Ethical/moral experiences of oncology nurses.
PURPOSE/OBJECTIVES: To describe the ethical/moral situations that oncology nurses report experiencing. DESIGN: Descriptive, exploratory, qualitative. SETTING: United States. SAMPLE: Seventy nurses selected randomly from the Oncology Nursing Society Membership Directory. METHODS: The participants responded in writing to the following question: Describe an oncology clinical situation in which you experienced ethical/moral questions. Share all the thoughts, perceptions, and feelings you can recall until you have no more to say about the situation. FINDINGS: Most of the experiences these oncology nurses reported reflected a care perspective; focused on the moral principles of autonomy, beneficence, nonmaleficence, fidelity, and truth telling; and revealed moral themes of suffering, secrets, and struggle. CONCLUSIONS: Oncology nurses in this study experienced ethical/moral situations related to a care perspective rather than a justice perspective, and this information provides a beginning oncology nursing ethics framework. IMPLICATIONS FOR NURSING PRACTICE: Oncology nursing preparation should include ethical content based on the actual experiences of oncology nurses.