“I’m sure we talked about it”: Midwives experiences of ethics education and ethical dilemmas, a qualitative study

Megregian, Michele; Low, Lisa Kane; Emeis, Cathy; Vries, Raymond De; Nieuwenhuijze, Marianne

doi:10.1016/j.wombi.2019.12.005

Cited by 7 publications

(4 citation statements)

References 25 publications

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“…Such structured approaches have not been developed or tested in the prehospital setting but are warranted. Likewise, training involving ethical aspects or challenges has been proposed within the in-hospital setting [ 39 , 41 , 42 ], but similarly has not been attempted in the prehospital setting where the organisational structure and work environment may impact how and when training is feasible.…”

Section: Discussionmentioning

confidence: 99%

Ethical considerations in the prehospital treatment of out-of-hospital cardiac arrest: A multi-centre, qualitative study

Milling¹,

Nielsen²,

Kjær³

et al. 2023

PLoS ONE

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Background Prehospital emergency physicians have to navigate complex decision-making in out-of-hospital cardiac arrest (OHCA) treatment that includes ethical considerations. This study explores Danish prehospital physicians’ experiences of ethical issues influencing their decision-making during OHCA. Methods We conducted a multisite ethnographic study. Through convenience sampling, we included 17 individual interviews with prehospital physicians and performed 22 structured observations on the actions of the prehospital personnel during OHCAs. We collected data during more than 800 observation hours in the Danish prehospital setting between December 2019 and April 2022. Data were analysed with thematic analysis. Results All physicians experienced ethical considerations that influenced their decision-making in a complex interrelated process. We identified three overarching themes in the ethical considerations: Expectations towards patient prognosis and expectations from relatives, bystanders, and colleagues involved in the cardiac arrest; the values and beliefs of the physician and values and beliefs of others involved in the cardiac arrest treatment; and dilemmas encountered in decision-making such as conflicting values. Conclusion This extensive qualitative study provides an in-depth look at aspects of ethical considerations in decision-making in prehospital resuscitation and found aspects of ethical decision-making that could be harmful to both physicians and patients, such as difficulties in handling advance directives and potential unequal outcomes of the decision-making. The results call for multifaceted interventions on a wider societal level with a focus on advance care planning, education of patients and relatives, and interventions towards prehospital clinicians for a better understanding and awareness of ethical aspects of decision-making.

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Section: Discussionmentioning

confidence: 99%

Ethical considerations in the prehospital treatment of out-of-hospital cardiac arrest: A multi-centre, qualitative study

Milling¹,

Nielsen²,

Kjær³

et al. 2023

PLoS ONE

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“…In the context of social-and health care, ethical competence has been studied from both the perspectives of nursing [22,23] and education [24,25]. Teaching ethics is important for developing the ethical competence of social-and health care professionals; however, ethical competence is also based on an individual's personal experiences, knowledge, and communication [22].…”

Section: Introductionmentioning

confidence: 99%

“…Teaching ethics is important for developing the ethical competence of social-and health care professionals; however, ethical competence is also based on an individual's personal experiences, knowledge, and communication [22]. Nurses make decisions related to ethical issues on a daily basis [23]; therefore, it is important that the teaching of ethics equips students to identify ethical problems and enables them to develop ethical competence through practice [25,26]. Health care professionals face diverse ethical issues and -for this reason -require strong ethical competence to manage conflicts [22,23].…”

Section: Introductionmentioning

confidence: 99%

Ethical and cultural competence of social‐ and health care educators from educational institutions – Cross‐sectional study

Erkkilä

Koskenranta

Kuivila

et al. 2023

Scandinavian Caring Sciences

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BackgroundThe international mobility has increased cultural diversity in social‐ and health care. As such, ethical and cultural competence is an essential skill among educators. They are promoting the ethical and cultural competence and professional growth of students with diverse backgrounds and, therefore, must be ethically and culturally competent.AimThe aim of the study was to identify distinct ethical and cultural competence profiles of social‐ and health care educators and explore the associated factors.Research DesignA descriptive cross‐sectional survey design was used to collect quantitative observational data in 2020–2021. Competence profiles were identified by K‐means clustering based on answers to an instrument focussing on educators' ethical and cultural competence.Participants and Research ContextParticipants (N = 1179, n = 243) were social‐ and health care educators based at 10 universities of applied sciences and 10 vocational colleges in Finland.Ethical ConsiderationsThe research adhered to good scientific practice. A research permit was received from each educational institution that participated in the study. The privacy of the participants was protected throughout the study.ResultsThe analysis identified three profiles of educators (A, B, C) based on self‐assessed ethical and cultural competence. Profile A educators demonstrated high scores across all three competence areas. Profile B educators had high scores for ethical knowledge and intermediate scores for other competence areas. Profile C educators demonstrated intermediate scores across all three competence areas. An educator's pedagogical education was found to significantly influence which profile they belonged to.ConclusionsThe educators generally evaluated their ethical and cultural competence highly. Educators understand the importance of professional ethics in their work, but they need additional support in developing ethics skills in their daily work. Among all educators, there is a need for developing international and culturally diverse collaboration.

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“…Education means striving for desirable and valuable changes in individuals, and moral education is one of the concerns of parents and educators, and only with proper moral education can we expect a healthy and developed society (8). Moral education means a process effort to help people understand and learn moral values and act on them in real life (9). Also, social education is a process for understanding and recognizing oneself and situations, the realization of which ensures having appropriate behaviors in different social situations (10).…”

Section: Introductionmentioning

confidence: 99%

Identifying the Effective Factors on Ethical and Social Education of Students

Sepehri

Niknami

Ghorchian

et al. 2021

IJES

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Background: Regarded to the rapid and increasing growth of science and technology, yet one of the main challenges of today's human beings is the issue of ethical and social education. As a result, this study was conducted with the aim of identifying the effective factors on ethical and social education of students with emphasis on the fundamental reform document of education. Method: This study in terms of purpose was applied and in terms of implementation was qualitative from type of content analysis. The research community was documents and resources and experts of education. The research sample was documents and resources related to ethical and social education and 22 experts of education who according to the principle of theoretical saturation were selected by purposive sampling method. Data were collected by take noting and semi-structured interview methods and were analyzed by content analysis method in three stages of open, axial and selective coding through MAXQDA software. Results: The findings showed that ethical and social education of students with emphasis on the fundamental reform document of education had 35 sub-factors and 6 main factors (factors of individual, family, local community, school, media and information technologies and changes in the world community). Finally, according to the sub and main factors, was designed the conceptual pattern of effective factors on ethical and social education of students with emphasis on the fundamental reform document of education. Conclusion:Based on the pattern of ethical and social education of present research, education specialists and planners can design and implement programs to improve the ethical and social education of students.

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“I’m sure we talked about it”: Midwives experiences of ethics education and ethical dilemmas, a qualitative study

Cited by 7 publications

References 25 publications

Ethical considerations in the prehospital treatment of out-of-hospital cardiac arrest: A multi-centre, qualitative study

Ethical considerations in the prehospital treatment of out-of-hospital cardiac arrest: A multi-centre, qualitative study

Ethical and cultural competence of social‐ and health care educators from educational institutions – Cross‐sectional study

Identifying the Effective Factors on Ethical and Social Education of Students

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