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Kim Lützen [26]K. Lūtzén [18]
  1.  21
    Moral Stress, Moral Climate and Moral Sensitivity Among Psychiatric Professionals.Kim Lützén, Tammy Blom, Béatrice Ewalds-Kvist & Sarah Winch - 2010 - Nursing Ethics 17 (2):213-224.
    The aim of the present study was to investigate the association between work-related moral stress, moral climate and moral sensitivity in mental health nursing. By means of the three scales Hospital Ethical Climate Survey, Moral Sensitivity Questionnaire and Work-Related Moral Stress, 49 participants’ experiences were assessed. The results of linear regression analysis indicated that moral stress was determined to a degree by the work place’s moral climate as well as by two aspects of the mental health staff’s moral sensitivity. The (...)
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  2.  46
    Developing the Concept of Moral Sensitivity in Health Care Practice.Kim Lützén, Vera Dahlqvist, Sture Eriksson & Astrid Norberg - 2006 - Nursing Ethics 13 (2):187-196.
    The aim of this Swedish study was to develop the concept of moral sensitivity in health care practice. This process began with an overview of relevant theories and perspectives on ethics with a focus on moral sensitivity and related concepts, in order to generate a theoretical framework. The second step was to construct a questionnaire based on this framework by generating a list of items from the theoretical framework. Nine items were finally selected as most appropriate and consistent with the (...)
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  3.  37
    Moral Distress: A Comparative Analysis of Theoretical Understandings and Inter-Related Concepts. [REVIEW]Kim Lützén & Beatrice Ewalds Kvist - 2012 - HEC Forum 24 (1):13-25.
    Research on ethical dilemmas in health care has become increasingly salient during the last two decades resulting in confusion about the concept of moral distress. The aim of the present paper is to provide an overview and a comparative analysis of the theoretical understandings of moral distress and related concepts. The focus is on five concepts: moral distress, moral stress, stress of conscience, moral sensitivity and ethical climate. It is suggested that moral distress connects mainly to a psychological perspective; stress (...)
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  4.  11
    Moral Stress: Synthesis of a Concept.Kim Lützén, Agneta Cronqvist, Annabella Magnusson & Lars Andersson - 2003 - Nursing Ethics 10 (3):312-322.
    The aim of this article is to describe the synthesis of the concept of moral stress and to attempt to identify its preconditions. Qualitative data from two independent studies on professional issues in nursing were analysed from a hypothetical-deductive approach. The findings indicate that moral stress is independent of context-given specific preconditions: (1) nurses are morally sensitive to the patient’s vulnerability; (2) nurses experience external factors preventing them from doing what is best for the patient; and (3) nurses feel that (...)
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  5.  21
    Ethics Case Reflection Sessions: Enablers and Barriers.Cecilia Bartholdson, Bert Molewijk, Kim Lützén, Klas Blomgren & Pernilla Pergert - 2018 - Nursing Ethics 25 (2):199-211.
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  6.  36
    Moral Distress and its Interconnection with Moral Sensitivity and Moral Resilience: Viewed From the Philosophy of Viktor E. Frankl. [REVIEW]Kim Lützén & Béatrice Ewalds-Kvist - 2013 - Journal of Bioethical Inquiry 10 (3):317-324.
    The interconnection between moral distress, moral sensitivity, and moral resilience was explored by constructing two hypothetical scenarios based on a recent Swedish newspaper report. In the first scenario, a 77-year-old man, rational and awake, was coded as “do not resuscitate” (DNR) against his daughter’s wishes. The patient died in the presence of nurses who were not permitted to resuscitate him. The second scenario concerned a 41-year-old man, who had been in a coma for three weeks. He was also coded as (...)
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  7.  13
    Moral Sensitivity: Some Differences Between Nurses and Physicians.Kim Lützén, Agneta Johansson & Gun Nordström - 2000 - Nursing Ethics 7 (6):520-530.
