       Document 0724
 DOCN  M9440724
 TI    The basic nature of ethical problems experienced by persons with
       acquired immunodeficiency syndrome: implications for nursing ethics
       education and practice.
 DT    9404
 AU    Cameron ME; Crisham P; Lewis DE; School of Nursing, University of
       Minnesota, Minneapolis.
 SO    J Prof Nurs. 1993 Nov-Dec;9(6):327-35. Unique Identifier : AIDSLINE
       MED/94132436
 AB    The purpose of this research was to describe and examine the basic
       nature of ethical problems that are experienced by persons with acquired
       immunodeficiency syndrome (AIDS). The participants were 25 persons with
       AIDS and 5 significant persons, not infected with the human
       immunodeficiency virus, who provided contextual understanding. The
       conceptual framework and method combined ethical inquiry and
       phenomenology. During an in-depth audiotaped interview, each participant
       answered the question, What situation involving AIDS has caused you the
       most conflict about the right thing to do? To assure scientific
       adequacy, the participant validated the analysis of the first interview
       in a second interview 2 weeks later, and five experts and two
       independent judges validated the combined analyses. From 117 ethical
       problems emerged a basic nature consisting of (1) conflict of values
       about what to believe, who to be, and what to do; (2) resolutions based
       on intuitive beliefs, desire to be a good person, and rational choice;
       and (3) rationale revolving around a desire for integrity and meaning.
       The findings suggest strategies for improving nursing ethics education
       and, ultimately, nursing practice: (1) base content on ethics research
       and philosophical analysis, (2) address real-life ethical problems, (3)
       discuss virtue ethics in addition to principled thinking and ethical
       caring, and (4) teach ethical listening.
 DE    Acquired Immunodeficiency Syndrome/*NURSING/*PSYCHOLOGY  Adult
       Communication  *Conflict (Psychology)  Education, Nursing  Empathy
       *Ethics, Nursing  Female  Human  Male  Middle Age  Nursing Methodology
       Research  Philosophy, Nursing  Problem Solving  Support, Non-U.S. Gov't
       Support, U.S. Gov't, P.H.S.  Thinking  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

