Current Search: Nursing ethics (x)
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- Title
- Caring, the human mode of being : a blueprint for the health professions.
- Creator
- Roach, M. Simone
- PURL
- http://purl.flvc.org/fau/fd/FAUIR000230
- Subject Headings
- Nursing -- Philosophy, Nursing ethics
- Format
- Citation
- Title
- PSYCHOMETRIC EVALUATION OF THE MORAL COMFORT QUESTIONNAIRE AMONG HOSPITAL-BASED DIRECT-CARE REGISTERED NURSES.
- Creator
- Bermudez, Natalie, Tappen, Ruth M., Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
- Abstract/Description
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Moral comfort, an emerging concept in nursing, is defined as an individual’s feelings of ease with decisions and actions related to a moral dilemma. Moral comfort for nurses is the positive outcome of a moral situation or dilemma, while moral distress, a widely explored issue in nursing, is the negative outcome. However, nursing literature on the concept of moral comfort is limited. While several instruments to measure moral distress exist, an instrument to measure moral comfort was not found...
Show moreMoral comfort, an emerging concept in nursing, is defined as an individual’s feelings of ease with decisions and actions related to a moral dilemma. Moral comfort for nurses is the positive outcome of a moral situation or dilemma, while moral distress, a widely explored issue in nursing, is the negative outcome. However, nursing literature on the concept of moral comfort is limited. While several instruments to measure moral distress exist, an instrument to measure moral comfort was not found. The Moral Comfort Questionnaire (MCQ) was theoretically developed. The purpose of this study was psychometric evaluation of this new 35-item instrument. Direct-care hospital-based registered nurses (n = 466) participated from February 2019 to September 2019 in this IRB-approved study. Participants completed demographic information, the MCQ, and the Moral Distress Scale revised (MDSR). Psychometric evaluation included a priori content validation and multiple statistical analyses: Cronbach’s alpha, Spearman’s correlation coefficient, weighted kappa, Bland- Altman analysis (B&A), discriminant validity, and confirmatory factor analysis (CFA).
Show less - Date Issued
- 2020
- PURL
- http://purl.flvc.org/fau/fd/FA00013445
- Subject Headings
- Nurses, Nursing, Nursing--Moral and ethical aspects, Nursing ethics
- Format
- Document (PDF)
- Title
- A phenomenological study of values held by nurse administrators.
- Creator
- McHugh-Ballou, Deborah Sue., Florida Atlantic University, Winland-Brown, Jill
- Abstract/Description
-
This research study addresses the personal, professional and organizational values held by nurse administrators, utilizing the phenomenological method of Paul Colaizzi (1978). The study investigates the values of eight nurse administrators in two acute care hospitals. Based on the significant statements which were formulated into clusters of themes and the formulation of essential values and themes, three common values emerged: communication, education, and honesty. A better understanding of...
Show moreThis research study addresses the personal, professional and organizational values held by nurse administrators, utilizing the phenomenological method of Paul Colaizzi (1978). The study investigates the values of eight nurse administrators in two acute care hospitals. Based on the significant statements which were formulated into clusters of themes and the formulation of essential values and themes, three common values emerged: communication, education, and honesty. A better understanding of these values will help guide nurse administrators in their current roles.
Show less - Date Issued
- 1992
- PURL
- http://purl.flvc.org/fcla/dt/14808
- Subject Headings
- Nurse administrators, Nursing ethics, Values
- Format
- Document (PDF)
- Title
- Nursing values as the basis for practice of graduate students in nursing.
- Creator
- McMillan, Susan Stevens., Florida Atlantic University, Parker, Marilyn
- Abstract/Description
-
The purpose of this study was to examine nursing values as expressed in the practice of nurses pursuing the Master of Science Degree in Nursing. Two stories representing nursing situations reflective of nurses' values guiding practice were chosen for analysis. Content analysis was the method used to study the stories to identify values guiding the practice of nursing. The analysis revealed the following nursing values guiding practice: compassion, respect for the other, competence, commitment...
