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Jafree, Sara Rizvi; Zakar, Rubeena; Fischer, Florian ; Zakria Zakar, Muhammad: Ethical violations in the clinical setting: the hidden curriculum learning experience of Pakistani nurses. In: BMC Medical Ethics. Jg.16 H. 1. 2015
Inhalt
Ethics in Pakistan’s healthcare sector
Regulatory bodies
Ethics education
Objective of this study
Methods
Study
Setting
Sample
Interviews
Data analysis
Results
Professional guidelines and integrity
Student nurses used as adjunct staff
Nurses having to face violence
Patient reluctance to receive treatment from nurses
Patient informed consent
Near-absence of consent taking from patients for most non-surgical medical procedures
Absence of patient consent taking for receiving treatment from student nurses
Patient rights
Patient discrimination on the basis of socio-demographic status
Withdrawal of treatment by nurses who feared for their safety
Co-worker coordination for competency, learning and patient safety
Non-learning culture
Blame shifting and non-reportage of errors
Discussion
Recommendations
State governance
Healthcare governance
Curriculum development
Organisational culture
Public awareness and nurse identity
Conclusion
Appendix A
Abbreviations
Competing interests
Authors’ contributions
Acknowledgements
Author details
References