Abstract:
BACKGROUND:Physical restraint is among the commonly used methods for ensuring patient safety in intensive care units. However, nurses usually experience ethical dilemmas over using physical restraint because they need to weigh patient autonomy against patient safety. AIM:The aim of this study was to explore factors behind ethical dilemmas for critical care nurses over using physical restraint for patients. DESIGN:This is a qualitative study using conventional content analysis approach, as suggested by Graneheim and Lundman, to analyze the data. METHODS:Seventeen critical care nurses were purposefully recruited from the four intensive care units in Tehran, Iran. Data were collected through in-depth semi-structured interviews and were concurrently analyzed through conventional content analysis as suggested by Graneheim and Lundman. ETHICAL CONSIDERATION:This study was approved by the Ethics Committee of Iran University of Medical Sciences, Tehran, Iran with the code: IR.IUMS.REC.1397.795. Before interviews, participants were provided with explanations about the aim of the study, the confidentiality of the data, their freedom to participate, and the right to withdraw the study, and their free access to the study findings. Finally, their consents were obtained, and interviews were started. RESULTS:Factors behind ethical dilemmas for critical care nurses over using physical restraint were categorized into three main categories, namely the outcomes of using physical restraint, the outcomes of not using physical restraint, and emotional distress for nurses. The outcomes of using physical restraint were categorized into the three subcategories of ensuring patient safety, physical damage to patients, and mental damage to the patient. The outcomes of not using physical restraint fell into two subcategories, namely the risks associated with not using physical restraint and legal problems for nurses. Finally, the two subcategories of the emotional distress for nurses main category were nurses' negative feelings about restraint use and uncertainty over the decision on physical restraint use. CONCLUSION:Decision-making for restraint use is often associated with ethical dilemmas, because nurses need to weight the outcomes of its use against the outcomes of not using it and also consider patient safety and autonomy. Health authorities are recommended to develop clear evidence-based guidelines for restraint use and develop and implement educational and counseling programs for nurses on the principles of ethical nursing practice, patient rights, physical restraint guidelines and protocols, and management of emotional, ethical, and legal problems associated with physical restraint use.
journal_name
Nurs Ethicsjournal_title
Nursing ethicsauthors
Salehi Z,Najafi Ghezeljeh T,Hajibabaee F,Joolaee Sdoi
10.1177/0969733019858711subject
Has Abstractpub_date
2020-03-01 00:00:00pages
598-608issue
2eissn
0969-7330issn
1477-0989journal_volume
27pub_type
杂志文章相关文献
NURSING ETHICS文献大全abstract:BACKGROUND:Rising levels of burnout and decreasing job satisfaction can inhibit healthcare professionals from providing high-quality care due to a corresponding decrease in their ethical sensitivity. AIM:This study aimed to determine the relationship between the level of ethical sensitivity in emergency service nurses...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733017720846
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVE:To analyze the empathic profile and the empathy scores of freshmen of the nursing course. DESIGN AND PARTICIPANTS:Descriptive study involving 399 freshmen students of two modalities of nursing courses: Bachelor and Bachelor and Teaching Diploma, in the period from 2012 to 2015. A sociodemographic questionnai...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733018780532
更新日期:2019-11-01 00:00:00
abstract::The aim of this study was to identify the ethical problems that nurse managers encounter in their work and the role of codes of ethics in the solutions to these difficulties. The data were collected using a structured questionnaire and analysed statistically. The target sample included all nurse managers in 21 special...
journal_title:Nursing ethics
pub_type: 杂志文章,多中心研究
doi:10.1177/0969733010364896
更新日期:2010-07-01 00:00:00
abstract::Nurses and physicians may experience ethical conflict when there is a difference between their own values, their professional values or the values of their organization. The distribution of limited health care resources can be a major source of ethical conflict. Relatively few studies have examined nurses' and physici...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733011401121
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND::Poor psychosocial work environments are considered critical factors of nurses' intention to leave their profession. Workplace injustice has been proven to increase the incidence of psychiatric morbidity among workers. However, few studies have directly investigated the effect of workplace justice on nurses'...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733016687160
更新日期:2019-02-01 00:00:00
abstract:INTRODUCTION:Ethical conflict is a phenomenon that has been under study over the last three decades, especially the types moral dilemma and moral distress in the field of nursing care. However, ethical problems and their idiosyncrasies need to be further explored. AIM:The objectives of this study were, first, to obtai...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733019857785
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Moral distress has been identified as a significant issue in nursing practice for many decades. However, most studies have involved American nurses or Western medicine settings. Cultural differences between Western and non-Western countries might influence the experience of moral distress. Therefore, the lit...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1177/0969733019880241
更新日期:2020-05-01 00:00:00
abstract::This article describes the ethical conflicts that a sample of US nurse utilization reviewers faced in their work, and also each nurse's self-reported ethical orientation that was used to resolve the dilemmas. Data were collected from a sample of 97 registered nurses who were working at least 20 hours per week as utili...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1191/0969733003ne635oa
更新日期:2003-09-01 00:00:00
abstract:AIM:This study was carried out in order to determine professional self-concept and professional values in the students, who were studying in the final year of the nursing department in schools providing undergraduate education in the Inner Anatolia Region. METHOD:This cross-sectional study was conducted on a total of ...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733018761171
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Nursing practice takes place in a social framework, in which environmental elements and interpersonal relations interact. Ethical climate of the work unit is an important element affecting nurses' professional and ethical practice. Nevertheless, whatever the environmental circumstances, nurses are expected t...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733014557137
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Ascertaining the relationship between ethical ideology, moral judgment, and ethical decision among academic nurse educators at work appears to be a challenge particularly in situations when they are faced with a need to solve an ethical problem and make a moral decision. PURPOSE:This study aims to investiga...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733017722825
