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Artificial intelligence and nursing: The good, the bad and the cautionary Nurs. Eth. (IF 2.9) Pub Date : 2024-09-18 Ann Gallagher
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What factors influence patient autonomy in healthcare decision-making? A systematic review of studies from the Global South Nurs. Eth. (IF 2.9) Pub Date : 2024-08-23 Muhammad Umair Akhtar, Muhammad Esswan Bhatti, Salim Fredericks
BackgroundThe principle of respect for autonomy (PRA) is a central tenet of bioethics. In the quest for a global bioethics, it is pertinent to ask whether this principle can be applied as it is to cultures and societies that are devoid of the Western sociopolitical historical pressures that led to its emergence. Relational autonomists have argued for a more inclusive approach to patient autonomy which
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COVID-19 guidelines and media influenced ethical care in nursing homes Nurs. Eth. (IF 2.9) Pub Date : 2024-08-23 Caroline Wachtler, Monica Bergqvist, Pia Bastholm-Rahmner, Lars L Gustafsson, Katharina Schmidt-Mende
BackgroundThe early phase of the COVID-19 pandemic affected nursing homes and their residents heavily. Guidelines on how to mitigate the virus’s spread and ensuring safe healthcare delivery were continually evolving. Concurrently, nursing homes faced intense media scrutiny. This challenging environment severely impacted registered nurses and physicians employed within these facilities.AimTo understand
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Ethical risks in robot health education: A qualitative study Nurs. Eth. (IF 2.9) Pub Date : 2024-08-14 ZiQi Mei, ShengJi Jin, WeiTong Li, SuJu Zhang, XiRong Cheng, YiTing Li, Meng Wang, YuLei Song, WenJing Tu, HaiYan Yin, Qing Wang, YaMei Bai, GuiHua Xu
BackgroundAs health education robots may potentially become a significant support force in nursing practice in the future, it is imperative to adhere to the European Union’s concept of “Responsible Research and Innovation” (RRI) and deeply reflect on the ethical risks hidden in the process of intelligent robotic health education.AimThis study explores the perceptions of professional nursing professionals
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Linking ethical leadership to nurses’ internal whistleblowing through psychological safety Nurs. Eth. (IF 2.9) Pub Date : 2024-08-13 Heba Emad El-Gazar, Nadiah A Baghdadi, Sally Mohammed Farghaly Abdelaliem, Mohamed Ali Zoromba
Background: Cultivating internal whistleblowing among nurses is of paramount importance to nurse leaders. Yet, the literature on how nurse leaders can foster this phenomenon among nurses is limited. Additionally, the underlying mechanisms linking leadership behaviors to internal whistleblowing intentions remain underexplored.Aim: This study aimed to examine how ethical leadership is linked to internal
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The nurses’ clinical environment belongingness and professional identity: The mediating role of professional values Nurs. Eth. (IF 2.9) Pub Date : 2024-08-12 Somaye Bakhshi Zadeh, Ali Mohammad Parviniannasab, Mostafa Bijani, Azizallah Dehghan, Aezam Zare
BackgroundBelonging to the clinical environment and the professional values of the performers play a role in forming a professional identity. Therefore, it is necessary to understand the degree of connection among these concepts.AimThis study aimed to examine the mediating effects of professional values on the relationship between nurses’ clinical environment belongingness and professional identity
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Moral resilience and intention to leave: Mediating effect of moral distress Nurs. Eth. (IF 2.9) Pub Date : 2024-08-12 Mustafa Sabri KOVANCI, Azize ATLI ÖZBAŞ
AimsThis study aims to examine the mediating effect of moral distress on the relationship between moral resilience and the intention to leave.BackgroundMoral distress is a phenomenon that negatively impacts healthcare workers, healthcare institutions, and recipients. To eliminate or minimize the negative effects of moral distress, it is necessary to increase the moral resilience of nurses. Moral resilience
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Latent profile analysis of nurses’ moral courage: a professional values perspective Nurs. Eth. (IF 2.9) Pub Date : 2024-08-10 Kaili Hu, Quan Zhou, Yufen Zhang, Wei Tian, Minglong Wu
