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Aultman JM, Raimer PL, Grossoehme DH, Nofziger RA, Ba A, Friebert S. Supporting and Contextualizing Pediatric ECMO Decision-Making Using a Person-Centered Framework. THE JOURNAL OF CLINICAL ETHICS 2023; 34:245-257. [PMID: 37831652 DOI: 10.1086/726811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/15/2023]
Abstract
AbstractThere is a critical need to establish a space to engage in careful deliberation amid exciting, important, necessary, and groundbreaking technological and clinical advances in pediatric medicine. Extracorporeal membrane oxygenation (ECMO) is one such technology that began in pediatric settings nearly 50 years ago. And while not void of medical and ethical examination, both the symbolic progression of medicine that ECMO embodies and its multidimensional challenges to patient care require more than an intellectual exercise. What we illustrate, then, is a person-centered framework that incorporates the philosophy and practice of palliative care and care-based ethical approaches. This person-centered framework is valuable for identifying and understanding challenges central to ECMO, guides collaborative decision-making, and recognizes the value of relationships within and between patients, families, healthcare teams, and others who impact and are impacted by ECMO. Specifically, this person-centered approach enables caregivers to provide compassionate and effective support in critical, and often urgent, situations where conflicts may emerge among healthcare team members, families, and other decision makers. By reflecting on three cases based on actual situations, we apply our person-centered framework and identify those aspects that were utilized in and informed this project. We aim to fill a current gap in the pediatric ECMO literature by presenting a person-centered framework that promotes caregiving relationships among hospitalized critically ill children, families, and the healthcare team and is supported through the philosophy and practice of palliative care and clinical ethics.
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Akdeniz M, Yardımcı B, Kavukcu E. Ethical considerations at the end-of-life care. SAGE Open Med 2021; 9:20503121211000918. [PMID: 33786182 PMCID: PMC7958189 DOI: 10.1177/20503121211000918] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 02/12/2021] [Indexed: 11/16/2022] Open
Abstract
The goal of end-of-life care for dying patients is to prevent or relieve
suffering as much as possible while respecting the patients’ desires.
However, physicians face many ethical challenges in end-of-life care.
Since the decisions to be made may concern patients’ family members
and society as well as the patients, it is important to protect the
rights, dignity, and vigor of all parties involved in the clinical
ethical decision-making process. Understanding the principles
underlying biomedical ethics is important for physicians to solve the
problems they face in end-of-life care. The main situations that
create ethical difficulties for healthcare professionals are the
decisions regarding resuscitation, mechanical ventilation, artificial
nutrition and hydration, terminal sedation, withholding and
withdrawing treatments, euthanasia, and physician-assisted suicide.
Five ethical principles guide healthcare professionals in the
management of these situations.
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Affiliation(s)
- Melahat Akdeniz
- Department of Family Medicine, Faculty of Medicine, Akdeniz University Hospital, Akdeniz University, Antalya, Turkey
| | | | - Ethem Kavukcu
- Department of Sports Medicine, Faculty of Medicine, Akdeniz University Hospital, Akdeniz University, Antalya, Turkey
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Gamtessa LC. Correlation of Students' Academic Achievements at a Professional Course of Ethics and Pediatrics Clinical Practice at Mizan-Tepi University, South Nations, Nationalities and People's Region, Ethiopia. Glob Pediatr Health 2021; 8:2333794X211003799. [PMID: 33816713 PMCID: PMC7995306 DOI: 10.1177/2333794x211003799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 02/17/2021] [Accepted: 02/23/2021] [Indexed: 11/15/2022] Open
Abstract
Nursing is a respect for dignity and treating every person equally. Qualifying competent and ethical nurses requires the incorporation of a professional code of ethics with clinical nursing practice. However, no study was conducted on the relationship between professional ethics and clinical nursing practice. Therefore this study aimed to determine correlation between professional ethics and pediatrics clinical practice from an achievement perspective. Accordingly, cross-sectional study design was conducted at Mizan-Tepi University using nursing students' academic achievements at professional ethics and pediatric practice. Collected data were entered into Epi info 7. SPSS version 21.0 was used to calculate spearman's rho correlation (r s) and coefficient of determination (R 2) at P < .05. A total of 316 study participants comprising of 209 (66.14%) male and 107 (33.86%) female nursing students included in the current study. Nursing students' academic achievements at professional ethics was significantly and positively associated with achievements at pediatrics clinical practice (rs = 0.4-0.6), P < .001. Linear regression results revealed 25% to 26.7% coefficient determination for regular students and 18% to 22.9% for summer nursing students. To sum up, there was a significant positive association between achievements of students at professional ethics and pediatrics clinical practice. Therefore increasing students' academic achievement in professional ethics can further improve their achievements at pediatrics clinical practice. However, academic achievement in professional ethics explained 22.35% of the variability in achievements at pediatric clinical practice. 77.65% of the variability in pediatrics clinical practice was due to other factors that deserve another study.
