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What the Nurse does\ud Exploring the nurses contribution to the resolution of ethical dilemmas in secondary care - the pilot study

By Nichola Barlow

Abstract

Introduction\ud Nurses face ethical dilemmas as part of their professional practice and it is often these that cause the greatest concern for the patient, their family and the nurse (Storch 2004, DH,1999) . It is therefore important that we are able to understand what registered nurses contribute to addressing these dilemmas as they occur.\ud Aim of the study\ud The aim of this pilot study is to test the data collection methods for a study in order to examine what it is that Registered Nurses contribute to the resolution of ethical dilemmas as part of their nursing practice.\ud Methods\ud This is a qualitative study using audio recording of semi-structured interviews to collect narrative data from participants (Polit and Beck 2006). A two phased analysis was undertaken a thematic approach, followed by a narrative analysis to examine the cultural dimensions within the clinical setting (Burns and Grove 2001).\ud Results\ud Questions required minor amendments and three themes emerged from the data:\ud Organisational priorities\ud Nurse – phycian relationship\ud ‘Best for the patient’\ud Discussion incl. Conclusion\ud Participants identified and discussed conflicts that have arisen between organisational objectives, procedures or protocol and that which was thought to be ‘best for the patient’.\ud Practical relevance\ud This pilot study highlighted the importance of developing the appropriate interviewing skills required for data collection and appropriate wording of questions to illicit the required data from participants prior to undertaking major study\ud Research implications\ud Three key areas identified by registered nurses in relation to ethical dilemmas where further research would be beneficia

