Ethics In Nursing Articles Essays

1. Jhonstone MJ. 4th ed. Sydney: Churchill Livingstone Publisher; 2004. Bio Ethics: A Nursing perspective; pp. 120–4.

2. Chitty KK, Beth BP. 5th ed. St Louis: Saunders Elsevier; 2007. Professional nursing concepts and challenge; pp. 522–5.

3. King CA, Broom C. Ethics in perioperative practice-values, integrity, and social policy. AORN J. 2002;76:1047–53.[PubMed]

4. Abaszadeh A, Abedi HA, Sharif F, Ghofrani F. A model of develop and assess of nursing ethical performance. Journal of Teb va Tazkieh. 2001;47:59–66. in Persian.

5. London: Nursing and Midwifery Council of England; 2004. England Nursing and Midwifery Council. The NMC code of professional conduct: Standards for conduct, performance and ethics.

6. Jormsri P, Kunaviktikul W, Ketefian S, Chaowalit A. Moral competence in nursing practice. Nurs Ethics. 2005;12:582–94.[PubMed]

7. Horton K, Tschudin V, Forget A. The value of nursing: A literature review. Nurs Ethics. 2007;14:716–40.[PubMed]

8. Tschudin V. Translated by Baligh N. Tehran: Medical Ethics Research Center; 1994. Ethics in Nursing the Caring relationship; p. 242. in Persian.

9. Shih FJ, Lin YS, Smith MC, Liou YM, Chiang HH, Lee SH, et al. Perspectives on professional values among nurses in Taiwan. J Clin Nurs. 2009;18:1480–9.[PubMed]

10. Verpeet E, Meulenbergs T, Gastmans C. Professional values and norms for nurses in Belgium. Nurs Ethics. 2003;10:654–65.[PubMed]

11. Rassool GH. The crescent and Islam: Healing, nursing and the spiritual dimension. Some considerations towards an understanding of the Islamic perspectives on caring. J Adv Nurs. 2000;32:1476–84.[PubMed]

12. Hamrin E, Potdar N, Anand R. Ethical values in health care: An Indian-Swedish co-operation. Nurs Ethics. 2002;9:439–47.[PubMed]

13. Konishi E, Yahiro M, Nakajima N, Ono M. The Japanese value of harmony and nursing ethics. Nurs Ethics. 2009;16:625–36.[PubMed]

14. Perry B. Core nursing values brought to life through stories. Nurs Stand. 2005;20:41–8.[PubMed]

15. Rassin M. Nurses’ professional and personal values. Nurs Ethics. 2008;15:614–30.[PubMed]

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18. Naden D, Eriksson K. Understanding the importance of values and moral attitudes in nursing care in preserving human dignity. Nurs Sci Q. 2004;17:86–91.[PubMed]

19. Wros P, Doutrich D, Izumi S. Ethical concerns: Comparison of values from two cultures. Nurs Health Sci. 2004;6:131–40.[PubMed]

20. Pang D, Senaratana W, Kunaviktikul W, Klunklin A, McElmurry B. Nursing values in China: The expectations of registered nurses. Nurs Health Sci. 2009;11:312–7.[PubMed]

21. Mahmoodi Shen G, Alhani F, Ahmadi F, Kazemnejad A. A qualitative study: Ethical thematic in nursing life style. Journal on Medical History and Ethics. 2008;2:63–78. in Persian.

22. Macmillan SS. MSN Thesis. University Microfilms International, Florida: Florida Atlantic University; 1994. Nursing values as the basis for practice of graduate students in nursing; p. 75.

23. Fahrenwald NL, Bassett SD, Tschetter L, Carson PP, White L, Winterboer VJ. Teaching core nursing values. J Prof Nurs. 2005;21:46–51.[PubMed]

24. Rchaidia L, Dierckx de Casterle B, De Blaeser L, Gastmans C. Cancer patients’ perceptions of the good nurse: A literature review. Nurs Ethics. 2009;16:528–42.[PubMed]

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27. Ottawa: Canadian Nursing Association; 2008. Canadian Nursing Association. Code of ethic for registered nurse in Canada; p. 64.

28. Verpeet E, Casterle BD, Arend AV, Gastmans CA. Nurses’ views on ethical codes: A focus group study. J Adv Nurs. 2005;51:188–95.[PubMed]


Case description

Nurses face more and more ethical dilemmas during their practice nowadays, especially when they are taking care of the patient at end of life stage. The case study demonstrates an ethical dilemma when nursing staff are taking care of an end stage aggressive prostate cancer patient Mr Green who expressed the suicide thoughts to one of the nurses and ask that nurse keep secret for him in Brisbane, QLD, Australia.

Ethical dilemma identification

The ethical dilemma is identified as “if the nursing staff should tell other health care team members about patient's suicide attempt without patient's consent”.


To better solving this case and making the best moral decision, the ethical theory, the ethical principles and the Australian nurses' code of ethics values statement, the associated literature relative with this case are analyzed before the decision making.

Ethical decision making

After consider all of the above factors, in this case, the best ethical decision for the patient is that the nurse share the information of Mr Green's suicide attempt with other health care professionals.


In Mr Green's case, the nurse chose to share the information of Mr Green's suicide attempt with other health care professionals. The nursing team followed the self-harm and suicide protocol of the hospital strictly, they maintained the effective communication with Mr Green, identified the factors which cause patient's suicide attempt, provided the appropriate nursing intervention to deal will these risk factors and collaborated with other health care professionals to prefect the further care. The patient transferred to a palliative care service with no sign of suicide attempt and other self-harm behaviors and passed away peacefully 76 days after discharged with his relatives and pastors accompany.

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