Show moreThe purpose of this study was to examine nursing values as expressed in the practice of nurses pursuing the Master of Science Degree in Nursing. Two stories representing nursing situations reflective of nurses' values guiding practice were chosen for analysis. Content analysis was the method used to study the stories to identify values guiding the practice of nursing. The analysis revealed the following nursing values guiding practice: compassion, respect for the other, competence, commitment, inner harmony, patience, hope, courage, humility, and trust. Caring was identified as the central value of nursing.
Show less - Date Issued
- 1994
- PURL
- http://purl.flvc.org/fcla/dt/15018
- Subject Headings
- Nursing ethics, Values, Caring, Nursing students--Philosophy
- Format
- Document (PDF)
- Title
- A COMPARISON OF STUDENT NURSES, NURSES AND NON-NURSES WITH REGARD TO THEIR MORAL JUDGMENTS ON NURSING DILEMMAS (ETHICS).
- Creator
- WINLAND-BROWN, JILL E., Florida Atlantic University
- Abstract/Description
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Moral judgment scores of student nurses, nurses, and non-nurses were compared on various nursing dilemmas. It was hypothesized that there were no differences in the moral judgment scores of the three groups and that the level of nursing education, the length of clinical nursing experience, and the subject's religious preference would not affect the moral judgment scores. The total sample number of 195 completed the six nursing dilemmas of Crisham's Nursing Dilemmas Test. This test represents...
Show moreMoral judgment scores of student nurses, nurses, and non-nurses were compared on various nursing dilemmas. It was hypothesized that there were no differences in the moral judgment scores of the three groups and that the level of nursing education, the length of clinical nursing experience, and the subject's religious preference would not affect the moral judgment scores. The total sample number of 195 completed the six nursing dilemmas of Crisham's Nursing Dilemmas Test. This test represents various moral issues specifically applied to clinical areas of nursing. Scoring of the test was based on Kohlberg's levels of moral reasoning. Statistical analyses included three one-way analyses of variance (ANOVAS) with post-hoc Duncan's multiple range test. Intensive care unit nurses, and associate degree nurses and diploma or associated degree nurses with extra college credits, scored significantly more toward principled thinking. Significant relationships were found between length of experience and a prior philosophy course to subjects' principled thinking scores. Recommendations as a result of this study included the need for nursing ethics courses in nursing curricula, in continuing education programs, as well as increasing efforts toward retention of mature experienced nurses as role models. Future research is recommended to assess the effects of nursing ethics courses on subjects' levels of moral reasoning and behavior in the work setting.
Show less - Date Issued
- 1983
- PURL
- http://purl.flvc.org/fcla/dt/11838
- Subject Headings
- Nursing ethics, Nursing--Research--Moral and ethical aspects--Florida--Volusia County
- Format
- Document (PDF)
- Title
- Clinical nurse leader [SM] stories: a phenomenological study about the meaning of leadership at the bedside.
- Creator
- Sorbello, Barbara C., Christine E. Lynn College of Nursing
- Abstract/Description
-
A new role has been developed in nursing named the Clinical Nurse LeaderSM (CNL®). This new role positions the masters prepared nurse at the patient's bedside to oversee care coordination and serve as a resource for the clinical nursing team, and to bridge the gaps in health care delivery to better meet the needs of patients in all health care delivery settings. Since this is a new role, there is a paucity of research that has been conducted surrounding these nurses. A phenomenological...
Show moreA new role has been developed in nursing named the Clinical Nurse LeaderSM (CNL®). This new role positions the masters prepared nurse at the patient's bedside to oversee care coordination and serve as a resource for the clinical nursing team, and to bridge the gaps in health care delivery to better meet the needs of patients in all health care delivery settings. Since this is a new role, there is a paucity of research that has been conducted surrounding these nurses. A phenomenological investigation examined the lived experiences of CNLs® to gain understanding about the meaning of leadership at the point of care and to discover the unique expressions of living caring that CNLs® experience as they embark upon this new role in the acute care hospital setting. Ten CNL® participants were interviewed for this study. Their stories about patient situations and relationships with other disciplines were shared with rich description and emotion. Hermeneutic analysis of the text revealed six essential themes. Six essential themes emerged revealing the essence of leading at the bedside and living caring in the CNL® role: navigating safe passage, pride in making a difference, bringing the bedside point of view, knowing the patient as person, helping nurses to grow, and CNLs® needing to be known, understood and affirmed. Taken as a whole through a synthesis of the themes, the understanding of the meaning of leading to CNLs® includes keeping their patients safe, being proud of their accomplishments and the respect gained from others, as well as being a helper and advocate for other nurses., This is accomplished through their privileged place at the bedside, where they come to know their patients as person and work hand in hand with nursing colleagues. When CNLs® are supported by management, and their roles are planned and understood, they are more fully able to optimally practice and live and grow in caring.