IntroductionNurses’ moral courage (NMC) enhances care quality and patient safety. Nurses’ professional values promote ethical adherence, moral obligation fulfillment, and compliance to prevent ethical violations. It is necessary to explore the current status and influencing factors of moral courage from the perspective of professional values.AimTo investigate the current situation of nurses’ moral
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Compassionate nursing in challenging contexts: The importance of judgments Nurs. Eth. (IF 2.9) Pub Date : 2024-08-10 Elizabeth Peter, Shan Mohammed, Caroline Variath
BackgroundNurses’ demonstration of compassion is an ethical and often regulatory expectation. While research has been conducted to examine the barriers and facilitators of compassion in nurses, little is known about how nurses develop and express compassion for patients who may be blamed for their health condition. Unvaccinated COVID-19 patients are an example of such patients.Research questionsHow
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Measuring trust in healthcare with instruments developed in different disciplines – A scoping review Nurs. Eth. (IF 2.9) Pub Date : 2024-08-10 Venla Karikumpu, Arja Häggman-Laitila, Anja Terkamo-Moisio
BackgroundTrust is a key character at organizational level. Understanding the level of trust with timely relevant instrument is a significant process to capture the level of trust beyond organizational changes in healthcare.ObjectivesTo gather, assess, and synthesize the items of instruments evaluating trust in healthcare organizations.DesignScoping review methodology.MethodsThe literature search with
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Apprenticeships as pathway to care careers: Ethical challenges and opportunities for professions Nurs. Eth. (IF 2.9) Pub Date : 2024-08-10 Ann Gallagher, Raj Kakaiya
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Is epistemic injustice a worthy application to mental health nurse education? Nurs. Eth. (IF 2.9) Pub Date : 2024-08-09 Jane Fisher
This paper explores the philosophical concept of epistemic injustice and contends its significance and relevance to mental health nurse education and clinical practice. The term epistemic injustice may be unfamiliar to mental health nurses, yet the effects are readily visible in the dismissing, silencing, and doubting of service users’ knowledge, testimony, and interpretation. Existing professional
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Moral sensitivity, moral courage, and ethical behaviour among clinical nurses Nurs. Eth. (IF 2.9) Pub Date : 2024-08-06 Qihui Chen, Qin Chen, Chenxiao Ma, Yanan Zhang, Mengyu Gou, Weiyu Yang
Background: Ethical behaviour in nursing practice is integral to establishing a harmonious nurse-patient relationship and improving the quality of care. A multitude of factors shapes such behaviour. Therefore, it is crucial to understand the interplay between these factors.Research objectives: This study aimed to explore the mechanisms underlying the influence of moral sensitivity on nurses’ ethical
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Organizational silence and hidden threats to patients’ dignity with schizophrenia: A qualitative study Nurs. Eth. (IF 2.9) Pub Date : 2024-08-02 Elham Amiri, Hossein Ebrahimi, Hossein Habibzadeh, Rahim Baghaei
BackgroundMaintaining patients’ dignity is a key ethical requirement in healthcare and is emphasized in nursing standards. This issue is particularly significant for patients with schizophrenia because they face unique challenges such as physical and psychological difficulties, dependence on others, and social isolation, making them more vulnerable. Organizational factors can either threaten or preserve
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Exploring inappropriate levels of care in intensive care Nurs. Eth. (IF 2.9) Pub Date : 2024-07-30 Bénédicte D’Anjou, Stéphane Ahern, Valérie Martel, Laetitia Royer, Anne-Charlotte Saint-André, Esther Vandal, Eric Racine
BackgroundLevels of care deemed as inappropriate generate moral distress among nurses and other intensive care professionals. Inappropriate levels of care and related moral distress are frequently broached as individual and psychological phenomena, reduced to how individuals feel and think about specific cases. However, this tends to obscure the complex context in which these situations occur, and
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Key professional stakeholders roles in promoting older people's autonomy in residential care Nurs. Eth. (IF 2.9) Pub Date : 2024-07-25 Tanja Moilanen, Riitta Suhonen, Mari Kangasniemi
