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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 03971naa a2200481 4500 | |
| 001 | oai:DiVA.org:umu-97927 | |
| 003 | SwePub | |
| 008 | 150109s2015 | |||||||||||000 ||eng| | |
| 009 | oai:DiVA.org:ltu-61261 | |
| 009 | oai:DiVA.org:esh-5258 | |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-979272 URI |
| 024 | 7 | a https://doi.org/10.1177/09697330145426772 DOI |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-612612 URI |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-52582 URI |
| 040 | a (SwePub)umud (SwePub)ltud (SwePub)esh | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Fischer Grönlund, Catarinau Umeå universitet,Institutionen för omvårdnad4 aut0 (Swepub:umu)caafid00 |
| 245 | 1 0 | a Ethically difficult situations in hemodialysis care :b nurses' narratives |
| 264 | c 2014-08-07 | |
| 264 | 1 | b Sage Publications,c 2015 |
| 338 | a print2 rdacarrier | |
| 520 | a BACKGROUND: Providing nursing care for patients with end-stage renal disease entails dealing with existential issues which may sometimes lead not only to ethical problems but also conflicts within the team. A previous study shows that physicians felt irresolute, torn and unconfirmed when ethical dilemmas arose.RESEARCH QUESTION: This study, conducted in the same dialysis care unit, aimed to illuminate registered nurses' experiences of being in ethically difficult situations that give rise to a troubled conscience.RESEARCH DESIGN: This study has a phenomenological hermeneutic approach.PARTICIPANTS: Narrative interviews were carried out with 10 registered nurses working in dialysis care.ETHICAL CONSIDERATIONS: The study was approved by the Ethics Committee of the Faculty of Medicine, Umeå University.RESULTS: One theme, 'Calling for a deliberative dialogue', and six sub-themes emerged: 'Dealing with patients' ambiguity', 'Responding to patients' reluctance', 'Acting against patients' will', 'Acting against one's moral convictions', 'Lacking involvement with patients and relatives' and 'Being trapped in feelings of guilt'.DISCUSSION: In ethically difficult situations, the registered nurses tried, but failed, to open up a dialogue with the physicians about ethical concerns and their uncertainty. They felt alone, uncertain and sometimes had to act against their conscience.CONCLUSION: In ethical dilemmas, personal and professional integrity is at stake. Mistrusting their own moral integrity may turn professionals from moral actors into victims of circumstances. To counteract such a risk, professionals and patients need to continuously deliberate on their feelings, views and experiences, in an atmosphere of togetherness and trust. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng |
| 653 | a Dialogue | |
| 653 | a dialysis care | |
| 653 | a ethics | |
| 653 | a narratives | |
| 653 | a nursing | |
| 653 | a troubled conscience | |
| 700 | 1 | a Söderberg, Annau Umeå universitet,Institutionen för omvårdnad4 aut0 (Swepub:umu)anso0002 |
| 700 | 1 | a Zingmark, Karinu County Council of BD, Sweden4 aut0 (Swepub:ltu)karzin |
| 700 | 1 | a Sandlund, Mikaelu Umeå universitet,Psykiatri4 aut0 (Swepub:umu)misa0001 |
| 700 | 1 | a Dahlqvist, Verau Ersta Sköndal högskola,Institutionen för vårdvetenskap4 aut0 (Swepub:esh)verdah |
| 710 | 2 | a Umeå universitetb Institutionen för omvårdnad4 org |
| 773 | 0 | t Nursing Ethicsd : Sage Publicationsg 22:6, s. 711-722q 22:6<711-722x 0969-7330x 1477-0989 |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-97927 |
| 856 | 4 8 | u https://doi.org/10.1177/0969733014542677 |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-61261 |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5258 |
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