scholarly journals Conscientious object in nursing: Regulations and practice in two European countries

2019 ◽  
Vol 27 (1) ◽  
pp. 168-183
Author(s):  
Beata Dobrowolska ◽  
Ian McGonagle ◽  
Anna Pilewska-Kozak ◽  
Ros Kane
Keyword(s):  
United Kingdom ◽  
Nursing Practice ◽  
Care Delivery ◽  
Conscientious Objection ◽  
Ethical Guidelines ◽  
Discussion Paper ◽  
The United Kingdom ◽  
Clinical Nursing ◽  
Patient Documentation ◽  
Line Manager

Background: The concept of conscientious objection is well described; however, because of its nature, little is known about real experiences of nursing professionals who apply objections in their practice. Extended roles in nursing indicate that clinical and value-based dilemmas are becoming increasingly common. In addition, the migration trends of the nursing workforce have increased the need for the mutual understanding of culturally based assumptions on aspects of health care delivery. Aim: To present (a) the arguments for and against conscientious objection in nursing practice, (b) a description of current regulations and practice regarding conscientious objection in nursing in Poland and the United Kingdom, and (c) to offer a balanced view regarding the application of conscientious objection in clinical nursing practice. Design: Discussion paper. Ethical considerations: Ethical guidelines has been followed at each stage of this study. Findings: Strong arguments exist both for and against conscientious objection in nursing which are underpinned by empirical research from across Europe. Arguments against conscientious objection relate less to it as a concept, but rather in regard to organisational aspects of its application and different mechanisms which could be introduced in order to reach the balance between professional and patient’s rights. Discussion and conclusion: Debate regarding conscientious objection is vivid, and there is consensus that the right to objection among nurses is an important, acknowledged part of nursing practice. Regulation in the United Kingdom is limited to reproductive health, while in Poland, there are no specific procedures to which nurses can apply an objection. The same obligations of those who express conscientious objection apply in both countries, including the requirement to share information with a line manager, the patient, documentation of the objection and necessity to indicate the possibility of receiving care from other nurses. Using Poland and the United Kingdom as case study countries, this article offers a balanced view regarding the application of conscientious objection in clinical nursing practice.

Managing megaprojects: conceptual framework and international experience

2021 ◽  
Author(s):  
Simon Groom ◽  
Edna Armendáriz
Keyword(s):  
Latin America ◽  
United Kingdom ◽  
Conceptual Framework ◽  
International Experience ◽  
Institutional Arrangements ◽  
Discussion Paper ◽  
Optimism Bias ◽  
Delivery Performance ◽  
The United Kingdom

The discussion paper analyzes international experience in megaproject management, identifying problems and delivery performance. The most important distortions are optimism bias and strategic misrepresentation. it explores the approaches of Norway and the United Kingdom. Both countries have strengthened the robustness of planning and appraisal for megaprojects and have established specific methods and institutional arrangements for these projects to strengthen governance and transparency. Finally, some lessons are put forward that could help other countries, especially in Latin America, when embarking on megaprojects.

scholarly journals Moral Distress and Moral Courage in Everyday Nursing Practice

2011 ◽  
Vol 16 (2) ◽  
Author(s):  
Ann Gallagher
Keyword(s):  
United Kingdom ◽  
Nursing Practice ◽  
Moral Distress ◽  
Moral Courage ◽  
Work Setting ◽  
Cultural Contexts ◽  
The United Kingdom

In this article the author examines the concepts of moral distress and moral courage within the context of nursing practice. Examples of challenging healthcare situations from the United Kingdom and Ireland are discussed in the light of the examination of these two concepts. The examples illuminate features of healthcare situations that need to be considered in relation to different organisational and cultural contexts. This requires an understanding of the complexity of clinical contexts and an appreciation of the fallibility and vulnerability of nurses and other practitioners. The goal of this article is to encourage healthcare organisations to create supportive structures and sensitive leadership that will enhance moral courage in the work setting.

Religious Rights versus Sexual Orientation Discrimination: A Fair Deal for Everyone

2015 ◽  
Vol 10 (2) ◽  
pp. 128-159
Author(s):  
Erica Howard
Keyword(s):  
United Kingdom ◽  
Sexual Orientation ◽  
Conscientious Objection ◽  
Orientation Discrimination ◽  
Reasonable Accommodation ◽  
The United Kingdom ◽  
Sexual Orientation Discrimination ◽  
The Right ◽  
Fair Deal

This article examines restrictions on the right to manifest one’s religion which are held to be justified for the protection of the rights of others, in particular, the right not to be discriminated against on the ground of one’s sexual orientation. Eweida and Others v. the United Kingdom is scrutinised and it is argued that this suggests three possible ways of dealing with cases where an employee refuses to carry out certain parts of their job because of their religion or belief: using the “free to resign” rule; imposing a duty of reasonable accommodation on employers; and, providing for a conscientious objection exemption. These will be analysed with particular attention for their restrictions and limitations. This should lead to a conclusion as to whether these rights can be reconciled in a way that provides a fair deal for everyone.

Antigone Betrayed? The European Court of Human Rights’ Decisions on Conscientious Objection to Abortion in the Cases of Grimmark v. Sweden and Steen v. Sweden

2020 ◽  
pp. 1-22
Author(s):  
Irene Domenici
Keyword(s):  
Human Rights ◽  
United Kingdom ◽  
Case Law ◽  
Conscientious Objection ◽  
European Convention ◽  
The United Kingdom ◽  
European Consensus ◽  
Article 9 ◽  
European Court

Abstract The article deals with the recent decisions of the European Court of Human Rights in the cases of two Swedish midwives who claimed a right to conscientious objection to abortion under Article 9 of the European Convention on Human Rights (ECHR). After giving an overview of the relevant previous case-law of the Court, I argue that the decisions of inadmissibility in the midwives’ cases are a step backwards in the promising evolution of the Court’s jurisprudence that began with the judgments in the cases of Eweida and others v. the United Kingdom and Bayatyan v. Armenia. In particular, the Court’s reasoning in Grimmark v. Sweden and Steen v. Sweden failed to take into consideration the existence of a European consensus and the fact that less restrictive alternatives could have reasonably accommodated the conscientious claims of the two applicants.

Day Care in the United Kingdom and the Netherlands: A Comparative Study

1991 ◽  
Vol 11 (3) ◽  
pp. 245-273 ◽  
Author(s):  
Henk Nies ◽  
Susan Tester ◽  
Jan Maarten Nuijens
Keyword(s):  
United Kingdom ◽  
The Netherlands ◽  
Government Policy ◽  
Day Care ◽  
Care Delivery ◽  
Professional Standards ◽  
Design Quality ◽  
Care Services ◽  
Supply And Distribution ◽  
The United Kingdom

ABSTRACTThe United Kingdom and the Netherlands differ significantly with respect to structure, policy, legislation and financing of their care delivery systems. Day care services for elderly people thus developed in considerably different policy and socio-historical contexts. In this article various aspects of day care in the two countries are compared. The most marked distinctions between the countries concern supply and distribution of services. The practice of day care, however, appears to be very similar, as indicated by similar objectives, care and activities, staffing and premises, and demographic, social and medical characteristics of users. Some differences are noted concerning problems with transport and organisational linkages of day care services. It is concluded that the supply and distribution of services are largely determined by government policy and that design, quality and day-today practice are primarily a consequence of professional standards and the needs of users and their relatives. Further, a new conceptualisation of day care is advocated: different terminology, more flexibility and a wider range of activities. Finally, the future contributions of day care within both countries' policy contexts are discussed.

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