Moral competence among nurses in Malawi: A concept analysis approach

2018 ◽  
Vol 26 (5) ◽  
pp. 1361-1372 ◽  
Author(s):  
Veronica Mary Maluwa ◽  
Elizabeth Gwaza ◽  
Betty Sakala ◽  
Esnath Kapito ◽  
Ruth Mwale ◽  
...  
Keyword(s):  
Nursing Practice ◽  
Ethical Decision Making ◽  
Code Of Ethics ◽  
Concept Analysis ◽  
Team Work ◽  
Moral Competence ◽  
Training Environment ◽  
Positive Attitudes ◽  
Antecedents And Consequences ◽  
Improved Performance

Background: Nurses are expected to provide comprehensive, holistic and ethically accepted care according to their code of ethics and practice. However, in Malawi, this is not always the case. This article analyses moral competence concept using the Walker and Avant's strategy of concept analysis. Objective: The aim of this article is to analyse moral competence concept in relation to nursing practice and determine defining attributes, antecedents and consequences of moral competence in nursing practice. Method: Analysis of moral competence concept was done using Walker and Avant's strategy of concept analysis. Results: Deductive analysis was used to find the defining attributes of moral competence, which were kindness, compassion, caring, critical thinking, ethical decision making ability, problem solving, responsibility, discipline, accountability, communication, solidarity, honesty, and respect for human values, dignity and rights. The identified antecedents were personal, cultural and religious values; nursing ethics training, environment and guidance. The consequences of moral competence are team work spirit, effective communication, improved performance and positive attitudes in providing nursing care. Conclusion: Moral competence can therefore be used as a tool to improve care in nursing practice to meet patients' problems and needs and consequently increase public's satisfaction in Malawi.

Best Interests: a Concept Analysis and Its Implications for Ethical Decision-Making in Nursing

1995 ◽  
Vol 2 (2) ◽  
pp. 149-160 ◽  
Author(s):  
Pat Rose
Keyword(s):  
Decision Making ◽  
Patient Autonomy ◽  
Ethical Decision ◽  
Nursing Practice ◽  
Ethical Decision Making ◽  
Concept Analysis ◽  
Nurse Education ◽  
Best Interests ◽  
Best Interest ◽  
Antecedents And Consequences

The purpose of this paper is to analyse the concept of 'best interest' in order to give nurses, who use it to justify their actions, a clear picture of what this means, and to identify the skills needed for doing so. The process for concept analysis developed by Walker and Avant was used in the analysis of data generated from the literature. Themes were identified from which the defining attributes, antecedents and consequences emerged. The congruence of the findings with current values in nursing, such as promotion of patient autonomy, and the nurse as advocate, are discussed, together with the underpinning ethics theory. The skills needed for nursing practice are identified and recommendations for nurse education are made.

Commitment: A concept analysis in nursing field

MedPharmRes ◽  
2019 ◽  
Vol 2 (4) ◽  
pp. 20-25
Author(s):  
Nhan Nguyen ◽  
Xuan Nguyen
Keyword(s):  
Nursing Practice ◽  
Concept Analysis ◽  
Nursing Knowledge ◽  
Health Promoting ◽  
Antecedents And Consequences ◽  
Analysis Concept

Aim: To clarify the meaning of commitment and to provide the empirical referents to measure the concept of commitment. Method: By using the Walker and Avant (2011) methodology, data were analyzed with the focusing on critical attributes of concept, constructed cases, antecedents and consequences of the concept. Additionally, the empirical referents and implications for nursing knowledge are presented to further elucidate the concept of commitment. Findings: The critical attributes of commitment derived from this analysis are 1) Promising to involve in an action; 2) Acceptance of responsibility for the action; and 3) Persistent involvement in an action. The process of analysis concept of commitment leads to a better understanding of the concept itself. Nurses can use the ideas of this analysis as conceptual tools to assess the level of commitment among patients/clients in their action toward the health promoting behavior. Conclusion: This analysis proposes a definition with the critical attributes of the concept which can be considered to use in nursing practice. Nursing is a universal profession; hence, the definition was proposed from this concept analysis can be considered as a beginning point for the further study in nursing field of each country.

scholarly journals Good nursing care: Rodgers’ evolutionary concept analysis

2020 ◽  
Author(s):  
Akram Ghahramanian ◽  
Maryam Rassouli ◽  
Vahid Zamanzadeh ◽  
Leila Valizadeh ◽  
Elnaz Asghari
Keyword(s):  
Nursing Practice ◽  
Quality Care ◽  
Quality Of Healthcare ◽  
Concept Analysis ◽  
Care Quality ◽  
Evolutionary Approach ◽  
Good Care ◽  
Antecedents And Consequences ◽  
Care Costs

Background & Aim: Considering that the main responsibility of the nurses is to give care to the patients, concept analysis of good care by providing a clear definition will promote nursing practice and quality of healthcare. This study aims to clarify the concept of good care through the use of Rodgers's evolutionary approach. Methods & Materials: This study used Rodgers's evolutionary approach. The keywords of good care, quality care, and similar words were used for searching from CINHAL, PubMed, Emerald, Elsevier, and Scopus databases. Literature published in English between 2000- 2018 was included. Forty-one articles were selected and content analysis was used to distinguish attributes, antecedents, and consequences of good care. Results: According to the finding, care was considered as good that was accompanied by the up-to-date knowledge and by doing procedural care skillfully and safely led to recovery, reducing health care costs, and patient satisfaction through an effective and efficient relationship with the patient. Conclusion: Skillful practice, well-informed knowledge, and effective communication are the most important inputs for nurses to provide good care for the patients and the lack of these, especially in the case of using an unprofessional workforce in nursing, is a serious threat to patient care.

