Nursing Ethics

ISSN: 0969-7330

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  1.  2
    Estimation of moral distress among nurses: A systematic review and meta-analysis.Zainab Alimoradi, Elahe Jafari, Chung-Ying Lin, Raheleh Rajabi, Zohreh Hosseini Marznaki, Mostafa Soodmand, Marc N. Potenza & Amir H. Pakpour - 2023 - Nursing Ethics 30 (3):334-357.
    Background Moral distress is a common challenge among professional nurses when caring for their patients, especially when they need to make rapid decisions. Therefore, leaving moral distress unconsidered may jeopardize patient quality of care, safety, and satisfaction. Aim To estimate moral distress among nurses. Methods This systematic review and meta-analysis conducted systematic search in Scopus, PubMed, ProQuest, ISI Web of Knowledge, and PsycInfo up to end of February 2022. Methodological quality of included studies was assessed using the Newcastle Ottawa checklist. (...)
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  2.  1
    Reflections on Brocher: Philanthropy, fog and restoration.Ann Gallagher - 2023 - Nursing Ethics 30 (3):319-320.
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  3.  1
    Caregivers’ perceptions of compulsory treatment of physical illness in involuntarily psychiatric hospitalization.Sophie Joury, Oren Asman & Azgad Gold - 2023 - Nursing Ethics 30 (3):423-436.
    Background Physical morbidity is rife among patients with serious mental illness. When they are involuntarily hospitalized and even treated, they may still refuse treatment for physical illness leading clinicians to wonder about the ethics of coercing such treatments. Research aim This survey study explored psychiatric caregivers’ perceptions on whether compulsory treatment of physical illness is legal and whether it is justifiable in patients with serious mental illness and under what circumstances. Research design A questionnaire that included two case vignettes of (...)
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  4.  3
    Moral distress and patients who forego care due to cost.Linda Keilman, Soudabeh Jolaei & Douglas P. Olsen - 2023 - Nursing Ethics 30 (3):370-381.
    Background In the US, many patients forgo recommended care due to cost. The ANA Code of Ethics requires nurses to give care based on need. Therefore, US nurses are compelled to practice in a context which breaches their professional ethical code. Research Objectives This study sought to determine if nurses do care for patients who forgo treatment due to cost (PFTDC) and if so, does this result in an experience of moral distress (MD). Research Design Semi-structured interviews were transcribed and (...)
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  5. Ethical harms for migrant 24h caregivers in home care arrangements.Eva Kuhn & Anna-Henrikje Seidlein - 2023 - Nursing Ethics 30 (3):382-393.
    The glaring lack of formal and informal caregivers in Germany has not only become apparent in hospitals and nursing homes but also in home care arrangements. One tension is particularly pertinent in such arrangements: a ‘family-oriented’ logic of the long-term care insurance and the individual wishes of those in need of care meet the actual possibilities of family carers. This care gap has been compensated for by 24-hour care workers, so-called ‘live-ins’, from Eastern Europe for some years. This contribution maps (...)
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  6.  2
    Nurses' professional commitment in COVID-19 crisis: A qualitative study.Maryam Momeni & Marzieh Khatooni - 2023 - Nursing Ethics 30 (3):449-461.
    Background: Professional commitment is an important factor in employee performance. COVID-19 outbreak has seriously affected the nurses working conditions. Numerous factors can affect nurses' professional commitment in this situation. Aim: To explore the nurses' lived experiences, attitudes, views and perceptions toward professional commitment and factors affecting it in the Covid-19 crisis. Method, Setting and Participants: This qualitative study was conducted using phenomenological approach and content analysis method. Twenty-five nurses were interviewed using semi structured in-depth interviews. Conventional content analysis was used (...)
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  7.  1
    Middle managers’ ethos as an inner motive in developing a caring culture.Diako Morvati & Yvonne Hilli - 2023 - Nursing Ethics 30 (3):321-333.
    Background Middle managers play a key role in promoting a caring culture in nursing homes. However, there is limited knowledge about middle managers’ inner motives and their experiences of their responsibility in developing a caring culture. Research aim The aim of the study is to get a deeper understanding of middle managers’ motives and their experiences of their responsibility to develop a caring culture in nursing homes. Research design A qualitative design with a hermeneutic approach inspired by Gadamer was chosen (...)
