Nursing Ethics and Decision-Making in Complex Care
Nursing practice in complex care settings often involves ethical dilemmas that challenge clinicians to balance patient autonomy, beneficence, and resource limitations. Ethical decision-making in nursing is influenced by professional codes, personal values, clinical judgment, and organizational policies. This article explores the intersection of nursing ethics and decision-making in highstakes, complex care environments, highlighting frameworks and strategies for navigating moral conflicts. It emphasizes the importance of ethical competence, interdisciplinary collaboration, and reflective practice. Through a comprehensive literature-based discussion, this paper addresses the factors that influence ethical choices, the role of patient-centered care, and approaches to resolving ethical conflicts while maintaining professional integrity. Recommendations for enhancing ethical decision-making skills in clinical practice are provided.
Elena M. Rosenthal
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