During the Texas Board of Nursing meeting on April 19, 2024, a powerful discussion emerged around the importance of shared decision-making in patient care, particularly in hospice settings. A nurse shared a deeply personal story about advocating for a patient, highlighting the emotional connections that nurses often form with those they care for. This experience underscored the need for resources that support ethical decision-making in healthcare.

The conversation emphasized the role of clinical ethics committees, which include family members and patients in the decision-making process. This collaborative approach is crucial, especially when families act as surrogates for patients who may not be able to voice their wishes. The nurse noted that understanding what matters most to patients can guide ethical recommendations and improve care outcomes.

Moreover, the discussion pointed to the rising issue of moral distress among nurses, which can lead to burnout and attrition in the workforce. By implementing shared decision-making frameworks, the board aims to not only enhance patient care but also protect the moral integrity and well-being of nurses.

The nurse's project, developed with the help of a bioethical coalition, took over a year to finalize, reflecting the dedication to creating a tool that addresses these critical issues. The board expressed pride in the initiative and encouraged the sharing of research findings to further benefit the nursing community. This meeting highlighted a significant step towards improving ethical practices in nursing, ultimately aiming to enhance both patient and nurse experiences in the healthcare system.