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López-Sánchez R, Jiménez-García E, Osorio-Álvarez S, Riestra-Rodríguez MR, Oltra-Rodríguez E, García-Pozo AM. Suitability of therapeutic effort in paediatric intensive care units: Opinion and attitude of professionals. ENFERMERIA INTENSIVA 2020; 31:184-191. [PMID: 32527609 DOI: 10.1016/j.enfi.2020.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Revised: 01/06/2020] [Accepted: 02/06/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVE To determine the opinion and describe the attitude of different health professionals on suitability of therapeutic effort. METHOD Multi-centre, cross-sectional observational study carried out with nurses and doctors who work in the paediatric intensive care units of four hospitals in the Madrid region. A self-administered questionnaire, previously piloted to assess its viability, was used and a sealed box was set up at the nursing station to hand it in. The analysis was performed using SPSS 21.0 software. RESULTS The 98.9% of the respondents were in favour of suitability of therapeutic effort. Doctors consider that the decision is made with the agreement of the multidisciplinary staff and the child's parents (48.8%). Of the nurses, 51.1% believe that the decision is made by agreement with the doctors and parents. Of the nurses, 65.5% state that they are never asked about decision-making for their patients. Of the doctors, 75% are always or almost always asked. Fifty-seven percent of the nurses and 83% of the doctors feel capable of making decisions about suitability of therapeutic effort. Of the professionals, 77.2% believe that suitability is used less often than required. CONCLUSIONS There are differences between doctors and nurses both in the perception of the decision-making model and in the way to proceed. Professionals seem not to follow any protocols or circuits in the decision-making process.
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Affiliation(s)
- R López-Sánchez
- Facultad de Enfermería de Gijón. Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Gijón, Asturias, España.
| | | | | | | | | | - A M García-Pozo
- Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Madrid, España
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Lazzarin P, Marinelli E, Orzalesi M, Brugnaro L, Benini F. Rights of the Dying Child: The Nurses' Perception. J Palliat Med 2018; 21:1713-1717. [PMID: 30256694 DOI: 10.1089/jpm.2017.0660] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
AIM The Charter of the Rights of the Dying Child was formulated as a professional guide for caring the child in the final stages. The study examines the nurses' degree of agreement with the Charter's principles and their perception of the implementation of those principles in hospital. MATERIALS AND METHODS A multicenter, cross-sectional study to observe the nurses' positions about the 10 rights outlined in the Charter, using an online questionnaire in 5 pediatric hospitals in northern Italy. RESULTS A total of 119 nurses (44.9%) completed the questionnaire. The majority (range: 86.6-100%) expressed their agreement with the Charter's principles (Likert ≥4). Lower ratings were reported in Charter's principles implementation items (range: 42.9-89.1%). Being older and working in a smaller hospital lead the nurses to overlook the child's right to be informed and to be given the opportunity to make decisions about his/her own life and death (p = 0.02, p < 0.01). Postgraduate training induced greater awareness of the dying child (p = 0.01). CONCLUSIONS This study highlights the value of the Charter of the Rights of the Dying Child as a reference guideline for nurses working in pediatric hospitals. Better training is important to improve the nurse's communication skills and the pediatric palliative care should be offered to all families that have a child with incurable disease mostly in the end of life.
