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Yu Q, Wang H, Tian Y, Wang Q, Yang L, Liu Q, Li Y. Moral courage, job-esteem, and social responsibility in disaster relief nurses. Nurs Ethics 2023; 30:1051-1067. [PMID: 37192663 DOI: 10.1177/09697330231174540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
BACKGROUND Social responsibility can motivate disaster relief nurses to devote themselves to safeguarding rights and interests of people when facing challenges that threaten public health. However, few studies focused on the relationship of moral courage, job-esteem, and social responsibility among disaster relief nurses. OBJECTIVE To explore the influence of moral courage and job-esteem on the social responsibility in disaster relief nurses and clarify the relationship model between them. METHODS A cross-sectional study was conducted among 716 disaster relief nurses from 14 hospitals in central China through an online survey, including moral courage scale, job-esteem scale, and social responsibility questionnaire. The data were analyzed by Pearson's correlation, and the mechanism of the effect of moral courage and job-esteem on social responsibility was completed. ETHICAL CONSIDERATIONS This study was approved by the Medical Ethics Committee of the Second Xiangya Hospital of Central South University (Approval Number: 2019016). RESULTS Disaster relief nurses' moral courage positively impacted social responsibility (r = 0.677, p < 0.01), and moral courage could affect social responsibility through the mediating role of job-esteem. CONCLUSION Job-esteem mediated between moral courage and social responsibility among disaster relief nurses. Nursing managers regular assessment of nurses' moral courage and interventions such as meetings and workshops can reduce moral distress, foster morally courageous behavior, enhance job-esteem, and improve social responsibility performance among disaster relief nurses.
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Affiliation(s)
- Qiang Yu
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China
- Department of Neurosurgery, The Second Xiangya Hospital, Central South University, Changsha, China
| | - Huaqin Wang
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China
- Department of Critical Care Medicine, The Second Xiangya Hospital, Central South University, Changsha, China
| | - Yusheng Tian
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital, Central South University, Changsha, China
| | - Qin Wang
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China
| | - Li Yang
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China
| | - Qiaomei Liu
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China
| | - Yamin Li
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China
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Erasmus+ Program and Nursing Students’ Sense of Coherence, Well-Being, and School Success. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19073968. [PMID: 35409651 PMCID: PMC8997365 DOI: 10.3390/ijerph19073968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 03/23/2022] [Accepted: 03/24/2022] [Indexed: 12/10/2022]
Abstract
Background: An international exchange program is an increasing phenomenon across Europe. Any opportunity for students to work or study abroad whilst undertaking their degree program could have a positive impact on their well-being, professional development, and general competences. Methods: The study was conducted on a cohort of 99 nursing students from the School of Nursing, who were followed before and after a one-month Erasmus+ mobility period. Quantitative data were collected using a sense of coherence, subjective well-being, and sociodemographic characteristics questionnaire. Qualitative data were collected using open-ended questions and interviewing the focus group. Results: Student mobility did not significantly alter their sense of coherence or subjective well-being. A significant positive correlation before and after mobility occurred between the sense of coherence, subjective well-being, and school success. According to the qualitative analysis, the students’ experiences were overall positive and stimulating, with many of them noticing better working conditions abroad. Conclusion: Although the international mobility of nursing students does not affect their sense of coherence and subjective well-being, it does contribute to changes in certain attitudes related to the profession and living conditions abroad. These findings may prove helpful in planning future mobilities during more favorable periods when school obligations are fewer.
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Jones-Bonofiglio K, Alzghoul MM. Into the Grey Zone: Retired Nurses’ Reflections on Ethics in Canadian Nursing Practice. CANADIAN JOURNAL OF BIOETHICS 2021. [DOI: 10.7202/1077626ar] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Context: Nurses are often hesitant to talk about ethical issues in their practice for many unique and valid reasons. What if the burden of risk was lifted upon retirement, even if just slightly? The purpose of this study was to explore retired nurses’ reflections on their experiences of ethical issues and decision making in various nursing practice settings throughout their careers and to glean recommendations for ethics in contemporary nursing practice. Methods: Data were collected via in-depth, individual, semi-structured interviews. Guided by an interpretive, descriptive approach, data were managed with NVivo v.11 and analyzed with an inductive, comparative, thematic approach. In northern Ontario, two nurse researchers co-interviewed eight retired nurses with decades of practice experience across diverse Canadian health care settings. Ethics approval was obtained through Lakehead University’s Research Ethics Board. Findings: Three themes emerged to address ethical issues in practice; these are creativity, resourcefulness, and a strong sense of community with other nurses. Further, the retired nurses’ collated reflections on ethics in practice are presented as the FIG model: Fellowship, Ingenuity, and Gumption. Conclusions: This study identifies ethical underpinnings that retired nurses have used to effectively respond to ethical issues in their practice. Those who are currently nursing, and nursing as a profession, may wish to recognize and retain these strategies in order to continue to deliver a high standard of quality, ethical care. Recommendations for practice, research, and education are offered.