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:The concept of dignity is recognised as a fundamental right in many countries. It is embedded into law, human rights legislation and is often visible in organisations' philosophy of care, particularly in aged care. Yet, many authors describe difficulties in defining dignity and how it can be preserved for pe...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1177/0969733015624487
更新日期:2017-09-01 00:00:00
abstract::The Republic of the Ukraine has a huge prison population and a large prison health care system. Like all other public services in that country it is lacking in sufficient funds to operate adequately and with due respect to the human rights of the prisoners and its health care employees. This report and observations ar...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1191/0969733002ne521oa
更新日期:2002-07-01 00:00:00
abstract::All nursing courses in the UK include ethics in the curriculum, although there is considerable variation in the content of ethics courses and the teaching methods used to assist the acquisition of ethical reasoning.The effectiveness of ethics courses continues to be disputed, even when the perceptions and needs of stu...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1191/0969733002ne507oa
更新日期:2002-05-01 00:00:00
abstract::Bedside handover is the delivery of the nurse-to-nurse handover at the patient's bedside. Although increasingly used in nursing, nurses report many barriers for delivering the bedside handover. Among these barriers is the possibility of breaching the patient's privacy. By referring to this concept, nurses add a legal ...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733018791348
更新日期:2019-11-01 00:00:00
abstract::The subject of sexuality among elderly patients with dementia was examined, focusing on two main aspects: the sexual behaviour of institutionalized elderly people with dementia; and the reactions of other patients, staff and family members to this behaviour. The behaviour was found to be mostly heterosexual and ranged...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/096973309900600207
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVE:To increase our understanding of moral distress experienced by neonatal registered nurses when directly or indirectly involved in the decision-making process of resuscitating infants who are born extremely premature. DESIGN:A secondary qualitative analysis was conducted on a portion of the data collected fro...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733014523169
更新日期:2015-02-01 00:00:00
abstract::Adolescents are increasingly at risk for sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV) infection. The prolonged latency period, sometimes in excess of five years, and the incubation period of up to 10 years before the manifestation of symptoms, may foster adolescents' false sense o...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/096973300000700407
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:According to Norwegian law, nurses are obligated to provide an acceptable level of health assistance to patients and their family members and to allow patients and their family members to participate in the planning of patient care and treatment. AIM:The aim of this study is to compare the perceptions of ol...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733014533240
更新日期:2015-05-01 00:00:00
abstract::In this article I would like to express my personal ideas and points of view about strike action, which I think many colleagues will share. I am a qualified paediatric nurse, currently working in the central operating theatre of a university hospital in Germany. At the same time, I am also finishing my studies in heal...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/096973309700400410
更新日期:1997-07-01 00:00:00
abstract:BACKGROUND:Nursing turnover is a very serious problem, and nursing managers need to be aware of how ethical climates are associated with turnover intention. OBJECTIVES:The article explored the effects of ethical climates on nurses' turnover intention, mediated through trust in their organization. METHODS:A cross-sect...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733020964855
更新日期:2020-11-15 00:00:00
abstract::As professionals, nurses are engaged in a moral endeavour, and thus confront many challenges in making the right decision and taking the right action. When nurses cannot do what they think is right, they experience moral distress that leaves a moral residue. This article proposes a theory of moral distress and a resea...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1191/0969733002ne557oa
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND:In Ontario, Canada, patients who lack decision-making capacity and have no family or friends to act as substitute decision-makers currently rely on the Office of the Public Guardian and Trustee to consent to long-term care (nursing home) placement, but they have no legal representative for other placement de...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733015583185
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:The acquisition of experience is a major concern for nurses in intensive care units. Although the emotional component of the clinical practice of these nurses has been widely studied, greater examination is required to determine how this component influences their learning and practical experience. OBJECTIV...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733016643863
更新日期:2018-05-01 00:00:00
abstract::This study focuses on investigating habits in perioperative nursing culture, which are often simply accepted and not normally considered or discussed. A hermeneutical approach was chosen as the means of understanding perioperative nurses' experiences of and reflections on operating theatre culture. Focus group discuss...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733008092875
更新日期:2008-09-01 00:00:00
abstract::This article is a reflection on the use of case study material in the teaching of ethics to nursing students. Given the main aims of a course in ethics for nurses and the limited effectiveness of formal moral theory, it seems inevitable that the mainstay of nursing ethics courses will continue to be case study materia...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/096973309900600509
更新日期:1999-09-01 00:00:00
abstract::The majority of midwives in the UK are employed within the NHS. They are legally bound to fulfil their contractual obligations to their employers. At the same time they are professionally mandated to interpret and act on the UKCC's Code of professional conduct. Midwives have always maintained that they are autonomous ...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/096973309500200308
更新日期:1995-09-01 00:00:00
abstract::The use of doll therapy for people with dementia has been emerging in recent years. Providing a doll to someone with dementia has been associated with a number of benefits which include a reduction in episodes of distress, an increase in general well-being, improved dietary intake and higher levels of engagement with ...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733013518447
更新日期:2014-09-01 00:00:00
abstract::Given the complexity of modern health care, there exists an urgent need to discover how best to resolve complex bioethical issues. Traditionally, principle based ethics provided the benchmark for guiding ethical decision-making. More recently, however, it has become apparent that this traditional approach is often ina...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:
更新日期:1996-09-01 00:00:00
abstract::This article portrays the unique aspects of ethics education in a multicultural, multireligious and conflict-based atmosphere among Jewish and Arab nursing students in Jerusalem, Israel. It discusses the principles and the methods used for rising above this tension and dealing with this complicated situation, based on...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1177/0969733009104607
更新日期:2009-07-01 00:00:00