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Bioethics mediation: the role and importance of nursing advocacy.

Abstract

Ethics consultations are utilized in health care to identify and manage conflict, difficult decision-making, and ethical issues. In bioethics mediation, a more updated approach using interpersonal, mediative, conflict management, and dispute resolution skills is merged with ethical principles to manage dilemmas arising in healthcare settings. This article argues, based on a professional obligation to advocate for the good of the client, that nurses must assume leadership roles in mediation processes. Nurses can initiate and fully participate in formal bioethics mediation and other mediative interventions. Nurse administrators can work to evolve existing ethics consult models to mediation models. Nonetheless, mediative efforts of individual nurses must be grounded in realization of the multifactorial nature of conflict and dilemma in healthcare settings. Multidisciplinary mediative interventions, framed by sound institutional policies, may best serve the complex needs of ethically vulnerable clients. To best advocate for these at-risk clients, nurses must assume various leadership roles in mediation processes.

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  • Publisher Full Text
  • Authors

    Schlairet MC

    Source

    Nursing outlook 57:4 pg 185-93

    MeSH

    Adult
    Bioethics
    Conflict (Psychology)
    Decision Making
    Dissent and Disputes
    Ethics Consultation
    Female
    Humans
    Leadership
    Male
    Middle Aged
    Models, Nursing
    Models, Organizational
    Negotiating
    Nurse Administrators
    Nurse's Role
    Nursing Assessment
    Patient Advocacy
    Patient Care Team
    Principle-Based Ethics
    Problem Solving

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    19631060