29 found
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  1.  18
    Organisational and individual support for nurses’ ethical competence: A cross-sectional survey.Tarja Poikkeus, Riitta Suhonen, Jouko Katajisto & Helena Leino-Kilpi - 2018 - Nursing Ethics 25 (3):376-392.
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  2.  15
    Moral injury in healthcare professionals: A scoping review and discussion.Anto Čartolovni, Minna Stolt, P. Anne Scott & Riitta Suhonen - forthcoming - Nursing Ethics:096973302096677.
    Moral injury emerged in the healthcare discussion quite recently because of the difficulties and challenges healthcare workers and healthcare systems face in the context of the COVID-19 pandemic. Moral injury involves a deep emotional wound and is unique to those who bear witness to intense human suffering and cruelty. This article aims to synthesise the very limited evidence from empirical studies on moral injury and to discuss a better understanding of the concept of moral injury, its importance in the healthcare (...)
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  3.  25
    Ethical climate in nursing environment: A scoping review.Janika Koskenvuori, Olivia Numminen & Riitta Suhonen - 2019 - Nursing Ethics 26 (2):327-345.
    Background:In the past two decades, interest in the concept of ethical climate and in its research has increased in healthcare. Ethical climate is viewed as a type of organizational work climate, and defined as the shared perception of ethically correct behavior, and how ethical issues should be handled in the organization. Ethical climate as an important element of nursing environment has been the focus of several studies. However, scoping reviews of ethical climate research in nursing have not been conducted to (...)
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  4.  26
    Resource allocation and rationing in nursing care: A discussion paper.P. Anne Scott, Clare Harvey, Heike Felzmann, Riitta Suhonen, Monika Habermann, Kristin Halvorsen, Karin Christiansen, Luisa Toffoli & Evridiki Papastavrou - 2019 - Nursing Ethics 26 (5):1528-1539.
    Driven by interests in workforce planning and patient safety, a growing body of literature has begun to identify the reality and the prevalence of missed nursing care, also specified as care left undone, rationed care or unfinished care. Empirical studies and conceptual considerations have focused on structural issues such as staffing, as well as on outcome issues – missed care/unfinished care. Philosophical and ethical aspects of unfinished care are largely unexplored. Thus, while internationally studies highlight instances of covert rationing/missed care/care (...)
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  5.  19
    Ethics interventions for healthcare professionals and students: A systematic review.Minna Stolt, Helena Leino-Kilpi, Minka Ruokonen, Hanna Repo & Riitta Suhonen - 2018 - Nursing Ethics 25 (2):133-152.
    Background:The ethics and value bases in healthcare are widely acknowledged. There is a need to improve and raise awareness of ethics in complex systems and in line with competing needs, different stakeholders and patients’ rights. Evidence-based strategies and interventions for the development of procedures and practice have been used to improve care and services. However, it is not known whether and to what extent ethics can be developed using interventions.Objectives:To examine ethics interventions conducted on healthcare professionals and healthcare students to (...)
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  6.  48
    Organizational ethics: A literature review.Riitta Suhonen, Minna Stolt, Heli Virtanen & Helena Leino-Kilpi - 2011 - Nursing Ethics 18 (3):285-303.
    The aim of the study was to report the results of a systematically conducted literature review of empirical studies about healthcare organizations’ ethics and management or leadership issues. Electronic databases MEDLINE and CINAHL yielded 909 citations. After a two stage application of the inclusion and exclusion criteria 56 full-text articles were included in the review. No large research programs were identified. Most of the studies were in acute hospital settings from the 1990s onwards. The studies focused on ethical challenges, dilemmas (...)
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  7.  41
    Ethical problems in nursing management: The role of codes of ethics.Elina Aitamaa, Helena Leino-Kilpi, Pauli Puukka & Riitta Suhonen - 2010 - Nursing Ethics 17 (4):469-482.
    The aim of this study was to identify the ethical problems that nurse managers encounter in their work and the role of codes of ethics in the solutions to these difficulties. The data were collected using a structured questionnaire and analysed statistically. The target sample included all nurse managers in 21 specialized health care or primary health care organizations in two hospital districts in Finland (N = 501; response rate 41%). The most common ethical problems concerned resource allocation as well (...)
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  8.  33
    Research on ethics in nursing care for older people: A literature review.Riitta Suhonen, Minna Stolt, Veikko Launis & Helena Leino-Kilpi - 2010 - Nursing Ethics 17 (3):337-352.