    We report the results of an investigation of nurses’ and physicians’ sensitivity to ethical dimensions of clinical practice. The sample consisted of 113 physicians working in general medical settings, 665 psychiatrists, 150 nurses working in general medical settings, and 145 nurses working in psychiatry. The instrument used was the Moral Sensitivity Questionnaire (MSQ), a self-reporting Likert-type questionnaire consisting of 30 assumptions related to moral sensitivity in health care practice. Each of these assumptions was categorized into a theoretical dimension of moral (...)
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  8.  7
    Healthcare Professionals' Perceptions of the Ethical Climate in Paediatric Cancer Care.C. Bartholdson, M. af Sandeberg, K. Lutzen, K. Blomgren & P. Pergert - forthcoming - Nursing Ethics.
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  9.  11
    Caring About - Caring For: Moral Obligations and Work Responsibilities in Intensive Care Nursing.Agneta Cronqvist, Töres Theorell, Tom Burns & Kim Lützén - 2004 - Nursing Ethics 11 (1):63-76.
    The aim of this study was to analyse experiences of moral concerns in intensive care nursing. The theoretical perspective of the study is based on relational ethics, also referred to as ethics of care. The participants were 36 intensive care nurses from 10 general, neonatal and thoracic intensive care units. The structural characteristics of the units were similar: a high working pace, advanced technology, budget restrictions, recent reorganization, and shortage of experienced nurses. The data consisted of the participants’ examples of (...)
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  10.  81
    Balancing Truth-Telling in the Preservation of Hope: A Relational Ethics Approach.P. Pergert & K. Lutzen - 2012 - Nursing Ethics 19 (1):21-29.
    Truth-telling in healthcare practice can be regarded as a universal communicative virtue; however, there are different views on what consequence it has for giving or diminishing hope. The aim of this article is to explore the relationship between the concepts of truth-telling and hope from a relational ethics approach in the context of healthcare practice. Healthcare staff protect themselves and others to preserve hope in the care of seriously sick patients and in end-of-life care. This is done by balancing truth-telling (...)
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  11.  9
    Contract Theories and Partnership in Health Care. A Philosophical Inquiry to the Philosophy of John Rawls and Seyla Benhabib.Sylvia Määttä, Kim Lützén & Stina Öresland - 2017 - Nursing Philosophy 18 (3):e12164.
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  12.  30
    Nurses as Guests or Professionals in Home Health Care.Stina Öresland, Sylvia Määttä, Astrid Norberg, Marianne Winther Jörgensen & Kim Lützén - 2008 - Nursing Ethics 15 (3):371-383.
    The aim of this study was to explore and interpret the diverse subject of positions, or roles, that nurses construct when caring for patients in their own home. Ten interviews were analysed and interpreted using discourse analysis. The findings show that these nurses working in home care constructed two positions: `guest' and `professional'. They had to make a choice between these positions because it was impossible to be both at the same time. An ethics of care and an ethics of (...)
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  13.  13
    To Change or Not to Change - Translating and Culturally Adapting the Paediatric Version of the Moral Distress Scale-Revised.Margareta af Sandeberg, Marika Wenemark, Cecilia Bartholdson, Kim Lützén & Pernilla Pergert - 2017 - BMC Medical Ethics 18 (1):14.
    Paediatric cancer care poses ethically difficult situations that can lead to value conflicts about what is best for the child, possibly resulting in moral distress. Research on moral distress is lacking in paediatric cancer care in Sweden and most questionnaires are developed in English. The Moral Distress Scale-Revised is a questionnaire that measures moral distress in specific situations; respondents are asked to indicate both the frequency and the level of disturbance when the situation arises. The aims of this study were (...)
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  14.  48
    Nurses as 'Guests'– a Study of a Concept in Light of Jacques Derrida's Philosophy of Hospitality.Stina Öresland, Kim Lutzén, Astrid Norberg, Birgit H. Rasmussen & Sylvia Määttä - 2013 - Nursing Philosophy 14 (2):117-126.
  15.  26
    Moral Sensitivity in Psychiatric Practice.K. Lutzen, M. Evertzon & C. Nordin - 1997 - Nursing Ethics 4 (6):472-482.
