Enhancing nurses' ethical practice: development of a clinical ethics program.
There is increasing attention paid to ethics under managed care; however, few clinical-based ethics programs are reported. This paper reports the assessment and outcomes of one such program. A quasi-experimental research design with t-tests is used to assess the outcome differences between participants and control groups. There are twenty nurses in each; they are assessed for comparability. Differences are predicted on two outcomes using reliable and valid measures: nurses' time with their patients in ethics discussions, and nurses' opinions regarding their clinical ethics environments. Results reveal a statistically significant difference (p <.05) between the two groups, with modest positive change in the participants. Additional exploratory analyses are reported on variables influential in health care services.
McDaniel
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Center for Business, Religion, and Professions, Pittsburgh Theological Seminary, Pittsburgh, PA, USA.
D000328:Adult; D002983:Clinical Competence; D004509:Education, Nursing, Continuing; D004993:Ethics, Nursing / Q000193:education*; D005260:Female; D018166:Health Care Reform; D006801:Humans; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000193:education / Q000592:standards*; D014481:United States