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Affiliation(s)
- Pierina Lazzarin
- 1 Veneto Regional Center for Pediatric Palliative Care and Pain Control, Department of Women's and Children's Health, Padua General Hospital , Padua, Italy
| | - Elena Marinelli
- 2 Pediatric Intensive Care Unit, Department of Women's and Children's Health, Padua General Hospital , Padua, Italy
| | - Marcello Orzalesi
- 3 Fondazione Maruzza Lefebvre D'Ovidio Onlus (Maruzza Foundation) , Rome, Italy
| | - Luca Brugnaro
- 4 Education and Training Department, Padua General Hospital , Padua, Italy
| | - Franca Benini
- 1 Veneto Regional Center for Pediatric Palliative Care and Pain Control, Department of Women's and Children's Health, Padua General Hospital , Padua, Italy
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Karami K, Maddah SS, Abbaszadeh A, Shahboulaghi FM, Hosseini M, MousaviArfa N, Almasian M. Iranian Pediatric Nurse's Experience: The Facilitators of the Learning of Ethical Practices. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2017; 22:490-496. [PMID: 29184591 PMCID: PMC5684800 DOI: 10.4103/ijnmr.ijnmr_104_16] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Background: Ethical care is a core value in nursing. Pediatric nurses are in direct and continuous contact with children and their parents. They manage their lives and health. As part of the pediatric nurses’ daily work, ethical issues play an important role in making decisions, are important to make decisions, and this capability is only achieved by ethical practice. This study aimed to explore the factors facilitating the learning of ethical practice among Iranian pediatric nurses. Materials and Methods: This study is a conventional qualitative content analysis based on the Graneheim and Lundman method. It was conducted through semi-structured interviews with two focus groups, incorporating 28 nurses working in pediatric wards. Unstructured observation and field notes were other methods of data collection. Purposive sampling continued until data saturation was ensured. All interviews were tape recorded and transcribed in verbatim. Results: Three main categories and 12 subcategories emerged from this study. The facilitating factors include (1) individual competencies (knowledge, experience, emotional intelligence, and loving children), (2) ethical imprinting (responsibility, reflection, empathy, and ethical beliefs), and (3) an environment that nurtures moral values (organizational, spiritual, family, and cultural environments) as facilitating factors. Conclusions: The promotion of nurses’ competencies, ethical virtues, and imprinting, as well as improvement of the quality of nursing care must be the top priority of the health team. Undoubtedly, the success of the health care system is not possible without ensuring that pediatric nurses learn ethical practices.
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Affiliation(s)
- Kobra Karami
- Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran
| | | | - Abbas Abbaszadeh
- Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | | | - Mohammadali Hosseini
- Department of the Rehabilitation Administration, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Nazila MousaviArfa
- Reference Section Manager of Central Library, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammad Almasian
- Department of the English Language, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran
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Williams J, Phillips C, Byrd HM. Factors Which Influence Owners When Deciding to Use Chemotherapy in Terminally Ill Pets. Animals (Basel) 2017; 7:E18. [PMID: 28272340 PMCID: PMC5366837 DOI: 10.3390/ani7030018] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Accepted: 03/04/2017] [Indexed: 11/16/2022] Open
Abstract
Chemotherapy is a commonly integrated treatment option within human and animal oncology regimes. Limited research has investigated pet owners' treatment decision-making in animals diagnosed with malignant neoplasia. Dog and cat owners were asked to complete an online questionnaire to elucidate factors which are key to the decision making process. Seventy-eight respondents completed the questionnaire in full. Fifty-eight percent of pet owners would not elect to treat pets with chemotherapy due to the negative impact of the associated side effects. Seventytwo percent of respondents over estimated pet survival time post chemotherapy, indicating a general perception that it would lead to remission or a cure. Vomiting was considered an acceptable side effect but inappetence, weight loss and depression were considered unacceptable. Owners did expect animals' to be less active, sleep more and play less, but common side effects were not rated as acceptable despite the potential benefits of chemotherapy. Based on the results, veterinary teams involved with oncology consultations should establish if clients have prior experience of cancer treatments and their expectations of survival time. Quality of life assessments should also be implemented during initial oncology consultations and conducted regularly during chemotherapy courses to inform client decision making and to safe guard animal welfare.