    The aim of this review was to analyse the empirical studies that focus on ethics in nursing care for older people, scoping the need and areas for further study. A search of the MEDLINE and CINAHL databases (earliest to August 2009) was conducted using the the keywords: ethic* and nursing or care or caring and elderly or aged or older. After a four-stage process, 71 empirical articles were included in the review, with informants ranging from elderly people to relatives, caregivers, (...)
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  9.  39
    Ethical problems and moral sensitivity in physiotherapy.Kati Kulju, Riitta Suhonen & Helena Leino-Kilpi - 2013 - Nursing Ethics 20 (5):568-577.
    This study identified and described ethical problems encountered by physiotherapists in their practice and physiotherapists’ moral sensitivity in ethical situations. A questionnaire-based survey was constructed to identify ethical problems, and the Moral Sensitivity Questionnaire Revised version was used to measure moral sensitivity. Physiotherapists (n = 116) working in public health services responded to the questionnaire. Based on the results, most of the physiotherapists encounter ethical problems weekly. They concern mainly financial considerations, equality and justice, professionalism, unethical conduct of physiotherapists or (...)
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  10.  16
    Whistle-blowing process in healthcare: From suspicion to action.Johanna Pohjanoksa, Minna Stolt, Riitta Suhonen, Eliisa Löyttyniemi & Helena Leino-Kilpi - 2019 - Nursing Ethics 26 (2):526-540.
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  11.  31
    Older people’s experiences of their free will in nursing homes.Leena Tuominen, Helena Leino-Kilpi & Riitta Suhonen - 2016 - Nursing Ethics 23 (1):22-35.
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  12.  5
    Effective interventions for reducing moral distress in critical care nurses.Amir Emami Zeydi, Mohammad Javad Ghazanfari, Riitta Suhonen, Mohsen Adib-Hajbaghery & Samad Karkhah - 2022 - Nursing Ethics 29 (4):1047-1065.
    Moral distress (MD) has received considerable attention in the nursing literature over the past few decades. It has been found that high levels of MD can negatively impact nurses, patients, and their family and reduce the quality of patient care. This study aimed to investigate the potentially effective interventions to alleviate MD in critical care nurses. In this systematic review, a broad search of the literature was conducted in the international databases including PubMed/MEDLINE, Web of Science, and Scopus, as well (...)
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  13.  21
    Perceptions of Autonomy in the Care of Elderly People in Five European Countries.P. Anne Scott, Maritta Välimäki, Helena Leino-Kilpi, Theo Dassen, Maria Gasull, Chryssoula Lemonidou, Marianne Arndt, Anja Schopp, Riitta Suhonen & Anne Kaljonen - 2003 - Nursing Ethics 10 (1):28-38.
    The focus of this article is perceptions of elderly patients and nurses regarding patients’ autonomy in nursing practice. Autonomy is empirically defined as having two components: information received/given as a prerequisite and decision making as the action. The results indicated differences between staff and patient perceptions of patient autonomy for both components in all five countries in which this survey was conducted. There were also differences between countries in the perceptions of patients and nurses regarding the frequency with which patients (...)
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  14.  10
    Validation of the Hospital Ethical Climate Survey for older people care.Riitta Suhonen, Minna Stolt, Jouko Katajisto, Andreas Charalambous & Linda L. Olson - 2015 - Nursing Ethics 22 (5):517-532.
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  15.  28
    Individualized care scale – nurse version: a Finnish validation study.Riitta Suhonen, Marja-Liisa Gustafsson, Jouko Katajisto, Maritta Välimäki & Helena Leino-Kilpi - 2010 - Journal of Evaluation in Clinical Practice 16 (1):145-154.
  16.  31
    Solving work-related ethical problems.Laura Laukkanen, Riitta Suhonen & Helena Leino-Kilpi - 2016 - Nursing Ethics 23 (8):838-850.
  17.  11
    Ethical issues related to the use of gerontechnology in older people care: A scoping review.Suvi Sundgren, Minna Stolt & Riitta Suhonen - forthcoming - Nursing Ethics:096973301984513.
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  18.  11
    Dignity realization of patients with stroke in hospital care: A grounded theory.Sunna Rannikko, Minna Stolt, Riitta Suhonen & Helena Leino-Kilpi - 2019 - Nursing Ethics 26 (2):378-389.
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  19.  24
    Development and psychometric properties of the Individualized Care Scale.Riitta Suhonen, Helena Leino-Kilpi & Maritta Valimaki - 2005 - Journal of Evaluation in Clinical Practice 11 (1):7-20.
  20.  10
    Self-evaluated ethical competence of a practicing physiotherapist: a national study in Finland.Helena Leino-Kilpi, Anna Tolvanen, Pauli Puukka, Riitta Suhonen & Kati Kulju - 2020 - BMC Medical Ethics 21 (1):1-11.
