Ethical problems experienced by school nurses.
This study explored school nurses' experience of ethical conflict in school nursing through interviews with six school nurses. The study examined how school nurses resolved ethical problems and the rationale used to resolve them. Emergent themes of ethical problems were professional relationship conflicts, delegation to and supervision of health assistants, child protection reporting, maintaining confidentiality, Do Not Resuscitate policy, and pressure to work outside of nursing practice standards. School nurses did not use ethical decision-making models in resolving conflict but demonstrated the use of professional standards, ethical principles, and personal values as rationale to resolve ethical problems. Results of this study suggested that school nurses would benefit from additional knowledge about ethical decision-making models. School nurses would also profit from hearing each other's voices through dialogue about ethical problems and decision making.
Solum
Linda L
LL
West St. Paul Schools, St. Paul, MN, USA.
Schaffer
Marjorie A
MA
D000223:Adaptation, Psychological; D001291:Attitude of Health Personnel; D002648:Child; D002651:Child Advocacy / Q000941:ethics; D003219:Confidentiality / Q000941:ethics; D003220:Conflict, Psychological; D003661:Decision Support Techniques; D006801:Humans; D007400:Interprofessional Relations / Q000941:ethics; D008910:Minnesota; D016294:Models, Nursing; D024802:Nurse's Role / Q000523:psychology; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000941:ethics* / Q000523:psychology*; D032024:Personnel Delegation; D011340:Problem Solving / Q000941:ethics*; D036301:Qualitative Research; D016414:Resuscitation Orders / Q000941:ethics; D012573:School Nursing / Q000941:ethics* / Q000379:methods*; D011795:Surveys and Questionnaires