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  1. Nurses experiences of ethical dilemmas: A review.Anita Haahr, Annelise Norlyk, Bente Martinsen & Pia Dreyer - 2020 - Nursing Ethics 27 (1):258-272.
    Background: Nursing care is rapidly evolving due to the advanced technological and medical development, and also due to an increased focus on standardization and the logic of production, permeating today’s hospital cultures. Nursing is rooted in a holistic approach with an ethical obligation to maintain and respect the individual’s dignity and integrity. However, working within time limits and heavy workload leads to burnout and ethical insensitivity among nurses, and may challenge nurses’ options to act on the basis of ethical and (...)
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  • Estimation of moral distress among nurses: A systematic review and meta-analysis.Zainab Alimoradi, Elahe Jafari, Chung-Ying Lin, Raheleh Rajabi, Zohreh Hosseini Marznaki, Mostafa Soodmand, Marc N. Potenza & Amir H. Pakpour - 2023 - Nursing Ethics 30 (3):334-357.
    Background Moral distress is a common challenge among professional nurses when caring for their patients, especially when they need to make rapid decisions. Therefore, leaving moral distress unconsidered may jeopardize patient quality of care, safety, and satisfaction. Aim To estimate moral distress among nurses. Methods This systematic review and meta-analysis conducted systematic search in Scopus, PubMed, ProQuest, ISI Web of Knowledge, and PsycInfo up to end of February 2022. Methodological quality of included studies was assessed using the Newcastle Ottawa checklist. (...)
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  • Moral distress in critical care nursing: The state of the science.Natalie Susan McAndrew, Jane Leske & Kathryn Schroeter - 2018 - Nursing Ethics 25 (5):552-570.
    Background: Moral distress is a complex phenomenon frequently experienced by critical care nurses. Ethical conflicts in this practice area are related to technological advancement, high intensity work environments, and end-of-life decisions. Objectives: An exploration of contemporary moral distress literature was undertaken to determine measurement, contributing factors, impact, and interventions. Review Methods: This state of the science review focused on moral distress research in critical care nursing from 2009 to 2015, and included 12 qualitative, 24 quantitative, and 6 mixed methods studies. (...)
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  • Clinical nurse adherence to professional ethics: A grounded theory.Qingqing Yang, Zhihui Zheng, Shuqin Pang, Yilong Wu, Jujuan Liu, Jiahui Zhang, Xiahua Qiu, Yufeng Huang, Jia Xu & Liyue Xie - 2023 - Nursing Ethics 30 (2):197-209.
    Background Professional ethics is the regulation and discipline of nurses’ daily nursing work. Nurses often encounter various ethical challenges and problems in their clinical work, but there are few studies on nurses' adherence to professional ethics. Research Aim An analysis of nursing adherence to nursing ethics from the perspective of clinical nurses in the Chinese public health system. Research Design This study adopts the grounded theory approach proposed by Strauss and Corbin. Participants and research context Between July 2021 and January (...)
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  • Educating for ethical leadership through web-based coaching.Tom Eide, Sandra van Dulmen & Hilde Eide - 2016 - Nursing Ethics 23 (8):851-865.
    Background: Ethical leadership is important for developing ethical healthcare practice. However, there is little research-based knowledge on how to stimulate and educate for ethical leadership. Objectives: The aim was to develop and investigate the feasibility of a 6-week web-based, ethical leadership educational programme and learn from participants’ experience. Training programme and research design: A training programme was developed consisting of (1) a practice part, where the participating middle managers developed and ran an ethics project in their own departments aiming at (...)
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  • Critical care nurse leaders’ moral distress: A qualitative descriptive study.Preston H. Miller, Elizabeth G. Epstein, Todd B. Smith, Teresa D. Welch, Miranda Smith & Jennifer R. Bail - 2024 - Nursing Ethics 31 (8):1551-1567.
    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. Research design A qualitative descriptive (...)
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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 climate, moral resilience, and ethical competence of head nurses.Qiang Yu, Chongmei Huang, Jin Yan, Liqing Yue, Yusheng Tian, Jiaxin Yang, Xuting Li, Yamin Li & Yuelan Qin - 2025 - Nursing Ethics 32 (1):56-70.
    Background The ethical competence of head nurses plays a pivotal role in nursing ethics. Ethical climate is a prerequisite for ethical competence, and moral resilience can positively influence an individual’s ethical competence. However, few studies have focused on the relationship between ethical climate, moral resilience, and ethical competence among them. Objectives To investigate the relationship between ethical climate, moral resilience, and ethical competence, and examine the mediating role of moral resilience between ethical climate and ethical competence among head nurses. Design (...)
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  • Care leaders’ moral distress in older adult care: A scoping review.Fanny Ahokas, Marit Silén, Anna T. Höglund & Jessica Hemberg - forthcoming - Nursing Ethics.
    Moral distress among nurses is well researched and well documented, but there is limited research on the moral distress experienced by care leaders, who serve as intermediaries between patient care nurses and higher levels of administration. Healthcare professionals experience moral distress daily in the context of older adult care. The aim of this scoping review was to evaluate recent literature on moral distress in older adult care with the goal of revealing how care leaders’ experiences of moral distress in older (...)
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  • Middle managers’ ethos as an inner motive in developing a caring culture.Diako Morvati & Yvonne Hilli - 2023 - Nursing Ethics 30 (3):321-333.
    Background Middle managers play a key role in promoting a caring culture in nursing homes. However, there is limited knowledge about middle managers’ inner motives and their experiences of their responsibility in developing a caring culture. Research aim The aim of the study is to get a deeper understanding of middle managers’ motives and their experiences of their responsibility to develop a caring culture in nursing homes. Research design A qualitative design with a hermeneutic approach inspired by Gadamer was chosen (...)
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  • Educating for ethical leadership through web-based coaching.Tom Eide, Sandra van Dulmen & Hilde Eide - 2016 - Nursing Ethics 23 (8):851-865.
    Background:Ethical leadership is important for developing ethical healthcare practice. However, there is little research-based knowledge on how to stimulate and educate for ethical leadership.Objectives:The aim was to develop and investigate the feasibility of a 6-week web-based, ethical leadership educational programme and learn from participants’ experience.Training programme and research design:A training programme was developed consisting of a practice part, where the participating middle managers developed and ran an ethics project in their own departments aiming at enhancing the ethical mindfulness of the (...)
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  • Ethical conflict in nursing: A concept analysis.Liu Yuanfei, Wang Xueqing, Wang Zhaochen, Zhang Yuping & Jin Jingfen - 2022 - Journal of Clinical Nursing 32 (15-16):4408-4418.
    Aims and Objectives The purpose of this paper was to clarify the concept of ethical conflict in nursing and highlight the importance of tackling this issue. -/- Background Ethical conflict is on the rise in the nursing context. It is associated with the compromise of nurses' well-being and patient care. However, there is no thorough conceptual understanding of this concept. -/- Design Concept analysis. -/- Methods Databases (PubMed, PsycINFO, CINAHL, Scopus, Embase, Web of Science and SocINDEX) were searched for studies (...)
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