    BackgroundPatients have the right to equal, respectful treatment. Nowadays, one third of patient complaints concern health care staff’s behavior towards patients. Ethically safe care requires ethical competence, which has been addressed as a core competence in physiotherapy. It has been defined in terms of character strength, ethical awareness, moral judgment skills in decision-making, and willingness to do good. The purpose of this study was to analyze the ethical competence of practicing physiotherapists.MethodA self-evaluation instrument based on an analysis of a concept (...)
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  21.  10
    Missed care, care left undone: Organization ethics and the appropriate use of the nursing resource.Philomena Anne Scott, Riitta Suhonen & Marcia Kirwan - 2020 - Nursing Philosophy 21 (1).
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  22.  26
    The Patient Satisfaction Scale – an empirical investigation into the Finnish adaptation.Riitta Suhonen, Helena Leino-Kilpi, Maritta Välimäki & Hesook Suzie Kim - 2007 - Journal of Evaluation in Clinical Practice 13 (1):31-38.
  23.  12
    Individualized Care Scale-patient: A Spanish validation study.Beatriz Rodríguez-Martín, Raúl Martin-Martin & Riitta Suhonen - 2019 - Nursing Ethics 26 (6):1791-1804.
    Background: I suggest this individualized care is a fundamental principle closely linked to nursing ethics and has important benefits for the patients, however, nurses do not always take into consideration the principles of individualized care. Moreover, there is no validated instrument to assess patients’ views of individualized care in Spanish-speaking countries. Objectives: To assess the validity and reliability of the Spanish version of the Individualized Care Scale-patient. Design: A cross-sectional study design was conducted. A questionnaire survey, including the Individualized Care (...)
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  24.  23
    Nursing Students' Perceptions of Self-Determination in Elderly People.Maritta Välimäki, Helena Haapsaari, Jouko Katajisto & Riitta Suhonen - 2008 - Nursing Ethics 15 (3):346-359.
    The purpose of this study was to compare nursing students' perceptions of self-determination in elderly patients before and after clinical training in long term care institutions as a part of their course in gerontological nursing. A pre- post-test design was employed. The data were collected by questionnaires completed by students at one nurse education organization college in Finland (pre-test n ± 120, response rate 95%; post-test n ± 115, response rate 91%). The students' perceptions of elderly patients' self-determination were more (...)
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  25.  2
    Whistle-blowers – morally courageous actors in health care?Johanna Wiisak, Riitta Suhonen & Helena Leino-Kilpi - 2022 - Nursing Ethics 29 (6):1415-1429.
    Background Moral courage means courage to act according to individual’s own ethical values and principles despite the risk of negative consequences for them. Research about the moral courage of whistle-blowers in health care is scarce, although whistleblowing involves a significant risk for the whistle-blower. Objective To analyse the moral courage of potential whistle-blowers and its association with their background variables in health care. Research design Was a descriptive-correlational study using a questionnaire, containing Nurses Moral Courage Scale©, a video vignette of (...)
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  26.  6
    Clinical ethics and challenges to individualized care.Riitta Suhonen - 2010 - Nursing Ethics 17 (5):541-542.
  27.  1
    Editorial comment.Riitta Suhonen - 2010 - Nursing Ethics 17 (5):541-542.
  28.  19
    Respect in the care of older patients in acute hospitals.Jaana Koskenniemi, Helena Leino-Kilpi & Riitta Suhonen - 2013 - Nursing Ethics 20 (1):5-17.
    The aim of this study was to describe the experiences of older patients and their next of kin with regards to respect in the care given in an acute hospital. The data were collected using tape-recorded interviews and analysed via inductive content analysis. Based on the analysis, the concept of respect can be defined by the actions taken by nurses and next of kin and by factors related to the environment. The information will be used to develop an instrument for (...)
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  29. The ethical pathway – Does the perceived realisation of the individuals’ values change during the post-stroke time?Sunna Eva Erika Rannikko, Helena Leino-Kilpi, Miko Pasanen & Riitta Suhonen - forthcoming - Clinical Ethics.
    Background Stroke causes ethically challenging changes in the lives of individuals with stroke (IwS). However, it is unclear whether the changes are stable or dynamic. In this study, a novel concept ‘ethical pathway’ is used to describe the potential changes in the perceived realisation of IwS’ values in temporal passage post-stroke. Ethical pathway includes three central values of nursing: dignity, privacy and autonomy. Aim of the study was to analyse the perceived ethical pathway of IwS over a non-limited post-stroke period, (...)
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