Maryam Esmaeili, Mojdeh Navidhamidi, Saeideh Varasteh
BACKGROUND: Moral distress has negative effects on physical and mental health. However, there is little information about nurses' coping strategies reducing moral distress. AIM: The purpose of this study was to investigate the coping strategies of intensive care unit nurses reducing moral distress in Iran. STUDY DESIGN: This is a qualitative study with a content analysis approach. PARTICIPANTS AND RESEARCH CONTEXT: The research sample consisted of nurses working in intensive care units of teaching hospitals affiliated to Tehran University of Medical Sciences...
April 16, 2024: Nursing Ethics
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
BACKGROUND: Nurses 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 from a single unit or those experiencing moral distress-induced circumstances. A comprehensive and integrated understanding of the overarching process of moral distress is vital to discern the unique circumstances surrounding end-of-life care and its consequential impacts...
April 16, 2024: Nursing Ethics
Lena Jakobsen, Rose Mari Olsen, Berit Støre Brinchmann, Siri Andreassen Devik
BACKGROUND: Nurse 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. AIM: The aim was to explore the experiences of nurse leaders and nurses in using Digital Ethical Reflection as a tool for ethics work in home nursing care...
April 12, 2024: Nursing Ethics
Katrine Staats, Kristin Jeppestøl, Bente Egge Søvde, Bodil Aarmo Brenne, Anett Skorpen Tarberg
BACKGROUND: Healthcare 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. AIM: This study seeks to understand the experiences of family caregivers related to dignity and loss of dignity, aiming to provide a deeper insight into their situation when caring for a home-dwelling family member nearing end-of-life...
April 8, 2024: Nursing Ethics
Helena Kisvetrová, Milena Bretšnajdrová, Božena Jurašková, Kateřina Langová
BACKGROUND: A 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. AIMS: To determine how perceptions of dignity and selected clinical and social factors change over 1 year in home-dwelling PwESD and the predictors associated with changes in perceptions of dignity over 1 year...
April 5, 2024: Nursing Ethics
Mağfiret Kaşıkçı, Zeynep Yıldırım
BACKGROUND: Interventions to improve ethical decision-making are available in nursing education. Evidence of its effectiveness is essential. OBJECTIVE: This review examined the effectiveness of interventions to improve nursing students' ethical decision-making skills. METHODS: A structured search was performed in Google Scholar, Web of Science, Science Direct, Pubmed, Scopus, Cochrane Library, Elsevier, CINAHL EBSCO, and ULAKBIM. The Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instruments (JBI-MAStARI) was used to assess the quality of studies...
April 5, 2024: Nursing Ethics
Gulcan Eyuboglu, Zehra Gocmen Baykara
BACKGROUND: It is essential to develop future nurses' privacy consciousness and attitudes toward patient privacy to recognise threats to patient privacy and take the necessary precautions. OBJECTIVES: To determine the effect of digital storytelling and case studies teaching methods on nursing students' privacy consciousness and attitudes toward patient privacy. RESEARCH DESIGN: Pretest-posttest, factorial group randomised controlled study...
March 29, 2024: Nursing Ethics
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 research study to develop a moral distress intervention for pediatric critical care nurses. In this article, we discuss our multi-phase approach to develop a moral distress intervention-proactive, interdisciplinary meeting...
March 22, 2024: Nursing Ethics
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 in the way that patients perceive it and in the ways that nurses can guarantee it. A systematic review of the qualitative literature was conducted to obtain a comprehensive understanding of adult patients' perceptions of dignity in a hospital setting...
March 21, 2024: Nursing Ethics
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. The review has been registered in PROSPERO (CRD42023386947) and reported according to the PRISMA guideline...
March 20, 2024: Nursing Ethics
Turid Anita Jaastad, Venke Ueland, Camilla Koskinen
BACKGROUND: Previous research mainly focuses on how to support nursing students in caring for the patient and on educators' views of students' development as professional caring nurses. Against this background, it is important to further investigate nursing students' perspectives on what it means to become a professional caring nurse. RESEARCH AIM: This qualitative systematic review study aims to identify and synthesize nursing students' perceptions on the meaning of becoming a caring nurse...
March 16, 2024: Nursing Ethics
Antonia Arreciado Marañón, Rosa García-Sierra, Xavier Busquet-Duran, Gloria Tort-Nasarre, Maria Feijoo-Cid
BACKGROUND: Euthanasia 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. Little is known about the attitude of nursing students in Spain toward euthanasia since this law was implemented...
