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The Journal of School Nursing
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Research Article

Ethical Problems Experienced by School Nurses

Linda L. Solum, RN, MA

Linda L. Solum, RN, MA, is health services coordinator employed by West St. Paul Schools, St. Paul, MN. This article is based on research conducted for her master’s thesis at Bethel College, St. Paul, MN

Marjorie A. Schaffer, RN, PhD

Marjorie A. Schaffer, RN, PhD, is a professor at Bethel College, St. Paul, MN. She was the thesis advisor for this research study

This study explored school nurses’ experience of ethical conflict in school nursing through interviews with six school nurses. The study examined how school nurses resolved ethical problems and the rationale used to resolve them. Emergent themes of ethical problems were professional relationship conflicts, delegation to and supervision of health assistants, child protection reporting, maintaining confidentiality, Do Not Resuscitate policy, and pressure to work outside of nursing practice standards. School nurses did not use ethical decision-making models in resolving conflict but demonstrated the use of professional standards, ethical principles, and personal values as rationale to resolve ethical problems. Results of this study suggested that school nurses would benefit from additional knowledge about ethical decision-making models. School nurses would also profit from hearing each other’s voices through dialogue about ethical problems and decision making.

Key Words: ethical decision-making frameworks • ethical principles • ethics

The Journal of School Nursing, Vol. 19, No. 6, 330-337 (2003)
DOI: 10.1177/10598405030190060501
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