Professional ethics in nursing: an integrative review

Kangasniemi, Mari; Pakkanen, Piiku; Korhonen, Anne

doi:10.1111/jan.12619

Cited by 119 publications

(134 citation statements)

References 58 publications

(190 reference statements)

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“…40 Our professional codes still have a paternalistic character with emphasis on protecting patients and avoiding faults. 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.…”

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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“…The students' viewpoint is probably related to the specific university training received on this subject, because they predominantly identify these ethical values in their teachers (López‐Pereira & Arango‐Bayer ). However, this reality may also be conditioned by the importance traditionally attributed to ethics within the nursing field (Kangasniemi et al ), by both students and professionals.…”

Section: Discussionmentioning

confidence: 99%

Differences in professional values between nurses and nursing students: a gender perspective

Fernández-Feito

Basurto-Hoyuelos

Palmeiro-Longo

et al. 2019

International Nursing Review

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Aim To compare Spanish nursing students' and registered nurses' perception of professional values from the perspective of gender and professional experience. Background Nursing has traditionally been a female profession; however, the analysis of professional nursing values from a gender perspective has received little attention. The integration of professional values typically begins during academic life and is, thereafter, reinforced during professional activities. Methods A descriptive cross‐sectional study was conducted with 159 students (97.4% females) and 386 registered nurses (86.8% females) from primary healthcare centres, hospitals and management positions within the public health system. The validated Spanish adaptation of the Nurses Professional Values Scale was used. This instrument measures three dimensions: ethics, commitment and professional mastery. Descriptive statistics were used to analyse the data, together with bivariate analysis using the chi‐squared test. Results Females granted more importance to professional values. Important gender differences among students were detected. Ethical values were considered to be the most important for both students and nurses, followed by professional mastery and commitment. The importance given to values progressively decreased in the groups under study: students, less‐experienced nurses and expert nurses (in decreasing order). Conclusions Significant gender differences exist with regard to professional nursing values. The values related to professional commitment and mastery should be integrated and promoted during academic education and specifically focus on male students' perceptions. As professional experience increases, the importance attributed to professional values decreases. Implications for Nursing Policy Professional nursing values should be promoted among universities, health services and professional organizations, encouraging their dissemination, implementation and evaluation.

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“…The overall objective of professional ethics is to guide nurses to contribute to the development of a healthy society. [1] The rapid advancement in biotechnology and medical technology has brought medical achievements to human beings in the form of health promotion and life extension, but it has also significantly increased concerns that the dignity of human life could be encroached upon. [2] In addition, nurses who take care of clients in clinical settings, unlike in the past, are often confronted with various ethical issues, such as research ethics related to clinical trials, including stem cells and gene therapy; issues related to birth, such as embryo reproduction, abortion, and surrogate motherhood; and questions related to life-sustaining treatments, the process of death, and so forth.…”

Section: Introductionmentioning

confidence: 99%

The influence of ethics education on awareness of nursing students with no clinical experience regarding the code of ethics: A case study

Kang

2017

JNEP

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The purpose of this study was to evaluate the influence of ethics education on Korean nursing students' awareness regarding the code of ethics. This study employed a one group pretest-posttest design. The participants were 48 sophomore nursing students with no clinical experience from a city in Korea. In this study, ethics education involved lectures related to "nursing ethics and professionalism". Data were collected in September and December 2016. The collected data were analyzed using means, standard deviations, and paired t tests. The mean score on awareness regarding the code of ethics increased from 3.75 to 4.40 after the ethics education (t = 6.350, p < .001). Scores on the sub-domains of nurses and patients, obligations of nurses as experts, and nurses and cooperators also increased significantly (t = 6.224, t = 5.436, t = 4.969, respectively, all p < .001). In this study, ethics education was found to raise nursing students' awareness regarding the code of ethics. Both awareness and practice of the code of ethics are crucial for adherence to the moral standards of professional behaviors required from medical professionals. Ethics education needs to be implemented, as it is indispensable for building a desirable ethical value system among future medical professionals and for enabling them to put ethical behaviors into practice by improving their moral judgment and sensitivity.

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Professional ethics in nursing: an integrative review

Abstract: Despite the obvious importance of professional ethics, it has not been studied much in nursing science. Greater knowledge of professional ethics is needed to understand and support nurses' moral decision-making and to respond to the challenges of current changes in health care and society.

Cited by 119 publications

References 58 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

Differences in professional values between nurses and nursing students: a gender perspective

The influence of ethics education on awareness of nursing students with no clinical experience regarding the code of ethics: A case study

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