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Affiliation(s)
- Kristen Jones-Bonofiglio
- School of Nursing, Lakehead University, Thunder Bay, Canada
- Lakehead University Centre for Health Care Ethics, Unit of the International Network of the UNESCO Chair in Bioethics, Thunder Bay, Canada
| | - Manal M. Alzghoul
- School of Nursing, Lakehead University, Thunder Bay, Canada
- Lakehead University Centre for Health Care Ethics, Unit of the International Network of the UNESCO Chair in Bioethics, Thunder Bay, Canada
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Hadian Jazi Z, Peyrovi H, Zareian A. Nurse's social responsibility: A hybrid concept analysis in Iran. Med J Islam Repub Iran 2019; 33:44. [PMID: 31456968 PMCID: PMC6708105 DOI: 10.34171/mjiri.33.44] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2018] [Indexed: 11/17/2022] Open
Abstract
Background: Social responsibility in nursing is a complex concept that is completely associated with the context and healthcare system of every society. This study was conducted to analyze the concept of nurse’s social responsibility in Iran.
Methods: This analysis was done using a hybrid model, which consists of three phases: a literature review in the theoretical phase, semi-structured interviews in the fieldwork phase, and combination of the results of the two previous phases in a final analytical phase.
Results: The four main themes extracted in the theoretical phase included: "Multi-dimensional and comprehensive approach", spirituality-based, learner-based and an evolutionary-process. In the fieldwork phase, all the themes obtained in the previous phase were confirmed, and one more theme emerged as "being relative". In the final phase, with the combination of the results of two previous phases, the final definition of the concept was presented.
Conclusion: Clarifying the social responsibility of nurses and highlighting it in nursing will definitely lead to satisfaction in patients and clients, professional development and reduction of health care costs. Also, by identifying facilitators, inhibitors and social responsibility concepts, nursing managers and nursing educators will be able to design and implement their management and training activities based on scientific findings based on the findings that are necessary for the correct learning and implementation.
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Affiliation(s)
- Zahra Hadian Jazi
- Department of Medical-Surgical Nursing, School of nursing and midwifery, Iran University of Medical Sciences, Tehran, Iran
| | - Hamid Peyrovi
- Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
| | - Armin Zareian
- Public Health Nursing Department, Nursing Faculty, Aja University of Medical Science, Tehran, Iran
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Kraft M, Kästel A, Eriksson H, Hedman AMR. Global Nursing-a literature review in the field of education and practice. Nurs Open 2017; 4:122-133. [PMID: 28694976 PMCID: PMC5500985 DOI: 10.1002/nop2.79] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2016] [Accepted: 02/02/2017] [Indexed: 12/02/2022] Open
Abstract
Aim To describe key findings of Global Nursing in empirical nursing studies. Design A literature review using descriptive data synthesis of peer‐reviewed articles in the field of nursing education and practice. Methods This review of Cinahl Complete, PubMed, PsycINFO and Scopus was undertaken using the search strategy “global nursing”. Independent title/abstract and full‐text screening was undertaken, identifying original articles written in English. Results A total of 472 titles and 170 abstracts were read through. Seventy‐three articles were included for full‐text review. Twenty published studies of Global Nursing with multiple research methodologies fulfilled the inclusion criteria. Findings were described with five categories. Global Nursing Arena, Global Nursing Working Environments, Global Nursing Workforce Management, Global Nursing Competencies and Global Nursing Networking were shown to be crucial when Global Nursing was addressed in the literature.
