Barriers to Innovation
| Autor: | Karina Squire, Katherine Brown-Saltzman, Joan M. Henriksen Hellyer, Anne G Miers, Carol Pavlish |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Attitude of Health Personnel
media_common.quotation_subject education Nursing Staff Hospital Morals Risk Assessment law.invention Nursing law Oncology Service Hospital Surveys and Questionnaires Intervention (counseling) Ethics Nursing Moral distress Health care Humans Medicine Qualitative Research General Nursing Ethics Consultation media_common Terminal Care Teamwork business.industry Communication Barriers Physician-Nurse Relations Focus Groups Models Theoretical Organizational Culture Intensive care unit Intensive Care Units Action (philosophy) Risk appraisal Feasibility Studies business |
| Zdroj: | Advances in Nursing Science. 36:304-319 |
| ISSN: | 0161-9268 |
| DOI: | 10.1097/ans.0000000000000004 |
| Popis: | We developed and assessed feasibility of an Ethics Screening and Early Intervention Tool that identifies at-risk clinical situations and prompts early actions to mitigate conflict and moral distress. Despite intensive care unit and oncology nurses' reports of tool benefits, they noted some risk to themselves when initiating follow-up actions. The riskiest actions were discussing ethical concerns with physicians, calling for ethics consultation, and initiating patient conversations. When discussing why initiating action was risky, participants revealed themes such as "being the troublemaker" and "questioning myself." To improve patient care and teamwork, all members of the health care team need to feel safe in raising ethics-related questions. |
| Databáze: | OpenAIRE |
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