The Role of Pharmacogenomics in Anesthesia Pharmacology.
Authors: Morgan B, Aroke EN, Dungan J Abstract The field of pharmacogenomics seeks to identify the impact of genetic variants on drug dosing, response, metabolism, and safety outcomes. The narrow therapeutic indices for anesthesia drugs, variability of patient responses to anesthesia, and the risks associated with surgery make anesthetics and the perioperative period prime targets for pharmacogenetic research. Anesthesia providers strive to optimize anesthesia delivery and patient outcomes and to specifically reduce anesthesia-related risks and negative outcomes. Despite pharmacogenomics emerging from the ...
Source: Annual review of nursing research - December 11, 2016 Category: Nursing Tags: Annu Rev Nurs Res Source Type: research

Index.
Authors: PMID: 27935784 [PubMed - in process] (Source: Annual review of nursing research)
Source: Annual review of nursing research - December 11, 2016 Category: Nursing Tags: Annu Rev Nurs Res Source Type: research

Foreword.
Authors: Kasper CE PMID: 26859908 [PubMed - in process] (Source: Annual review of nursing research)
Source: Annual review of nursing research - February 11, 2016 Category: Nursing Tags: Annu Rev Nurs Res Source Type: research

Nursing Ethics: A Lifelong Commitment.
Authors: Gibbons SW, Jeschke EA Abstract Over the past 30 years, the health-care context as well as the roles and responsibilities of nurses have drastically changed. Leaders in nursing around the world recognize that the health-care system is stressed and the well-being of the nursing workforce plagued by the pressures and challenges it faces in everyday practice. We do not intend to make a strong normative argument for why nursing ethics education should be done in a certain way, but instead show from where we have come and to where we can go, so that educators are positioned to address some of the curre...
Source: Annual review of nursing research - December 19, 2015 Category: Nursing Tags: Annu Rev Nurs Res Source Type: research

Shattered, Suffering, and Silenced: Sharon's Story.
Authors: Shafer MR Abstract This chapter presents a case study of a 30-year-old female news reporter in Albuquerque, New Mexico, named Sharon Fullilove. The case is presented as a personal narrative by her mother, who is a critical care nurse, former chief nurse, Level I trauma unit commander, and colonel in the U.S. Air Force. The narrative is followed by excerpts from Sharon's chart that confirm a series of decisions made by both the hospital and the providers. The subsequent narrative is meant to give the reader an opportunity to reflect on the variety of clinical ethics questions that emerge when a pat...
Source: Annual review of nursing research - December 19, 2015 Category: Nursing Tags: Annu Rev Nurs Res Source Type: research

Family Impact of Military Mental Health Stigma: A Narrative Ethical Analysis.
Authors: Gibbons SW, Howe ER Abstract Our past lessons from war trauma have taught us that mental health-care stigma and other issues surrounding mental health-seeking behaviors can negatively impact the healing trajectory and long-term function for service members and their families. It can take years to decades before a service member seeks professional help for psychological distress, if he or she seeks it at all. Unfortunately, signs of personal and family problems can be subtle, and consequences, such as suicide, tragic. In this chapter, we consider the story one military health-care provider submitte...
Source: Annual review of nursing research - December 19, 2015 Category: Nursing Tags: Annu Rev Nurs Res Source Type: research

Ethical Analysis of a Qualitative Researcher's Unease in Encountering a Participant's Existential Ambivalence.
Authors: Moreno-Fergusson ME, Grace PJ Abstract Gaining in-depth understanding of the experiences of persons who have suffered traumatic events with physical and psychological sequelae is important for building effective interventions. However, qualitative research of this kind can be emotionally difficult for the researcher whose research interests derive from practice experiences with the population studied. It may be difficult for the researcher to separate the role of inquirer from that of practitioner. We explore this issue using ethical analysis to differentiate the responsibilities of the researcher...
Source: Annual review of nursing research - December 19, 2015 Category: Nursing Tags: Annu Rev Nurs Res Source Type: research

Ethical Issues in Family Care Today.
Authors: Barrett P, Butler M, Hale B Abstract The abstract consideration of ethical questions in family and informal caregiving might rightly be criticized for ignoring the lived experience of people. This chapter seeks to avoid such oversight by reflecting on ethical issues in family care in a way that is based on careful social scientific inquiry into the well-being of caregivers. The chapter draws on our research and experience in working with family caregivers, both professionally and personally. We step back from a practical concern with policies to support the well-being of caregivers to consider eth...
Source: Annual review of nursing research - December 19, 2015 Category: Nursing Tags: Annu Rev Nurs Res Source Type: research

