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Results for “Professional Autonomy”

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At least 1,171 records · Page 65Linked to original sources
PubMed1994

[The relationship of nursing competence, nursing autonomy and the limits of obedience of individual nurses].

This paper arises from a study of "nursing management", carried out at the Institute of Higher Professional Education in Osnabruck. The aim here is to demonstrate fundamental connections between knowledge and action on the one hand and indication of moral action on the other. In order to do justice to the complexity of the subject it is necessary to consider also adjoining areas of knowledge. There are no unequivocal or final answers to the questions raised in this study. The purpose of of this paper is to stimulate thought about the whole range of problems.

Ethics, Nursing↗
PubMed1996

Choosing the best: against paternalistic practice guidelines.

Isobel Ross rightly points out that providing information is not enough to guarantee that patients will choose the best course of action. She argues that to adequately protect patients' interests, we need practice guidelines to 'ensure that dangerous and unnecessarily risky procedures are excluded from practice'. What constitutes an 'unnecessarily risky procedure' is to be determined by a group of reasonable doctors. At one point, Ross suggests that such guidelines are 'presumptive' rather than 'absolute'. But this is really a concession to patient variability. She intends that certain procedures are ruled out on paternalistic grounds. I will argue that practice guidelines are desirable but should not determine practice. We should not rule out procedures on paternalistic grounds.

Communication↗
PubMed1996

Practice guidelines, patient interests, and risky procedures.

A clinical scenario is described where an anaesthetist is concerned about the seemingly high risk/benefit ratio relating to laparoscopic versus standard inguinal hernia operations. Some options for further action by the anaesthetist are introduced. The remainder of the paper explores the question of who can legitimately assess the acceptability of risk/benefit ratios, and defends the use of practice guidelines at the expense of so called clinical freedom. It is argued that respect for persons is not breached by limiting the treatment options offered to patients to those therapies which have a 'reasonable' risk/benefit ratio. This 'reasonableness' is context dependent, and should be properly decided by those with expertise in the field.

Altruism↗
PubMed1999

Using complementary therapies within nursing: some ethical and legal considerations.

Increasing numbers of health professionals are incorporating complementary and alternative (CAM) therapies into their work. Nurses, in particular, are embracing CAM techniques, which may fit well within their philosophy of care for their patients and which may, instinctively, be more holistic than the approach of their medical counterparts. Patients, who may be distillusioned with conventional approaches to treatment, appear to express high levels of satisfaction in receiving these therapies and nurses clearly enjoy giving them. Beyond patient preference for CAM therapies though, there is still a paucity of clinical evidence to support the wider integration of CAM into the NHS. This article focuses on some of the ethical and legal considerations raised by nurses who employ, or are considering employing, CAM techniques as part of their NHS work, looking, in particular, at the need to ensure patient safety whilst at the same time protecting nurses from criticism or censure.

Complementary Therapies↗
PubMed1994

Measuring nurses' satisfaction with the quality of their work and work environment.

This article discusses the Work Quality Index, a 38-item scale developed to measure the satisfaction of nurses with their work and work culture. The instrument, which is an outgrowth of a study of 245 nurses at a large northwestern acute care medical center, was developed using factor analysis and maximum likelihood extraction techniques. The index contains six subscales: professional work environment, autonomy, work worth, professional relationships, role enactment, and benefits. It is responsive to the 1993 proposed Joint Commission on Accreditation of Healthcare Organizations standards for improvement of organizational performance.

Abstracting and Indexing↗
PubMed2003

Is there a unique nursing ethic?

There is no agreement in the nursing literature as to the meaning of the term, nursing ethics. Proposed definitions refer to nurses' moral decision-making and behaviors, ethical conflicts, and analysis of ethical issues that arise within nurses' practice. Presumably, a distinct nursing ethic should address unique theories, standards, and inquiry into what comprises nurses' ethical behavior and study of how nurses actually behave and reason about ethical issues. The purpose of this column is to synthesize the dialogue regarding the potential existence of a unique nursing ethic, and to propose that such an ethic has yet to emerge.

Codes of Ethics↗