BackgroundOlder people’s autonomy is an ethical and legal principle in everyday residential care, but there is a lack of clarity about the roles and responsibilities of the key professional stakeholder groups involved.Research objectivesThis study aimed to identify and define the roles and responsibilities of the key professional stakeholder groups involved in promoting older people’s autonomy in residential
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Lived experience of ethical challenges among undergraduate nursing students during their clinical learning Nurs. Eth. (IF 2.9) Pub Date : 2024-07-24 Silvia Gonella, Elena Viottini, Chris Gastmans, Sara Tambone, Alessio Conti, Sara Campagna, Valerio Dimonte
BackgroundUndergraduate nursing students may experience several ethical challenges during their clinical learning placement that can lead to moral distress and intention to leave the profession. Ethical challenges are complex phenomena and ethical frameworks may help improve their understanding and provide actionable recommendations to enhance students’ readiness for practice.AimTo explore undergraduate
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Explaining the process of learning about dignity by undergraduate nursing students: A grounded theory study Nurs. Eth. (IF 2.9) Pub Date : 2024-07-24 Hugo Franco, Sílvia Caldeira, Lucília Nunes
BackgroundThe learning process about dignity and how undergraduate nursing students experience and use this ethical knowledge is an under-represented field in nursing research. To overcome the lack of conceptual clarity, it is important to understand what processes and dimensions students develop to support this learning outcome.ObjectiveThis study aimed to explain the process of learning about dignity
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The growth of nursing professional values – A grounded theory Nurs. Eth. (IF 2.9) Pub Date : 2024-07-24 Jialin Li, Xiaohan Li
BackgroundThe formation of nursing professional values is crucial to the development of the nursing profession, but it is influenced by various factors. The process of shaping nursing professional values in different growth contexts has been overlooked. In order to establish professional values in the context of Chinese nursing, it is necessary to investigate the evolution of nursing professional values
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Perceived compassionate care and preoperative anxiety in hospitalized patients Nurs. Eth. (IF 2.9) Pub Date : 2024-07-23 Samaneh Bagherian, Banafsheh Tehranineshat, Mahdi Shahbazi, Mohammad Hossein Taklif
BackgroundQuality nursing care and ethical responses to patient pain and suffering are very important in the preoperative period. However, few studies have addressed these variables.ObjectiveThis study aimed to examine the relationship between compassionate care and preoperative anxiety from the perspective of hospitalized patients.MethodsThe current study was a cross-sectional descriptive one. The
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Educational approach for public health ethics in nursing: Focusing on COVID-19 Nurs. Eth. (IF 2.9) Pub Date : 2024-07-23 Hye Min Byun, Eun Kyoung Yun, Jung Ok Kim
Background: With the increasing ethical challenges and dilemmas faced by nurses due to various disasters such as COVID-19 worldwide, there is a need for a new public health ethics education curriculum to strengthen competencies for ethical responses in the nursing field. Objectives: This study was aimed to identify the impact of a teaching method utilizing news articles and panel discussion material
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Do ethical views of end-of-life patients’ family members impact organ donation decisions? Nurs. Eth. (IF 2.9) Pub Date : 2024-07-23 Berna Aksoy, Esengul Kasıkcı Turker
Background: The relatives of patients who decide to donate their loved one’s organs experience dilemmas about organ donation and are affected by culture, religion, and individual views.Aim: The aim of this study was to determine the relationship between the ethical position and personal characteristics of the family members of the patients receiving end-of-life care and their thoughts about organ donation
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The role of moral integrity in the association between moral self and moral sensitivity among nurses: A mediation model Nurs. Eth. (IF 2.9) Pub Date : 2024-07-22 Vered Ne’eman-Haviv, Ayala Blau, Lani Ofri
