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  1. Giving nurses a voice during ethical conflict in the Intensive Care Unit.Natalie S. McAndrew & Joshua B. Hardin - 2020 - Nursing Ethics 27 (8):1631-1644.
    Background:Ethical conflict and subsequent nurse moral distress and burnout are common in the intensive care unit (ICU). There is a gap in our understanding of nurses’ perceptions of how organizational resources support them in addressing ethical conflict in the intensive care unit.Research question/objectives/methods:The aim of this qualitative, descriptive study was to explore how nurses experience ethical conflict and use organizational resources to support them as they address ethical conflict in their practice.Participants and research context:Responses to two open-ended questions were collected (...)
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  • Moral Distress: What Are We Measuring?Laura Kolbe & Inmaculada de Melo-Martin - 2022 - American Journal of Bioethics 23 (4):46-58.
    While various definitions of moral distress have been proposed, some agreement exists that it results from illegitimate constraints in clinical practice affecting healthcare professionals’ moral agency. If we are to reduce moral distress, instruments measuring it should provide relevant information about such illegitimate constraints. Unfortunately, existing instruments fail to do so. We discuss here several shortcomings of major instruments in use: their inability to determine whether reports of moral distress involve an accurate assessment of the requisite clinical and logistical facts (...)
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  • The relationship between ethical conflict and nurses’ personal and organisational characteristics.Zahra Saberi, Mohsen Shahriari & Ahmad Reza Yazdannik - 2019 - Nursing Ethics 26 (7-8):2427-2437.
    Introduction: Critical care nurses work in a complex and stressful environment with diverse norms, values, interactions, and relationships. Therefore, they inevitably experience some levels of ethical conflict. Aim: The aim of this study is to analyze the relationship of ethical conflict with personal and organizational characteristics among critical care nurses. Methods: This descriptive-correlational study was conducted in 2017 on a random sample of 216 critical care nurses. Participants were recruited through stratified random sampling. Data collection tools were a demographic and (...)
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  • Ethical conflict in critical care nursing.Anna Falcó-Pegueroles, Teresa Lluch-Canut, Juan Roldan-Merino, Josefina Goberna-Tricas & Joan Guàrdia-Olmos - 2015 - Nursing Ethics 22 (5):594-607.
    Background: Ethical conflicts in nursing have generally been studied in terms of temporal frequency and the degree of conflict. This study presents a new perspective for examining ethical conflict in terms of the degree of exposure to conflict and its typology. Objectives: The aim was to examine the level of exposure to ethical conflict for professional nurses in critical care units and to analyze the relation between this level and the types of ethical conflict and moral states. Research design: This (...)
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  • Ethical conflicts and their characteristics among critical care nurses.Teresa Lluch-Canut, Carlos Sequeira, Anna Falcó-Pegueroles, José António Pinho, Albina Rodrigues-Ferreira, Joan Guàrdia Olmos & Juan Roldan-Merino - 2020 - Nursing Ethics 27 (2):537-553.
    Introduction: Ethical conflict is a phenomenon that has been under study over the last three decades, especially the types moral dilemma and moral distress in the field of nursing care. However, ethical problems and their idiosyncrasies need to be further explored. Aim: The objectives of this study were, first, to obtain a transcultural Portuguese-language adaptation and validation of the Ethical Conflict Nursing Questionnaire–Critical Care Version and, second, to analyse Portuguese critical care nurses’ level of exposure to ethical conflict and its (...)
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  • Ethical conflict among critical care nurses during the COVID-19 pandemic.Anjita Khanal, Sara Franco-Correia & Maria-Pilar Mosteiro-Diaz - 2022 - Nursing Ethics 29 (4):819-832.
    Background Ethical conflict is a problem with negative consequences, which can compromise the quality and ethical standards of the nursing profession and it is a source of stress for health care practitioners’, especially for nurses. Objectives The main aim of this study was to analyze Spanish critical care nurses’ level of exposure to ethical conflict and its association with sociodemographic, occupational, and COVID-19–related variables. Research Design, Participants, and Research context: This was a quantitative cross-sectional descriptive study conducted among 117 nurses (...)
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