Collaboration: A Tool Addressing Ethical Issues for Elderly Patients Near the End of Life in Intensive Care Units

Baggs, Judith Gedney; Mick, Diane J.

doi:10.3928/0098-9134-20000901-09

Cited by 16 publications

(7 citation statements)

References 47 publications

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“…Communication and collaboration between nurses and physicians seems to reduce the incidence of nurses' moral distress. In turn, the relationships between nurses and physicians are strongly related to patient outcomes (Baggs & Mick, 2000). Baggs and Mick (2000) reported that their findings are consistent with a number of studies done in the past three decades that showed that nurse-physician collaboration has positive correlation with lower than expected mortality, less decline in functional status, fewer acute care days, and fewer readmissions.…”

Section: Discussionmentioning

confidence: 71%

“…In turn, the relationships between nurses and physicians are strongly related to patient outcomes (Baggs & Mick, 2000). Baggs and Mick (2000) reported that their findings are consistent with a number of studies done in the past three decades that showed that nurse-physician collaboration has positive correlation with lower than expected mortality, less decline in functional status, fewer acute care days, and fewer readmissions. This suggests that strategies to improve nurse-physician collaboration in the institutional setting have the potential to both prevent nurses' moral distress and improve patient outcomes.…”

Section: Discussionmentioning

confidence: 71%

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Moral Reckoning in Nursing

2006

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Analysis of qualitative data resulted in an original substantive grounded theory of moral reckoning in nursing, a three-stage process. After a novice period, the nurse experiences a stage of ease in which there is comfort in the workplace and congruence of internal and external values. Unexpectedly, a situational bind occurs in which the nurse's core beliefs come into irreconcilable conflict with external forces. This compels the nurse into the stage of resolution, in which he or she either gives up or makes a stand. The nurse then moves into the stage of reflection in which he or she lives with the consequences and iteratively examines beliefs, values, and actions. The nurse tries to make sense of experiences through remembering, telling the story, and examining conflicts. This study sets the stage for further investigation of moral distress. The theory of moral reckoning challenges nurses to tell their stories, examine conflicts, and participate as partners in moral decision making.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 71%

Moral Reckoning in Nursing

2006

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“…Although these statements acknowledge that improving nurse/physician collaboration is crucial, they offer few concrete suggestions. More detailed discussions of collaboration may be found in the nursing literature (25)(26)(27). Nurse/physician collaboration has been shown to improve a variety of ICU patient outcomes (28 -30) and may be particularly important in EOLC for several reasons.…”

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confidence: 99%

Nurse-physician perspectives on the care of dying patients in intensive care units: Collaboration, moral distress, and ethical climate*

Hamric

Blackhall

2007

Critical Care Medicine

649

661

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Registered nurses experienced more moral distress and lower collaboration than physicians, they perceived their ethical environment as more negative, and they were less satisfied with the quality of care provided on their units than were physicians. Provider assessments of quality of care were strongly related to perception of collaboration. Improving the ethical climate in ICUs through explicit discussions of moral distress, recognition of differences in nurse/physician values, and improving collaboration may mitigate frustration arising from differences in perspective.

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“…A baseline of the data before implementation would benefit, as it would show how the evidence has contributed to patient care. Audit and feedback through the process of implementation should be conducted (Thomson O Brien et al, 2003;Jamtvedt et al, 2004) and success will not be achieved without support from frontline leaders and the organization (Baggs and Mick, 2000;Carr and Schott, 2002;Stetler, 2003). Evaluation will highlight the programme's impact but its consistency can only be assessed against an actual change occurring and having the desired effect (Pearson et al, 2007).…”

Section: Process Of Introducing Evidence-based Practicementioning

confidence: 99%

Introducing evidence into nursing practice: using the IOWA model

Doody¹,

Doody

2011

Br J Nurs

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Evidence-based practice has gained increasing popularity in all healthcare settings. Nurses are urged to use up-to-date research evidence to ensure better patient outcomes and inform decisions, actions and interactions with patients, to deliver the best possible care. Within the practice setting, there is an increasing challenge to provide clearly measurable care of the highest quality, which is evidence-based. In order for nurses to operate from an evidence-based perspective, they need to be aware of how to introduce, develop and evaluate evidence-based practice. This article presents how evidence may be introduced into practice using the Iowa model, offering practical advice and explanation of the issues concerning nurses in practice.

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Collaboration: A Tool Addressing Ethical Issues for Elderly Patients Near the End of Life in Intensive Care Units

Cited by 16 publications

References 47 publications

Moral Reckoning in Nursing

Moral Reckoning in Nursing

Nurse-physician perspectives on the care of dying patients in intensive care units: Collaboration, moral distress, and ethical climate*

Introducing evidence into nursing practice: using the IOWA model

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