    This study reports the results of a study of Swedish psychiatrists’ responses to moral statements related to decision making in the psychiatric context. Use was made of the Moral Sensitivity Questionnaire, a modified instrument previously constructed from a theory of moral sensitivity. This Likert-type scale contains 30 items constructed from the following categories: interpersonal orientation, structuring moral meaning, benevolence, modifying autonomy, experiencing moral conflict, and trust in medical knowledge and principles of care. The purpose was to identify possible differences in (...)
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  16.  9
    The First Nurse-Patient Encounter in a Psychiatric Setting: Discovering a Moral Commitment in Nursing.Elisabet Sjöstedt, Anita Dahlstrand, Elisabeth Severinsson & Kim Lützén - 2001 - Nursing Ethics 8 (4):313-327.
    The aim of this study was to deepen nurses’ understanding of the importance of carefully managing the first nurse-patient encounter in a psychiatric setting according to each patient’s suffering and future hopes. The study was carried out using an action research approach. The action planned was the implementation of a conceptual model reflecting Eriksson’s caring theory. Data were collected by interviews with nurses and observational notes kept in a research diary. The data analysis followed the procedure of qualitative content analysis. (...)
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  17.  5
    Nursing Ethics Into the Next Millennium: A Context-Sensitive Approach for Nursing Ethics.K. Lutzen - 1997 - Nursing Ethics 4 (3):218-226.
    The aim of this article is to argue for the need for a context-sensitive approach to the understanding of ethical issues in nursing practice as we face the next millennium. This approach means that the idea of universalism must be questioned because ethics is an interpersonal activity, set in a specific context. This view is based on issues that arise in international collaborative research as well as in research focused on ethical problems in nursing practice. Moral values are indigenous to (...)
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  18.  18
    The Role of Virtue Ethics in Psychiatric Nursing.Kim Lützén & António Barbosa da Silva - 1996 - Nursing Ethics 3 (3):202-211.
    The main purpose of this article is to discuss the place of the ethics of virtues and char acter in nursing and health care in general, and in psychiatric nursing in particular. To attain this goal, the relationship between the ethics of duty (i.e. rule based ethics) and the ethics of virtue and character will be clarified in order to defend our main hypothe sis that these two types of ethics should complement each other, since both are necessary but neither (...)
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  19.  5
    Demographic Factors Associated with Moral Sensitivity Among Nursing Students.Hanna Tuvesson & Kim Lützén - 2017 - Nursing Ethics 24 (7):847-855.
  20.  26
    Intrusion Into Patient Privacy: A Moral Concern in the Home Care of Persons with Chronic Mental Illness.A. Magnusson & K. Lutzen - 1999 - Nursing Ethics 6 (5):399-410.
    The aim of this study was to identify and analyse ethical decision making in the home care of persons with long-term mental illness. A focus was placed on how health care workers interpret and deal with the principle of autonomy in actual situations. Three focus groups involving mental health nurses who were experienced in the home care of persons with chronic mental illness were conducted in order to stimulate an interactive dialogue on this topic. A constant comparative analysis of the (...)
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  21.  87
    Modifying Autonomy--A Concept Grounded in Nurses' Experiences of Moral Decision-Making in Psychiatric Practice.K. Lutzen & C. Nordin - 1994 - Journal of Medical Ethics 20 (2):101-107.
    Fourteen experienced psychiatric nurses participated in a pilot study aimed at describing the experiential aspect of making decisions for the patient. In-depth interviews focused on conflicts, were transcribed, coded, and categorized according to the Grounded Theory method. The theoretical construct, 'modifying autonomy' and its dimensions, such as being aware of the patient's vulnerability, caring for and caring about the patient, were identified. The findings in this study make clear the need for further research into the experiential aspect of ethical decision-making (...)
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  22.  19
    Patients as `Safeguard' and Nurses as `Substitute' in Home Health Care.Stina Öresland, Sylvia Määttä, Astrid Norberg & Kim Lützén - 2009 - Nursing Ethics 16 (2):219-230.
    One aim of this study was to explore the role, or subject position, patients take in the care they receive from nurses in their own home. Another was to examine the subject position that patients say the nurses take when giving care to them in their own home. Ten interviews were analysed and interpreted according to a discourse analytical method. The findings show that patients constructed their subject position as `safeguard', and the nurses' subject position as `substitute' for themselves. These (...)