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  8.  1
    Shared responsibility for decision-making in NICU: A scoping review.Hanna-Kaisa Pellikka, Anna Axelin, Ulla Sankilampi & Mari Kangasniemi - 2023 - Nursing Ethics 30 (3):462-476.
    Background Shared responsibility is an essential part of family-centred care and it characterizes the relationship between parents and healthcare professionals. Despite this, little is known about their shared responsibility for decision-making in neonatal intensive care units. Aim The aim of this scoping review was to identify previous studies on the subject and to summarize the knowledge that has been published so far. Method The review was conducted using electronic searches in the CINAHL, PubMed, Scopus and PsycINFO databases and manual searches (...)
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  9.  3
    Moral distress, moral courage, and career identity among nurses: A cross-sectional study.Mengyun Peng, Shinya Saito, Hong Guan & Xiaohuan Ma - 2023 - Nursing Ethics 30 (3):358-369.
    Background The concept of career identity is integral to nursing practices and forms the basis of the nursing professions. Positive career identity is essential for providing high-quality care, optimizing patient outcomes, and enhancing the retention of health professionals. Therefore, there is a need to explore potential influencing variables, thereby developing effective interventions to improve career identity. Objectives To investigate the relationship between moral distress, moral courage, and career identity, and explore the mediating role of moral courage between moral distress and (...)
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  10.  1
    Value pluralism about sexual intimacy in residential care.Vanessa Schouten, Mark Henrickson, Catherine M. Cook, Sandra MacDonald & Narges Atefi - 2023 - Nursing Ethics 30 (3):437-448.
    BackgroundThe existing literature on sexuality and intimacy in residential care tends to focus on either the question of rights, or the value of autonomy. Where the literature does reference values...
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  11. Exploring the ethics of physical restraints: Students’ questioning.Maki Tanaka - 2023 - Nursing Ethics 30 (3):408-422.
    Background Physical restraints are routinely employed to ensure patient safety in Japanese acute care. Little is known about nursing students' perspectives and how they begin to question their value and knowledge in the face of restraint experiences in clinical practice. Objective To investigate nursing students’ questions about patient restraints and how they understand the ethics of the use of restraints in nursing. Research design Qualitative descriptive research using narrative analysis. Participants and research context Experiential data were generated and thematically analyzed (...)
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  12.  2
    Caring for family members following suicide: Professionals’ experiences of responsibility.May Elise Vatne, Dagfinn Nåden & Vibeke Lohne - 2023 - Nursing Ethics 30 (3):394-407.
    Background When a patient commits suicide while hospitalized in the psychiatric ward, the mental healthcare professionals (MHCPs) who have had the patient in their care encounter the family members immediately following the suicide. Professionals who encounter the bereaved in this first critical phase may have a significant impact on the grieving process. By providing ethically responsible and professionally competent care, they have the opportunity to influence what can alleviate and reduce suffering and promote health in a longer perspective. Aim The (...)
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  13.  1
    Ethical sensitivity and compassion in home care: Leaders’ views.Heidi Blomqvist, Elisabeth Bergdahl & Jessica Hemberg - 2023 - Nursing Ethics 30 (2):180-196.
    Background With an increasing older population, the pressure on home care resources is growing, which makes it important to ensure the maintenance of quality care. It is known that compassion and ethical sensitivity can improve the quality of care, but little is known about care leaders’ perceptions on ethical sensitivity and compassion in home care and how it is associated with staff competence and thus quality of care. Aim The aim of the study was to explore home care leaders’ perceptions (...)
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  14.  4
    Paramedic use and understanding of their professional code of conduct.Derek Collings-Hughes, Ruth Townsend & Brett Williams - 2023 - Nursing Ethics 30 (2):258-275.
    Background Paramedicine is a newly regulated profession in Australia and with the introduction of regulation in 2018 for this profession came increased responsibilities – including the introduction of a professional code of conduct. Several countries now have regulation of paramedicine and associated professional codes to guide ethical and professional behaviour. Despite this, there has been no published research into paramedic understanding and use of their professional codes. Objectives To explore Australian paramedics’ use and understanding of their professional code of conduct. (...)
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  15.  1
    NICU nurses' moral distress surrounding the deaths of infants.Soojeong Han, Haeyoung Min & Sujeong Kim - 2023 - Nursing Ethics 30 (2):276-287.