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Affiliation(s)
- Mia Kraft
- The Swedish Red Cross University College Department of Care and Nursing Stockholm Sweden
| | - Anne Kästel
- The Swedish Red Cross University College Department of Care and Nursing Stockholm Sweden
| | - Henrik Eriksson
- The Swedish Red Cross University College Department of Care and Nursing Stockholm Sweden
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Abstract
Reflections on my experience of conducting research in Botswana are used to highlight tensions and conflicts that arise from adhering to the western conceptualization of bioethics and the need to be culturally sensitive when carrying out research in one's own culture. Cultural practices required the need to exercise discretionary judgement guided by respect for the culture and decision-making protocols of the research participants. Ethical challenges that arose are discussed. The brokerage role of nurse educators and leaders in contextualizing western bioethics is emphasized.
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Affiliation(s)
- Sheila Shaibu
- University of Botswana, Department of Nursing, Private Bag 00702, Gaborone, Botswana.
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Crigger NJ, Holcomb L. Practical Strategies for Providing Culturally Sensitive, Ethical Care in Developing Nations. J Transcult Nurs 2016; 18:70-6. [PMID: 17202532 DOI: 10.1177/1043659606294198] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Providing health care in developing nations results in cultural and ethical challenges for health care professionals. The authors’ intent is to raise readers’ awareness of how to maintain an ethical and culturally sensitive approach to practice in developing nations. Four practical approaches to ethical decision-making, developed from the literature and praxis, in conjunction with traditional moral theory and guidelines from professional and international organizations are discussed. Ethical multiculturalism, a view that combines universalism and multiculturalism undergirds culturally appropriate and ethically responsive decisions.
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Discourses of social justice: examining the ethics of democratic professionalism in nursing. ANS Adv Nurs Sci 2014; 37:E17-34. [PMID: 25102219 DOI: 10.1097/ans.0000000000000045] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
This essay provides a critical exploration of discourses of social justice in nursing. It examines commitments to social justice in the work of international nursing scholars and in professional codes of ethics in international nursing organizations. The analysis touches on salient conversations in philosophy, relating these ways of knowing to social justice as an ethical pattern in nursing practice. On the basis of this analysis, the discussion explores questions of professional formation in nursing, noticing when commitments to social justice are taken up or evaded in different models of professionalism. In concluding comments, implications of democratic professionalism are explored for professional formation in nursing, arguing for teaching, learning, and knowledge projects that contribute to social justice in our democracy.
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Abstract
BACKGROUND This paper emerged alongside the development of learning materials for a new unit of study on global health and nursing. The proposed unit was for inclusion in a graduate entry master of nursing course leading to registration. It became evident that there has been growing attention within the nursing literature to the demands of an increasingly globalized world and the subsequent challenges confronting nursing as a profession. At the same time, the literature is inconsistent and contains mixed messages with regard to how nurses and nursing might respond to these challenges. AIM This paper aims to (i) present the findings of a narrative analysis of the current nursing discourse on globalization, and (ii) to identify directional cohesiveness for the nursing profession in the seemingly disparate literature. METHOD Concept analysis following extensive literature review. FINDINGS Several nursing authors argue that nurses globally are increasingly sharing concerns expressed by nurses at a local level. Concerns such as the future sustainability of the profession and more specifically practice concerns such as the continuing failure of nurses to adequately deal with social justice issues requires careful consideration by every nurse. While strategies recommended for dealing with these concerns lack a cohesive thread, some interesting themes and innovative recommendations have emerged. For example, the need for nurses to consider replacing environmental considerations with ecological considerations and that nurses consider preventative nursing practice beyond the immediate needs of clients and from a more global perspective.
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Affiliation(s)
- J Grootjans
- The University of Sydney, Sydney Nursing School, Sydney, NSW, Australia.