Moral distress in midwifery practice: A concept analysis

2021 ◽  
pp. 096973302110239
Author(s):  
Wendy Foster ◽  
Lois McKellar ◽  
Julie Fleet ◽  
Linda Sweet
Keyword(s):  
Moral Distress ◽  
Ethical Decision Making ◽  
Concept Analysis ◽  
Moral Awareness ◽  
Model Case ◽  
Midwifery Practice ◽  
Moral Uncertainty ◽  
Sequential Mixed Methods ◽  
Antecedents And Consequences ◽  
Definition Of

Research suggests that the incidence of moral distress experienced by health professionals is significant and increasing, yet the concept lacks clarity and remains largely misunderstood. Currently, there is limited understanding of moral distress in the context of midwifery practice. The term moral distress was first used to label the psychological distress experienced following complex ethical decision-making and moral constraint in nursing. The term is now used across multiple health professions including midwifery, nursing, pharmacy and medicine, yet is used cautiously due to confusion regarding its theoretical and contextual basis. The aim of this study is to understand the concept of moral distress in the context of midwifery practice, describing the attributes, antecedents and consequences. This concept analysis uses Rodgers’ evolutionary framework and is the first stage of a sequential mixed-methods study. A literature search was conducted using multiple databases resulting in eight articles for review. Data were analysed using NVivo12©. Three core attributes were identified: moral actions and inactions, conflicting needs and negative feelings/emotions. The antecedents of clinical situations, moral awareness, uncertainty and constraint were identified. Consequences of moral distress include adverse personal professional and organisational outcomes. A model case depicting these aspects is presented. A midwifery focused definition of moral distress is offered as ‘a psychological suffering following clinical situations of moral uncertainty and/or constraint, which result in an experience of personal powerlessness where the midwife perceives an inability to preserve all competing moral commitments’. This concept analysis affirms the presence of moral distress in midwifery practice and provides evidence to move towards a consistent definition of moral distress.

Awareness and Decision Making in Professional Ethics

2000 ◽  
Vol 5 (1) ◽  
pp. 19-27 ◽  
Author(s):  
Ronny Swain
Keyword(s):  
Decision Making ◽  
Professional Ethics ◽  
Ethical Decision Making ◽  
Code Of Ethics ◽  
Professional Autonomy ◽  
Ethical Awareness ◽  
Ethical Decisions ◽  
The Right ◽  
Aid Decision

The paper describes the development of the 1998 revision of the Psychological Society of Ireland's Code of Professional Ethics. The Code incorporates the European Meta-Code of Ethics and an ethical decision-making procedure borrowed from the Canadian Psychological Association. An example using the procedure is presented. To aid decision making, a classification of different kinds of stakeholder (i.e., interested party) affected by ethical decisions is offered. The author contends (1) that psychologists should assert the right, which is an important aspect of professional autonomy, to make discretionary judgments, (2) that to be justified in doing so they need to educate themselves in sound and deliberative judgment, and (3) that the process is facilitated by a code such as the Irish one, which emphasizes ethical awareness and decision making. The need for awareness and judgment is underlined by the variability in the ethical codes of different organizations and different European states: in such a context, codes should be used as broad yardsticks, rather than precise templates.

Supporting Ethical Decision Making – A Tool for Ethical Reflection on Care Technologies

2021 ◽  
Vol 66 (Special Issue) ◽  
pp. 84-85
Author(s):  
Katrin Grüber ◽  
◽  
Elena Loevskaya ◽  
◽  
Keyword(s):  
Ethical Decision ◽  
Nursing Practice ◽  
Ethical Decision Making ◽  
Digital Technologies ◽  
Ethical Reflection ◽  
Ethical Considerations ◽  
Care Facilities ◽  
Home Context ◽  
Low Threshold ◽  
Care Innovation