    Background As Korean neonatal nurses frequently experience the deaths of infants, moral distress occurs when they provide end-of-life care to the infants and their families. Although they need to care for the patients’ deaths and consequently experience burnout and turnover due to moral distress from the situation, there is a lack of a support for nurses. Moreover, not much information is available on the moral distress of neonatal nurses. There is a need to better understand Korean neonatal nurses’ moral distress (...)
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  16.  3
    Culture of discrimination in healthcare: A grounded theory.Mohammadjavad Hosseinabadi-Farahani, Masoud Fallahi-Khoshknab, Narges Arsalani, Mohammadali Hosseini & Eesa Mohammadi - 2023 - Nursing Ethics 30 (2):302-316.
    Background Discrimination in health care is an international challenge and a serious obstacle to justice and equality in health. Research objective The purpose of this study was to design a grounded theory of discrimination in health care based on the experiences and perceptions of Iranian healthcare providers and patients. Research design This qualitative study was conducted using by the grounded theory method. Participants and research context Data were collected through semi-structured interviews with 18 healthcare providers including 11 nurses, two physicians, (...)
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  17.  1
    Moral distress and spiritual/religious orientation: Moral agency, norms and resilience.Myrna Koonce & Kristiina Hyrkas - 2023 - Nursing Ethics 30 (2):288-301.
    Background Nurses tasked with providing care which they perceive as increasing suffering often experience moral distress. Response to moral distress in nurse wellbeing has been widely studied. Less research exists that probes practicing nurses’ foundations of moral beliefs. Aims The purpose of this phenomenological study was to gain understanding of nurse meaning-making of morally distressing situations, with particular attention to ethical norms, moral agency and resiliency, and nurse religious/spiritual orientation. Design This exploratory study employed semi-structured interviews using open-ended questions. Qualitative (...)
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  18. Nurses’ role model duties for health and COVID-19 pandemic precautions.Paul Neiman - 2023 - Nursing Ethics 30 (2):210-221.
    Role modelling communicates a standard of behavior to another person. Silent role modelling occurs when this standard can be communicated without articulating reasons for the action; articulate role modelling occurs when it is necessary to articulate reasons in order to effectively role model the standard of behavior, and to avoid misinterpretation. Nurses are role models in virtue of the respect and admiration given to the nursing profession. As such, nurses have role model obligations. This paper examines nurses' role model obligations (...)
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  19.  5
    Understanding lived experiences of nurse managers about managerial ethics.Nazi Nejat, Soleman Zand, Majid Taheri & Mahboobeh Khosravani - 2023 - Nursing Ethics 30 (2):162-179.
    Introduction Expressions of Managerial ethics as a clinical phenomenon in Nursing Ethics as expressed by nurse managers were investigated. A coherence could be detected between the concepts and phenomena of Managerial ethics and nurse managers as a context. Background Managerial ethics as a new approach has emerged in the perspective and by prioritizing ethics in the organization has provided the basis for creating and promoting individual and organizational effectiveness. Managers’ and staff’s adherence to professional ethics helps hospitals to achieve their (...)
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  20. A typology of nurses' interaction with relatives in emergency situations.Nadia Primc, Sven Schwabe, Juliane Poeck, Andreas Günther, Martina Hasseler & Giovanni Rubeis - 2023 - Nursing Ethics 30 (2):232-244.
    Background In nursing homes, residents’ relatives represent important sources of support for nurses. However, in the heightened stress of emergency situations, interaction between nurses and relatives can raise ethical challenges. Research objectives The present analysis aimed at elaborating a typology of nurses’ experience of ethical support and challenges in their interaction with relatives in emergency situations. Research design Thirty-three semi-structured interviews and six focus groups were conducted with nurses from different nursing homes in Germany. Data were analysed according to Mayring’s (...)
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  21. Ethical aspects of professional migration.David Thomas, Rachel Miller & Fiona Nolan - 2023 - Nursing Ethics 30 (2):159-161.
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  22.  2
    Clinical nurse adherence to professional ethics: A grounded theory.Qingqing Yang, Zhihui Zheng, Shuqin Pang, Yilong Wu, Jujuan Liu, Jiahui Zhang, Xiahua Qiu, Yufeng Huang, Jia Xu & Liyue Xie - 2023 - Nursing Ethics 30 (2):197-209.
    BackgroundProfessional ethics is the regulation and discipline of nurses’ daily nursing work. Nurses often encounter various ethical challenges and problems in their clinical work, but there are fe...