Aim: This study aimed to investigate the relationship between moral self, moral integrity, and moral sensitivity in decision-making among nurses. Background: nurses face moral dilemmas almost on a daily basis. Studies have demonstrated that nurses with high moral sensitivity make thoughtful decisions and exhibit professional responsibility. The current study seeks to examine personality variables that
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Organ Donation and Transplantation Coordinators' Experience and needs for ethics education Nurs. Eth. (IF 2.9) Pub Date : 2024-07-21 Jayoung You, Myoungsoo Kim, Sunyoung Son, Ilhak Lee
BackgroundTransplant coordinators face ethical conflicts in various situations, such as deciding who should receive organ donations and how to consider patient costs and such conflicts are expected to be more frequent in Korea, as organ transplant coordinators in the country perform both organ acquisition and transplantation.Research AimThis study aims to develop an ethics education program to enhance
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The relationship between nurses’ professional values and ethical attitudes to pain Nurs. Eth. (IF 2.9) Pub Date : 2024-07-20 Sevda Korkut, Gamze Saatçi
Background: Pain management is a fundamental human right for everyone who experiences it. The management of pain is an ethical obligation for all health professionals. Professional values have an important place in appropriate clinical decision-making. Research aim: This study was conducted to determine the relationship between nurses' ethical attitudes in pain management and their compliance with
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Moral courage of emergency nurses in care-limited environments: A mixed-methods study Nurs. Eth. (IF 2.9) Pub Date : 2024-07-19 Lisa Adams Wolf, Hannah S. Noblewolf
BackgroundProfessional ethics in nursing exist to guide care and allow for decision-making to be patient-centered. In the current medicolegal landscape post-Roe and in light of bans on gender-affirming care, the decision-making processes of emergency nurses in the clinical environment of care as informed by both professional and personal ethics are an important area of inquiry.AimThe aim of this study
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Barriers to maintaining dignity for patients with schizophrenia: A qualitative study Nurs. Eth. (IF 2.9) Pub Date : 2024-07-18 Elham Amiri, Rahim Baghaei, Hossein Ebrahimi, Hossein Habibzadeh
BackgroundSince dignity is one of the fundamental rights of each patient, maintaining patients’ dignity is essential. Unfortunately, in many cases, particularly among patients with schizophrenia (SCZ), dignity is not fully respected. Nonetheless, there is limited knowledge regarding this matter in Middle Eastern Nations.Research ObjectiveThis study aimed to identify the barriers to maintaining dignity
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Managerial ethical principles and behaviours for nurse managers: A Delphi method Nurs. Eth. (IF 2.9) Pub Date : 2024-07-18 Güzin Ayan, Ülkü Baykal
BackgroundManagerial ethical principles and behaviours guide the roles, duties, responsibilities, behaviours, and relationships of nurse managers in healthcare institutions.Research objectivesThe aim of this study was to establish the managerial ethical principles and behaviours for nurse managers.Research questionWhat are the managerial ethical principles and behaviours for nurse managers?Research
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The impact of stretch service goals on unethical behaviors of nurses: A three-wave cross-sectional study Nurs. Eth. (IF 2.9) Pub Date : 2024-06-24 Yali Li, Haiqing Shi, Taiwen Feng
BackgroundStretch service goals strive to motivate healthcare practitioners to maintain high quality in service provision. However, little is known about how stretch service goals trigger nurses’ unethical behavior.Research aimThis study aimed to investigate the influence of stretch service goals on nurses’ unethical behavior, as well as the mediating effects of patient entitlement and nurses’ emotional
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Decent work and ethical ideologies of nurses—A multicenter cross-sectional study Nurs. Eth. (IF 2.9) Pub Date : 2024-06-24 Mohamed Ali Zoromba, Hasan Abualruz, Mohammad A Abu Sabra, Mohamed Ahmed Zoromba, Heba Emad El-Gazar