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  23.  16
    Uncovering Tacit Caring Knowledge.Gunilla Carlsson, Nancy Drew, Karin Dahlberg & Kim Lützen - 2002 - Nursing Philosophy 3 (2):144-151.
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  24.  38
    Moral Sensitivity in Psychiatric Pratice.K. Lūtzén, M. Evertzon & C. Nordin - 1997 - Nursing Ethics 4 (6):472-482.
    This study reports the results of a study of Swedish psychiatrists’ responses to moral statements related to decision making in the psychiatric context. Use was made of the Moral Sensitivity Questionnaire, a modified instrument previously constructed from a theory of moral sensitivity. This Likert-type scale contains 30 items constructed from the following categories: interpersonal orientation, structuring moral meaning, benevolence, modifying autonomy, experiencing moral conflict, and trust in medical knowledge and principles of care. The purpose was to identify possible differences in (...)
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  25.  15
    Patients with Cancer: Their Approaches to Participation in Treatment Plan Decisions.Ethel Ramfelt & Kim Lützén - 2005 - Nursing Ethics 12 (2):143-155.
    The aim of this study was to explore experiences of participation in treatment planning decisions from the perspective of patients recently treated for colorectal cancer. Ten patients were purposively selected and interviewed. Constant comparative analysis, the core concept of grounded theory, was used. The dimensions were developed and organized into the main theme of ‘compliant participation in serious decisions’, which was composed of the two variations: complying with participation; and complying without participation. Complying with participation was characterized by feelings of (...)
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  26.  12
    Home-Based Nursing: An Endless Journey.Stina Öresland, Sylvia Määttä, Astrid Norberg & Kim Lützén - 2011 - Nursing Ethics 18 (3):408-417.
    The aim of this study was to explore metaphors for discovering values and norms held by nurses in home-based nursing care. Ten interviews were analysed and interpreted in accordance with a metaphor analytical method. In the analysis, metaphoric linguistic expressions and two entailments emerged, grounded in the conceptual metaphor ‘home-based nursing care is an endless journey’, which were created in a cross-domain mapping between the two conceptual domains of home-based nursing care and travel. The metaphor exposed home-based nursing care as (...)
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  27.  21
    The Influence of Gender, Education and Experience On Moral Sensitivity in Psychiatric Nursing: A Pilot Study.Kim Lützén & Conny Nordin - 1995 - Nursing Ethics 2 (1):41-50.
    The purpose of this study was to investigate some factors which may influence moral decision-making in psychiatric nursing practice. The Moral Sensitivity Questionnaire, a 30-item, seven-point Likert scale, measures six dimensions that are assumed to be related to moral sensitivity. In scoring, the test is divided into six categories: interpersonal orientation, structuring moral meaning, expressing benevolence, modifying autonomy, experiencing conflict, and reliance on medical authority. Seventy-nine nurses, employed in the same psychiatric district, were included in the sample. Significant differences were (...)
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  28.  26
    The Morality of Treating Patients with Depot Neuroleptics: The Experience of Community Psychiatric Nurses.B. Svedberg, T. Hallstrom & K. Lutzen - 2000 - Nursing Ethics 7 (1):35-46.
    The aim of this qualitative study was to gain an understanding of the meaning that community psychiatric nurses impart to their everyday interactions with patients in depot neuroleptic treatment situations. Nine experienced community psychiatric nurses were interviewed using semistructured, open-ended questions. Data analysis was by the phenomenological descriptive method according to Giorgi. Four themes were identified, highlighting aspects of the moral meaning of treating patients with depot neuroleptics: (1) ‘benevolent justification’ occurs when nurses perceive that the patient’s welfare is at (...)
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  29.  8
    Nursing Ethics Into the Next.Kim Lützén - 1997 - Nursing Ethics 4 (3).
  30.  12
    Experience of Dealing with Moral Responsibility as a Mother with Cancer.Eva Elmberger, Christina Bolund & Kim Lützén - 2005 - Nursing Ethics 12 (3):253-262.
