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  1. Coping strategies and interventions to alleviate moral distress among pediatric ICU nurses: A scoping review.Junqing Chen, Nan Lin, Xian Ye, Yangxiu Chen, Yi Wang & Hongzhen Xu - forthcoming - Nursing Ethics.
    Backgrounds Moral 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. Aims This review aimed to systematically identify and analyze coping strategies and interventions targeting moral distress among pediatric nurses in ICU, uncovering research gap and future studies directions. Methods A scoping review was conducted followed framework by Levac, Colquhoun, and O'Brien and Arksey and O'Malley. Searches were (...)
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  • Examining the Impact of Dramatization Simulation on Nursing Students’ Ethical Attitudes: A Mixed-Method Study.Yadigar Ordu & Sakine Yılmaz - 2024 - Journal of Academic Ethics 22 (4):701-713.
    This research investigated how dramatization simulation affected nursing students' ethical attitudes. Most nurses and nursing students encounter ethical issues in their healthcare practices. Students who receive an education in ethics are better equipped to solve ethical problems, develop ethical sensitivity, and adopt an ethical attitude. Dramatization simulation, which has recently been applied in nursing education, is said to be an effective teaching method. A mixed-method approach was employed in the research. The sample consisted of 60 students enrolled in the final (...)
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  • Coping strategies of intensive care unit nurses reducing moral distress: A content analysis study.Maryam Esmaeili, Mojdeh Navidhamidi & Saeideh Varasteh - 2024 - Nursing Ethics 31 (8):1586-1599.
    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 (...)
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  • “Moral spaces”: A feasibility study to build nurses’ ethical confidence and competence.Georgina Morley, Dianna Jo Copley, James F. Bena, Shannon L. Morrison, Rosemary B. Field, Julia Gorecki, Cristie Cole Horsburgh & Nancy M. Albert - forthcoming - Nursing Ethics.
    Background: Pre-licensure ethics nursing education does not adequately prepare and instill confidence in nurses to address ethical issues, and yet ethics education provides nurses with greater confidence to take moral action, which can mitigate the negative effects of moral distress. Objectives: To assess the feasibility and acceptability of a nursing ethics education program that included simulated case-based ethics competencies as a form of evaluation. The program aimed at building nurses’ ethical knowledge and confidence to respond to ethical challenges in practice. (...)
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  • Exploring inappropriate levels of care in intensive care.Bénédicte D’Anjou, Stéphane Ahern, Valérie Martel, Laetitia Royer, Anne-Charlotte Saint-André, Esther Vandal & Eric Racine - forthcoming - Nursing Ethics.
    Background Levels 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 on which healthcare professionals can act. There is thus a need for a more contextual and team-level lens on inappropriate levels of care. Research (...)
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  • Re‐examining the relationship between moral distress and moral agency in nursing.Georgina Morley & Lauren R. Sankary - 2024 - Nursing Philosophy 25 (1):e12419.
    In recent years, the phenomenon of moral distress has been critically examined—and for a good reason. There have been a number of different definitions suggested, some that claimed to be consistent with the original definition but in fact referred to different epistemological states. In this paper, we re‐examine moral distress by exploring its relationship with moral agency. We critically examine three conceptions of moral agency and argue that two of these conceptions risk placing nurses' values at the center of moral (...)
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  • Towards democratic institutions: Tronto’s care ethics inspiring nursing actions in intensive care.Annie-Claude Laurin & Patrick Martin - 2022 - Nursing Ethics 29 (7-8):1578-1588.
    Care as a concept has long been central to the nursing discipline, and care ethics have consequently found their place in nursing ethics discussions. This paper briefly revisits how care and care ethics have been theorized and applied in the discipline of nursing, with an emphasis on Tronto’s political view of care. Adding to the works of other nurse scholars, we consider that Tronto’s care ethics is useful to understand caring practices in a sociopolitical context. We also contend that this (...)
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