Background: Although research has established that the work environment significantly shapes nurses’ ethical behavior, it’s less clear whether decent work could influence ethical ideologies of nurses. Aim: To investigate the decent work conditions and ethical ideologies of nurses, and to analyze whether decent work influences their ethical ideologies. Methods: A multicenter cross-sectional survey was
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Moral foundations, moral emotions, and moral distress in NICU nurses Nurs. Eth. (IF 2.9) Pub Date : 2024-06-24 Peter Barr
Background: Moral distress is common in neonatal intensive care unit (NICU) nurses. Purpose: The purpose of this study was to evaluate the relationships between NICU nurses’ moral foundations, moral emotions, and moral distress. Research design and method: This is an observational cross-sectional self-report questionnaire study. Participants and research context: One hundred and forty-two (24%) of
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Nursing vaccine mandates: Ethically justified, an infringement on autonomy, or both? Nurs. Eth. (IF 2.9) Pub Date : 2024-06-24 Christopher M. Charles, Aimee B. Milliken
After almost a year and a half of the COVID-19 pandemic, many healthcare institutions in the United States announced that they would mandate COVID-19 vaccination, with medical and religious exceptions, as a term of employment. The mandates resulted in widely publicized protests from hospital staff, including some nurses, who argued that these medical institutions violated the ethical principle of autonomy
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Dignity in people with dementia: A concept analysis Nurs. Eth. (IF 2.9) Pub Date : 2024-06-22 Yuchen Zhang, Jennifer H Lingler, Catherine M Bender, Jennifer B Seaman
Background: Dignity, an abstract and complex concept, is an essential part of humanity and an underlying guiding principle in healthcare. Previous literature indicates dignity is compromised in people with dementia (PwD), but those PwD maintain the capacity to live with dignity with appropriate external support. Alzheimer’s disease and related dementias (ADRDs) lead to progressive functional decline
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Moral reckoning among nurses: A directed qualitative content analysis. Nurs. Eth. (IF 2.9) Pub Date : 2024-06-17 Akram Sadat Montazeri,Homeira Khoddam,Fariba Borhani,Shohreh Kolagari
BACKGROUND When nurses face ethical challenges, they attempt to accept responsibility for their actions and start moral reckoning. Moral reckoning is the personal evaluation of one's behaviors or others' behaviors during ethically challenging situations. RESEARCH AIM This study aimed at exploring the concept of moral reckoning and its stages among Iranian nurses using Nathaniel's moral reckoning Theory
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Does fear of compassion effect nurses' caring behaviours? a cross-sectional study. Nurs. Eth. (IF 2.9) Pub Date : 2024-06-17 Şenay Takmak,Yeliz Karaçar
Aims: The aim of this study is to determine the levels of nurses' fear of compassion for others, fear of compassion from others, and fear of self-compassion and to examine the effect of fear of compassion on caring behaviors. Design: A cross-sectional, quantitative design was used. Participants and research context: The study was conducted between October 2022 and April 2023 with 304 nurses working
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Ethical challenges in residential care facilities during COVID-19: Leaders' perspective. Nurs. Eth. (IF 2.9) Pub Date : 2024-06-06 Anna-Carin Karlsson,Anna-Karin Edberg,Malin Sundström,Annica Backman
BACKGROUND Person-centred care is based on ethical principles, and it is regarded as high-quality care. Care of older persons should embrace person-centredness. During the pandemic, older persons were highlighted as a vulnerable group at risk of developing serious illness and/or suffering death from COVID-19. Several pandemic-related measures were introduced in residential care facilities (RCFs) to
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Judith Butler's theoretical perspectives within a nursing context-a scoping review. Nurs. Eth. (IF 2.9) Pub Date : 2024-06-05 Adelheid Hummelvoll Hillestad,Eline Kaupang Petersen,Maud C Roos,Maria H Iversen,Trine Lise Jansen,Monica Evelyn Kvande
Philosopher Judith Butler has influenced how people talk about vulnerable bodies and sees vulnerability as universal, existential, and relational. Being vulnerable is part of the human condition. The main theoretical areas that run across Butler's work; power, knowledge and subjectivity, performativity, and ethics-are of particular relevance to nursing practice. This review aims to explore how Butler's
