Ethical Issues Recognized by Critical Care Nurses in the Intensive Care Units of a Tertiary Hospital during Two Separate Periods

Park, Dong Won; Moon, Jae Young; Ku, Eun Yong; Kim, Sun Jong; Koo, Young Mo; Kim, Ock Joo; Lee, Soon Haeng; Jo, Min Woo; Lim, Chae Man; Armstrong, John D.; Koh, Younsuck

doi:10.3346/jkms.2015.30.4.495

Cited by 11 publications

(6 citation statements)

References 34 publications

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“…8 For instance, critical care nurses are at greater risk for ethical conflict than their colleagues in other hospital wards due to high levels of stress, care complexity and diversity, severely ill patients, and sophisticated equipment in critical care units. 9 –11 Studies show that the prevalence of conflict among critical care staff, including nurses, is as high as 71.5% 12 and 51%. 13…”

Section: Introductionmentioning

confidence: 99%

The relationship between ethical conflict and nurses’ personal and organisational characteristics

2018

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Critical care nurses experience moderate levels of exposure to ethical conflict. A wide range of personal and organizational factors can contribute to such exposure, the most significant of which is the professional incompetence of nursing colleagues, nurse assistants, and physicians. Therefore, many improvements at personal and organizational levels are needed to reduce critical care nurses' exposure to ethical conflict.

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Section: Introductionmentioning

confidence: 99%

The relationship between ethical conflict and nurses’ personal and organisational characteristics

2018

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“…The ethical issues represented by the 8 domains herein have also been identified in several studies conducted by nurses and physicians in various countries [6][7][8]. Previous studies have suggested that to resolve the problems in the first domain, it is necessary to ensure that the process of ICU patient admission and discharge is in accordance with medical criteria and involves inter-clinical cooperation and clear communication [8,9].…”

Section: Discussionmentioning

confidence: 90%

Intensive Care Residents’ Views Regarding Ethical Issues and Practices

Sevimli

Tekeli

2022

Med Sci Monit

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Background:This study sought to understand the ethical issues encountered by medical residents during their residencies, evaluate the solutions proffered by them, and present their suggestions. Material/Methods:A survey consisting of 32 questions, including demographic information, was developed and distributed to Intensive Care Unit (ICU) residents from December 2020 to January 2021. A total of 53 completed questionnaires were submitted to the researchers. The data were analyzed using SPSS software version 26.0. Results:Of the participating residents who returned completed forms, 50.9% were male and 49.1% were female, with an overall mean age of 30.5±4.4 years. Most residents' views on ethical issues concerned themselves, the clinic, and patients/patient relatives. Responses showed a number of commonalities with the views of ICU physicians in other countries. Suggestions for resolving ethical issues solutions included instruction in medical ethics for all staff, increasing and strengthening pathways of communication both inside and outside of the clinics, regular inventory of medical supplies and assessment of equipment to prevent a shortage of resources, and the establishment of a hospital ethics committee. Conclusions:As numerous and varied ethical issues were encountered in the participating ICUs, we propose the following: preparation of an ICU-specific guide for resolving ethical problems, clarification of rules based on legal regulations, determining a hierarchy of responsibilities, and ethics courses for all ICU staff. In addition, hospital managers should support ICU services from both a legal and ethical standpoint.

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“…The result of research by Tapper, Vercler, Cruze, & Sexson, (2010) was found that the existing service in the hospital is 181.558 cases, that 0.16% performs consultation with the ethical committee staff of hospital; while in other study is 4.968 patients handled in ICU Columbia University Medical Center of 168 (3.3%) carry out the ethical consultation in service (Romano, Wahlander, Lang, Li, & Prager, 2009). The other study by Park et al (2015) reports that conflict incident occurred of 2.1% and 0.5% for two periods of research.…”

Section: Main Resource Of Conflict In Icu Areamentioning

confidence: 95%

Ethical Dilemmas of End of Life Care in Intensive Care Unit : A Literature Review

Arianto¹,

Trisyani²,

Emaliyawati³

2018

JPKI

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The end-of-life (EOL) care is the progressive terminal illness, leading to death; that in the situation the nurse have significant role in decision making. In decision making, temporarily, the nurse will experiences the ethical dilemmas, including in intensive care unit (ICU) with any factors resulting in problem in medical decision making. The literature review intends to analyze the description of ethical dilemmas occurred in intensive care unit, especially to the EOL care. A method used is critical review full text of 2007-2018 periods in English langguage. The multiple databases used is PubMed, Proquest and Google Scholar with keyword “End of Life Care” and “Nursing Ethic in critical care” and “issue End-of-life critical care”, and “Dilemmas Ethic in ICU.” The articles selected gradually by using of Appraisal tool of PRISMA and obtained 21 articles. The literature study obtaining 4 themes related to description of the ethical dilemmas in ICU including (1) the ethical principle involved in EOL care at ICU, (2) resource of ethical conflict in ICU, (3) impact of ethical conflict in ICU, and (4) response of nurse in dealing with ethical dilemmas. The discussion of literature review related to the perception of nurse on EOL care; that nurse have important role in medical decision making involving ethical principle in the implementation. it is required further research on exploration of nurse experience on implementation of ethical principle in case of EOL care.ABSTRAKPerawatan end of life (EOL) merupakan suatu perawatan pada penyakit terminal yang bersifat progresif, yang akan berujung dengan kematian, pada kondisi ini perawat mempunyai peran dalam pengambilan keputusan perawatan. Terkadang dalam pengambilan keputusan ini perawat akan mengalami kondisi dilema etik, tak terkecuali di ruangan intensive care unit dimana diruangan tersebut banyak faktor yang mengakibatkan kesulitan dalam pengambilan keputusan medis. Literature reviews ini bertujuan untuk menganalisia gambaran dilema etik yang terjadi di area intensive khususnya pada kasus end of life care. Metode yang digunakan adalah critical review full text dengan rentang tahun 2007-2018 dalam Bahasa Inggris. Multiple database yang digunakan adalah PubMed, Proquest dan Google Scholar merupakan database yang digunakan, dengan kata kunci “End Of Life Care” and “Nursing Ethic in critical care” and “issue End-of-life in critical care”, and“Dilema Ethic in ICU”. Artikel diseleksi bertahap menggunakan Appraisal tool PRISMA dan didapatkan 21 artikel. Studi literatur diperoleh 4 tema terkait gambaran dilema etik di ruang ICU diantaranya (1) Prinsip etik yang terlibat dalam end of life care di ICU, (2) Sumber konflik etik di ICU, (3) Dampak konflik etik di ICU, dan (4) Respon perawat dalam menghadapi dilema etik. Pembahasan telaah literatur ini terkait persepsi perawat mengenai perawatan end of life, dimana perawat mempunyai peran penting dalam pengambilan keputusan medis yang melibatkan prinsip etik dalam pelaksanaannya. Diperlukan penelitian lebih lanjut mengenai eksplorasi pengalaman perawat terhadap implementasi prinsip etik pada kasus perawatan menjelang ajal.

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Ethical Issues Recognized by Critical Care Nurses in the Intensive Care Units of a Tertiary Hospital during Two Separate Periods

Cited by 11 publications

References 34 publications

The relationship between ethical conflict and nurses’ personal and organisational characteristics

The relationship between ethical conflict and nurses’ personal and organisational characteristics

Intensive Care Residents’ Views Regarding Ethical Issues and Practices

Ethical Dilemmas of End of Life Care in Intensive Care Unit : A Literature Review

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