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Sabo BM. Compassionate presence: The meaning of hematopoietic stem cell transplant nursing. Eur J Oncol Nurs 2010; 15:103-11. [PMID: 20667776 DOI: 10.1016/j.ejon.2010.06.006] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2010] [Revised: 06/19/2010] [Accepted: 06/24/2010] [Indexed: 10/19/2022]
Abstract
PURPOSE Within oncology, working with patients who are suffering or at end-of-life has been recognized repeatedly as stress-inducing, yet there is little agreement on what specifically nurses may experience as a result of their work. Further, research focused on caring work within the context of hematopoietic stem cell transplant (HSCT) nursing is almost non-existent. In light of the gap, this interpretative phenomenological study focused on enhancing the knowledge and understanding of the effect(s) of nursing work on the psychosocial health and well being of HSCT nurses. METHOD An interpretative phenomenological design grounded in the work of Heidegger and van Manen was used to explore nursing work among HSCT nurses. Twelve nurses from three Canadian tertiary healthcare facilities participated in multiple interviews and focus groups. FINDINGS Thematic analysis resulted in the emergence of four core themes and one overarching novel theme, compassionate presence. The discussion provides an overview of the novel finding, compassionate presence, which challenges the notion that working with individuals who are suffering or at end-of-life inevitably leads to adverse psychosocial effects. Implications for practice, education and research are also provided. CONCLUSION Compassionate presence emerged to suggest a potential buffering effect against adverse consequences of HSCT nursing work. This finding underscored the value of the relationship as an integral component of nursing work.
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Affiliation(s)
- Brenda M Sabo
- Dalhousie University, School of Nursing & Psychosocial Oncology Team, Cancer Care Program, Capital District Health Authority, 5869 University Avenue, Halifax, Nova Scotia B3H 3J5, Canada.
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Harrowing J, Mill J, Spiers J, Kulig J, Kipp W. Culture, context and community: ethical considerations for global nursing research. Int Nurs Rev 2010; 57:70-7. [DOI: 10.1111/j.1466-7657.2009.00766.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Tyer-Viola L, Nicholas PK, Corless IB, Barry DM, Hoyt P, Fitzpatrick JJ, Davis SM. Social responsibility of nursing: a global perspective. Policy Polit Nurs Pract 2009; 10:110-118. [PMID: 19696088 DOI: 10.1177/1527154409339528] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
This study addresses social responsibility in the discipline of nursing and implications for global health. The concept of social responsibility is explicated and its relevance for nursing is examined, grounded in the American Nurses Association Code of Ethics and the International Council of Nurses Code of Ethics. Social justice, human rights, nurse migration, and approaches to nursing education are discussed within the framework of nursing's social responsibility. Strategies for addressing nursing workforce issues and education within a framework of social responsibility are explored.
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Keogh J, Russel-Roberts E. Exchange programmes and student mobility: meeting student's expectations or an expensive holiday? NURSE EDUCATION TODAY 2009; 29:108-116. [PMID: 18782646 DOI: 10.1016/j.nedt.2008.07.006] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2008] [Revised: 07/13/2008] [Accepted: 07/26/2008] [Indexed: 05/26/2023]
Abstract
The Bologna Process aims, amongst other things, to improve the mobility of Students within the EU. Student mobility is supported through programmes such as ERASMUS, and the success of these programmes is measured against quality and quantity of Student mobility within the European Union. This study aimed at establishing, from the students' perspective, the benefits of these programmes. To this purpose, 7 Students who were involved in a German-Finnish exchange programme were interviewed. This population was chosen, because they represented the largest group of students going to the same host university, and were influenced by the same variables, such as language difficulties and climatic conditions. The main objective of this study was to determine whether the educational and personal needs of the students were met during their exchange programme. The data analysis was done using Mayring's content analysis method. The results showed that successful mobility at student level, could lead to a diffusion of knowledge and skills between different countries. It was also found that the students indicated that their personal and educational needs were met irrespective of the language difficulties they experienced.
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Affiliation(s)
- Johannes Keogh
- Department of Nursing and Health Sciences, Fulda University of Applied Sciences, 35 Marquardt Street, 36039 Fulda, Germany.
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Abstract
Globalization, an outgrowth of technology, while informing us about people throughout the world, also raises our awareness of the extreme economic and social disparities that exist among nations. As part of a global discipline, nurses are vitally interested in reducing and eliminating disparities so that better health is achieved for all people. Recent literature in nursing encourages our discipline to engage more actively with social justice issues. Justice in health care is a major commitment of nursing; thus questions in the larger sphere of globalization, justice and ethics, are our discipline's questions also. Global justice, or fairness, is not an issue for some groups or institutions, but a deeper human rights issue that is a responsibility for everyone. What can we do to help reduce or eliminate the social and economic disparities that are so evident? What kind of ethical milieu is needed to address the threat that globalization imposes on justice and fairness? This article enriches the conceptualization of globalization by investigating recent work by Schweiker and Twiss. In addition, I discuss five qualities or characteristics that will facilitate the development of a viable and just global ethic. A global ethic guides all people in their response to human rights and poverty. Technology and business, two major forces in globalization that are generally considered beneficial, are critiqued as barriers to social justice and the common good.