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COVID-19 and nurses' ethical issues: Comparisons between two European countries. Nurs. Eth. (IF 2.9) Pub Date : 2024-06-04 Gerli Usberg,Marco Clari,Alessio Conti,Mariliis Põld,Ruth Kalda,Mari Kangasniemi
BACKGROUND The global pandemic raised ethical issues for nurses about caring for all patients, not just those with COVID-19. Italy was the first European country to be seriously affected by the first wave, while Estonia's infection and death rates were among the lowest in Europe. Did this raise different ethical issues for nurses in these two countries as well? AIM The aim was to describe and compare
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Work engagement among nurses in the context of the COVID-19 pandemic: A systematic review. Nurs. Eth. (IF 2.9) Pub Date : 2024-06-04 Ana Luiza Ferreira Aydogdu
BACKGROUND Despite nurses receiving education on how to respond during crises, the stress and demands arising from unprecedented situations, such as the COVID-19 pandemic, may affect their work engagement. AIM To appraise and synthesize studies examining work engagement among nurses in the context of the COVID-19 pandemic. METHODS It is a systematic review in which three databases were searched. Critical
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Critical care nurses’ experiences of ethical challenges in end-of-life care Nurs. Eth. (IF 2.9) Pub Date : 2024-05-22 Lena Palmryd, Åsa Rejnö, Anette Alvariza, Tove Godskesen
BackgroundIn Swedish intensive care units, nine percent of patients do not survive despite receiving advanced life-sustaining treatments. As these patients transition to end-of-life care, ethical considerations may become paramount.AimTo explore the ethical challenges that critical care nurses encounter when caring for patients at the end of life in an intensive care context.Research designThe study
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Physician-nurse collaboration in the relationship between professional autonomy and practice behaviors Nurs. Eth. (IF 2.9) Pub Date : 2024-05-21 Arzu Bulut, Halil Sengül, Çeçenya İrem Mumcu, Berkan Mumcu
BackgroundNurses and physicians are key members of healthcare teams. While physicians are responsible for the diagnosis and treatment of patients, nurses are part of the treatment and the primary practitioners of patient care. Nurses’ professional autonomy, collaboration with physicians, and practice behaviors in treatment and patient care practices are interrelated.ObjectivesIn the present study,
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Effect of moral case deliberation on midwives’ knowledge and practice regarding respectful maternity care Nurs. Eth. (IF 2.9) Pub Date : 2024-05-16 Khatoon Samsami, Maryam Chananeh, Farahnaz Kamali, Razieh Bagherzadeh
IntroductionAlthough there have been reports of misbehavior and disrespectful maternal care by healthcare providers worldwide, there are few intervention studies aimed at promoting respectful care, particularly among midwives.Research objectivesThe aim of this study was to examine the effect of Moral Case Deliberation (MCD) on the of midwives’ knowledge and practice in the field of respectful maternity
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Coping strategies and interventions to alleviate moral distress among pediatric ICU nurses: A scoping review Nurs. Eth. (IF 2.9) Pub Date : 2024-05-15 Junqing Chen, Nan Lin, Xian Ye, Yangxiu Chen, Yi Wang, Hongzhen Xu
BackgroundsMoral distress significantly affects pediatric ICU nurses, leading to nurse burnout, increased turnover and reducing patient care quality. Despite its importance, there’s a notable gap in knowledge on how to manage it effectively.AimsThis review aimed to systematically identify and analyze coping strategies and interventions targeting moral distress among pediatric nurses in ICU, uncovering
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Strategic technological processes in hospitals: Conflicts and personal experiences of healthcare teams Nurs. Eth. (IF 2.9) Pub Date : 2024-05-13 Lior Naamati-Schneider, Mirit Arazi-Fadlon, Shir Daphna-Tekoah
BackgroundGlobal health systems operate amid dynamic factors, including demographic shifts, economic variations, political changes, technological progress, and societal trends that lead to VUCA reality (Volatility, Uncertainty, Complexity, and Ambiguity). To address these challenges, healthcare organizations are increasingly turning to Strategic Technological Processes and digital transformation.Research