Show less - Date Issued
- 2010
- PURL
- http://purl.flvc.org/FAU/1930496
- Subject Headings
- Nurse practitioners, Nursing services, Administration, Study and teaching, Nursing, Study and teaching (Graduate), Nursing ethics
- Format
- Document (PDF)
- Title
- Unveiling The Mystery Of Covenantal Trust: The Theory of the Social Process Between the Nurse Manager and the Chief Nursing Officer.
- Creator
- Hilsenbeck, Julie R., Ray, Marilyn A., Florida Atlantic University
- Abstract/Description
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The purpose of the research was to explore the social process of trust between the chief nursing officer and the nurse manager in the hospital setting. The researcher used the grounded theory method to analyze the nurse manager-chief nursing officer relationship from the perspective of the nurse manager. A total of 12 participants were interviewed by the researcher. The sample consisted of nurse managers employed in hospitals in the southeastern United States. Data analysis consisted of open...
Show moreThe purpose of the research was to explore the social process of trust between the chief nursing officer and the nurse manager in the hospital setting. The researcher used the grounded theory method to analyze the nurse manager-chief nursing officer relationship from the perspective of the nurse manager. A total of 12 participants were interviewed by the researcher. The sample consisted of nurse managers employed in hospitals in the southeastern United States. Data analysis consisted of open coding and constant comparative analysis. Resulting categories consisted of preparing to trust, co-creating trust and co-creating the trusting environment. The basic social process of the nurse manager-chief nursing officer trusting relationship in healthcare was the substantive theory of Striving to Live the Golden Rule which refers to living the nurse manager-chief nursing officer ethical relationship in a nursing environment where trust may be difficult to establish. The formal theory generated was the essential link between Striving to Live the Golden Rule to Living the Golden Rule as Unveiling the Mystery of Covenantal Trust. The overall results of this research demonstrated the process of trust between the nurse manager and chief nursing officer as essential to the overall relationship and to the success of both.
Show less - Date Issued
- 2006
- PURL
- http://purl.flvc.org/fau/fd/FA00000621
- Subject Headings
- Nursing ethics--Philosophy, Nursing--Standards, Nurse administrators, Nursing services--Administration
- Format
- Document (PDF)
- Title
- A structure of values synthesized from the lived experience of new registered nurses.
- Creator
- Amole, Carol., Florida Atlantic University, Parker, Marilyn
- Abstract/Description
-
The purpose of this study was to evolve a description of values of nurses who were recent graduates of associate degree nursing programs. Six new nurses who were employed in hospitals were asked for illustrations of nursing situations that described values important to their practice. Giorgi's method of interpretation for phenomenological studies was utilized for data analysis. Caring was the value that emerged as central to nursing. New graduates expressed this value as caring promoting...
Show moreThe purpose of this study was to evolve a description of values of nurses who were recent graduates of associate degree nursing programs. Six new nurses who were employed in hospitals were asked for illustrations of nursing situations that described values important to their practice. Giorgi's method of interpretation for phenomenological studies was utilized for data analysis. Caring was the value that emerged as central to nursing. New graduates expressed this value as caring promoting growth. Subsumed within the value of caring for new nurses are hope, conscience, courage, honesty, humility, empathy and human connectedness.
Show less - Date Issued
- 1995
- PURL
- http://purl.flvc.org/fcla/dt/15125
- Subject Headings
- Nursing--Philosophy, Nursing ethics, Values, Caring, Nurses--Job satisfaction
- Format
- Document (PDF)
- Title
- Ethical evaluation by nephrology nurse administrators: An exploratory-descriptive study.
