An integrated ethical decision-making model for nurses

Park, Eun-Jun
January 2012
Nursing Ethics;Jan2012, Vol. 19 Issue 1, p139
Academic Journal
The study reviewed 20 currently-available structured ethical decision-making models and developed an integrated model consisting of six steps with useful questions and tools that help better performance each step: (1) the identification of an ethical problem; (2) the collection of additional information to identify the problem and develop solutions; (3) the development of alternatives for analysis and comparison; (4) the selection of the best alternatives and justification; (5) the development of diverse, practical ways to implement ethical decisions and actions; and (6) the evaluation of effects and development of strategies to prevent a similar occurrence. From a pilot-test of the model, nursing students reported positive experiences, including being satisfied with having access to a comprehensive review process of the ethical aspects of decision making and becoming more confident in their decisions. There is a need for the model to be further tested and refined in both the educational and practical environments.


Related Articles

  • The avoidance model in knee and hip osteoarthritis: a systematic review of the evidence. Holla, Jasmijn; Sanchez-Ramirez, Diana; Leeden, Marike; Ket, Johannes; Roorda, Leo; Lems, Willem; Steultjens, Martijn; Dekker, Joost // Journal of Behavioral Medicine;Dec2014, Vol. 37 Issue 6, p1226 

    The avoidance model in patients with knee and hip osteoarthritis (OA) hypothesizes that pain and psychological distress lead to avoidance of activities, and thereby to muscle weakness and activity limitations. This paper systematically reviews the scientific evidence for the validity of this...

  • Επαγγελματικές αξίες φοιτητών νοσηλευτικής κα... Koutroumpeli, Kallirroi; Papagounos, George; Lemonidou, Chrysoula // Nursing Care & Research / Nosileia kai Ereuna;sep-dic2012, Issue 34, p22 

    Introduction: Professional values are standards that define a professional team's acceptable behavior and are considered basic components of its professional identity. Purpose: The purpose of the current study was to review literature on professional values among nursing students. Methods: A...

  • Virtual Worlds in Nursing Education: A Synthesis of the Literature. De Gagne, Jennie C.; Oh, Jina; Kang, Jeongae; Vorderstrasse, Allison A.; Johnson, Constance M. // Journal of Nursing Education;Jul2013, Vol. 52 Issue 7, p391 

    Although the literature has highlighted the use of virtual worlds in teaching-learning, little is known about the concepts associated with this technology in nursing education. Moreover, the application of virtual worlds to education has been underdeveloped theoretically, with much of the work...

  • Training in Pre-hospital Emergency: Needs and Truths. Haghani, Fariba; Sadeghi, Nariman // Iranian Journal of Medical Education;Summer2011, Vol. 10 Issue 5, p1 

    Introduction: More people in the world have lack access to formal pre-hospital emergency. Pre-hospital system should be simple, efficient, and continuous. In emergencies, Caring interventions and in pre-hospital environment is based on independent judgments, decision-making skills, and...

  • Challenges to the student nurse on clinical placement in the rural setting: a review of the literature. Killam, L. A.; Carter, L. M. // Rural & Remote Health;Jul-Sep2010, Vol. 10 Issue 3, p1 

    Context: Positive learning experiences for students on clinical placement in rural settings have the potential for supporting the recruitment of qualified nurses to these areas1. Recruitment of such nurses is a global concern because current shortages have resulted in decreased healthcare...

  • Identifying gaps in knowledge: A map of the qualitative literature concerning life with a neurological condition. Audulv, Åsa; Packer, Tanya; Versnel, Joan // Chronic Illness;Sep2014, Vol. 10 Issue 3, p192 

    Objectives: To describe patterns in the qualitative literature regarding the everyday experience of living with a neurological condition; to identify areas of depth as well as gaps in the existing knowledge base. Methods: An extensive search of the literature yielded 474 articles meeting the...

  • Nonmedical Exemptions From School Immunization Requirements: A Systematic Review. Wang, Eileen; Clymer, Jessica; Davis-Hayes, Cecilia; Buttenheim, Alison // American Journal of Public Health;Nov2014, Vol. 104 Issue 11, pe62 

    We summarized studies describing the prevalence of, trends in, and correlates of nonmedical exemptions from school vaccination mandates and the association of these policies with the incidence of vaccine-preventable disease. We searched 4 electronic databases for empirical studies published from...

  • Ser-aluno de enfermagem e a experiência do cuidado: revisão integrativa. Silveira Kempfer, Silvana; Carraro, Telma Elisa // Cultura de los Cuidados;Sep2012, Vol. 16 Issue 33, p75 

    It is an integrative review. Objective: To identify the publications of national and international journals indexed in Medline, Sci-ELO and BDENF, LILACS and CINAHL, and events related to nursing care, the training process in undergraduate nursing student and being-in period of June 2005 to June...

  • Adverse Events of Acupuncture: A Systematic Review of Case Reports. Shifen Xu; Lizhen Wang; Emily Cooper; Ming Zhang; Eric Manheimer; Brian Berman; Xueyong Shen; Lixing Lao // Evidence-based Complementary & Alternative Medicine (eCAM);2013, Vol. 2013, p1 

    Acupuncture, moxibustion, and cupping, important in traditional Eastern medicine, are increasingly used in the West. Their widening acceptance demands continual safety assessment. This review, a sequel to one our team published 10 years ago, is an evaluation of the frequency and severity of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics