Ethical Principles In Nursing Journal of Nursing

More Than Evidence: How Experience and Reflection Shape My Epistemological Stance in Nursing

More Than Evidence: How Experience and Reflection Shape My Epistemological Stance in Nursing

Tags: empirical knowledge ethical principles in nursing Nurse Education nursing epistemology Patient-centered care

This paper explores the author's personal epistemological stance in nursing, emphasizing the integration of both empirical evidence and experiential knowledge gained through clinical practice. Drawing on Barbara Carper’s four patterns of knowing, empirical, personal, ethical, and aesthetic, the author highlights how meaningful nursing care requires more than scientific knowledge; it also demands relational understanding, critical reflection, and empathy. A fictional case study is used to illustrate how these ways of knowing intersect in real-life decision-making, particularly when caring for marginalized patients. The paper ultimately argues for a holistic, patient-centered approach to nursing that honours both objective data and the lived experiences of patients.

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Ethical Issues Raised When Parents Refuse Medical Treatment For their Ill Children

Ethical Issues Raised When Parents Refuse Medical Treatment For their Ill Children

Tags: child children ethical principles ethical principles in nursing ethical standards ethical values ethics nursing ethics parents treatment treatment options

Working as a nurse, I am seeing ethical issues raises when parents refuse medical treatment for their ill children. Health care providers need rapid access to legal remedies in order to help children whose parents neglect medical treatment for their young because of their religious beliefs and hopes that a miracle might heal the kids.  Despite those parents, who strongly stand by their point of view about spiritual treatment, doctors and state continue considering such point of view as futile, neglect, and abuse of the children. According to the doctors and courts, the medical treatment in ill children is more effective to cure disease in comparison to the spiritual means. As a society, we should make it a priority to protect children from parental neglect and abuse in case of withholding medical treatment, which in many cases leads to death.

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Building Trusting Work Relationships in Healthcare and Beyond

Building Trusting Work Relationships in Healthcare and Beyond

Tags: behavior building trust ethical principles ethical principles in nursing ethical standards ethical values healthcare organization nursing ethics working relationship

In an effort to help leaders in various types of healthcare organizations learn how to build trust and strong work relationships within their organizations, eight chief nursing officers (CNOs) from healthcare organizations throughout California were interviewed. All the CNOs were asked the same structured questions. A review and analysis of those interviews revealed the following five dimensions as key ingredients: authenticity, work ethics, communicating and sharing news, history and reputation, and creating a supportive and empowering environment. Our results include the definitions of trust by the eight CNOs, the Four R’s of building trustworthy relationships and an acronym of SHARE. We discuss what CNOs describe as “trust blockers,” actions a CNO can take that would break the employee’s trust. The results of this research can be used in a variety of ways including incorporating them into leadership development training aiming at strengthening their personal leadership styles and improving workplace environments by creating and role modeling a more open communication culture.

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