Self-Neglect: Ethical Considerations.
Authors: Day MR, Leahy-Warren P, McCarthy G Abstract Self-neglect is a significant international public health issue. Estimates suggest that there may be over one million cases per year in the United States. Aging populations will put more people at risk of self-neglect. This chapter presents background literature, self-neglect definitions and policy context, risk factors, and a brief overview of research on perspectives of self-neglect from both clients and community health and social care professionals. A case study is presented from the perspective of an individual and is used to explore ethical issues ...
Source: Annual review of nursing research - December 19, 2015 Category: Nursing Tags: Annu Rev Nurs Res Source Type: research

Military Serving at What Cost? The Effects of Parental Service on the Well-Being Our Youngest Military Members.
Authors: Rossiter AG, D'Aoust R, Shafer MR Abstract Since the onset of war in Iraq and Afghanistan in April 2002, much attention has been given to the effect of war on servicemen and servicewomen who have now been serving in combat for over thirteen years, the longest sustained war in American history. Many service members have served multiple tours in Iraq and Afghanistan and suffered from the visible and invisible wounds of war. Much work has been done in the Veterans Administration, the Department of Defense, and the civilian sector after observing the effects of multiple deployments and overall militar...
Source: Annual review of nursing research - December 19, 2015 Category: Nursing Tags: Annu Rev Nurs Res Source Type: research

The Gene Pool: The Ethics of Genetics in Primary Care.
CONCLUSION: The review suggests that there are several implications for research, education, and the development of primary care practice that support APRNs delivering genetic and genomic care while incorporating knowledge of ethical principles. More research needs to be conducted that evaluates the actual genetic/genomic ethical issues encountered by primary care providers. PMID: 26673380 [PubMed - in process] (Source: Annual review of nursing research)
Source: Annual review of nursing research - December 19, 2015 Category: Nursing Tags: Annu Rev Nurs Res Source Type: research

Ethical Considerations Regarding the Use of Smart Home Technologies for Older Adults: An Integrative Review.
Authors: Chung J, Demiris G, Thompson HJ Abstract PROBLEM: With the wide adoption and use of smart home applications, there is a need for examining ethical issues regarding smart home use at the intersection of aging, technology, and home environment. PURPOSE: The purpose of this review is to provide an overview of ethical considerations and the evidence on these ethical issues based on an integrative literature review with regard to the utilization of smart home technologies by older adults and their family members. Review Design and Methods: We conducted an integrative literature review of the sc...
Source: Annual review of nursing research - December 19, 2015 Category: Nursing Tags: Annu Rev Nurs Res Source Type: research

No Need to Object: Ethical Obligations for Interprofessional Collaboration in Emergency Department Discharge Planning.
Authors: Webster LB, Shirley JL Abstract Emergency departments (EDs) serve a wide range of patient needs. A crucial aspect of safe and effective care in the ED is to appropriately transition patients to the next level of care. In most EDs, this disposition planning is done exclusively by physicians, which has the potential to result in unacceptable harm. A virtue ethics approach demonstrates the need for explicit inclusion of nurses in disposition planning. In utilizing this approach, it is necessary to examine four focal virtues as they relate to the work of disposition planning and the moral character of...
Source: Annual review of nursing research - December 19, 2015 Category: Nursing Tags: Annu Rev Nurs Res Source Type: research

Postdeployment Reintegration: The Ethics of Embodied Personal Presence and the Formation of Military Meaning.
Authors: Jeschke EA Abstract In 2014, the Institute of Medicine published a meta-analysis on current military reintegration programs, suggesting they have failed to improve postdeployment behavioral health. In this chapter, I explore some of the issues associated with the two paradigm reintegration programs supported by the Department of Defense (DoD), namely, BATTLEMIND postdeployment debriefings and Master Resilience Training. My discussion will be located within a subpopulation of military personnel I call warriors, particularly those men who have been exposed to combat. In performing a normative analys...
Source: Annual review of nursing research - December 19, 2015 Category: Nursing Tags: Annu Rev Nurs Res Source Type: research

Ethical Issues Encountered by Military Nurses During Wartime.
Authors: Agazio J, Goodman P, Opanubi O, McMullen P Abstract Military nurses encounter similar issues as civilian nurses in daily practice situations; however, wartime and humanitarian missions may bring unique and difficult ethical dilemmas. While nursing has the American Nurses Association code of ethics to provide a framework to guide ethical practice decisions, conflicts may arise from the unique aspects of nursing within a wartime environment. Understanding those conflicts occuring within the military wartime scenario can provide nurses with experiential examples from which to derive strategies for pe...
Source: Annual review of nursing research - December 19, 2015 Category: Nursing Tags: Annu Rev Nurs Res Source Type: research