Toward a Consensus in Ethics Education for the Doctor of Nursing Practice

Abstract

The purpose of this study was to begin to develop a consensus as to the essential content and methods of ethics education for advanced practice nurses. An online Delphi technique was used to survey ethics experts to determine whether items were essential, desirable, or unnecessary to ethics education for students in doctor of nursing practice programs. Only the American Nurses Association Code of Ethics and ethics terminology were deemed essential foundational knowledge.

Developing Abilities to Navigate Through the Grey Zones in Complex Environments: Nurses’ Reasons for Applying to a Clinical Ethics Residency for Nurses

“…This theme is congruent with prior research (Doane, Pauly, Brown, & McPherson, 2004;Varcoe, et al, 2004;Woods, 2014) and with philosophical arguments about the value of using ethical language and tools to uncover and present the nuances of ethical problems (Grace, 2014). More work is needed to understand how and where this content should be taught (Laabs, 2015) and reinforced. Additionally, many nurses reported recognizing the limits of their understanding of the perspectives of others, finding themselves conflicted when choices were being made contrary to their values or when they had trouble understanding the nuances of a disparate culture.…”

Fortalecimiento de las alianzas docencia-servicio para el avance de la enfermería en Colombia

“…Este grupo aborda temáticas referentes al empleo de marcos conceptuales para fortalecer las capacidades de la práctica clínica (20,23), la importancia y el impacto que pueden tener las enfermeras formadas a nivel de doctorado en la práctica clínica (25), la pertinencia de los consensos para la práctica avanzada (27,28), el tipo y ámbito de práctica que se puede tener (21,22,24). 3.…”

“…Asimismo, se hace necesario tener presente que a medida que la práctica avanza, se hace más evidente la necesidad de profundizar en temas éticos como respaldo a decisiones autónomas (27). Sobresale la importancia de retener en el rol asistencial a las enfermeras con alta preparación (31), quienes dan mayor coherencia e integralidad a la totalidad del sistema a favor del cuidado del paciente (38).…”

Educating Nurses for Ethical Practice in Contemporary Health Care Environments

“…Despite scholarship in nursing ethics suggesting that moral distress in nursing is linked to perceived powerlessness in the face of obstacles to good practice, an overarching structure for developing nurse moral agency is largely missing from nursing curricula. The context that surrounds nursing education is complicated, and agreement about what is “best practice” in nursing ethics education is lacking . Moreover, evidence indicates that this is a problem for medical education as well; a survey of medical schools in the United States and Canada found that ethics education suffers from significant variation in “content, method, and timing.” A recent project aimed at developing a common taxonomy of competency domains for physicians lists “adherence to ethical principles” as an explicit focus of professional practice but fails to delineate steps for achieving this aim within the educational setting .…”