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Clinical empathy in a medium and high-risk Brazilian unit Nurs. Eth. (IF 2.9) Pub Date : 2024-05-08 Cristina Ortiz Sobrinho Valete, Aline Albuquerque, Esther Angelica Luiz Ferreira
BackgroundClinical empathy is an essential part of healthcare, and patient-centered care models require clinical empathy to be established. Despite this, little is known about its measurement in the neonatal scenario.Research AimTo measure clinical empathy in health professionals who work with medium and high-risk neonates and build a construct of this empathy.Research DesignSingle-center survey study
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Advance directives need full legal status in persons with dementia Nurs. Eth. (IF 2.9) Pub Date : 2024-05-07 Dean Evan Hart
Currently, in the United States, there is no legal obligation for medical professionals or civil courts to uphold patients’ Advance Directives (ADs) regarding end-of-life care. The applicability and standing of ADs prepared by Alzheimer’s patients is a persistent issue in bioethics. Those who argue against giving ADs full status take two main approaches: (1) appealing to beneficence on behalf of the
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Investigating the relationship between compassion fatigue and moral injury in nurses Nurs. Eth. (IF 2.9) Pub Date : 2024-04-27 Mir Hossein Ahmadi, Mehdi Heidarzadeh, Alireza Fathiazar, Mehdi Ajri-Khameslou
Background: Compassion fatigue and professional quality of life are important in health and professional ethics. Aim: This study aimed to determine the relationship between compassion satisfaction, compassion fatigue, secondary traumatic stress, and moral injury in nurses. Research design: This research is a cross-sectional descriptive-analytical study. The research community of this research was all
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Coping strategies of intensive care unit nurses reducing moral distress: A content analysis study Nurs. Eth. (IF 2.9) Pub Date : 2024-04-17 Maryam Esmaeili, Mojdeh Navidhamidi, Saeideh Varasteh
BackgroundMoral distress has negative effects on physical and mental health. However, there is little information about nurses’ coping strategies reducing moral distress.AimThe purpose of this study was to investigate the coping strategies of intensive care unit nurses reducing moral distress in Iran.Study designThis is a qualitative study with a content analysis approach.Participants and research
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Unveiling nurses’ end-of-life care experiences: Moral distress and impacts Nurs. Eth. (IF 2.9) Pub Date : 2024-04-16 Myung Nam Lee, So-Hi Kwon, SuJeong Yu, Sook Hyun Park, Sinyoung Kwon, Cho Hee Kim, Myung-Hee Park, Sung Eun Choi, Sanghee Kim, Sujeong Kim
BackgroundNurses providing care to patients with end-of-life or terminal illnesses often encounter ethically challenging situations leading to moral distress. However, existing quantitative studies have examined moral distress using instruments that address general clinical situations rather than those specific to end-of-life care. Furthermore, qualitative studies have often been limited to participants
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Digital ethical reflection in home nursing care: Nurse leaders’ and nurses’ experiences Nurs. Eth. (IF 2.9) Pub Date : 2024-04-12 Lena Jakobsen, Rose Mari Olsen, Berit Støre Brinchmann, Siri Andreassen Devik
BackgroundNurse leaders increasingly need effective tools that facilitate the prioritisation of ethics and help staff navigate ethical challenges and prevent moral distress. This study examined experiences with a new digital tool for ethical reflection, tailored to improve the capabilities of both leaders and employees in the context of municipal long-term care.AimThe aim was to explore the experiences
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End-of-life care at home: Dignity of family caregivers Nurs. Eth. (IF 2.9) Pub Date : 2024-04-08 Katrine Staats, Kristin Jeppestøl, Bente Egge Søvde, Bodil Aarmo Brenne, Anett Skorpen Tarberg
BackgroundHealthcare services are increasingly being shifted to home settings for patients nearing end-of-life. Consequently, the burden on family caregivers is significant. Their vulnerable situation remains poorly understood and there is little information available regarding their experiences of dignity.AimThis study seeks to understand the experiences of family caregivers related to dignity and
