Ethical problems in hospital clinical experiences of nursing students and professionals

Authors

DOI:

https://doi.org/10.12707/RV21111

Keywords:

ethics in nursing, nursing students, nursing professionals

Abstract

Background: Ethical problems often emerge in nursing practice. Knowing how to identify them and seeking prudent solutions is essential to promoting ethical and safe care.

Objective: To know the experiences and understanding of nursing students and professionals regarding ethical issues and decision-making in hospital nursing practice.

Methodology: Qualitative, exploratory-descriptive research was carried out with thirty undergraduate nursing students and twenty nursing professionals from a University Hospital in Southern Brazil. Data were collected through two questionnaires containing open questions and submitted to Discursive Textual Analysis.

Results: Students perceive the ethical problem based on concrete experiences of disrespect and insult to principles and rules. Professionals conceptualize it as a challenge to judgment in the complex boundaries between right and wrong. The experiences and decision-making share similarities and have their specificities.

Conclusion: Students and professionals display moral sensitivity to understand the ethical problems of practice; critical awareness and reflection are crucial to identifying and responding to workplace ethical conflicts.

Downloads

Download data is not yet available.

References

Avila, L. I., Silveira, R. S., Figueiredo, P. P., Mancia, J. R., Gonçalves, N. G., & Barlem, J. G. (2018). Construção moral do estudante de graduação em enfermagem como fomento da humanização do cuidado. Texto Contexto Enfermagem, 27(3), e4790015. https://doi.org/10.1590/0104-070720180004790015

Behrens, R. (2019). Segurança do paciente e os direitos do usuário. Revista Bioética, 27(2), 253-260. https://doi.org/10.1590/1983-80422019272307

Delaney, L. J. (2018). Patient-centred care as an approach to improving health care in Australia. Collegian, 25(1), 119-123. https://doi.org/10.1016/j.colegn.2017.02.005

Enderle, C. F., Silveira, R. S., Dalmolin, G. L., Lunardi, V. L., Avila, L. I., & Dominguez, C. C. (2018). Teaching strategies: Promoting the development of moral competence in undergraduate students. Revista Brasileira de Enfermagem, 71(Supl 4), 1650-1656. https://doi.org/10.1590/0034-7167-2017-0704

Gracia, D. (2016). The mission of ethics teaching for the future. International Journal of Ethics Education, 1, 7-13. https://doi.org/10.1007/s40889-015-0008-1

Kima, W. J., & Park, J. H. (2019). The effects of debate-based ethics education on the moral sensitivity and judgment of nursing students: A quasi-experimental study. Nurse Education Today, 83,104200. https://doi.org/10.1016/j.nedt.2019.08.018

Kulju, K., Stolt, M., Suhonen, R., & Leino-Kilpi, H. (2016). Ethical competence: A concept analysis. Nursing Ethics, 23(4),401-412. https://journals.sagepub.com/doi/pdf/10.1177/0969733014567025

Marques, L. M. (2018). Active methodologies as strategies to develop education in values in nursing graduation. Escola Anna Nery, 22(3), e20180023. https://doi.org/10.1590/2177-9465-EAN-2018-0023

Merav, B. N., & Hochman, O. (2017). Patient-centered care in healthcare and its implementation in nursing. International Journal of Caring Sciences, 10(1), 596-600. http://www.internationaljournalofcaringsciences.org/docs/64_merav_review_10_1.pdf

Moraes, R., & Galiazzi, M. C. (2016). Análise textual discursiva (3ª ed.). Editora Unijui.

Numminen, O., Repo, H., & Leino-Kilp, H. (2017). Moral courage in nursing: A concept analysis. Nursing Ethics, 24(8), 878–891. https://doi.org/10.1177/0969733016634155

Oguisso, T., Takashi, M. H., Freitas, G. F., Bonini, B. B., & Silva, T. A. (2019). First international code of ethics for nurses. Texto Contexto Enfermagem, 28, e20180140. https://doi.org/10.1590/1980-265x-tce-2018-0140

Paiva, I. C., Amaral, A. F., & Moreira, I. M. (2021). Cuidados de enfermagem omissos num contexto hospitalar português: perceção dos enfermeiros sobre estratégias minimizadoras. Revista de Enfermagem Referência, 5(7), 1-8. https://doi.org/10.12707/RV20146

Ramos, F. R., Barlem, E. L., Brito, M. J., Vargas, M. A., Schneider, D. G., & Brehmer, L. C. (2016). Conceptual framework for the study of moral distress in nurses. Texto Contexto Enfermagem, 25(2), e4460015. https://doi.org/10.1590/0104-07072016004460015

Ramos, F. R., Brehmer, L. C., Vargas, M. A., Trombetta, A. P., Silveira, L. R., & Drago, L. (2015). Ethical conflicts and the process of reflection in undergraduate nursing students in Brazil. Nursing Ethics, 22(4), 428-439. https://doi.org/10.1177/0969733014538890

Schaefer, R., & Vieira, M. (2015). Ethical competence as a coping resource for moral distress in nursing. Texto Contexto Enfermagem, 24(2),563-573. https://doi.org/10.1590/0104-07072015001032014

Schneider, D. G., & Ramos, F. R. (2019). Relato de experiência do ensino da deliberação moral com caso simulado. In D. G. Schneider & F. R. Ramos (Orgs.), Ensino simulado e deliberação moral: Contribuições para a formação profissional em saúde (pp.117-143). Moriá.

Vargas, C. P., Vargas, M. A., Tomaschewski-Barlem, J. G., Ramos, F. R., Schneider, D. G., & Camponogara, S. (2019). Patient advocacy actions by intensivist nurses. Revista da Escola de Enfermagem da USP, 53, e03490. https://doi.org/10.1590/S1980-220X2018011703490

Zhang, N., Li, J., Xu, Z., & Gong, Z. (2019). A latent profile analysis of nurses’ moral sensitivity. Nursing Ethics, 27(3), 855-867. https://doi.org/10.1177/0969733019876298

Zoboli, E. (2013). Tomada de decisão em bioética clínica: Casuística e deliberação moral. Revista Bioética, 21(3), 389-396. https://www.scielo.br/j/bioet/a/FRtRkTBrkzJxw7hc6fGwwQS/?lang=pt

Published

2022-06-24

How to Cite

Schneider, D. G., Ramos, F. R. S., Saioron, I., Bruggmann, M. S., Silva, F. da, & Lorençoni, B. de P. (2022). Ethical problems in hospital clinical experiences of nursing students and professionals. Journal of Nursing Referência, 6(1), 1–8. https://doi.org/10.12707/RV21111

Issue

Section

Research Articles