Ethical reasoning in mixed nurse-physician groups

J Med Ethics. 1996 Jun;22(3):168-73. doi: 10.1136/jme.22.3.168.

Abstract

Objectives: To study the ethical reasoning of nurses and physicians, and to assess whether or not modified focus groups are a valuable tool for this purpose.

Design: Discussion of cases in modified focus groups, each consisting of three physicians and three nurses. The discussion was taped and analysed by content analysis.

Setting: Five departments of internal medicine at Danish hospitals.

Sample: Seven discussion groups.

Main measurements: Ethical content of statements, style of statements, time used by each participant.

Results: Danish physicians and nurses do not differ in the kind of ethical reasoning they use, but physicians use more of the discussion time than nurses, they use a more assertive style of argumentation, and the solutions chosen are usually first put forward by physicians.

Conclusion: The results and informal comparisons with similar data from long qualitative interviews indicate that groups of this kind are a useful tool for gathering data on ethical reasoning.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Communication
  • Empirical Research
  • Ethical Analysis*
  • Ethical Theory
  • Ethics, Clinical*
  • Ethics, Professional*
  • Female
  • Focus Groups*
  • Humans
  • Male
  • Middle Aged
  • Moral Development*
  • Nurses
  • Physician-Nurse Relations
  • Physicians
  • Resource Allocation
  • Statistics, Nonparametric
  • Uncertainty