Article

Comfort and nurses' moral choices

Associate Professor, Director of Research and Grants, University of Wisconsin-Oshkosh, Oshkosh, Wisconsin, USA
Journal of Advanced Nursing (Impact Factor: 1.53). 07/1996; 24(2):260 - 264. DOI: 10.1046/j.1365-2648.1996.01985.x

ABSTRACT Caring has been advocated as integral to nursing ethics, and much theorizing has suggested that it may be a partial or the entire foundation for nursing's ethic Yet few research studies have examined the practical expression of caring in the clinical setting The author describes the concept of comfort as an aspect of care experienced by long-term care nurses in their daily practice related to moral choices The design of the study was descriptive and qualitative The sample consisted of 15 registered nurses who were participants in the author's previous study of moral certainty and uncertainty Their responses to interview questions during the previous study suggested the topic for the present study A semi-structured interview consisting of eight neutral open-ended questions was conducted with each participant The findings suggest that long-term-care nurses function in the roles of mediator and communicator In these roles, they try to meet a mental ideal of ‘good nursing practice’ They use multiple criteria on which to base their moral choices including comfort, their own and their residents The author examines the providing and feeling of comfort as related to the nurses' moral choices

0 Bookmarks
 · 
41 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: (i) Explore the meaning of comfort care for hospice nurses. (ii) Provide an understanding of how this work is pursued in the hospice setting. (iii) Examine the means by which hospice nurses provide comfort to hospice patients. The concepts of 'comfort' and 'comfort care' have long been a subject for examination by nurse researchers. The paper provides an overview of selected, relevant literature in this area. The methods used by nurse researchers have almost always been qualitative, and have focused on the meaning of nursing care for dying patients, from both nurses' and patients' perspectives. The paper reports a hermeneutic phenomenological study of the work of 15 hospice nurses based in one hospice in the north of England. Sampling was purposive, and data were collected by means of semi-structured interviews. A reflective diary was also kept. The interpretation of data was guided by phenomenological and hermeneutic methodology. The nurses interviewed spoke openly about their experiences of working with hospice patients. They saw the relief of suffering through 'comfort care' as an important element of their work. The findings are presented under three thematic headings: 'Comfort and relief', 'Peace and ease' and 'Spirituality and meaning'. Hermeneutic phenomenology is an important method for uncovering the complex realities of nursing work. The nurses' perspectives on 'comfort care' they offer to patients were revealed by the data presented here, which were interpreted to offer a unique perspective on this type of nursing work. These findings offer insights to nurses in both hospice and other settings; they give a number of perspectives on the nature of 'comfort care' and the meanings attached to it by experienced hospice nurses'.
    Journal of Clinical Nursing 04/2007; 16(4):742-51. · 1.32 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Thesis (D. Cur)--Rand Afrikaans University, 2001. Includes bibliographical references (leaves 256-271).
    01/2001;
  • [Show abstract] [Hide abstract]
    ABSTRACT: Analysis of the literature indicates that there is little evidence to support the unique role of nursing in the orthopaedic setting, as in many nursing specialties. In an attempt to answer some of the questions surrounding these issues, this study investigated orthopaedic nurses’ perceptions of their work with their patients. Grounded theory was used as a methodological framework for the study. Five individual, purposive interviews and one focus group interview were conducted. The constant comparative method of analysis method was used to analyse the data and develop a series of categories and one core category that describe the orthopaedic nursing role. The investigation demonstrated that the orthopaedic nurse acts as a ‘harmonist’ in the care of the orthopaedic patient, ensuring that all aspects of care produce an effective whole. This role is composed of six categories: partner, guide, comfort enhancer, mediator, risk manager and technician. Implications for practice, education and research are discussed.
    Journal of Orthopaedic Nursing 02/2001; 5(1):22-29.