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  23. Ethical value and challenges of long-term care insurance.Weng Yucen & Chen Min - 2023 - Nursing Ethics 30 (2):222-231.
    Background Issues of the aging population and disability of older persons have been rapidly developing in China over the past 20 years. Since 2016, the Chinese government has been exploring remedies to alleviate social and family burdens and ensure the dignity of the disabled old persons by implementing long-term care insurance systems in a few pilot cities across the country. Purpose The purpose of this study is to present the current challenges faced by China’s long-term care insurance system and put (...)
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  24.  3
    Nurses’ experiences of ethical and legal issues in post-resuscitation care: A qualitative content analysis.Mahnaz Zali, Azad Rahmani, Kelly Powers, Hadi Hassankhani, Hossein Namdar-Areshtanab & Neda Gilani - 2023 - Nursing Ethics 30 (2):245-257.
    Background Cardiopulmonary resuscitation and subsequent care are subject to various ethical and legal issues. Few studies have addressed ethical and legal issues in post-resuscitation care. Objective To explore nurses’ experiences of ethical and legal issues in post-resuscitation care. Research design This qualitative study adopted an exploratory descriptive qualitative design using conventional content analysis. Participants and research context In-depth, semi-structured interviews were conducted in three educational hospital centers in northwestern Iran. Using purposive sampling, 17 nurses participated. Data were analyzed by conventional (...)
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  25. Exploring the concept of non-violent resistance amongst healthcare workers.Ryan Essex, Hil Aked, Rebecca Daniels, Paul Newton & Sharon Weldon - 2023 - Nursing Ethics 30 (1):7-19.
    BackgroundNon-violent resistance which has involved healthcare workers has been instrumental in securing a number of health-related gains and a force in opposing threats to health. Despite this, we...
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  26.  1
    The decision-making experiences of women who legally aborted: A meta-ethnography.Sara Fernández-Basanta, Gabriela Romero-González, Carmen Coronado & María-Jesús Movilla-Fernández - 2023 - Nursing Ethics 30 (1):106-120.
    Background Abortion is one of the most common gynaecological procedures. It is related to personal, social, and economic reasons under a legal term that is recognised as a common sexual and reproductive right in most of countries. However, making the decision to abort is complex, because it is politicised and is often framed in public discourse related to moral or ethical issues beyond women’s experiences. Therefore, it is subject to medical criteria, religious evaluations, and sociological analysis. Purpouse The aim of (...)
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  27.  1
    Nurses’ ethical challenges when providing care in nursing homes during the COVID-19 pandemic.A. H. Hillestad, A. M. M. Rokstad, S. Tretteteig, S. G. Julnes, B. Lichtwarck & S. Eriksen - 2023 - Nursing Ethics 30 (1):32-45.
    Background: Older, frail patients with multimorbidity are at an especially high risk for disease severity and death from COVID-19. The social restrictions proved challenging for the residents, their relatives, and the care staff. While these restrictions clearly impacted daily life in Norwegian nursing homes, knowledge about how the pandemic influenced nursing practice is sparse. Aim: The aim of the study was to illuminate ethical difficult situations experienced by Norwegian nurses working in nursing homes during the COVID-19 pandemic. Research design and (...)
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  28.  4
    Understanding nurses’ justification of restraint in a neurosurgical setting: A qualitative interview study.Amina Guenna Holmgren, Ann-Christin von Vogelsang, Anna Lindblad & Niklas Juth - 2023 - Nursing Ethics 30 (1):71-85.
    Background Despite its negative impact on patients and nurses, the use of restraint in somatic health care continues in many settings. Understanding the reasons and justifications for the use of restraint among nurses is crucial in order to manage this challenge. Aim To understand nurses’ justifications for restraint use in neurosurgical care. Research design A qualitative, descriptive design was used. Data were analysed with inductive qualitative content analysis. Participants and research context Semi-structured interviews with 15 nurses working in three neurosurgical (...)
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  29.  2
    Teaching and learning in interprofessional ethics education: Tutors’ perspectives.Hsun-Kuei Ko, Yu-Chih Lin, Shin-Yun Wang, Min-Tao Hsu, Morgan Yordy, Pao-Feng Tsai & Hui-Ju Lin - 2023 - Nursing Ethics 30 (1):133-144.
