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Sökning: id:"swepub:oai:DiVA.org:umu-97927" > Ethically difficult...

  • Fischer Grönlund, CatarinaUmeå universitet,Institutionen för omvårdnad (författare)

Ethically difficult situations in hemodialysis care : nurses' narratives

  • Artikel/kapitelEngelska2015

Förlag, utgivningsår, omfång ...

  • 2014-08-07
  • Sage Publications,2015
  • printrdacarrier

Nummerbeteckningar

  • 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

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • 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.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Söderberg, AnnaUmeå universitet,Institutionen för omvårdnad(Swepub:umu)anso0002 (författare)
  • Zingmark, KarinCounty Council of BD, Sweden(Swepub:ltu)karzin (författare)
  • Sandlund, MikaelUmeå universitet,Psykiatri(Swepub:umu)misa0001 (författare)
  • Dahlqvist, VeraErsta Sköndal högskola,Institutionen för vårdvetenskap(Swepub:esh)verdah (författare)
  • Umeå universitetInstitutionen för omvårdnad (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Nursing Ethics: Sage Publications22:6, s. 711-7220969-73301477-0989

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