Theoretical Perspectives on Nursing Ethics: A Framework for Ethical Decision-Making in Patient Care

Abstract

This study explores the theoretical and practical dimensions of nursing ethics, focusing on developing a structured framework for ethical decision-making in patient care. Employing a mixed-methods approach, the research integrates qualitative and quantitative methodologies to ensure a comprehensive analysis. The qualitative phase involved in-depth interviews with nurses across various specialties, such as pediatric care, geriatric nursing, and community health, identifying recurring themes such as moral distress, advocacy, and organizational support. The quantitative phase utilized surveys to quantify ethical awareness, confidence in addressing ethical dilemmas, and the impact of institutional support on decision-making processes.
The study was motivated by the increasing complexity of healthcare systems, technological advancements, and evolving societal values, all of which challenge traditional ethical norms in nursing. Findings revealed that while many nurses’ express confidence in handling ethical dilemmas, gaps in organizational training and leadership support were evident. Organizational support, particularly through ethical training and leadership engagement, was highlighted as a critical enabler of effective ethical decision-making.
Key outcomes of this research include the identification of systemic barriers to ethical practice, such as inadequate training and resource allocation conflicts. The study underscores the need for enhanced ethical education, reflective practices, and robust leadership frameworks to foster a culture of ethical resilience and patient-centered care.
By combining theoretical insights with empirical evidence, this research provides actionable recommendations for improving nursing ethics and offers a roadmap for integrating ethical frameworks into clinical practice.