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  • Ahlin, Johan, et al. (författare)
  • Revalidation of the perceptions of conscience questionnaire (PCQ) and the stress of conscience questionnaire (SCQ)
  • 2012
  • Ingår i: Nursing Ethics. - 0969-7330. ; 19:2, s. 220-232
  • Tidskriftsartikel (refereegranskat)abstract
    • The Perceptions of Conscience Questionnaire (PCQ) and the Stress of Conscience Questionnaire (SCQ) have previously been developed and validated within the 'Stress of Conscience Study'. The aim was to revalidate these two questionnaires, including two additional, theoretically and empirically significant items, on a sample of healthcare personnel working in direct contact with patients. The sample consisted of 503 healthcare personnel. To test variation and distribution among the answers, descriptive statistics, item analysis and principal component analysis (PCA) were used to examine the underlying factor structure of the questionnaires. Support for adding the new item to the PCQ was found. No support was found for adding the new item to the SCQ. Both questionnaires can be regarded as valid for Swedish settings but can be improved by rephrasing some of the PCQ items and by adding items about private life to the SCQ.
  • Andersson, PL, et al. (författare)
  • Ethical aspects of undergoing a predictive genetic testing for Huntington's disease.
  • 2013
  • Ingår i: Nursing ethics. - SAGE PUBLICATIONS LTD. - 0969-7330 .- 1477-0989. ; 20:2, s. 189-199
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to describe the experiences of undergoing a presymptomatic genetic test for the hereditary and fatal Huntington's disease, using a case study approach. The study was based on 18 interviews with a young woman and her husband from the decision to undergo the test, to receiving the results and trying to adapt to them, which were analysed using a life history approach. The findings show that the process of undergoing a presymptomatic test involves several closely connected ethical and medical questions, such as the reason for the test, the consequences of the test results and how health-care services can be developed to support people in this situation.
  • Arman, M., et al. (författare)
  • The 'tittle extra' that alleviates suffering
  • 2007
  • Ingår i: Nursing Ethics. - 0969-7330. ; 14:3, s. 372-384
  • Tidskriftsartikel (refereegranskat)abstract
    • Nursing, or caring science, is mainly concerned with developing knowledge of what constitutes ideal, good health care for patients as whole persons, and how to achieve this. The aim of this study was to find clinical empirical indications of good ethical care and to investigate the substance of ideal nursing care in praxis. A hermeneutic method was employed in this clinical study, assuming the theoretical perspective of caritative caring and ethics of the understanding of life. The data consisted of two Socratic dialogues: one with nurses and one with nursing students, and interviews with two former patients. The empirical data are first described from a phenomenological approach. Observations of caregivers offering 'the little extra' were taken to confirm that patients were 'being seen', not from the perspective of an ideal nursing model, but from that of interaction as a fellow human being. The study provides clinical evidence that, as an ontological response to suffering, 'symbolic acts' such as giving the 'little extra' may work to bridge gaps in human interaction. The fact that 'little things' have the power to preserve dignity and make patients feel they are valued offers hope. Witnessing benevolent acts also paves the way for both patients and caregivers to increase their understanding of life. © 2007 SAGE Publications.
  • Berggren, Ingela, et al. (författare)
  • The influence of clinical supervision on nurses' moral decision making.
  • 2000
  • Ingår i: Nursing Ethics. - London : Edward Arnold. - 0969-7330. ; 7:2, s. 124--133
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to investigate the influence of clinical supervision on nurses´moral decision making. The sample consisted of 15 registered nurses who took part inclinical supervision sessions. Data were obtained from interviews and analysed by ahermeneutic transformative process. The hermeneutic interpretation revealed fourthemes: increased self-assurance, an increased ability to support the patient, an increasedability to be in a relationship with the patient, and an increased ability to take responsibility.In conclusion, it seems that clinical supervision enhances nurses´ ability to providecare on the basis of their decision making. However, the qualitative and structural aspectsof clinical supervision have to be investigated further in order to develop professionalinsight into the way that nurses think and react. 