"The tool FreTiP (Fragen zur ethischen Reflexion von digitalen Technologien in der Pflegepraxis – questions on ethical reflection of digital technologies in nursing practice) was developed in 2020 by the Institute Mensch, Ethik und Wissenschaft (IMEW) as part of ELSI research in the PPZ-Berlin project. Our aim was to develop an instrument that stimulates and supports ethical reflection processes in the application of digital care innovation technologies in practice. Ethical considerations are part of everyday (nursing) life, are closely interwoven with other aspects and are therefore difficult to recognise as such. The starting thesis of our work was that actors in care act on the basis of value concepts that they are more or less aware of. An ethics that is consciously integrated into everyday care takes into account all aspects that are relevant for an action or decision. In this respect, it is important to look at ethics in context and not to understand “ethics” as something isolated, coming from outside. Based on this, the development of the instrument should not consist of “breaking down” ethical concepts and theories to practice, but of ethically locating, structuring and making applicable the experiences, questions and needs of the actors working in nursing practice. Thus, FreTiP is not only to be considered practice-oriented, but also to a certain extent practice-based. The instrument was designed to be suitable for everyday care in clinics, care facilities and in the home context. FreTiP was developed as a low-threshold instrument that can be used flexibly and that takes into account the perspective of patients as well as carers. The development of the instrument was preceded by a triangulated study that included a literature review, interviews and (non-)participatory observations. In the paper, experiences with the ethical reflection tool FreTiP will be presented. "

scholarly journals CHILD GROWTH: CONCEPT ANALYSIS

2016 ◽  
Vol 25 (2) ◽  
Author(s):  
Flávia Paula Magalhães Monteiro ◽  
Thelma Leite de Araujo ◽  
Tahissa Frota Cavalcante ◽  
Telma Alteniza Leandro ◽  
Silvestre Péricles Cavalcante Sampaio Filho
Keyword(s):  
Decision Making ◽  
Concept Analysis ◽  
Child Growth ◽  
Cochrane Library ◽  
Evolutionary Analysis ◽  
Physical Domain ◽  
Analysis Model ◽  
Theoretical Understanding ◽  
Antecedents And Consequences ◽  
The Cochrane Library

ABSTRACT The aim of this study was to analyze the concept of child growth by identifying the attributes and consequences that make up the phenomenon. The concept analysis was supported by 41 studies and based on the evolutionary analysis model and integrative literature review. Five databases, Scopus, CINAHL, LILACS, PubMed, and the Cochrane Library were searched to select articles. The search found that growth has presented different connotations, including social and physiological aspects, which are part of the physical domain of child development. Attributes, antecedents, and consequences identified provide an overview of the phenomenon analyzed, because these point out several aspects previously related to other studies on child growth. The theoretical understanding about child growth can offer nurses in-depth knowledge about factors involved in this process, facilitating intervention-based decision-making.

scholarly journals Health System Strategies and Adolescent Sexual Health: A Systematic Review of the Literature using Rodgers Concept Analysis Framework

2021 ◽  
Vol 14 (1) ◽  
pp. 526-536
Author(s):  
Wilfred Njabulo Nunu ◽  
Lufuno Makhado ◽  
Jabu Tsakani Mabunda ◽  
Rachel Tsakani Lebese
Keyword(s):  
Sexual Health ◽  
Health Outcomes ◽  
Health System ◽  
Conceptual Framework ◽  
Health Systems ◽  
Concept Analysis ◽  
Sexual Practices ◽  
Analysis Framework ◽  
Adolescent Sexual Health ◽  
Antecedents And Consequences

Background: Health Systems Strategies play a key role in determining Adolescent Sexual Health outcomes. This study aims to review the literature on the relationship between Health Systems Strategies and Adolescent Sexual Health issues guided by Rodger's evolutionary concept analysis framework. The study further develops a Conceptual Framework that would guide a study that seeks to “Develop strategies to facilitate safe sexual practices in adolescents through Integrated Health Systems in selected Districts in Zimbabwe.” Methods: Adolescents, Health Systems, Sexual Health, and Strategies were used to search for published literature (in English) on Google Scholar, PUBMED, EBSCO, Cochran Library, and Science Direct. A total of 142 Articles and 11 reports were obtained, and the content was screened for relevance. This led to 42 articles and 03 reports being found suitable and relevant, and thus, the content was reviewed. Thematic analysis was done to identify attributes, antecedents, and consequences of Health Systems Strategies on Adolescent Sexual Health. These findings were then used to inform the development of the Conceptual Framework. Results: Key attributes, antecedents and consequences of Health System Strategies on Adolescent Sexual Health were identified. Strategies to Improve Adolescent Sexual Health outcomes were also identified. Conclusions: Different contextual factors influence policy changes and the consequences are mixed, with both positive and negative outcomes.

Teaching Ethics in Nursing

2002 ◽  
Vol 9 (3) ◽  
pp. 259-268 ◽  
Author(s):  
Leyla Dinç ◽  
Refia Selma Görgülü
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Code Of Ethics ◽  
Legal Aspects ◽  
Examination System ◽  
Course Content ◽  
Case Study Analysis ◽  
Effective Learning ◽  
School Of Nursing

Being a professional nurse requires ethical decision making and this in turn necessitates an effective learning process. The active participation of students in the teaching of ethics will contribute to this process. This study was conducted at Hacettepe University School of Nursing, Ankara, Turkey, to determine the views of students about the nursing ethics content in the curriculum, the examination system, and some educational characteristics of the teachers responsible for the course. The sample comprised 113 students who participated voluntarily. In general, the students expressed a positive view relating to the course content and the teachers. The majority stated that the discussions on case study analysis by using ethical principles, rights, legal aspects and the use of the International Council of Nurses Code of Ethics were very useful in developing ethical decision-making skills. We believe that the results of this study will enhance our efforts in amending this course and improving the ethical decision-making skills of our students.

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