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Graduate School
Assessing the Ethical Decision Making of Staff nurse in End-of-Life Care: Towards Initial
to Culture Change
This tool is designed to describe the self-assessment of the staff nurse in their ethical decision
making skills in end of life care.
1. Age
_____________
_____________
3. Area of Assignment
None
Care
1-2
3-5
6 or more
Roman Catholic
Muslim
Protestant
5. Religion
Others
Specify ______
Graduate School
6. Ethnicity
Cebuano
Ilocano
Pangasinense
Kapampangan
Tagalog
Bicolano
Waray
Zamboangeno
Ilonggo
Others
Specify _____
7. Educational Attainment
BSN
Masters Degree
Doctorate Level
Others
Specify ______
Graduate School
Direction: Please put a check mark () on the space provided that best describes your
judgment on the frequency of ethical dilemma that you encountered based on the following
scale:
Always
Often
Moderate
Sometimes
None
7 or more times
5-6 times
3-4 times
1-2 times
0
Frequency of Ethical Dilemma encountered by the staff nurse in the following dimensions:
I. Autonomy vs. Veracity
Administering a placebo to a patient
ALWAYS
OFTEN
MODERATE
SOMETIMES
NONE
ALWAYS
OFTEN
MODERATE
SOMETIMES
NONE
in pain.
Continuously managing the CPR
even if the patient has no chance of
surviving.
Not disclosing the doctor's poor
prognosis to the patient as per the
family's request.
Not divulging the information to the
patient regarding the chemotherapy
and its side effects as per the family's
request
II. Beneficence vs. Non Maleficence
Following the family's request to stop
all medication and nutritional therapy
of the patient.
Following the family's request for the
patient not to undergo necessary
medical treatment.
Following the instruction of the
Graduate School
request
ALWAYS
OFTEN
MODERATE
SOMETIMES
NONE
ALWAYS
OFTEN
MODERATE
SOMETIMES
NONE
ALWAYS
OFTEN
MODERATE
SOMETIMES
NONE
patient's
deteriorating
to
condition
his
medical
Graduate School
of
condition,
the
order
is
put
on
hold/cancelled.
Graduate School
A: Self-Assessment of the Nurse on their Ethical Decision Making Skills in End of Life Care.
I. Recognition of Ethical Dilemma
5
1. The nurse acknowledge that there is an issue that deserve nurses
3 2
3 2
3 2
3 2
attention.
2. The nurse assess the values and beliefs of everyone involve.
3. The nurse identify the guidelines pertaining to end of life care.
4. The nurse consider how her behavior affect the situation.
II. Analyze the Ethical Dilemma
5
1. The nurse genuinely want to do the right thing.
2. The nurse want to determine the possible relationship between the
types of ethical dilemma.
3. The nurse evaluate the level of moral intensity represent in the
ethical dilemma encounter in end of life care.
III. Selection of Ethical Principle
5
1. The nurse determine what kind of ethical principle is best applied
to the situation.
2. The nurse decide what is good for the patient.
3. The nurse focus ethical principle.
4. The nurse base the choices on widely accepted ethical guidelines.
IV. Decision Making
1. The nurse are concerned on how goals are reached
2. The nurse conclude the importance of each potential approach.
3. The nurse evaluate alternative course of action.