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Nursing ethics

  • The ENCE Program

    The Engaging Nurses in Clinical Ethics (ENCE) program run through the Children’s Bioethics Centre will be offered at RCH in 2022 in July/August and October/November. The aim of the ENCE program is to increase nursing confidence and engagement in clinical ethics discussions and decision making. The overall purpose is to optimise nursing input into clinical ethics issues at RCH. Each of the 2022 programs will have an intake of approximately 10 nurses from RCH with one place reserved for a paediatric nurse from Monash.

    The first course (July/August) is specifically for Advanced Practice Nurses. The second course in (Oct/Nov) is aimed at ward nurses at any level. Each course consists of 3 study days over 6 weeks held on site at RCH. There will be no virtual option for attendance unless the course must be fully online due to a change in COVID restrictions. Nurses will be required to use their professional development leave to be paid for these study days.

    Topics covered include:

    - Introduction to clinical ethics

    - Clinical Ethics (issues, challenges, questions) in nursing practice

    - Recognising ethical issues: Reflective practice and narrative ethics

    - Ethics concepts that can help in thinking about ethical problems

    - Zone of Parental Discretion

    - Deciding with children

    - Experiencing ethical challenges in everyday nursing practice

    - Moral distress and moral regret

    - Addressing ethical challenges in everyday nursing practice

    - How to talk about ethical issues

    - Nursing advocacy

    Day 3 will also include a supported ethics simulation with an actor. Nurses who complete the three days of the program will then be invited to attend drop-in monthly mentor sessions facilitated by a member of the CBC, and to join the Nursing Ethics Support Team (NEST), if they wish.

    To be eligible to apply for this program you must be:

    1. A registered nurse employed at RCH with at least 2 years paediatric experience.

    2. Employed in an APN role (for course 1 in July/August) or a clinical role on a ward such as an RN, CNS, CSN, CNE or AUM (for course 2 in October/November).

    3. Able to commit to all program dates below.

    4. Have your Unit Manager or Department Head approval. If we receive more applications than positions available in the course we will be selecting participants from a variety of wards/ departments based on the quality of their application.