    Background Ethical dilemmas that arise in the clinical setting often require the collaboration of multiple disciplines to be resolved. However, medical and nursing curricula do not prioritize communication among disciplines regarding this issue. A common teaching strategy, problem-based learning, could be used to enhance communication among disciplines. Therefore, a university in southern Taiwan developed an interprofessional ethics education program based on problem-based learning strategies. This study described tutors’ experience teaching in this program. Aim To explore the phenomenon of teaching and (...)
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  30.  6
    Caregivers’ perception of teenagers’ dignity in end of life stages: A phenomenological study.Fateme Mohammadi, Khodayar Oshvandi, Masoud Khodaveisi, Fatemeh Cheraghi, Tayebeh Hasan Tehrani, Arash Khalili & Hazel Kyle - 2023 - Nursing Ethics 30 (1):121-132.
    Introduction: Maintaining patient dignity in a caregiving environment is one of the most important moral responsibilities for caregivers. Nonetheless, there are vulnerable groups, specifically teenagers, who in their final stages of life are prone to their dignity being threatened. Moreover, dignity is an abstract concept and there is no studies done on teenagers’ dignity in the final stages of life available in Iran.Purpose: The purpose of this study is to describe the caregivers’ experiences regarding teenagers’ dignity in the final stages (...)
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  31.  2
    Meanings of troubled conscience in nursing homes: nurses’ lived experience.Hilde Munkeby, Grete Bratberg & Siri A. Devik - 2023 - Nursing Ethics 30 (1):20-31.
    Background: Troubled conscience among nurses and other healthcare workers represents a significant contributor to healthcare worker moral distress, burnout and attrition. While research in this area has examined critical care in hospitals, less knowledge has been obtained from long-term care contexts such as nursing homes, despite widely recognised challenges with regard to vulnerable patients, increasing workload and maintaining workforce sustainability among nurses. Objective: The aim of this study was to illuminate and interpret the meaning of the lived experience of troubled (...)
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  32. Is it ever ethical for nurses to lie to patients?Jane Murray - 2023 - Nursing Ethics 30 (1):3-4.
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  33. Compassion, emotions and cognition: Implications for nursing education.Anne Raustøl & Bodil Tveit - 2023 - Nursing Ethics 30 (1):145-154.
    Compassion is often understood as central to nursing and as important to ensure quality nursing and healthcare. In recent years, there has been a focus on strategies in nursing education to ensure compassionate nurses. However, it is not always clear how the concept of compassion is understood. Theoretical conceptualisations that lie behind various understandings of compassion have consequences for how we approach compassion in nursing education. We present some ways in which compassion is often understood, their philosophical underpinnings and the (...)
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  34.  4
    Moral distress to moral success: Strategies to decrease moral distress.Lindsay R. Semler - 2023 - Nursing Ethics 30 (1):58-70.
    Background: Moral distress, which is especially high in critical care nurses, has significant negative implications for nurses, patients, organizations, and healthcare as a whole. Aim: A moral distress workshop and follow-up activities were implemented in an intensive care unit in order to decrease levels of moral distress and increase nurses’ perceived comfort and confidence in ethical decision-making. Design: A quality improvement (QI) initiative was conducted using a pre- and post-intervention design. The program consisted of a four-hour interactive workshop, followed by (...)
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  35. Double distress: women healthcare providers and moral distress during COVID-19.Julia Smith, Alexander Korzuchowski, Christina Memmott, Niki Oveisi, Heang-Lee Tan & Rosemary Morgan - 2023 - Nursing Ethics 30 (1):46-57.
    Background: COVID-19 pandemic has led to heightened moral distress among healthcare providers. Despite evidence of gendered differences in experiences, there is limited feminist analysis of moral distress. Objectives: To identify types of moral distress among women healthcare providers during the COVID-19 pandemic; to explore how feminist political economy might be integrated into the study of moral distress. Research Design: This research draws on interviews and focus groups, the transcripts of which were analyzed using framework analysis. Research Participants and Context: 88 (...)
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  36. Valuing the individual – evaluating the Dignity Care Intervention.Annika Söderman, Carina Werkander Harstäde, Maria Hälleberg Nyman & Karin Blomberg - 2023 - Nursing Ethics 30 (1):86-105.
    BackgroundPalliative care needs in older persons can endanger their dignity. To provide dignity-conserving care to older persons, the Swedish Dignity Care Intervention (DCI-SWE) can be used. The DC...
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  37.  1
    Is it ever ethical for nurses to lie to patients.Anthony G. Tuckett - 2023 - Nursing Ethics 30 (1):5-6.
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