ER Journal Summary - Effects of An Ethical Empowerment Program On Critical Care Nurses' Ethical Decision-Making

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TITLE:

“Effects of an ethical empowerment program on critical care nurses’ ethical decision-


making.”
SUMMARY:
Nurses require empowerment if they are to make ethical decisions. Ethical empowerment
has always been one of the main concerns in nurse training programs. The present study was
conducted to determine the effect of an ethical empowerment program on critical care nurses’
ethical decision-making. This is a clinical trial study with two groups and pre and post design.
Participants and research context: In this study, 60 nurses working in Intensive Care Unit were
selected through random sampling and then divided into a control and an experimental group after
filling out the Moral Sensitivity Questionnaire. Both groups completed the questionnaire again
immediately and 2 months after the ethical empowerment workshop had been held for the
experimental group. The collected data were analyzed in SPSS-16 using descriptive and inferential
statistics. The goals of the study were explained to the participants and then a written informed
consent was received from them. The results showed no significant differences between the two
groups in terms of their ethical sensitivity scores at the beginning of the study; however,
immediately and 2 months after the intervention, the mean score increased significantly in the
experimental group. Moreover, the scores obtained 2 months after the workshop increased
compared to the pre-intervention scores but showed a drop compared to the scores reported
immediately after the workshop. The ethical empowerment program, given to the critical care
nurses in this study, improved their ethical sensitivity in making decisions significantly over time.
Despite the extensive methods, available for teaching nursing ethics, the ethical empowerment
program, adopted in this study, had long-lasting effects in terms of ameliorating the process of
ethical decision-making in clinical situations. The ethical empowerment of nurses requires the
adoption and application of proper methods and patterns of complying with nursing ethics.
REFLECTION:
In relation to our clinical rotation, we are assigned at the Emergency Room which is one of
the most critical departments in the hospital along with the ICU and the CCU. In the Emergency
Department, decision making should be fast and assertiveness is a skill to be mastered. According
to the journal, he key principle in ethical decision-making is ethical sensitivity. Ethical sensitivity
makes nurses sensitive about ethical issues in their workplace and enables them to make ethical
decisions about the patients and thus makes the patients better trust the nursing services they
receive.
Nursing ethics should be a continued discussion throughout the nursing education and
research because every special case, a lot of considerations should be done in order to do what is
best for the patient and decision making should be done together with the whole health care team
and specially the patient’s family.
Ethical Empowerment Program should also be practiced in our hospitals because every day,
nurses face different dilemmas regarding ethical consideration where up to now, there is no definite
solutions to a dilemma because every patient is different from each other.

REFERENCE: Jamshidian, F., Shahriari, M., & Aderyani, M. R. (2018). Effects of an ethical
empowerment program on critical care nurses’ ethical decision-making. Nursing Ethics,
096973301875983. doi:10.1177/0969733018759830

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