- Creator
- DiDominic, Vicki., Florida Atlantic University, Ray, Marilyn A.
- Abstract/Description
-
An exploratory-descriptive study of the processes involved in ethical evaluations by nephrology nurse administrators is presented. Five participants provided data from open interviews. Category coding involved Ray's (1989) Theory of Bureaucratic Caring, and Husted & Husted's (1995) definitions of ethical principles. It was discovered that the nurses most frequently utilized the principle of beneficence, and were often affected by the contextual factors of past experiences. It was determined...
Show moreAn exploratory-descriptive study of the processes involved in ethical evaluations by nephrology nurse administrators is presented. Five participants provided data from open interviews. Category coding involved Ray's (1989) Theory of Bureaucratic Caring, and Husted & Husted's (1995) definitions of ethical principles. It was discovered that the nurses most frequently utilized the principle of beneficence, and were often affected by the contextual factors of past experiences. It was determined that the nurses engaged in a common process of ethical evaluation, identified in the Common Ethical Ground Conceptual Model. The common nursing goal was the well-being of patients, and the creation of environments which enhanced patient well-being. Patient education was identified as a method to reach this goal during an era of economic constraint.
Show less - Date Issued
- 1995
- PURL
- http://purl.flvc.org/fcla/dt/15217
- Subject Headings
- Nurse administrators, Chronic renal failure, Nursing ethics, Hospitals--Nephrological services
- Format
- Document (PDF)
- Title
- Chief nursing officer sustainment in the continued practice of nursing leadership: a phenomenological inquiry.
- Creator
- Prestia, Angela S., Sherman, Rose O., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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The highly complex role of the Chief Nursing Officer (CNO) requires the refinement of a multitude of competencies and leadership skills in this unprecedented time of healthcare reform. As the senior most patient advocate in our medical centers the CNO is responsible for translating research into practice, policy development and implementation creating value based patient-centric strategies to transform health care. The ability to sustain and thrive in this role is essential in repositioning...
Show moreThe highly complex role of the Chief Nursing Officer (CNO) requires the refinement of a multitude of competencies and leadership skills in this unprecedented time of healthcare reform. As the senior most patient advocate in our medical centers the CNO is responsible for translating research into practice, policy development and implementation creating value based patient-centric strategies to transform health care. The ability to sustain and thrive in this role is essential in repositioning nursing as a knowledgeable discipline actively contributing to the redesign of healthcare. This exploratory descriptive phenomenological study was designed to explore and describe the elements that contribute to the sustainment of CNOs in their practice of nurse executive leadership. Ray’s (1989) Theory of Bureaucratic Caring, Authentic Leadership Theory (Wong & Cummings, 2009), and Resiliency Theory (Earvolino- Ramirez (2007) provided the theoretical lens through which this study was grounded. Semi-structured telephonic interviews were conducted with twenty CNOs all with two consecutive years experience in their current role. Six themes emerged after thorough content analysis which describes the lived experience of sustainment. Each theme was supported by several subthemes. Themes emerged as: Loving the Profession, Having a Broader Impact Reflecting on One’s Own Work, Learning to Manage Conflict, Maintaining Work/Life Balance Working with Supportive Leaders.
Show less - Date Issued
- 2014
- PURL
- http://purl.flvc.org/fau/fd/FA00004320
- Subject Headings
- Health services administration, Leadership, Nurse administrators, Nursing ethics -- Philosophy, Nursing services -- Administration, Outcome assessment (Medical care), Public health personnel
- Format
- Document (PDF)
- Title
- More Than Good, Kind Angels: The Daughters of Charity's Relationship to Valuation, Mission and Money, 1916 To 1994.
- Creator
- Rutherford, Marcella M., Baer, Ellen D., Florida Atlantic University
- Abstract/Description
-
The ability to gain payment for services is strongly linked to the ability of a profession to define the value of its service. Valuation as an economic term is used to define an entity's worth or value. As an approach, valuation encourages a company to document the financial value of both the tangible and intangible assets associated with the services provided. Today there are a limited number of studies that document the value of nursing services. Valuation studies related to nursing are...
