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4 Rs strategy offers a fresh perspective to confront ethical challenges


Kathleen Turner, RN, CHPN, CCRN-CMC, Clinical Nurse III in the Medical-Surgical Intensive Care Unit at the University of California San Francisco Medical Center, knows all too well how repetitive ethical challenges can become entrenched in nurses’ minds, affecting the way they think, feel, and practice. Turner and co-author Cynda Hylton Rushton, PhD, RN, Professor of Clinical Ethics at the School of Nursing and Berman Institute of Bioethics at Johns Hopkins University, Baltimore, Md., studied and discussed the issue that’s becoming more acute in the age of COVID-19 ICU care and came up with a four-step process to help nurses combat how ethical challenges affect them. Their paper, “Suspending Our Agenda: Considering What Will Serve When Confronting Ethical Challenges,” was recently published in the American Association of Critical-Care Nurses’ Advanced Critical Care. more

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