied according to department.Conclusion:Nurses face both practical and existential ethical issues that require rapid solution each day. There is a need for ethical counselling to prevent compassion fatigue and identify means via which nurses reflect on their daily lives in their own fields. In-house training should be provided for each unit, to improve ethical competence and facilitate the development of pragmatic, sensible solutions. |
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| ISSN: | 1477-0989 |
| Contains: | Enthalten in: Nursing ethics
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| Persistent identifiers: | DOI: 10.1177/0969733016654312 |