Abstract

Much has been written about the importance of decision-making in nursing ethics, but few research studies have been completed which examine nurses' ethical decision-making. In order to address this absence of research, two concepts that are integral to nurses' ethical decision-making were analyzed: moral certainty and moral uncertainty. These concepts were studied in the context of the issue of withholding or withdrawing artificial nutrition and hydration. This issue was chosen as an exemplar of issues about which nurses feel morally certain or uncertain. The research questions addressed by this research were: (a) Are nurses morally certain or uncertain about whether artificial nutrition and hydration may be withdrawn from an elderly person in the end stages of life in long-term care? (b) If nurses are morally certain, what is the experience of this moral certainty? and (c) If nurses are morally uncertain, what is the experience of this moral uncertainty? A qualitative design was used to describe nurses' experiences of moral certainty or uncertainty.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9407513; ProQuest document ID: 304065201. The author still retains copyright.

Author Details

Mary Ellen Wurzbach, PhD, MSN, BSN, RN, FNP, ANEF

Sigma Membership

Eta Pi

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Phenomenology

Research Approach

Qualitative Research

Keywords:

Nursing Ethics, Nursing Decisions, Patient Care

Advisor

Marian Snyder

Second Advisor

Patricia Crisham

Degree

PhD

Degree Grantor

University of Minnesota

Degree Year

1993

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2019-05-31

Full Text of Presentation

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