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At least 919 records · Page 51Linked to original sources
PubMed1989

Ethical dilemmas in perioperative nursing practice.

Ethical dilemmas in perioperative nursing practice occur during all phases and in every practice setting. Awareness of commonly experienced dilemmas and understanding of a model available to analyze and resolve these dilemmas can benefit patients and perioperative nurses. Patients will benefit from nurse advocates who recognize and act to resolve actual and potential ethical dilemmas. Nurses will benefit when they are empowered with the knowledge and ethical skills to enhance patient autonomy, to protect dignity and confidentiality, and human rights. Perioperative nurses should reflect on previous dilemmas and use them to assist with resolution of similar dilemmas. They should be knowledgeable of personal, departmental, institutional, and professional resources available when faced with ethical dilemmas. The ANA code for Nurses and the AORN Statements of Competency in Perioperative Nursing are two resources available to perioperative nurses. In the increasingly complex, technologically laden surgical environment, patients who are sicker and living longer will require services of highly skilled and educated professionals. They are vulnerable in the surgical setting and need surgical teams to act on their behalf. Perioperative nurses with ethical skill are an asset to patients and other members of the surgical team when they seek to resolve ethical dilemmas in knowledgeable and systematic ways.

Acquired Immunodeficiency Syndrome↗
PubMed2003

Factors affecting motivation during the first six weeks of treatment.

Since the new conceptualization of motivation as a product of interpersonal exchanges, clinicians and researchers have shown a growing interest in understanding the process of and identifying factors increasing motivation for treatment. Elaborated from the self-determination theory, a motivational model was tested among 140 participants (recruited in a public outpatient readaptation center for substance-related disorders) who persevered in treatment for at least 6 weeks. The results support the usefulness of the self-determination theory in the field of motivation for treatment of substance-related disorders, and suggest some recommendations to enhance motivation: therapists must pay attention to the progression toward goal attainment and foster the perception of competence of their clients; treatment centers should offer a context that supports autonomy and that involves significant others.

Adult↗
PubMed1993

On the morality of deception--does method matter? A reply to David Bakhurst.

Does it signify morally whether a deception is achieved by a lie or some other way? David Bakhurst has challenged my view that it can signify. Here I counter his criticisms--firstly, by clarifying the terminology: What counts as a lie? Secondly, by exploring further what makes lying wrong. Bakhurst maintains that lying is wrong in that it infringes autonomy--and other deceiving stratagems, he says, do so equally. I maintain that lying is wrong in that it endangers trust--and other types of deceiving stratagems do not do so equally. Lying to patients, I contend, is an abuse of their trust. Other forms of their intentional deception need not be so, although, in our autonomy-minded culture, they are likely to be so.

Beneficence↗