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The stories of physicians, registered nurses and enrolled nurses about ethically difficult care episodes in surgical care
Engelsk titel: The stories of physicians, registered nurses and enrolled nurses about ethically difficult care episodes in surgical care Läs online Författare: Uden G ; Norberg A ; Norberg S Språk: Eng Antal referenser: 36 Dokumenttyp: Artikel UI-nummer: 96025654

Tidskrift

Scandinavian Journal of Caring Sciences 1995;9(4)245-53 ISSN 0283-9318 E-ISSN 1471-6712 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Twenty physicians, 19 registered nurses (RN), and 20 enrolled nurses (EN) working in surgical care in Sweden narrated their experences of being in ethically difficult care situations. All three professional groups disclosed a strong wish to help patients. The narrations of the physicians and the ENs indicated that they were very much involved in their patients, while most of the RNs' stories were narrated from a distanced onlooker's perspective and disclosed a lot of moral outrage, mainly directed towards physicians. The physicians were the only group that emphasized the importance of acting in accordance with science and proven experience. Like RNs they emphasized the importance and difficulty of telling the truth to the patients and their families and being open to one's own and others' harsh experiences. RNs and ENs emphasized the patient's right to a death with dignity and the difficulties connected with being with dying patients, and they also described feelings of powerlessness and neglect of patients related to a heavy work load. ENs narrated difficulties related to providing patients with individualized but fair care. Published by arrangement with John Wiley & Sons.