The Study for Model of Ethical and Risks Decision-Making Dilemma Development of Nursing Practical Among RTA Nurses
Keywords:
Ethical decision making, nursing risks, model of developmentAbstract
The objective of this research is to study the model of ethical and risks decision-making dilemma development of nursing practical among RTA nurses. Proceeding development research by 3 steps e.g. Step 1: The study of basic data to verify the defining, elements, indicating behavior of each element and the guideline to develop ethical decision - making in which the risk dilemma of nursing practical and created the model of development and the collateral tools for ethical decision making in which the risk of nursing practical by using the focus group process which verified the appropriated of content by the expertizes. Step 2: Verified the reasonableness and the possibility of the model to develop by studied the quality developing as of PDCA process. The last step 3: Evaluating the effectiveness of development, the proceeding which consists of Planning, operating, observing and reflection of though. The research participants are 83 of professional nurses, the experiment pattern was One Group Pretest and Posttest design. Analyzed compare the data by using basic statistic compared t – test. Result showed that currently condition of the professional nurses in decision – making of risks ethical and dilemma, they are lack of knowledge and expertized, there is no guidelines to be practice. The model of ethical and risks decision-making dilemma development of nursing practical among RTA nurses consist of external factors, individual factors, and facilitating strategies management, the nursing ability is improving in every activity.
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References
Myser C. A view from the borderlands of philosophical bioethics and empirical social science research: How the ‘is’ can Inform the ‘ought’. American Journal Bioethics 2009; 9(6-7): 88-91.
Siriwilai S. Ethics for nursing.bangkok: Chulalongkorn Publishing House University; 2010. (in Thai)
Thailand Nursing and Midwifery Council. Manual for nursing ethics: Mechanisms and practices. Nonthaburi: Golden Point Co., Ltd; 2015. in Thai)
Tsai MT, Huang CC. The relationship among ethical climate types, Facets of job satisfaction and the three components of organizational commitment: A study of nurses in taiwan. Journal of Business Ethics 2008; 80: 565-581.
Scull A. Cultural sociology of mental illness an a-to-z guide. California: SAGE Publications; 2014.
Marquis LB, Huston JC. Leadership roles and management functions in nursing. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2009.
Davis JA, Arosker AM, Fowler Deborah. Ethical dilemmas and nursing practice. 5th ed. London: Pearson; 2010.
Saengduan M. A Development of Guidelines to Promote Ethical Behavior in Nursing Practices for Professional Nurses, Sakhonnachon Hospital. (Dissertation). Faculty of NursingBurapha University.2013 (in Thai)
Lucilia N. Ethical problems identified by nurses in relation to patients in critical condition. Rev Bioét.2015; doi:10.1590/1983-80422015231059.
Aimee M, Ethical Awareness: What It Is and Why It Matters. Online Journal of Issues in Nursing. 2018; doi: 10.3912/OJIN.Vol23No01Man01.
Robert DT, Stephen DB, David B, Edward MH, Elizabeth AR, Sigall KB, et al. Microethics: The ethics of everyday clinical practice. Hastings Center Report. 2015; 45(1): 11–17.
American Nurses Association. Code of ethics for nurses with interpretive statements. First published; 2015.
Yamane T. Statistics: an introductory analysis. 3rd ed. New York: Harper and Row; 1973
Nora CR, Zoboli EL, Vieira MM. Moral sensitivity in primary health care nurses. Rev Bras Enferm 2017; 70(2): 308-316.
Brunin P, Baghurst T. The relationship between teamwork and empowerment to patient satisfaction in orthopedic settings: an exploratory study. American Journal of Health Research 2013; 1(3): 86-94.
Ramos FR, Laura CB, Mara AV, Ana PT, Luciana RS, Laila D. Ethical conflicts and the process of reflection in undergraduate nursing students in Brazil. 2015; doi: 10.1177/096973301453 8890
Schneider DG, Ramos FR. Moral deliberation and nursing ethics cases: elements of a methodological proposal. Nurs Ethics. 2012 Nov; 19(6):764-76
Kim YS, Kang SW, Ahn JA. Moral sensitivity relating to the application of the code of ethics. Nurs Ethics. 2013 Jun; 20(4):470-8.
Dalla Nora CRD, Zoboli ELCP, Vieira M. Ethical problems experienced by nurses in primary health care: integrative literature review. Rev Gaúcha Enferm. 2015 Mar; 36(1):112-21.
Sanprasan P., Chaleoykitti S. C. Ethical judgment in risks of nursing practice among thai nurses as perceived by nursing administrators. Journal of The Royal Thai Army Nurses. 2017; 18(1): 194-205. (in Thai)
McCaughan D, Thompson C, Cullum N, Sheldon T, Raynor P. Nurse practitioner and practice nurses’ use of research information in clinical decision making: findings from an exploratory study. Family Practice. 2005 Oct; 22(5):490-7.
Ramos FR, Brehmer LC, Vargas MA, Trombetta AP, Silveira LR, Drago L. Ethical conflicts and the process of reflection in undergraduate nursing students in Brazil. Nurs Ethics. 2015 Jun; 22(4):428-39.
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