Nurses’ moral strength: a hermeneutic inquiry in nursing practice

Lindh, Inga-Britt; Severinsson, Elisabeth; Berg, Agneta

doi:10.1111/j.1365-2648.2009.05047.x

Cited by 39 publications

(75 citation statements)

References 28 publications

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“…40 The defensive nature of these codes overlooks individual preferences of patients and restricts the courage, creativity, and critical reflection that nurses need to overcome issues with patient participation in practice. 41,42 The two guiding documents for nursing ethics and deontology worldwide, the International Council of Nurses' (ICN) and American Nurses Association's (ANA) code of ethics, are exemplary. With exception of the particular, well-addressed reference to informed consent and shared decision-making, there are no references in both documents to other forms of patient participation, involvement or centeredness like partnership, collaboration, and patient control.…”

Section: Discussion: Reflection On the Resultsmentioning

confidence: 99%

Is privacy a problem during bedside handovers? A practice-oriented discussion paper

et al. 2018

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Bedside handover is the delivery of the nurse-to-nurse handover at the patient's bedside. Although increasingly used in nursing, nurses report many barriers for delivering the bedside handover. Among these barriers is the possibility of breaching the patient's privacy. By referring to this concept, nurses add a legal and ethical dimension to the delivery of the bedside handover, making implementation of the method difficult or even impossible. In this discussion article, the concept of privacy during handovers is being discussed by use of observations, interviews with nurses, and interviews with patients. These findings are combined with international literature from a narrative review on the topic. We provide a practiceoriented answer in which two mutually exclusive possibilities are discussed. If bedside handover does pose problems concerning privacy, this situation is not unique in healthcare and measures can be taken during the bedside handover to safeguard the patient. If bedside handover does not pose problems concerning privacy, privacy is misused by nurses to hide professional uncertainties and/or a reluctance toward patient participation. Therefore, a possible breach of privacy-whether a justified argument or not-is not a reason for not delivering the bedside handover.

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Section: Discussion: Reflection On the Resultsmentioning

confidence: 99%

Is privacy a problem during bedside handovers? A practice-oriented discussion paper

et al. 2018

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“…Professionals interpreted existential loneliness as a painful feeling, connected to the person’s very existence, which implies that it can be appropriate to “knock on the door”, but it is important not to be overconfident or insistent. Instead, a combination of courage and attention to the person’s possible vulnerability is part of moral strength on the relational level (Lindh, Severinsson, & Berg, 2009). This could open patients to encounters on their own terms.…”

Section: Discussionmentioning

confidence: 99%

Encountering existential loneliness among older people: perspectives of health care professionals

Sundström

Edberg

Rämgård

et al. 2018

International Journal of Qualitative Studies on Health and Well

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Purpose: Existential loneliness is part of being human that is little understood in health care, but, to provide good care to their older patients, professionals need to be able to meet their existential concerns. The aim of this study was to explore health care professionals’ experiences of their encounters with older people they perceive to experience existential loneliness. Method: We conducted 11 focus groups with 61 health professionals working in home care, nursing home care, palliative care, primary care, hospital care, or pre-hospital care. Our deductive–inductive analytical approach used a theoretical framework based on the work of Emmy van Deurzen in the deductive phase and an interpretative approach in the inductive phase. Results: The results show that professionals perceived existential loneliness to appear in various forms associated with barriers in their encounters, such as the older people’s bodily limitations, demands and needs perceived as insatiable, personal shield of privacy, or fear and difficulty in encountering existential issues. Conclusion: Encountering existential loneliness affected the professionals and their feelings in various ways, but they generally found the experience both challenging and meaningful.

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“…46 If professionals demonstrate cowardice by failing to intervene when there is a threat to patients or colleagues, then this will result in harm rather than benefit. 44 Courage is required to do what is right, particularly when good practice is threatened.…”

Section: Black Et Al 233mentioning

confidence: 98%

Failing a student nurse

2013

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The factors preventing registered nurses from failing students in practice are multifaceted and have attracted much debate over recent years. However, writers rarely focus on what is needed to fail an incompetent pre-registration nursing student in their final placement. This hermeneutic study explored the mentor experience of failing a pre-registration nursing student in their final placement. A total of 19 mentors were recruited from 7 different healthcare organisations in both inner city and rural locations in the southeast of England. Participants took part in individual reflective interviews about their experience of failing a pre-registration nursing student in their final placement. These experiences were interpreted through a hermeneutic discovery of meaning. The new horizon of understanding which developed as a result of this research is framed within the context of moral stress, moral integrity and moral residue with the overall synthesis being that these mentors' stories presented a new horizon of moral courage.

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Nurses’ moral strength: a hermeneutic inquiry in nursing practice

Cited by 39 publications

References 28 publications

Is privacy a problem during bedside handovers? A practice-oriented discussion paper

Is privacy a problem during bedside handovers? A practice-oriented discussion paper

Encountering existential loneliness among older people: perspectives of health care professionals

Failing a student nurse

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