March 15, 2024: Nursing Ethics
Sara Lamoureux, Amy E Mitchell, Elizabeth M Forster
Moral distress has been identified as an occupational hazard for clinicians caring for vulnerable populations. The aim of this systematic review was (i) to summarize the literature reporting on prevalence of, and factors related to, moral distress among nurses within acute mental health settings, and (ii) to examine the efficacy of interventions designed to address moral distress among nurses within this clinical setting. A comprehensive literature search was conducted in October 2022 utilizing Nursing & Allied Health, Embase, CINAHL, PsychInfo, and PubMed databases to identify eligible studies published in English from January 2000 to October 2022...
March 15, 2024: Nursing Ethics
Julia Petersen, Ulrike Rösler, Gabriele Meyer, Christiane Luderer
BACKGROUND: Moral distress is a far-reaching problem for nurses in different settings as it threatens their health. AIM: This study examined which situations lead to moral distress in home-care nursing, how and with which consequences home-care nurses experience moral distress, and how they cope with morally stressful situations and the resulting moral distress. RESEARCH DESIGN: A qualitative interview study with reflexive thematic analysis was used...
March 15, 2024: Nursing Ethics
Yanfei Ke, Fuda Li
BACKGROUND: Morality is a fundamental component of nurses' daily work. Nurses' cognitive tendencies toward moral disengagement in high-stress work environments can easily lead them to engage in counterproductive work behaviors that are not conducive to the organization. However, there is limited research on how to mitigate the impact of moral disengagement on counterproductive work behavior. OBJECTIVE: The objective was to explore the impact of moral disengagement on counterproductive work behavior, as well as the reverse regulatory mechanism of moral identity on the relationship between moral disengagement and counterproductive work behavior...
March 13, 2024: Nursing Ethics
Preston H Miller, Elizabeth G Epstein, Todd B Smith, Teresa D Welch, Miranda Smith, Jennifer R Bail
BACKGROUND: Unit-based critical care nurse leaders (UBCCNL) play a role in exemplifying ethical leadership, addressing moral distress, and mitigating contributing factors to moral distress on their units. Despite several studies examining the experience of moral distress by bedside nurses, knowledge is limited regarding the UBCCNL's experience. RESEARCH AIM: The aim of this study was to gain a deeper understanding of the lived experiences of Alabama UBCCNLs regarding how they experience, cope with, and address moral distress...
March 13, 2024: Nursing Ethics
Lucía Catalán, María Kappes, Gabriela Morgado, Déborah Oliveira
BACKGROUND: Second victim is the name given to the healthcare personnel-most often a nursing professional-involved with the error that led to the adverse event to a patient and who, as a result, have experienced negative psychological effects. Research with second victims has increased over the years, however concerns exist with regards to the ethical risks imposed upon these individuals. AIM: To explore the extent to which research with second victims of adverse events in healthcare settings adhere to ethical requirements...
March 13, 2024: Nursing Ethics
Meghan MacIsaac, Elizabeth Peter
Emergency departments in many nations worldwide have been struggling for many years with crowding and the subsequent provision of care in hallways and other unconventional spaces. While this issue has been investigated and analyzed from multiple perspectives, the ethical dimensions of the place of emergency department care have been underexamined. Specifically, the impacts of the place of care on patients and their caregivers have not been robustly explored in the literature. In this article, a feminist ethics and human geography framing is utilized to argue that care provision in open and unconventional spaces in the emergency department can be unethical, as vulnerability can be amplified by the place of care for patients and their caregivers...
March 13, 2024: Nursing Ethics
Kathryn Muyskens, Yonghui Ma, Michael Dunn
This article discusses the application of artificially intelligent robots within eldercare and explores a series of ethical considerations, including the challenges that AI (Artificial Intelligence) technology poses to traditional Chinese Confucian filial piety. From the perspective of Confucian ethics, the paper argues that robots cannot adequately fulfill duties of care. Due to their detachment from personal relationships and interactions, the "emotions" of AI robots are merely performative reactions in different situations, rather than actual emotional abilities...
March 12, 2024: Nursing Ethics
Andrea Martani, Yi Jiao Angelina Tian, Nadine Felber, Tenzin Wangmo
BACKGROUND: Gerontechnologies are increasingly used in the care for older people. Many studies on their acceptability and ethical implications are conducted, but mainly from the perspective of principlism. This narrows our ethical gaze on the implications the use of these technologies have. RESEARCH QUESTION: How do participants speak about the impact that gerontechnologies have on the different phases of care, and care as a process? What are the moral implications from an ethic of care perspective? RESEARCH DESIGN: Secondary analysis of semi-structure interviews, whose segments on specific technologies were analysed through reflexive thematic analysis...
March 12, 2024: Nursing Ethics
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