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Perceptions of Pediatric Nurses on Ethical Decision Making Processes

Author

Listed:
  • Keziban Avcı

    (Ministry of Health)

  • Songül Çınaroğlu

    (Hacettepe University)

  • Mehmet Top

    (Hacettepe University)

Abstract

The purpose of this study was to determine how pediatric nurses decide on ethical issues in sample cases and how they evaluate those issues in terms of ethical principles, as well as to determine the problem-solving approaches that they recommend in this regard. Qualitative methods were used in this study and the data was collected from 100 pediatric nurses using a demographic data form and an open-ended questionnaire. The demographic data form included questions about the characteristics of nurses and their participation in decisions made about ethical issues. Whereas the open-ended questionnaire consisted of questions regarding sample cases, which were developed by the investigators using current literature. Forty-four percent of the pediatric nurses reported an attempt to solve ethical issues that they encountered through their professional experiences using personal values. On the other hand, 53 % of the pediatric nurses stated that their decisions were sometimes taken into consideration in the treatment plan of their own patients, while 49 % reported that they could not participate in decision-making regarding patients’ discharge. Seventy-six percent of the pediatric nurses did not define the ethical issues in the three sample cases. However, in other cases, most of the nurses evaluated ethical issues correctly and recommended correct approaches. No statistically significant difference was found between their educational backgrounds, professional experiences, the ethical issues that they evaluated, and the approaches recommended for problem solving. It is recommended that nurses receive more undergraduate and in-service ethics training in order to develop appropriate approaches toward the ethical issues they will encounter during their professional lives.

Suggested Citation

  • Keziban Avcı & Songül Çınaroğlu & Mehmet Top, 2017. "Perceptions of Pediatric Nurses on Ethical Decision Making Processes," Systemic Practice and Action Research, Springer, vol. 30(1), pages 67-84, February.
    • Handle: RePEc:spr:syspar:v:30:y:2017:i:1:d:10.1007_s11213-016-9386-3
    DOI: 10.1007/s11213-016-9386-3
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    References listed on IDEAS

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    1. Satish Deshpande & Jacob Joseph, 2009. "Impact of Emotional Intelligence, Ethical Climate, and Behavior of Peers on Ethical Behavior of Nurses," Journal of Business Ethics, Springer, vol. 85(3), pages 403-410, March.
    2. Alison Twycross & Lucy Powls, 2006. "How do children's nurses make clinical decisions? Two preliminary studies," Journal of Clinical Nursing, John Wiley & Sons, vol. 15(10), pages 1324-1335, October.
    3. Satish Deshpande, 2009. "A Study of Ethical Decision Making by Physicians and Nurses in Hospitals," Journal of Business Ethics, Springer, vol. 90(3), pages 387-397, December.
    4. Satish Deshpande & Jacob Joseph & Rashmi Prasad, 2006. "Factors Impacting Ethical Behavior in Hospitals," Journal of Business Ethics, Springer, vol. 69(2), pages 207-216, December.
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    Cited by:

    1. Flaminia Reale & Federica Segato & Daniela Tartaglini & Cristina Masella, 2020. "Action Research as a Method to Find Solutions for the Burden of Caregiving at Hospital Discharge," Systemic Practice and Action Research, Springer, vol. 33(2), pages 167-185, April.

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