Ethical challenges of caring for burn patients: a qualitative study

Abstract

Background Burn patients are among the most vulnerable groups of patients requiring principled ethical care. Caring for these patients often brings various ethical challenges for the members of the health care teams, especially nurses, which affect the clinical decisions made for these patients. A limited number of studies have addressed the ethical challenges of caring for burn patients for the responsible caregivers, so the present study attempted to identify these challenges. The present study aimed to explore the health professionals' experiences of the ethical challenges during caring for burn patients. Methods This was a qualitative study with a descriptive, phenomenological design. 22 health professional practiced in public burn centers in Iran who met the inclusion criteria of the study were selected via purposeful sampling to participate in the study from June to August 2019. Data were collected using semi-structured, in-depth interviews with the individuals as well as field notes. Sampling was continued up to the data saturation. Thereafter, the collected data were analyzed using Colaizzi's method. Results The findings of the study yielded 3 themes, including respect for the patient's privacy, respect for the patient's personal identity, and care challenges, as well as 9 categories. Conclusion The findings of this study showed that the burn patients’ caregivers face some challenges in the domains of maintaining the patient's privacy, respecting the patient’s personal identity, and making the best clinical decision. Thus, providing the cultural, professional, and organizational requirements of meeting the challenges of caring for burn patients can consequently result in the caregivers’ inner peace and the improved performance.

Healthcare professionals’ families’ perception of life during COVID-19 in Iran: a qualitative study

“…The collected data were analysed based on Colaizzi’s method which consists of seven steps: 1—reading and re-reading each transcribed interview, 2—extracting important terms and phrases from the transcripts, 3—assigning meaning to the extracted units, 4—organizing and categorizing similar units, 5—providing comprehensive descriptions of the extracted categories, 6—creating a basic paradigm of subject under study based on extracted categories, and 7—confirming the basic paradigm with the participants verify themes and categories. 13–15 …”

Hambatan Perawat Dalam Memberikan Perawatan Paliatif Kepada Pasien: Kajian Literatur Integratif

“…Hambatan yang dialami oleh perawat dalam memberikan perawatan paliatif adalah hambatan psikologis (Chan et al, 2019;Rivera-Romero et al, 2019;Blaževičienė et al, 2020;Ducharlet et al, 2021;Robertsen & Skär, 2021) 3. Hambatan yang dialami oleh perawat dalam memberikan perawatan paliatif adalah hambatan klinis (Chan et al,2020;Bijani & Mohammadi, 2021;Uzelli Yilmaz et al, 2021;Robertsen & Skär, 2021;Chen et al, 2022) 4. Hambatan yang dialami oleh perawat dalam memberikan perawatan paliatif adalah hambatan sumber daya manusia (Hill et al,2018;Chan et al,2020…”

“…Tantangan klinis adalah salah satu tantangan ang dilaporkan oleh perawat dalam memberikan asuhan keperawatan kepada pasien dengan kondisi paliatif (Chan et al,2020;Bijani & Mohammadi, 2021;Uzelli Yilmaz et al, 2021;Chen et al, 2022). Tantangan klinis yang dilaporkan oleh perawat adalah berkaitan dengan pembuatan keputusan klinis.…”

“…Hambatan etik dan budaya yang dirasakan oleh perawat dalam memberikan perawatan paliatif dikemukakan oleh Bijani & Mohammadi (2021) dan Uzelli Yilmaz et al (2021). Menghargai identitas pasien termasuk kepercayaan, nilai-nilai yang diyakini, dan perbedaan keyakinan adalah tantangan etik yang paling dirasakan oleh perawat diruangan perawatan luka bakar (Bijani & Mohammadi, 2021). Kepercayaan dan nilai-nilai yang diyakini oleh pasien terkadang dapat menghambat hal-hal prinsip perawatan yang diberikan (Bijani & Mohammadi, 2021).…”

“…Menghargai identitas pasien termasuk kepercayaan, nilai-nilai yang diyakini, dan perbedaan keyakinan adalah tantangan etik yang paling dirasakan oleh perawat diruangan perawatan luka bakar (Bijani & Mohammadi, 2021). Kepercayaan dan nilai-nilai yang diyakini oleh pasien terkadang dapat menghambat hal-hal prinsip perawatan yang diberikan (Bijani & Mohammadi, 2021). Perilaku diskriminasi juga merupakan tantangan yang perlu di perhatikan oleh perawat dimana ia harus bersikap adil dalam memberikan perawatan tanpa membeda-bedakan.…”