  • Blomberg, Ann-Catrin, et al. (författare)
  • Student nurses' experiences of preserved dignity in perioperative practice : Part 1
  • 2014
  • Ingår i: Nursing Ethics. - Sage Publications. - 0969-7330.
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND:In recent years, operating theatre nurse students' education focussed on ethical value issues and how the patient's dignity is respected in the perioperative practice. Health professionals are frequently confronted with ethical issues that can impact on patient's care during surgery.OBJECTIVE:The objective of this study was to present what operating theatre nurse students experienced and interpreted as preserved dignity in perioperative practice.RESEARCH DESIGN:The study has a descriptive design with a hermeneutic approach. Data were collected using Flanagan's critical incident technique.PARTICIPANTS AND RESEARCH CONTEXT:Operating theatre nurse students from Sweden and Norway participated and collected data in 2011, after education in ethics and dignity. Data consisting of 47 written stories and the text were analysed with hermeneutical text interpretation.ETHICAL CONSIDERATIONS:The study was conducted accordance with the Declaration of Helsinki and approved by a local University Ethics Research Committee. FINDINGS:The findings revealed that students experienced that operating theatre nurses perserved patient's dignity in perioperative practice by being present for each other and making themselves known to the patient. Operating theatre nurses caring for the patient by being compassionate and preserved the patient privacy. The new understanding that emerged was that the operating theatre nurse students understood that the operating theatre nurse wanted to care for the patient like a human being. DISCUSSION:In the discussion, we have illuminated how professional ethics may be threatened by more pragmatic and utilitarian arguments contained in regulations and transplant act. CONCLUSION:Preserved dignity is an ethical and caring act. Ethical questions and how to preserve dignity in perioperative practice should be discussed more both in educations of healthcare professionals and in clinical practice.
  • Blomberg, Karin, et al. (författare)
  • Clinical group supervision for integrating ethical reasoning : Views from students and supervisors.
  • 2015
  • Ingår i: Nursing Ethics. - 0969-7330.
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Clinical group supervision has existed for over 20 years in nursing. However, there is a lack of studies about the role of supervision in nursing students' education and especially the focus on ethical reasoning.AIM: The aim of this study was to explore and describe nursing students' ethical reasoning and their supervisors' experiences related to participation in clinical group supervision.RESEARCH DESIGN: The study is a qualitative interview study with interpretative description as an analysis approach.PARTICIPANTS AND RESEARCH CONTEXT: A total of 17 interviews were conducted with nursing students (n = 12) who had participated in clinical group supervision in their first year of nursing education, and with their supervisors (n = 5).ETHICAL CONSIDERATIONS: The study was based on the ethical principles outlined in the Declaration of Helsinki, and permission was obtained from the Regional Ethical Review Board in Sweden.FINDINGS: The analysis revealed that both the form and content of clinical group supervision stimulated reflection and discussion of handling of situations with ethical aspects. Unethical situations were identified, and the process uncovered underlying caring actions.DISCUSSION AND CONCLUSION: Clinical group supervision is a model that can be used in nursing education to train ethical reflection and to develop an ethical competence among nursing students. Outcomes from the model could also improve nursing education itself, as well as healthcare organizations, in terms of reducing moral blindness and unethical nursing practice.
  • Bolmsjö, Ingrid, et al. (författare)
  • Everyday ethics in the care of elderly people
  • 2006
  • Ingår i: Nursing Ethics. - SAGE Publications. - 0969-7330. ; 13:3, s. 249-263
  • Tidskriftsartikel (refereegranskat)abstract
    • This article analyses the general ethical milieu in a nursing home for elderly residents and provides a decision-making model for analysing the ethical situations that arise. It considers what it means for the residents to live together and for the staff to be in ethically problematic situations when caring for residents. An interpretative phenomenological approach and Sandman’s ethical model proved useful for this purpose. Systematic observations were carried out and interpretation of the general ethical milieu was summarized as ‘being in the same world without meeting’. Two themes and four subthemes emerged from the analysis. Three different ethical problems were analysed. The outcome of using the decision-making model highlighted the discrepancy between the solutions used and well-founded solutions to these problems. An important conclusion that emerged from this study was the need for a structured tool for reflection.
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