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Affiliation(s)
- Jane Williams
- Animal Health Research Group, Hartpury University Centre, Gloucester GL19 3BE, UK.
| | - Catherine Phillips
- Veterinary Nursing Research Group, Hartpury University Centre, Gloucester GL19 3BE, UK.
| | - Hollie Marie Byrd
- Veterinary Nursing Research Group, Hartpury University Centre, Gloucester GL19 3BE, UK.
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Thieleman KJ, Wallace C, Cimino AN, Rueda HA. Exhaust All Measures: Ethical Issues in Pediatric End-of-Life Care. JOURNAL OF SOCIAL WORK IN END-OF-LIFE & PALLIATIVE CARE 2016; 12:289-306. [PMID: 27462957 DOI: 10.1080/15524256.2016.1200518] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The death of a child may have a profound impact on parents, family members, and health care providers who provided care for the child. Unique challenges are faced by parents of seriously ill children as they must serve as the legal authority for health care decisions of children under age 18, although the child's wishes must also be considered. Social workers must balance core social work values, bioethical values, and psychosocial issues presented by such situations. While studies have been conducted with physicians and nurses regarding ethical issues in pediatric end-of-life care settings, little is known about how social workers experience these conflicts. This article utilizes two vignettes to illustrate potential ethical issues in this setting and applies the National Association of Social Workers Standards for Palliative and End of Life Care (NASW, 2004 ) to explore options for their resolution. These vignettes provide descriptions of possible reactions in this setting and can be used as a basis for further exploration of ethics in pediatric end-of-life care from a social work perspective.
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Affiliation(s)
- Kara J Thieleman
- a Arizona State University School of Social Work , Phoenix , Arizona , USA
| | - Cara Wallace
- b Saint Louis University School of Social Work , St. Louis , Missouri , USA
| | - Andrea N Cimino
- c University of Texas at Arlington School of Social Work , Arlington , Texas , USA
| | - Heidi A Rueda
- d Department of Social Work , University of Texas at San Antonio , San Antonio , Texas , USA
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9
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Goldberg KJ. Veterinary hospice and palliative care: a comprehensive review of the literature. Vet Rec 2016; 178:369-74. [DOI: 10.1136/vr.103459] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Katherine J. Goldberg
- Whole Animal Veterinary Geriatrics and Hospice Services; East Tompkins Street Ithaca New York 14850 USA
- Dr Goldberg also has a courtesy lecturer appointment at College of Veterinary Medicine; Cornell University; Tower Road Ithaca New York 14853 USA
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Bagnasco A, Cadorin L, Barisone M, Bressan V, Iemmi M, Prandi M, Timmins F, Watson R, Sasso L. Ethical dimensions of paediatric nursing: A rapid evidence assessment. Nurs Ethics 2016; 25:111-122. [PMID: 27005952 DOI: 10.1177/0969733016631161] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Paediatric nurses often face complex situations requiring decisions that sometimes clash with their own values and beliefs, or with the needs of the children they care for and their families. Paediatric nurses often use new technology that changes the way they provide care, but also reduces their direct interaction with the child. This may generate ethical issues, which nurses should be able to address in the full respect of the child. Research question and objectives: The purpose of this review is to describe the main ethical dimensions of paediatric nursing. Our research question was, 'What are the most common ethical dimensions and competences related to paediatric nursing?' RESEARCH DESIGN A rapid evidence assessment. METHOD According to the principles of the rapid evidence assessment, we searched the PubMed, SCOPUS and CINAHL databases for papers published