Show moreThe ability to gain payment for services is strongly linked to the ability of a profession to define the value of its service. Valuation as an economic term is used to define an entity's worth or value. As an approach, valuation encourages a company to document the financial value of both the tangible and intangible assets associated with the services provided. Today there are a limited number of studies that document the value of nursing services. Valuation studies related to nursing are challenged by the need to include the complexity of patient services that causes variation in research results. This historical case study examines one nursing initiative undertaken by the Daughters of Charity who were trained in nursing and finance and were able to demonstrate their value to the community of Jacksonville, Florida. In 1916, the Daughters of Charity came to Jacksonville to provide health care to the sick and the poor. They endured the hardships found in this southern city and endeared themselves to the community. They purchased a 42-bed Sanatorium and expanded this facility into a 528-bed hospital and health system. Across ninety years, the community supported and demonstrated their willingness to pay in order to sustain the Sisters mission. The themes identified in the study included an unwavering commitment to Jive the mission of the Daughters of Charity, an implicit authority allowing these Sisters to enter into business arrangements, an emphasis on ensuring that all Sisters gained education and mentorship in finance and nursing, the growth of a strong bond with the community of Jacksonville, and an ability to obtain funding needed to carry out their mission. Themes appearing to be in opposition to the Sisters mission included racial separation and the limited recognition given to nurses at the Sisters' hospital. In conclusion, the study tells the story of Sisters who were able to enhance their valuation by blending their knowledge of the health care business and nursing, while successfully obtaining the funding needed to fulfill their mission.
Show less - Date Issued
- 2007
- PURL
- http://purl.flvc.org/fau/fd/FA00000623
- Subject Headings
- Daughters of Charity of St Vincent de Paul, Women in charitable work, Nursing ethics, Nursing services--Administration
- Format
- Document (PDF)
- Title
- Zafè Neg se Mistè: a grounded theory study of end-of-life decision-making for Haitian American families in south Florida.
- Creator
- Ladd, Susan Charlotte, Smith, Marlaine, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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The purpose of this study was to investigate the process used by Haitians and Haitian Americans who must make healthcare decisions for a terminally ill family member. There is a large population of Haitians and Haitian Americans in South Florida and there has been no research regarding their decision-making process about end-of-life healthcare. The study design was descriptive, applying constructivist grounded theory methodology. Data were collected using semi-structured, face-to-face...
Show moreThe purpose of this study was to investigate the process used by Haitians and Haitian Americans who must make healthcare decisions for a terminally ill family member. There is a large population of Haitians and Haitian Americans in South Florida and there has been no research regarding their decision-making process about end-of-life healthcare. The study design was descriptive, applying constructivist grounded theory methodology. Data were collected using semi-structured, face-to-face qualitative interviews. Data analysis and collection occurred simultaneously. Participants (n=12) were purposefully recruited, with 11 from a single, faith-based community. The findings resulted in six concepts: (1) imminent or actual death, (2) disrupted unity, (3) managing disrupted unity, (4) consequences, (5) restoring unity, and (6) creating memories you can live with. These six concepts, elaborated by an additional 17 dimensions, were incorporated into a process model relating to the cultural value of communal unity to the end-of-life decision-making process. The implications of this study include a need to improve the congruence between the nursing care provided at this vulnerable time and the cultural values of this population. Successful access to this population through the structure of the faith-based community points the way to increasing access to appropriate end-of-life healthcare. Practice implications informed by caring science include the importance of nurses’ coming to know the family and listening to the unique care needs.
Show less - Date Issued
- 2015
- PURL
- http://purl.flvc.org/fau/fd/FA00004387, http://purl.flvc.org/fau/fd/FA00004387
- Subject Headings
- End of life care, Haitian Americans -- Medical care -- Florida, Informed consent (Medical law), Life and death, Power over, Medical care -- Cross cultural studies, Medical ethics, Nurse and patient, Nurses -- Attitudes, Patient advocacy, Patient refusal of care
- Format
- Document (PDF)
- Title
- Care at Work: A Feminist Analysis of the Long-Term Care Industry in the United States.
