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Biomedical subjects

M A Aroskar

Publications and source records attributed to M A Aroskar.

15 recordsLinked to original sources

Community health nurses. Their most significant ethical decision-making problems.

Community health staff nurses confront a variety of significant ethical problems in practice that require focused attention in nursing education programs and in community nursing agencies. All community health nurses need to learn to identify ethical problems and to learn a process for resolving these problems that incorporates ethical perspectives. This is particularly critical because nursing colleagues depend on one another for help in dealing with ethical problems in practice. To ignore the ethical problems in community health nursing practice and to neglect to teach the knowledge and skills required to deal with them is to fail to provide nurses with essential skills for providing nursing and health care in community settings.

Beneficence

The prevalence and design of ethics committees in nursing homes.

A dramatic increase in the number of ethics committees in long-term care facilities (LTCFs) has occurred since 1970 in the 487 nursing homes in Minnesota. Ten percent of the LTCFs had ethics committees which were mostly formed by administrators and nurses. The committees are most often found in large urban facilities with a high percentage of skilled-level beds and a religious name. The committees are multidisciplinary with a median of nine members including two to three nurses, a physician, a social worker, a minister, an administrator, and three other members. Nearly all committees were involved in policy development and staff education. Additional functions included resident care consultation and retrospective case review. More than half of the committees are accountable to administration. Nearly all committees kept minutes. Though all committees incurred costs, only one had a formal budget. Informal evaluation is done in only six committees. No committee had referred cases to the courts.

Bioethical Issues

Access to hospice. Ethical dimensions.

The ethical dimensions of availability and accessibility of hospice care to dying persons and their families are discussed. The Dying Person's Bill of Rights is used as a framework for commenting on applicable ethical principles, reimbursement patterns of the federal government, and decision-making obligations of society, institutions, caregivers, patients, and families.

Decision Making

Caring--another side.

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Attitude of Health Personnel