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Averill JB. Getting Started: Initiating C ritical Ethnography and Community-Based Action Research in a Program of Rural Health Studies. INTERNATIONAL JOURNAL OF QUALITATIVE METHODS 2006; 5:17-27. [PMID: 24187530 PMCID: PMC3812953 DOI: 10.1177/160940690600500206] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Rural populations experience higher rates of illness, less access to health care resources, and lower rates of health insurance coverage than do urban populations. A need exists to identify and address the health care needs of rural communities and other isolated populations and to contextualize the findings in the larger rural health environment. Critical ethnography combined with community-based action research is a constructive approach for improving the health status of rural elders as well as other members of isolated communities. Detailed guidelines on how to initiate an ethnographic community-based action study, as shown through a study that explores the definitions of health, health care perceptions, and health care issues for rural elders in the southwestern United States, highlight the value of this type of research for the study of the health care issues of rural populations.
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Abstract
Globalization is reshaping the world and its people. Nursing, likewise, is in the process of expanding its worldview to one that accommodates global care. The authors further articulate a global ethic for nursing by distinguishing 2 concepts: world citizenship, as described by Martha Nussbaum, which calls nurses to critically evaluate personal and culture-based beliefs, and compassionate professional, which calls nurses to nurture partnerships of mutual respect. It is also important that nursing participate and support professional and international organizations that address social injustices related to healthcare, poverty, and public health.
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Abstract
Considerable evidence suggests that neocolonialism, in the form of economic globalization as it has evolved since the 1980s, contributes significantly to the poverty and immense global burden of disease experienced by peoples of the developing world, as well as to escalating environmental degradation of alarming proportions. Nursing's fundamental responsibilities to promote health, prevent disease, and alleviate suffering call for the expression of caring for humanity and environment through political activism at local, national, and international levels to bring about reforms of the current global economic order.
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Abstract
PURPOSE To present an alternative to the recent proposal that the extant theories of nursing be replaced with culture-specific theories of nursing in order to have theories of nursing that are culturally responsive. METHOD A philosophical analysis of the implications for nursing practice of adopting the proposal serves as the basis for recommending a different philosophically based theoretical solution. Anticipated probable objections to that recommendation are considered. CONCLUSION Culture-specific theories of nursing might allow nurses to be culturally sensitive. However, because nurses must be humanly responsive to the needs of people as human beings and not just as cultural beings, cultural theories of nursing should be developed within the precepts of a transcultural theory of nursing grounded in a conception of objective human needs and values.
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Affiliation(s)
- June F Kikuchi
- Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
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Abstract
The present study was a secondary analysis of data from two phenomenological studies of nurses in the USA and Japan. The study incorporated hermeneutics and feminist methodologies to answer the following questions. Are there common values and ethical concerns and values within the nursing cultures of Japan and the USA? What are some commonalities and differences between Japanese nurses' ethical concerns and those of American nurses? Findings indicated that nurses from the USA and Japan share common values and ethical concerns as professional nurses, including competence, respect for the patient as a person, responsibility, relationship and connection, importance of the family, caring, good death, comfort, truth-telling, understanding the patient/situation, and anticipatory care. Although ethical concerns are similar, related background meanings and actions often look different between cultures; truth-telling is described as an example. Nurses in each country also hold unique values not found in the nursing practice of the other country. Understanding these commonalities and differences is critical for the development of global nursing ethics.
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Affiliation(s)
- Peggy L Wros
- Linfield-Good Samaritan School of Nursing, Linfield College, Portland, OR 97210, USA.
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Abstract
Abstract In pedagogy, as in life generally, there are moral complexities and ambiguities intrinsic to the teaching-learning process. Within the context of the knowledge economy and globalization those complexities and ambiguities are proliferating. How we as educators address the interface between these complexities is critical to how well we and those we serve fare in the educational and practice environment. With the emergent corporate university culture it would seem that the major goal is to become a 'knowledge factory' or a site of knowledge creation. Increasingly its scientific and technological agenda is to focus on generating knowledge that would further the means and ends of economic growth and public policy. Traditionally, however, education has meant much more than this. Indeed, the original purpose of university education was designed to foster a desire for right conduct and good things which ultimately cannot be neatly packaged and delivered. Within this view, university educators would thus be expected to cultivate a climate of self-reflection in which learning can be fulfilling in itself. This paper explores the notion of globalization and its hegemonic influence on the university agenda and addresses how corporatism, a key dimension of globalization, is in effect usurping the very essence of the teaching-learning process.
