A next-generation ethics program in progress: lessons from experience.
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Biomedical subjects
Publications and source records attributed to D O Dugan.
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Laughter and tears are natural resources that are often neglected in managing personal and professional stress. Facilitating patients' and families' laughter and tears is an important skill in providing emotional support, which is central to the caring role of nursing. Social stigmas, the medical model, and stressful hospital environments can distract nurses from employing these resources and other catharses in managing stress and supporting patients and families. Nurses can learn to integrate laughter and tears practically and appropriately into nursing care, thereby increasing work satisfaction and facilitating emotional healing.
The author presents an historical and psychological framework for considering the human process of dying. An in-depth presentation is made on providing supportive emotional care to dying patients who are communicating symbolically. Many clinical examples are included.
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Drawing on the example of one specific Ethics Committee, the author delineates feminine and masculine styles of ethical decision making and work with the dying as two sides of what it means to be humanistic in patient care. The author draws particularly on the work of Carol Gilligan to differentiate feminine from masculine approaches.
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