Moral distress and patients who forego care due to cost.

Background: In the US, many patients forgo recommended care due to cost. The ANA Code of Ethics requires nurses to give care based on need. Therefore, US nurses are compelled to practice in a context which breaches their professional ethical code.

Care and Ethics: Inseparable and Relational.

The background ethical dimension of care is often overlooked but always present.

The Moral Distress of Nurses When Patients Forgo Treatment Because of Cost.

Nursing must recognize an ethical obligation to respond on behalf of these patients.

Ethical Considerations When Dismissing Patients for Noncompliance.

APRNs remain guided, first of all, by the ANA Code of Ethics.

Nursing's professional dignity in palliative care: Exploration of an Italian context.

Aims And Objectives: To determine the relevance of nursing's professional dignity in palliative care.

Background: Dignity is a valued concept in the ethical discourse of health disciplines. Nursing's professional dignity, a concept related to professional identity, is not clearly defined nor have its characteristics been delineated for its clinical relevance in palliative care.

Enabling Advance Directive Completion: Feasibility of a New Nurse-Supported Advance Care Planning Intervention.

Adults who complete an advance directive (AD) are not consistently offered information about the risks, benefits, or alternatives (RBA) of the life-sustaining medical procedures addressed on standardized forms. The current article describes a new patient-centered nurse-supported advance care planning (NSACP) intervention focused on providing information about RBA of life-sustaining procedures. Fifty participants (mean age = 50.

The Ethical and Legal Implications of a Nurse's Arrest in Utah.

Editor's note: On July 26, 2017, Alex Wubbels, the charge nurse on the burn unit at the University of Utah Hospital in Salt Lake City, was arrested for refusing to allow a police officer to draw blood from an unconscious patient in her care. Her arrest, during which she was forcefully placed in handcuffs and dragged out of the hospital, was documented on body camera video and drew national attention. We asked our ethical and legal contributing editors to provide some insight on the issues of this case.

What Nurses Talk About When They Are Talking About Ethics.

The first step toward solutions to ethical problems.

Lessons Learned from Litigation: Legal and Ethical Consequences of Social Media.

Editor's note: To the surprise of many, a Canadian nurse's Facebook post complaining about the medical care a family member had received resulted in disciplinary action by the licensing board. We asked our legal and ethical contributing editors to provide some insight on the issues of this case.

Indian nurses in Italy: a qualitative study of their professional and social integration.

Aims And Objectives: To investigate the lived subjective experiences of immigrant Indian nurses in Italy and specifically their professional and social integration.

Background: To study the worldwide, nursing flux is a health priority in the globalised world. The growth in migration trends among nurses, not only from Philippines or India, has proliferated in recent years.

Determining When an Activity Is or Is Not Research.

Practical and ethical considerations for nurses engaged in QI and other projects.

Nursing's professional respect as experienced by hospital and community nurses.

Background: There is growing awareness that patient care suffers when nurses are not respected. Therefore, to improve outcomes for patients, it is crucial that nurses operate in a moral work environment that involves both recognition respect, a form of respect that ought to be accorded to every single person, and appraisal respect, a recognition of the relative and contingent value of respect modulated by the relationships of the healthcare professionals in a determined context. Research question/aim: The purpose of this study was to develop better understandings of perceptions of nursing's professional respect in community and hospital settings in England.

Chromatin Modulatory Proteins and Olfactory Receptor Signaling in the Refinement and Maintenance of Fruitless Expression in Olfactory Receptor Neurons.

During development, sensory neurons must choose identities that allow them to detect specific signals and connect with appropriate target neurons. Ultimately, these sensory neurons will successfully integrate into appropriate neural circuits to generate defined motor outputs, or behavior. This integration requires a developmental coordination between the identity of the neuron and the identity of the circuit.

Ethical Case Study of the Researcher-Participant Relationship in End-of-Life Research.

Nurse-researchers studying interventions for patients at the end-of-life may become close with participants due to the nature of interactions within the research protocol. In such studies, participants may request further interactions that would constitute clinical care beyond the scope of the protocol. Nurse-researchers may feel a conflict of values between their obligation to the research goals and their inclinations and obligations as nurses to care for their patients.

Ethically Relevant Differences in Advance Directives for Psychiatric and End-of-Life Care.

Background: Psychiatric advance directives (PADs) represent a shift from more coercive to more recovery-oriented care and hold the promise of empowering patients while helping fill the gap in treatment of non-dangerous patients lacking decision-making capacity. Advance directives for end-of-life and psychiatric care share an underlying rationale of extending respect for patient autonomy and preventing the harm of unwanted treatment for patients lacking the decision-making capacity to participate meaningfully in planning their care.

Objective: Ethically relevant differences in applying advance directives to end-of-life and psychiatric care are discussed.

Teaching Crucial Knowledge vs. Helping Out on the Unit.

When a clinical instructor must weigh the duty to educate against urgent patient care needs.

Ethical issues for nurses in force-feeding Guantánamo Bay detainees.

Military nurses face conflicting ethical imperatives.

The ethics of denying smokers employment in health care.

Such policies send a powerful message, but are the underlying assumptions defensible?