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- Fischer Grönlund, CatarinaUmeå universitet,Institutionen för omvårdnad (author)
Ethically difficult situations in hemodialysis care : nurses' narratives
- Article/chapterEnglish2015
Publisher, publication year, extent ...
- 2014-08-07
- Sage Publications,2015
- printrdacarrier
Numbers
- LIBRIS-ID:oai:DiVA.org:umu-97927
- https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-97927URI
- https://doi.org/10.1177/0969733014542677DOI
- https://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-61261URI
- https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5258URI
Supplementary language notes
- Language:English
- Summary in:English
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- SwePubSwePub
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Notes
- 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.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
- MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
- Dialogue
- dialysis care
- ethics
- narratives
- nursing
- troubled conscience
Added entries (persons, corporate bodies, meetings, titles ...)
- Söderberg, AnnaUmeå universitet,Institutionen för omvårdnad(Swepub:umu)anso0002 (author)
- Zingmark, KarinCounty Council of BD, Sweden(Swepub:ltu)karzin (author)
- Sandlund, MikaelUmeå universitet,Psykiatri(Swepub:umu)misa0001 (author)
- Dahlqvist, VeraErsta Sköndal högskola,Institutionen för vårdvetenskap(Swepub:esh)verdah (author)
- Umeå universitetInstitutionen för omvårdnad (creator_code:org_t)
Related titles
- In:Nursing Ethics: Sage Publications22:6, s. 711-7220969-73301477-0989
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