Ethical Risks and Management Experienced by Registered Nurses in Caring for Patients with Limb Amputation and Disability in a Tertiary Hospital, Southern Thailand.
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Abstract
Objective: This study aimed to explore ethical risks and ethical risk management of registered nurses in caring for impairment patients in a southern tertiary hospital. Methods: This qualitative descriptive research data were collected using demographic questionnaires and in-depth interviews focused on ethical risks and management experienced by registered nurses when caring for patients with limb amputation and disability. Demographic data were analyzed using frequency and percentage. Qualitative data were analyzed using content analysis. Results: The ethical risks consisted of 4 issues;1) providing insufficient information that caused anxiety to the patients, 2) delayed providing pain relief, 3) exposing the amputated area which caused embarrassment to the patients, and 4) neglecting psychological care to focus on physical care activities. The ethical risk management consisted of 5 issues; 1) providing information about injuries during the nursing rounds to reduce patient’s anxiety, 2) seeking additional knowledge of caring for patients with dismemberment and disabilities. 3) expressing empathy for others and having a kind heart, 4) expressing acceptance and sincere apologies, and 5) providing psychological support when the additional loss occurred and as soon as one was aware of it. Conclusion: The results of this research provide information for nurse administrators in promoting and developing ethical behaviors in nursing care.
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