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Ethical decision-making : the experience of nurses in selected clinical settings

Dissertation (MCur)--University of Pretoria, 2009.

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Other Authors: Van der Walt, S.J.C.
Format: Thesis
Published: University of Pretoria 2013
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access_status_str Open Access
author2 Van der Walt, S.J.C.
author_browse Van der Walt, S.J.C.
author_facet Van der Walt, S.J.C.
collection Thesis
dc_rights_str_mv ©University of Pretoria 2008 Please cite as follows Sehume , GG 2008, Ethical decision-making : the experience of nurses in selected clinical settings, MCur dissertation, University of Pretoria, Pretoria, viewed yymmdd < http://upetd.up.ac.za/thesis/available/etd-05132009-125706/ > E1211/
description Dissertation (MCur)--University of Pretoria, 2009.
format Thesis
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institution University of Pretoria (South Africa)
last_indexed 2026-06-10T12:38:57.201Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2013
publishDateRange 2013
publishDateSort 2013
publisher University of Pretoria
publisherStr University of Pretoria
record_format dspace
source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/24617 Ethical decision-making : the experience of nurses in selected clinical settings Van der Walt, S.J.C. upetd@up.ac.za Sehume, Gloria Gaogakwe Care in nursing Midwives UCTD Dissertation (MCur)--University of Pretoria, 2009. The qualitative study was designed to study how ethical decision-making realises in difficult care situation in nursing. A hermeneutic phenomenological approach was used. Data collection was done through writing of critical incidents by registered nurses and midwives in two hospitals in Gauteng Province. The critical incident technique was developed by Flanagan (1954:327). Narratives/stories were analysed by: naïve reading, structural analysis and comprehensive understanding (Sorlie 2000:52). The study population was 30 registered nurses and midwives, who held in-charge positions, and have dealt with ethical problems themselves. The methodology was about understanding and interpreting lived experiences in clinical practice about ethically difficult care situations in nursing. Guba's model was used for truth value, which was obtained through human experience as was lived and perceived by narrators, who then described/narrated their stories, this was true of critical incidents. The credibility of the findings depends on accurate documentation of the experience as was narrated, so that the participants would recognise their stories. The participants could not validate the findings due to sensitivity of the critical incidents. Applicability was not relevant, as it was description of a particular experience that could not be generalised. Because of the contextual nature of the study, I could not guarantee consistency, as interpretation is based on shared values, norms and beliefs in a particular profession, and is recognised by readers sharing the same values. Anonymity and confidentiality was maintained to protect the narrators, due to the sensitive nature of the study. Ethical principles and respect for human dignity was adhered to. Permission was granted by the hospital authorities as well as Research Ethics Committee at the University of Pretoria. Limitations of the study have been noted. Interpretation of the findings of realisation of ethical decision making in difficult care situations as well as guidelines for teaching ethics to nursing learners has been done Findings of the study indicate that the context and impact of realisation of ethical decision-making in difficult care situations was different to different narrators and completely dependent on the ethical problem that had to be dealt with and be realised or failed to be achieved. Nursing Science unrestricted 2013-09-06T18:05:09Z 2009-05-18 2013-09-06T18:05:09Z 2008-11-28 2009-05-18 2009-05-13 Dissertation 2008 Please cite as follows Sehume , GG 2008, Ethical decision-making : the experience of nurses in selected clinical settings, MCur dissertation, University of Pretoria, Pretoria, viewed yymmdd < http://hdl.handle.net/2263/24617 > E1211/gm http://hdl.handle.net/2263/24617 http://upetd.up.ac.za/thesis/available/etd-05132009-125706/ ©University of Pretoria 2008 Please cite as follows Sehume , GG 2008, Ethical decision-making : the experience of nurses in selected clinical settings, MCur dissertation, University of Pretoria, Pretoria, viewed yymmdd < http://upetd.up.ac.za/thesis/available/etd-05132009-125706/ > E1211/ application/pdf University of Pretoria
spellingShingle Care in nursing
Midwives
UCTD
Ethical decision-making : the experience of nurses in selected clinical settings
title Ethical decision-making : the experience of nurses in selected clinical settings
title_full Ethical decision-making : the experience of nurses in selected clinical settings
title_fullStr Ethical decision-making : the experience of nurses in selected clinical settings
title_full_unstemmed Ethical decision-making : the experience of nurses in selected clinical settings
title_short Ethical decision-making : the experience of nurses in selected clinical settings
title_sort ethical decision making the experience of nurses in selected clinical settings
topic Care in nursing
Midwives
UCTD
url http://hdl.handle.net/2263/24617
http://upetd.up.ac.za/thesis/available/etd-05132009-125706/