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Interventions to improve ethical decision-making skills in nursing students: A systematic review Nurs. Eth. (IF 2.9) Pub Date : 2024-04-05 Mağfiret Kaşıkçı, Zeynep Yıldırım
BackgroundInterventions to improve ethical decision-making are available in nursing education. Evidence of its effectiveness is essential.ObjectiveThis review examined the effectiveness of interventions to improve nursing students’ ethical decision-making skills.MethodsA structured search was performed in Google Scholar, Web of Science, Science Direct, Pubmed, Scopus, Cochrane Library, Elsevier, CINAHL
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Personal dignity in people with early-stage dementia: A longitudinal study Nurs. Eth. (IF 2.9) Pub Date : 2024-04-05 Helena Kisvetrová, Milena Bretšnajdrová, Božena Jurašková, Kateřina Langová
BackgroundA psychosocial problem faced by people with early-stage dementia (PwESD) is the perception of threats to personal dignity. Insights into its dynamics are important for understanding how it changes as dementia advances and to develop suitable interventions. However, longitudinal studies on this change in PwESD are lacking.AimsTo determine how perceptions of dignity and selected clinical and
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Effect of digital storytelling-case studies patient privacy: A randomized controlled study Nurs. Eth. (IF 2.9) Pub Date : 2024-03-30 Gulcan Eyuboglu, Zehra Gocmen Baykara
BackgroundIt is essential to develop future nurses’ privacy consciousness and attitudes toward patient privacy to recognise threats to patient privacy and take the necessary precautions.ObjectivesTo determine the effect of digital storytelling and case studies teaching methods on nursing students’ privacy consciousness and attitudes toward patient privacy.Research designPretest-posttest, factorial
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Developing an evidence-and ethics-informed intervention for moral distress Nurs. Eth. (IF 2.9) Pub Date : 2024-03-22 Sadie Deschenes, Diane Kunyk, Shannon D Scott
The global pandemic has intensified the risk of moral distress due to increased demands on already limited human resources and uncertainty of the pandemic’s trajectory. Nurses commonly experience moral distress: a conflict between the morally correct action and what they are required or capable of doing. Effective moral distress interventions are rare. For this reason, our team conducted a multi-phase
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The perception of dignity in the hospitalized patient: a meta-synthesis Nurs. Eth. (IF 2.9) Pub Date : 2024-03-21 Amarilda Mema, Valentina Bressan, Simone Stevanin, Lucia Cadorin
Dignity is a value inherent to all human beings, guaranteed to every individual from birth, and influenced by culture and society. It is protected by various laws and declarations, and represents one of the fundamental human rights. Preserving human dignity is an essential aspect of nursing practice and a central element of care. Dignity is a highly subjective and personal concept; there may be variations
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Factors contributing to the promotion of moral competence in nursing. Nurs. Eth. (IF 2.9) Pub Date : 2024-03-20 Johanna Wiisak,Minna Stolt,Michael Igoumenidis,Stefania Chiappinotto,Chris Gastmans,Brian Keogh,Evelyne Mertens,Alvisa Palese,Evridiki Papastavrou,Catherine Mc Cabe,Riitta Suhonen,
Ethics is a foundational competency in healthcare inherent in everyday nursing practice. Therefore, the promotion of qualified nurses' and nursing students' moral competence is essential to ensure ethically high-quality and sustainable healthcare. The aim of this integrative literature review is to identify the factors contributing to the promotion of qualified nurses' and nursing students' moral competence
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Nursing students’ attitude toward euthanasia following its legalization in Spain Nurs. Eth. (IF 2.9) Pub Date : 2024-03-16 Antonia Arreciado Marañón, Rosa García-Sierra, Xavier Busquet-Duran, Gloria Tort-Nasarre, Maria Feijoo-Cid
BackgroundEuthanasia is a controversial practice in many countries. Since Spain’s Euthanasia Law came into effect on March 24, 2021, healthcare providers have faced a new challenge since they must inform patients, provide care, accompany them, and implement the law. It also represents a new stumbling block at universities, which must adapt to regulatory changes and educate future professionals accordingly