Topics: R1, RT
OAI identifier: oai:eprints.hud.ac.uk:9785

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  1. (2004). A literature review study of Information and Communication Technology as a support for frail older people living at home and their family careers.
  2. (2000). Acute and post-traumatic stress disorder after spontaneous abortion. Retrieved
  3. (2005). An exploration into the most effective way to teach drug calculation skills to nursing students. doi
  4. (2010). An exploratory study examining the influence of translation on the validity and reliability of qualitative data in nursing research. doi
  5. (2010). Antenatal Cognitive-behavioral Therapy for Prevention of Postpartum Depression: A Pilot Study. doi
  6. (1998). Apego e Perda: Perda, tristeza e depressão. São Paulo: Livraria Martins Fontes Editora Ltda.
  7. (1995). Becoming a mother: research on maternal role identity since Rubin.
  8. (2010). Braveman FR. Pregnancy in patients of advanced maternal age. Anesthesiol Clin
  9. Bundesinstitut für Bevölkerungsforschung (2004): Bevölkerung. Fakten - Trends - Ursachen -Erwartungen. Die wichtigsten Fragen. Wiesbaden: Bundesinstitut für Bevölkerungsforschung.
  10. (2008). Cancer Screening: Evidence and practice in Europe doi
  11. (2003). Cancro da mama na União Europeia: Resolução do Parlamento Europeu sobre o cancro da mama na União Europeia (2002/2279(INI), Parlamento Europeu:
  12. (2006). Chilbearing & Depression: what Nurses need to know. Association of Woman. Association of Woman ,
  13. (1990). Comparisons of five health status instruments for orthopedic evaluation. doi
  14. (1998). Conclusion After monitoring the health affecting habits among Latvian population from
  15. (2006). Constructing Grounded Theory. A practical guide trough doi
  16. (2005). Depressão pós-parto: sabemos os riscos, mas podemos prevenila? Revista Brasileira de Psiquiatria ,
  17. (2003). Desenvolvendo a Competência dos Profissionais.
  18. (2004). Deutsches Zentrum für Altersfragen doi
  19. (1977). Discipline and Punish: The birth of the prison. doi
  20. (2005). Do older primigravidas differ from younger primigravidas in their emotional experience of pregnancy? doi
  21. (2010). Effect Sizes for Interpreting Changes in Health Status. Medical Care, doi
  22. (2010). Europäische Gemeinschaften.
  23. (2008). European Silver Paper on the Future of Health Promotion and Preventive Actions, Basic Research, and Clinical Aspects of Aged-related Disease. doi
  24. (2000). Experiencing Transition: an emerging middle-range theory. doi
  25. (2002). Feasibility Acceptability and Internal Consistency Reliability of the Nottingham Health Profile in Dementia Patients. Gerontology doi
  26. (2006). Filial Responsibility and Transitions Involved: A Qualitative Exploration of Caregiving Daughters and Frail Mothers. doi
  27. (2007). First mothering over 35 years: questioning the association of maternal age and pregnancy risk. Health Care Women Int doi
  28. (2010). Formação e rompimento dos laços afetivos. São Paulo: Livraria Martins Fontes Editora Ltda.
  29. (2010). From Meaning to Meaning: doi
  30. (1997). German version of the Nottingham Health Profile (NHP): translation and psychometric validation]Soz Präventivmed. doi
  31. (2010). Grief: Handbooks of Sociology and Social Research. doi
  32. (1996). Grounded Theory: Grundlagen Qualitativer Sozialforschung. Beltz: Psychologie Verlags Union. WHO – World Health Organization
  33. (2007). Health literacy and the information needs and dilemmas of first-time mothers over 35 years. doi
  34. (2009). Il bilancio sociale delle università. Inventario dei problemi e analisi comparata delle esperienze italiane. Dipartimento di Politiche pubbliche e Scelte collettive. Working paper N. 130, January, Università del
  35. (2004). Instrument translation process: a methods review. doi
  36. (1999). Issues in case study analysis. doi
  37. (2009). Issues in using methodological triangulation in research. doi
  38. (2010). King's College University of London, London, UK ian.j.norman@kcl.ac.uk Pasterk, P. University of Vienna, AKH Vienna - Nursing Science,
  39. (2008). Language barriers and qualitative nursing research: methodological considerations. doi
  40. (2007). Lost in translation? Undertaking transcultural qualitative research. doi
  41. (2006). Miller TR.The costs of fatal and non-fatal falls among older adults. Injury Prevention. doi
  42. (2005). Multimorbidity is common to family practice. Is it commonly researched? Can Fam Physician.
  43. (2010). Paiva e Silva, Abel. Sistemas de Informação em Enfermagem - Uma teoria explicativa da mudança. Coimbra : Formasau,
  44. (2010). Participants Familyname/ Initials Organisation/Country E-mail Achenbach,
  45. (2010). Pires, Célia Maria Abreu de Freitas,
  46. Porto College of Nursing Escola Superior de Endermagem do
  47. (2005). Power : A radical view. doi
  48. (2006). Practical Issues in Calculating the Sample Size for Prevalence Studies. Medical Statistics. Archieves of Orofacial Sciences;
  49. Preventing Falls In Ederly Person.
  50. Prevention of falls in older patient.
  51. (2010). Psychosocial and psychological interventions for preventing postpartum depression (Review). The Cochrane Collaboration . doi
  52. Qualità dell'assistenza, indicatori, eventi sentinella: le cadute accidentali in ospedale.
  53. (1994). Qualitative data analysis : an expanded sourcebook doi
  54. (2004). Qualitative research and translation dilemmas. doi
  55. (1995). Qualitative Sozialforschung. doi
  56. (2006). Rastreio do Cancro da Mama: Benefícios, riscos e controvérsias actuais.
  57. Retrospective survey on falls among hospitalized patients. Assistenza Infermieristica e Ricerca.
  58. (2004). Royal College of Nursing. Clinical Pratice Guideline for the assessment and prevention of falls in older people.
  59. Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment: systematic review and meta-analyses. doi
  60. (2002). Studio Argento. Indagine sulla salute nella terza età.
  61. (2010). Supporting Self-management in Patients with chronic Illness.
  62. (1995). The art of case study research. Thousand Oaks:
  63. (1975). The birth of the clinic. doi
  64. (2010). The concept of power. doi
  65. (2010). The Content Validity Index: Are you sure you know what’s being reported? Critique and Recommendations. doi
  66. (1967). The discovery of grounded theory. doi
  67. (1979). The ecology of human development. doi
  68. (2002). The epidemiology of falls and syncope. Clin Geriatr Med.
  69. (1999). The nurse parent support tool. doi
  70. (1957). The Power Elite. doi
  71. (2007). The project: having a baby over 35 years. Women Birth doi
  72. (2006). The scope of social responsibility in the university research environment.
  73. (2010). Theory in practice: Increasing professional effectiveness. San Francisco: doi
  74. (2010). Tomorrow's doctors. Recommendations on undergraduate medical education. doi
  75. (1992). Tornar-se família: o crescimento da vinculação antes e depois do nascimento.
  76. (2010). Transitions theory – middle-range and situation-specific theories in nursing research and practice. doi
  77. (2010). Ungar A, Mussi C. Syncope and falls in the older patient.
  78. (2010). University of Vienna, AKH Vienna - Nursing Science,
  79. (2006). Using the Nottingham Health Profile (NHP)among older adults inpatients with Varying Cognitive Function. Quality of Life Research doi
  80. (2010). Using thematic analysis in psychology. doi
  81. Valutazione di due strumenti di misura del rischio di cadute dei pazienti. Assistenza Infermieristica e Ricerca.
  82. (1992). Verfahren der qualitativen Sozialforschung. Campus Verlag, Frankfurt a. doi
  83. Zentrum für Qualität in der Pflege,
  84. (2010). Zentrum für Qualität in der Pflege, Berlin, Germany jan.kottner@email.de 11th European Doctoral Conference in Nursing Science,

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