Moral Decision Making in Neonatal Intensive Care

Chally, Pamela S.

doi:10.1111/j.1552-6909.1992.tb01768.x

Cited by 20 publications

(53 citation statements)

References 12 publications

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“…It has been established that nurses are able to identify moral dilemmas in their practice settings; however, much less is known about the thinking process of the advanced practice nurse in the primary care setting and how moral dilemmas are resolved in that setting. Research has focused on the description of the thoughts and feelings of nurses who have been involved in such dilemmas (Chally, 1990(Chally, , 1992Cooper, 1990;Grundstein-Amado, 1993;Holly, 1986;Ornery, 1985;Raines, 1994;Wilkinson, 1987/88;Zablow, 1984). These research studies, however, have centered around the dilemmas and the moral reasoning of professional nurses working in acute care settings.…”

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confidence: 99%

The Moral Reasoning of Nurse Practitioners

Viens

1995

Journal of the American Academy of Nurse Practitioners

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This qualitative research study was conducted to describe the moral reasoning utilized by participating nurse practitioners to resolve moral dilemmas in their clinical practice. Five major essential features of moral reasoning emerged from the data: the contextual framework for moral reasoning, values, influencing factors, recognizing the dilemma, and outcomes. The interrelationship of the essential features of moral reasoning provided insight into how NPs deal with moral dilemmas as well as the role that caring and the nurse-patient relationship played as a part of the moral decision making process.

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confidence: 99%

The Moral Reasoning of Nurse Practitioners

Viens

1995

Journal of the American Academy of Nurse Practitioners

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“…The sample used a balance of Caring and Justice in moral decision making-which meets the recommendations of experts in the field (Delworth & Seeman, 1984;Fry, 1989;Gadow, 1995;Gilligan, 1982;Liddell & Davis, 1996;Liddell, Halpin, & Halpin, 1993;Meyer, 1995;Ray, 1994;Van Hooft, 1990). The findings of the current study regarding the combined use of care and justice support those of Chally (1995), Ford andLowery (1986), Milette (1994), Mennuti and Creamer (1991), Norberg and Uden (1995), and Viens, 1995. The sample diverged from population norms on preferences on the MBTI. Tables 5, 6, and 7 in Chapter IV illustrate the preferences of this group.…”

Section: Question Foursupporting

confidence: 64%

The measurement of caring relationships in associate degree nursing students

Roberts

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“…All publications surveyed the decision making of nurses in situations involving moral conflict. The studies by Chally [10] and Millette [9] used a qualitative and descriptive design, whereas Chally's 1995 study [11] statistically analyzed qualitative data. All publications included semi-structured interviews based on the 11-item self-administered questionnaire from Gilligan's Real Life Moral Conflict and Choice Interview Guide (GP).…”

Section: Target Publicationsmentioning

confidence: 99%

“…Nonetheless, recent studies based on moral development theories have relied on Kohlberg's theory more frequently than Gilligan's theory. Studies using Gilligan protocol (hereafter, "GP") indicate the existence of care and justice perspectives in moral reasoning by nurses, but such studies are few in number [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Analysis of “care” and “justice” involved in moral reasoning of nurse based on the Gilligan theory: A literature review using the Gilligan’s protocol

Tsunematsu¹,

Asai²

2014

OJN

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The majority of research on the moral development of nurses is in line with Kohlberg's theory. However, Gilligan noted that care and justice perspectives coexist in moral conflict, and during the growth process, each complements each other and promotes moral development and maturation. Chally, referring to Gilligan's theory, which has the perspective of relationship-focused care, argued that the moral development of nurses should be considered from both care and justice perspectives. In this paper, we analyzed publications that used Gilligan protocol to conduct research on moral conflicts experienced by nurses. Given the importance of care and justice perspectives in moral reasoning, Gilligan's theory, which incorporates both perspectives, is useful for analyzing moral reasoning in nurses. Our analysis suggests that attachment and connections based on relationships with patients and self-care are essential elements of care, and self-care is important in moral decision making. The inequality between nurse and physician roles was an issue raised with the justice perspective. Since nurses' roles are strongly influenced by their affection toward and connections with their patients, it is important not to overemphasize either perspective.

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Moral Decision Making in Neonatal Intensive Care

Cited by 20 publications

References 12 publications

The Moral Reasoning of Nurse Practitioners

The Moral Reasoning of Nurse Practitioners

The measurement of caring relationships in associate degree nursing students

Analysis of “care” and “justice” involved in moral reasoning of nurse based on the Gilligan theory: A literature review using the Gilligan’s protocol

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