Nephrology nurses' perspectives on difficult ethical issues and practice guideline for shared decision making.

A culture of avoidance: voices from inside ethically difficult clinical situations.

BACKGROUND Healthcare providers experience many ethical challenges while caring for and making treatment decisions with patients and their families. OBJECTIVES The purpose of this ethnographic study was to examine the challenges and circumstances that surround ethically difficult situations in oncology practice. METHODS The authors conducted six focus groups with 30 oncology nurses in the U...

Ethical principles and processes guiding dialysis decision-making.

When the US Congress created the End-Stage Renal Disease (ESRD) Program in 1972, it gave physicians the responsibility of determining which patients were "appropriate" for dialysis. Congress provided no guidance on who should be selected or how. Only five years later, Dr. Belding Scribner, the father of chronic dialysis, noted that there was a need for a "deselection committee" because virtuall...

An ethical assessment framework for addressing global genetic issues in clinical practice.

PURPOSE/OBJECTIVES To describe the perceptions of nurses regarding the importance of each action skill listed in the Ethical Assessment Framework (EAF) to their ethical decision-making process and how prepared they were to undertake each action when confronted by moral dilemmas in clinical practice, and to identify general genetic ethical issues of concern and frequency encountered. DESIGN De...

همبستگی حساسیت اخلاقی پرستاران با رفتار مراقبتی آن‌ها

Nurses encounter challenging ethical issues in practice that can make decision making tough for them. The purpose of this study was to determine the moral sensitivity of critical care nurses in clinical decision making and its correlation with their caring behavior in teaching hospitals of Bandar Abbas in 2012.This research is a descriptive analytic study with intensive care unit nurses as its ...

Clinical practice guideline on shared decision-making in the appropriate initiation of and withdrawal from dialysis. The Renal Physicians Association and the American Society of Nephrology.