UNIVERSITY OF SAINT LOUIS TUGUEGARAO College of Health and Allied Sciences Graduate School Program

In Partial Fulfillment of the Requirements for the Degree Master of Science in Nursing

Advance Foundation in Nursing

Presented to: Mrs. Flordeliza Cepeda, RN, MSN

Presented by: Karina Joy C. lingan, RN

ethical decision-making. Over 36% of the nurses surveyed reported that they encountered ethical issues in their practice 1-4 times per week or daily. Eight percent of the nurses reported that they did not deal with the ethical issue at all. Since the majority of the participants in . however. Analysis of the data indicates that the most frequently occurring ethical issues for registered nurses are: protecting patients' rights and human dignity. representing a 43% return rate. autonomy. patients' rights. piloted. staffing patterns that limit patient access to nursing care. and (5) the types of ethics education topics and resources that registered nurses perceive as helpful to their practices. In handling their most recently encountered ethical issue. respecting/not respecting informed consent to treatment. Ethics education topics identified as most helpful to nurses\ethical practices are: professional issues. the purpose of this study was to identify (1) the ethical issues encountered by registered nurses in their practice. Issues that are the most personally disturbing to nurses are: prolonging the living/dying process with inappropriate measures.83). A mailed survey to a 4% sample (n=564) of the 14. Few studies. The majority (88%) of the nurse respondents reported that they were quite to moderately knowledgeable about ethics but also had a great or more than moderate need for ethics education in order to practice ethically. how frequently they occur. and quality of life. (4) how registered nurses handle ethical issues. and implementing managed care policies that threaten quality of care. Findings: The typical nurse participant in the survey is a 43 year old female with a college degree who is employed full time as a staff nurse and has 19 years of nursing experience. have identified the types of ethical issues that practicing nurses encounter in practice. and satisfactorily tested for the psychometric properties of the 35-item ethical issues scale (EIS) in a survey of 521 nurses (internal consistency reliabilities of the three subscales of the EIS ranged from .77 to . more than 87% reported that they discussed the issue with nursing peers while 73% discussed the issue with nursing leadership. and informed consent. Registered nurses indicate that they have a high need for ethics education in order to practice ethically and that particular ethics education topics are preferred over other topics. and staffing patterns that limit patient access to nursing care. risk to nurses health. Implications fo Education: It is clear that significant numbers of registered nurses frequently encounter ethical issues in their practice and that they are disturbed by these and other issues less frequently encountered. Thus. using/not using physical or chemical restraints.Ethics and Human Rights Issues in Nursing Practice: Purpose: It is widely believed that nurses frequently encounter ethical issues in nursing practice. (2) how frequently ethical issues occur in practice. and the types of ethics education topics and resources that nurses consider helpful to ethical practice.093 currently employed registered nurses practicing in Maine was conducted during 1998. Methods: A survey tool was developed. providing care with possible risk to the nurse's health. Two mailings of the survey were done and 238 nurses participated in the survey. (3) how disturbed registered nurses are by the issues.

and avoidance of error. norms promote the aims of research. accountability. compliance with the law. human rights. bioethics and the enforcement of nursing codes.this survey had completed their nursing education nearly 20 years ago. since research often involves a great deal of cooperation and coordination among many different people in different disciplines and institutions. a researcher who fabricates data in a clinical trial may harm or even kill patients. This publication from the International Council of Nurses is the essential resource for nurses seeking to understand ethical decision making. address current issues in healthcare. Finally. and a researcher who fails to abide by regulations and guidelines relating to radiation or biological safety may jeopardize his health and safety or the health and safety of staff and students. ethical standards promote the values that are essential to collaborative work. First. For example. written by world experts in nursing ethics. Ethical lapses in research can significantly harm human and animal subjects. Third. Implications for Nursing Practice: Every day nurses are required to make ethical decisions in the course of caring for their patients. animal welfare. People more likely to fund research project if they can trust the quality and integrity of research. such as trust. and fairness. . Ethics in Nursing Practice provides the background necessary to understand ethical decision making and its implications for patient care. it is imperative that an increased focus on ethics education. such as knowledge. many of the ethical norms help to ensure that researchers can be held accountable to the public. many of the norms of research promote a variety of other important moral and social values. and health and safety. Fourth. WHO documents. mutual respect. and the public. such as social responsibility. be undertaken to assist nurses to practice ethically. ethical norms in research also help to build public support for research. students. truth. Implications for Research: There are several reasons why it is important to adhere to ethical norms in research. such as providing for the health and care needs of refugees and asylum seekers. through inservice and continuing education. Second.

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