- Creator
- Tunick, Rachel, Beoku-Betts, Josephine, Lange, Bernadette, Florida Atlantic University, Dorothy F. Schmidt College of Arts and Letters, Center for Women, Gender and Sexuality Studies
- Abstract/Description
-
This research provides a feminist perspective on the lowest paid sector of the United States long-term care industry, Certified Nursing Assistants. This research adds to current feminist scholarship on the modern professional caregiving industry by focusing on the perspective of the workers. As the population of older adults requiring care is expected to increase over the coming decades, the demand for paid caregivers will increase as well. Historically, care work was an expected duty done...
Show moreThis research provides a feminist perspective on the lowest paid sector of the United States long-term care industry, Certified Nursing Assistants. This research adds to current feminist scholarship on the modern professional caregiving industry by focusing on the perspective of the workers. As the population of older adults requiring care is expected to increase over the coming decades, the demand for paid caregivers will increase as well. Historically, care work was an expected duty done freely by the women of the family, but today much of the vital intimate caring labor is relegated to paid caregivers. I examine how alternative social, political and economic frameworks can transform United States society’s attitude towards the increasingly relevant issue of caring labor. I argue that incorporating a feminist perspective will be helpful in developing a sustainable model for caring labor that acknowledges the dignity of both patients and their caregivers.
Show less - Date Issued
- 2016
- PURL
- http://purl.flvc.org/fau/fd/FA00004801, http://purl.flvc.org/fau/fd/FA00004801
- Subject Headings
- Nurses' aides., Medical personnel-caregiver relationships., Nursing homes--Employees--Attitudes., Feminist theory., Caring--Moral and ethical aspects., Feminism--Political aspects., Long-term care facilities--Administration., Nursing home patients--Care., Older people--Nursing home care.
- Format
- Document (PDF)
- Title
- Suffering in the midst of technology: the lived experience of an abnormal prenatal ultrasound.
- Creator
- Gottlieb, Jeanne C., Christine E. Lynn College of Nursing
- Abstract/Description
-
The purpose of this hermeneutic phenomenological study was to understand the essence of the lived experience of women after having an abnormal prenatal ultrasound. One hundred years ago, health disciplines had limited therapies for prenatal and neonatal disorders. During this period, the eugenics movement influenced leaders to involuntarily sterilize individuals who were sought to be "unfit" to prevent disorders in offspring. ... One of these contemporary reproductive genetic technologies is...
Show moreThe purpose of this hermeneutic phenomenological study was to understand the essence of the lived experience of women after having an abnormal prenatal ultrasound. One hundred years ago, health disciplines had limited therapies for prenatal and neonatal disorders. During this period, the eugenics movement influenced leaders to involuntarily sterilize individuals who were sought to be "unfit" to prevent disorders in offspring. ... One of these contemporary reproductive genetic technologies is the use of ultrasound and serum bio-medical markers for detection of congenital, chromosome, and genetic disorders. When ultrasounds reveal abnormal findings, the perceived perfect pregnancy vanishes and gives way to feelings of shock, disbelief, fear, guilt, loss, and threats to self and their unborn baby. Twelve women who had an abnormal ultrasound were interviewed within the context of their cultural values and beliefs. The method of van Manen's hermeneutic phenomenology illuminated the meaning for these women in their life worlds. ... They endured this experience through their own coping mechanisms, but often felt uncertainty and emotional turmoil until the birth. The women also sought comfort through their cultural values, beliefs, and traditions. In coping with the risks found on this abnormal ultrasound, women often selected silence or blocking perceived threats. With these coping methods, they were alone in their suffering. ... Health providers, in not recognizing these women's misunderstandings and emotional fears, abandoned them in their psychosocial and cultural needs. The significance reveals that nurses and health providers need to infuse human caring ways of being, knowing, and doing within advanced technological environments.
Show less - Date Issued
- 2013
- PURL
- http://purl.flvc.org/fcla/dt/3362381
- Subject Headings
- Medical genetics, Medical care, Decision-making, Health services accessibility, Abortion, Moral and ethical aspects, Pregnancy, Complications, Diagnostic ultrasonic imaging, Communication in medicine, Genetic counseling, Genetic disorders, Nursing, Standards
- Format
- Document (PDF)