between January 2001 and March 2015. These papers were then independently read by two researchers and analysed according to the inclusion criteria. Ethical considerations: Since this was a rapid evidence assessment, no approval from the ethics committee was required. FINDINGS Ten papers met our inclusion criteria. Ethical issues in paediatric nursing were grouped into three areas: (a) ethical issues in paediatric care, (b) social responsibility and (c) decision-making process. CONCLUSION Few studies investigate the ethical dimensions and aspects of paediatric nursing, and they are mainly qualitative studies conducted in critical care settings based on nurses' perceptions and experiences. Paediatric nurses require specific educational interventions to help them resolve ethical issues, contribute to the decision-making process and fulfil their role as advocates of a vulnerable population (i.e. sick children and their families). Further research is needed to investigate how paediatric nurses can improve the involvement of children and their families in decision-making processes related to their care plan.
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Aschenbrenner AP, Winters JM, Belknap RA. Integrative review: parent perspectives on care of their child at the end of life. J Pediatr Nurs 2012; 27:514-22. [PMID: 22920662 DOI: 10.1016/j.pedn.2011.07.008] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2010] [Revised: 07/15/2011] [Accepted: 07/16/2011] [Indexed: 10/17/2022]
Abstract
This integrative review aims to describe parents' perspectives on end-of-life care for their children. Fifteen publications from a literature search of the Cochrane databases, CINAHL, MEDLINE, and PSYCHinfo were included in the review. Recurring themes included poor communication/lack of information, strained relationships/inadequate emotional support, parental need to maintain parent/child relationships in life and death, quality of care continues after the death of the child, influence of services/planning on parent/child impacts quality of life, and the difficult decision to terminate life support. No studies were identified that focused on parents' perspectives on the care their child received at the end of life. Further research that focuses on the special needs of parents at this difficult time is needed.
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Hirani SAA, Rahman A. Child with idiopathic pulmonary hemosiderosis: a case report from Pakistan with multiple ethical and moral issues. J Pediatr Nurs 2012; 27:e22-8. [PMID: 21968218 DOI: 10.1016/j.pedn.2011.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2010] [Revised: 08/12/2011] [Accepted: 08/30/2011] [Indexed: 10/16/2022]
Abstract
This report discusses the case of a young Pakistani child diagnosed with idiopathic pulmonary hemosiderosis (IPH). The key features of IPH were iron deficiency anemia and pulmonary symptoms due to recurrent pulmonary hemorrhages. The child showed complications of the disease process because of late diagnosis. Because various ethical and moral issues were associated with the diagnosis and management of IPH, this case provides insights about the care burden of health care professionals and a child's parents in a Pakistani pediatric setting. During the course of the child's treatment at one of the private tertiary care settings of Karachi, Pakistan, the key challenges were as follows: declaring the diagnosis to the parents, dealing with the request of the child's parents for withdrawal of ventilatory support and withholding treatment, deciding the code status of the child, and ensuring the quality of the child's life after discharge from the hospital. It was learned from this case report that shared decision making and open communication with the child's family enabled the pediatric health care professionals to determine what was in the best interest of the child, resulting in provision of effective palliative care to the child. Moreover, it was realized that early detection of the disease and availability of hospice care can facilitate palliative care of children diagnosed with IPH.
