Ethical codes in nursing practice: the viewpoint of Finnish, Greek and Italian nurses

Heikkinen, Anne; Lemonidou, Chryssoula; Petsios, Konstantinos; Sala, Roberta; Barazzetti, Gaia; Radaelli, Stefania; Leino‐Kilpi, Helena

doi:10.1111/j.1365-2648.2006.03912.x

Cited by 43 publications

(65 citation statements)

References 12 publications

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“…The ICN code of ethics has influenced nursing ethical codes of a number of countries. However, there is evidence of dissonance between cultural expectations and the more general guidance from the ICN [33][34] . Whilst these codes are an essential component to regulating practice, their rule-based structure leads to its own set of ethical dilemmas, for example, the rules to respect patient autonomy and to do what clinical reasoning indicates is the best for a patient may come into conflict.…”

Section: Introductionmentioning

confidence: 99%

“…For example, relating to perceived differences in resource priorities between management and nurses that effected nurses' ability to deliver care 43 . Conflict with doctors, identified in situations where the care prescribed and often delivered by nurses did not match the nurses perception of what was ethical, fair or in-line with patients and their families' wishes 33,41,44 .…”

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confidence: 99%

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Nurses’ contributions to the resolution of ethical dilemmas in practice

2017

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Background: Complex and expensive treatment options have increased the frequency and emphasis of ethical decision making in healthcare. In order to meet these challenges effectively we need to identify how nurses contribute the resolution of these dilemmas. Aims:To identify the values, beliefs and contextual influences that inform decision making.To identify the contribution made by nurses in achieving the resolution of ethical dilemmas in practice.Design: An interpretive exploratory study was undertaken, eleven registered acute care nurses, working in a district general hospital in England were interviewed, using semi-structured interviews. In-depth content analysis of the data was undertaken via NVivo coding and thematic identification.

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Section: Introductionmentioning

confidence: 99%

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confidence: 99%

Nurses’ contributions to the resolution of ethical dilemmas in practice

2017

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“…First, educators and students regard the codes as an important part of nurses' ethical knowledge base and education. 7,9,33 This may explain educators' contribution to extensive teaching regarding the codes. Second, Finnish nurse educators assess themselves mostly as competent to teach the codes and ethics in general, 51,53 which may add to their confidence regarding the extent and effectiveness of their teaching.…”

Section: Discussionmentioning

confidence: 99%

“…11 Available studies on the codes have indicated that nurses' knowledge and use of the codes is deficient. 6,7,[12][13][14][15][16][17][18] Personal and professional experiences as well as social environment guide nurses' responses to ethical issues rather than the codes. 6,12 Nurses', students' and educators' moral behaviour and values espoused the values of the codes.…”

Section: Literaturementioning

confidence: 99%

“…[3][4][5] Discussion and research focusing on the nurses' codes of ethics indicate that the codes are still regarded as an important element of nurses' ethics. [6][7][8][9] However, for the codes to be meaningful, nurses have to know, understand and be able to use them. 10 This naturally raises the question about the role of nursing education in introducing the codes to future nurses.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of nurse educators’ and nursing students’ descriptions of teaching codes of ethics

et al. 2011

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This study analysed teaching of nurses' codes of ethics in basic nursing education in Finland. A total of 183 educators and 214 students responded to a structured questionnaire. The data was analysed by SPSS. Teaching of nurses' codes was rather extensive. The nurse-patient relationship was highlighted. Educators assessed their teaching statistically significantly more extensive than what students' perceptions were. The use of teaching and evaluation methods was conventional, but differences between the groups concerning the use of these methods were statistically significant. Students' knowledge of and their ability to apply the codes was mediocre. Most educators and students assessed educators' knowledge of the codes as adequate for teaching. These educators also taught the codes more extensively and these students perceived the teaching as more extensive. Otherwise educators' and students' socio-demographic variables had little association with the teaching. Research should focus on the organization and effectiveness of ethics education, and on educators' competence.

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Conflicts and conflict regulation in hospices: nurses’ perspectives

Walker

Breitsameter

2012

Med Health Care and Philos

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The present article considers conflicts and conflict regulation in hospices. The authors carried out a qualitative study in three hospices in North Rhine-Westphalia, Germany, to explore how conflicts arise and how conflict regulation proceeds. Hospice nurses should act according to a set of ethical codes, to mission statements of the institution and to professional standards of care. In practice the subjective interpretations of codes and/or models concerning questions of care are causes of conflicts among nurses, with doctors, patients and family members. The management has two choices to react to these conflicts. It can either tolerate the conflicts, as long as they do not disturb the daily routine. Or it can increase the degree of organisation by integrating the different viewpoints into its own program and/or by restructuring its organisational units.

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Ethical codes in nursing practice: the viewpoint of Finnish, Greek and Italian nurses

Abstract: The use of codes is connected with the changes in nursing profession and in society at large. The core of nursing, however, has remained stable. Future studies should be conducted in order to generalize the findings to a broader population.

Cited by 43 publications

References 12 publications

Nurses’ contributions to the resolution of ethical dilemmas in practice

Nurses’ contributions to the resolution of ethical dilemmas in practice

Comparison of nurse educators’ and nursing students’ descriptions of teaching codes of ethics

Conflicts and conflict regulation in hospices: nurses’ perspectives

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