Holistic Nursing: Ethical Issues in Research & Nurse-Led Clinics

This essay explores ethical considerations in nursing research, focusing on challenges such as maintaining confidentiality, managing the risk-benefit ratio, obtaining informed consent, and addressing the dual role of the nurse researcher. It highlights the importance of ethical principles like beneficence and non-maleficence in qualitative research. Furthermore, the essay discusses the positive impact of nurse-led clinics on patient outcomes, particularly for individuals with chronic conditions like Chronic Kidney Disease. It references a Swedish renal clinic model that demonstrates improved medical control and quality of life through patient education and involvement in care decisions. The essay advocates for the expansion of nurse-led clinics to enhance the well-being of patients with chronic illnesses. Desklib offers a variety of resources, including solved assignments and past papers, to aid students in their studies.

RUNNING HEAD: HOLISTIC NURSING AND NURSING RESEARCH 1
Holistic Nursing and Nursing Research
Name:
Institution:
Tutor:
Date:

HOLISTIC NURSING AND NURSING RESEARCH 2
Ethical issues in nursing research
Ethics is the guiding principles that nurses have to operate within during their practice as
well during their clinical research. There are different ethics that include confidentiality,
Confidentiality is the ability to keep information very secretive so that it does not reach
out to unauthorized individuals. In qualitative research however, maintaining confidentiality can
be challenging. The difficulty in maintaining confidentiality in qualitative research is the fact that
there are so many details to illustrate as well as report the findings. However, nurses should
always try and maintain the confidentiality of the participants (Kumar, 2016). One way that
nurses can use to maintain confidentiality is through the use of pseudonyms rather than the real
names of the participants.
Risk-benefit ratio is another ethical issues that nurses ought to look at during research.
Going by the ethical principles of beneficence and non-maleficence, nurses ought to calculate the
risk benefit ratio of any particular research (Holloway, Galvin, & Holloway, 2017). It is however
very challenging in qualitative to predict an outcome or rather the balance between risks and
benefits. Even though it is difficult to predict this balance, nurses have the obligation to
anticipate the point at which balance can be achieved and operate within that point.
Informed consent is another key ethical issue surrounding nurses during research. The
process of obtaining an informed consent before a qualitative research. It is very difficult to get
the source of informed consent during qualitative research because this type of research do not
guarantee the direction in which data will be collected like interviews or questionnaires
(Parahoo, 2014). Instead of informed consent therefore, nurses ought to utilize the informed
consent process since there is constant negotiations throughout qualitative researches.

HOLISTIC NURSING AND NURSING RESEARCH 3
The relationship between researcher and participant, and the dual role of the nurse
researcher are also ethical considerations that nurses should deal with. Often, the researcher
exploits the participant during qualitative research. Nurses should however struggle to ensure
that the relationship is on a mutual basis. About the dual role of the nurse researcher, conflict
does arise when the nurse researcher has a professional interest in the topic of research and this
leads to bias when reporting or collecting data. Nurses should therefore strive to avoid that bias.
The impact of nurse led clinic on self-Care Ability, Disease-Specific Knowledge and Home
Dialysis Modality
Chronic conditions or diseases like Chronic Kidney Disease are known to impair or
rather infringe the life of a patient to the extent that they are functional impaired. Under such
circumstances, patients do require the care of the nurses. The core objective of the nurse care is
to boost the quality of life of the patient. However, there used to be debate as to whether nurse-
based care has positive impact on the quality of life as compared to the traditional forms of care
where patients were nursed or provided care at their homes by their relatives (Heale, James,
Wenghofer, & Garceau, 2018). According to a nurse led clinic that was set up on renal clinic in
Sweden to focus on the education and self-care for patients with advanced renal failure, nursing
led care would significantly lead to improved medical control as well as the quality of life (Tine,
2015). The reason as to why nurse led clinic can generally improve the quality of life to the
patients is that there is constant conveyance of information relating to the disease as well as the
general involvement in care decisions as opposed to the outpatient services. Nurses should
therefore struggle to advocate for the nurse led clinics to effectively improve on the quality of the
life in patients with chronic conditions like Chronic Kidney Disease.

HOLISTIC NURSING AND NURSING RESEARCH 4
References
Heale, R., James, S., Wenghofer, E., & Garceau, M. (2018). Nurse practitioner’s perceptions
of the impact of the nurse practitioner-led clinic model on the quality of care of
complex patients. Primary Health Care Research & Development, 1-8.
doi:10.1017/s1463423617000913
Holloway, I., Galvin, K., & Holloway, I. (2017). Qualitative research in nursing and
healthcare.
Kumar, R. (2016). Chapter-04 Ethical Issues in Research. Nursing Research & Statistics, 53-
60. doi:10.5005/jp/books/12738_5
Parahoo, K. (2014). The Research Process and Ethical Issues. Nursing Research, 95-109.
doi:10.1007/978-1-137-28127-2_7
Tine, H. -T. (2015). Nurse-Led Health Clinics. Springer Publishing Company.