    This study explored how women with a diagnosis of cancer (lymphoma) deal with moral concerns related to their responsibility as parents. Ten women with cancer and who had children living at home were interviewed. The interviews were analysed according to the constant comparative method used in grounded theory. In order to provide a focus for the analysis, the ethics of care and the concept of mothering were used as sensitizing concepts. The core concept ‘experience of dealing with moral responsibility of (...)
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  31. Time for Ethics.K. Lützén - 2008 - Nursing Ethics 15 (2):145.
  32.  33
    The First Nurse–Patient Encounter in a Psychiatric Setting: Discovering a Moral Commitment in Nursing.E. Sjöstedt, A. Dahlstrand, E. Severinsson & K. Lützén - 2001 - Nursing Ethics 8 (4):313-327.
    The aim of this study was to deepen nurses’ understanding of the importance of carefully managing the first nurse-patient encounter in a psychiatric setting according to each patient’s suffering and future hopes. The study was carried out using an action research approach. The action planned was the implementation of a conceptual model reflecting Eriksson’s caring theory. Data were collected by interviews with nurses and observational notes kept in a research diary. The data analysis followed the procedure of qualitative content analysis. (...)
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  33.  4
    Translating and Culturally Adapting the Shortened Version of the Hospital Ethical Climate Survey – Retaining or Modifying Validated Instruments.Pernilla Pergert, Cecilia Bartholdson, Marika Wenemark, Kim Lützén & Margareta af Sandeberg - 2018 - BMC Medical Ethics 19 (1):35.
    The Hospital Ethical Climate Survey was developed in the USA and later shortened. HECS has previously been translated into Swedish and the aim of this study was to describe a process of translating and culturally adapting HECS-S and to develop a Swedish multi-professional version, relevant for paediatrics. Another aim was to describe decisions about retaining versus modifying the questionnaire in order to keep the Swedish version as close as possible to the original while achieving a good functional level and trustworthiness. (...)
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  34.  9
    Moral Sensitivity: Some Differences Among Nurses and Physicians. Nursing Ethics.K. Lützén, A. Johansson & Gun Nordström - forthcoming - Nursing Ethics. 2000; 7 (6): 520-530.
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  35.  8
    Editorial Comment.Kim Lützén - 2004 - Nursing Ethics 11 (6):541-542.
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  36.  11
    To Be a Nurse or a Neighbour? A Moral Concern for Psychiatric Nurses Living Next Door to Individuals with a Mental Illness.Torbjörn Högberg, Annabella Magnusson & Kim Lützén - 2005 - Nursing Ethics 12 (5):468-478.
    Several studies reveal that positive attitudes towards individuals with a mental illness are correlated with knowledge about mental illness. The aim of this study was to explore and describe psychiatric nurses’ experiences of living next to people with mental health problems. In addition, it sought to identify and describe how they handle situations arising in a neighbourhood where people with a mental illness live. Two men and seven women participated in the study. The constant comparative method of grounded theory was (...)
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  37.  9
    Book Review: Self-Care Nursing in a Multicultural Context. [REVIEW]K. Lutzen - 1997 - Nursing Ethics 4 (5):431-433.
  38.  7
    Editorial Comment.Kim Lützén - 2003 - Nursing Ethics 10 (1):2-3.
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  39.  7
    Editorial Comment.K. Lutzen - 2000 - Nursing Ethics 7 (1):3-4.
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  40.  8
    Lipson Jg, Steiger Nj. 1996:: Self-Care Nursing in a Multicultural Context. Thousand Oaks:: Sage. 352 Pp.£ 19.95 (Pb). Isbn 0 8039 7055 2. [REVIEW]K. Lutzen - 1997 - Nursing Ethics 4 (5):431-433.
  41.  5
    Editorial Comment.K. Lutzen - 2008 - Nursing Ethics 15 (2):145-146.
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  42.  2
    The Right to Privacy of E-Mails Raises Many Questions.K. Lützén - 2003 - Nursing Ethics 10 (1):2-3.
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  43.  2
    Some Reflections on the Morality of War.K. Lützén - 2004 - Nursing Ethics 11 (6):541-542.
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  44. Academic Tension and Nursing Ethics Research.K. Lützén - 2000 - Nursing Ethics 7 (1):3.