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Affiliation(s)
- Florence Myrick
- Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
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Abstract
BACKGROUND This opinion piece, based on the experiences of the author, outlines the planning involved for a short-term assignment. With growing demand for humanitarian health care assistance to underserved countries, a framework for organizing short-term trips to such areas would be beneficial to the trip organizers. CONTENT The key to a successful project lies in focusing on specific populations and interventions while still in the planning stages. The hurdles that need to be cleared before actually embarking on the project are also discussed. OUTCOMES The lasting result of such ventures lies in the learning experiences of the participants, the care that the population receives, and a deeper appreciation for global health and disparity.
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Affiliation(s)
- D S Walsh
- Clinical Services Manager, Women's Care Center, Bridgeport Hospital, Bridgeport, CT, USA.
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Abstract
This study explored Taiwanese graduate nursing students' transcultural experiences in the United States during an international exchange program. A qualitative method with content analysis was used to analyze journal entries on perceptions of American culture, American nursing, and reflections on personal and professional growth written by nine graduate nursing students from Taiwan. The mean age of the participants was 32 (range, 29-45). Taiwanese nursing students perceived American culture as full of hospitality and patriotism, valuing human rights and social welfare, and favoring direct and expressive affection. American nursing was viewed as a combination of independence, confidence, autonomy, and knowledge, with caring being the core element, fostered by an environment conducive to patient care. In personal and professional growth, three themes surfaced: reinforcement of holistic care, nursing without borders, and lifelong learning and changing. American culture and nursing were perceived by Taiwanese students as a paradigm of Western culture valuing individual rights, autonomy, and independence. A caring and supportive patient care environment was a positive perception of American nursing; it was the desired practice standard that was lacking in these students' homeland. Overall, the exchange program was thought by these students to foster their personal and professional growth.
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Affiliation(s)
- Carol Shieh
- School of Nursing, Indiana University at Kokomo, 2300 S. Washington Street, PO Box 9003, Kokomo, IN 46904-9003, USA.
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Dresden E, McElmurry BJ, McCreary LL. Approaching ethical reasoning in nursing research through a communitarian perspective. J Prof Nurs 2003; 19:295-304. [PMID: 14613069 DOI: 10.1016/s8755-7223(03)00105-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Most nurse researchers are embedded in research ethics guidelines based predominantly on the ethical principles of autonomy, beneficence, and justice. They are oriented toward protecting the rights of individual research participants. However, in cross-cultural, community-based, and international projects, further examination is required of community rights, as an entity in and of itself, to acknowledge and protect the community's rights. We suggest that communitarian philosophy is a perspective for the researcher to use in examining cross-cultural and international ethical questions. To show this assertion, dilemmas in community research are examined by using case studies and existing research ethics guidelines. Specific recommendations are offered for nursing scientists in practice, educational, and research settings seeking to balance the rights of the individual with those of the community.
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Affiliation(s)
- Elissa Dresden
- University of Illinois at Chicago College of Nursing, 60612-7350, USA
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Rehm RS. Legal, financial, and ethical ambiguities for Mexican American families: caring for children with chronic conditions. QUALITATIVE HEALTH RESEARCH 2003; 13:689-702. [PMID: 12756688 DOI: 10.1177/1049732303013005007] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
The author reports findings from a study about experiences of 17 Mexican American families caring for children with serious chronic conditions. Legal, financial, and ethical ambiguities arose when parents' desire to provide necessary care for their children and providers' professional commitment to offer this care conflicted with United States laws, including welfare reform initiatives, requiring providers to determine eligibility before providing care to immigrants and to report undocumented care seekers to authorities. Families frequently felt intimidated because health care systems are complex, and legal residency status often varied among family members. Findings imply that official policy and education of family members should aim to assure that children with chronic conditions receive needed services without relying on providers to enforce immigration laws.
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