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Nursing Ethics
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Stories from the Operating Room: moral dilemmas for nurses

Aileen R Killen

Memorial Sloan-Kettering Cancer Center, New York, NY, USA, killena{at}mskcc.org

This article explores stories related by perioperative nurses when asked to describe ethical judgements and subsequent actions that affected patient outcomes. A total of 214 patient care situations were analysed for moral actions taken and moral outcomes achieved in the perioperative arena. Content analysis of the patient care situations revealed a wide variety of ethical issues. Concerns about informed consent and quality of care were the most frequently identified issues. Respondents reported that 7% of patients underwent unwanted procedures and that positive moral outcomes were achieved in 65% of situations. It is of concern that, despite the fact that more than two-thirds (69%) of the respondents reported undergoing ethics education, only 27% could relate a story of an ethical situation.

Key Words: moral actions • moral outcomes • morality • perioperative nursing

Nursing Ethics, Vol. 9, No. 4, 405-415 (2002)
DOI: 10.1191/0969733002ne524oa
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