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ii Gordon, J., Rauprich, O. & Vollmann., J. (2009). ‘Applying the Four-Principle Approach’. Bioethics. Vol 25. Issue 6, p. 13.
Everyone admits there is always more that can be done. In many departments, despite efforts to spur conversations about ethics, those discussions still don't happen as often as they should. There is too little time, money, and staffing. When nurses get busy, ethics may go on the back burner. For Krumm the biggest problem is staffing. When budget cuts strike, nurses are hit hard, as nursing is the Kimmel Center's largest expense. That can lead to overworked and overwhelmed nurses who feel they can't give the best care. "It sort of sends a message of devaluing what the nurse does. If your numbers are cut, you can't sit and hold a patient's hand while they're working through some emotional issues because you've got two IVs to hang," she says. "The tasks begin to overwhelm you, and it's very dissatisfying if you cannot provide the level of emotional care and comfort that the patients are asking for or need." Rushton says, "We are ahead in some areas and have room for improvement in others. There's always more that we could be doing. It's a matter of resources, honestly."
moral dilemmas. In that cases it can be argued that the moral duty and personal ethos can be stronger than legal requirements. [ 3 ] Even if there are no duty conflicts, the researcher faces several problems with respect to maintaining confidentiality especially in qualitative research where conduct is personal, the sample is smaller and the reports display quotations of interviews. Ford and Reutter suggest using pseudonyms and distorting identifying details of interviews when transcribing the tapes used. [ 12 ]