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Alonso Villán E, Pérez Rodríguez J, Rodríguez J, Ruiz J, del Cerro M, Hierro L, García Pose A, Aroca A, Asensio A, García-Miguel P, Soto C, del Diego J, Díaz C, Iglesias A, Lahoz A, Rodríguez I. Mortalidad infantil en un hospital de nivel terciario. Limitación de esfuerzo terapéutico, correspondencia clínico–patológica y precisión diagnóstica. An Pediatr (Barc) 2012; 76:343-9. [DOI: 10.1016/j.anpedi.2011.09.025] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2011] [Revised: 09/08/2011] [Accepted: 09/19/2011] [Indexed: 10/15/2022] Open
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Klepping L. Total pain: a reflective case study addressing the experience of a terminally ill adolescent. Int J Palliat Nurs 2012; 18:121-7. [DOI: 10.12968/ijpn.2012.18.3.121] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Laura Klepping
- Helen and Douglas House, 14a Magdalen Road, Oxford, OX4 1RW, England
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15
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Foster TL, Lafond DA, Reggio C, Hinds PS. Pediatric Palliative Care in Childhood Cancer Nursing: From Diagnosis to Cure or End of Life. Semin Oncol Nurs 2010; 26:205-21. [DOI: 10.1016/j.soncn.2010.08.003] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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16
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Lampert R, Hayes DL, Annas GJ, Farley MA, Goldstein NE, Hamilton RM, Kay GN, Kramer DB, Mueller PS, Padeletti L, Pozuelo L, Schoenfeld MH, Vardas PE, Wiegand DL, Zellner R. HRS Expert Consensus Statement on the Management of Cardiovascular Implantable Electronic Devices (CIEDs) in patients nearing end of life or requesting withdrawal of therapy. Heart Rhythm 2010; 7:1008-26. [PMID: 20471915 DOI: 10.1016/j.hrthm.2010.04.033] [Citation(s) in RCA: 317] [Impact Index Per Article: 22.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2010] [Indexed: 10/19/2022]
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Brien IO, Duffy A, Shea EO. Medical futility in children’s nursing: making end-of-life decisions. ACTA ACUST UNITED AC 2010; 19:352-6. [DOI: 10.12968/bjon.2010.19.6.47234] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Irene O Brien
- Lady’s Hospital for Sick Children in Crumlin, Dublin
| | - Anita Duffy
- The School of Nursing and Midwifery, Trinity College Dublin
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Regan K. Trauma informed care on an inpatient pediatric psychiatric unit and the emergence of ethical dilemmas as nurses evolved their practice. Issues Ment Health Nurs 2010; 31:216-22. [PMID: 20144033 DOI: 10.3109/01612840903315841] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Two case studies are presented reflecting the ethical dilemmas experienced by nurses who were striving to improve their practice in the provision of patient care. The cases are described in the context of finding alternatives to cohesive interventions such as chemical restraints and physical restraints. A summary of the literature on ethical dilemmas that was relevant to the issues arising in these cases is included. Discussion of the use of the American Nursing Association's (ANA, 2001 ) Nursing Code of Ethics with Interpretive Statements is highlighted for its relevance and support of the nurses experiencing the ethical dilemmas.
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Affiliation(s)
- Kathleen Regan
- Cambridge Health Alliance, Cambridge, Massachusetts 02193, USA.
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19
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Kars MC, Grypdonck MHF, de Korte-Verhoef MC, Kamps WA, Meijer-van den Bergh EMM, Verkerk MA, van Delden JJM. Parental experience at the end-of-life in children with cancer: ‘preservation’ and ‘letting go’ in relation to loss. Support Care Cancer 2009; 19:27-35. [DOI: 10.1007/s00520-009-0785-1] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2009] [Accepted: 11/09/2009] [Indexed: 10/20/2022]
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20
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Sokol KC, Armstrong FD, Rosenkranz ER, Hsu D, Schultz SE, Cantwell GP, Ricci M, Lipshultz SE. Ethical issues in children with cardiomyopathy: Making sense of ethical challenges in the clinical setting. PROGRESS IN PEDIATRIC CARDIOLOGY 2007. [DOI: 10.1016/j.ppedcard.2007.05.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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