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  1. Latent profiles of ethical climate and nurses’ service behavior.Na Zhang, Dingxin Xu, Xing Bu & Zhen Xu - 2023 - Nursing Ethics 30 (4):626-641.
    Background Hospital ethical climate has important implications for clinical nurses’ service behavior; however, the relationships are complicated by the fact that five types of ethical climate (caring, law and code, rules, instrumental, and independence) can be combined differently according to their level and shape differences. Recent developments in person-centered methods (e.g., latent profile analysis (LPA)) have helped to address these complexities. Aim From a person-centered perspective, this study explored the distinct profiles of hospital ethical climate and then examined the relationships (...)
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  • Moral distress and moral resilience of nurse managers.Michel Maximiano Faraco, Francine Lima Gelbcke, Laura Cavalcanti de Farias Brehmer, Flávia Regina Souza Ramos, Dulcinéia Ghizoni Schneider & Luciana Ramos Silveira - 2022 - Nursing Ethics 29 (5):1253-1265.
    Background Moral distress is a phenomenon that can lead to an imbalance of the mind and body. There are many coping strategies to overcome the obstacles that lead the subject to this condition. Some coping strategies are capable of being achieved through the cultivation of moral resilience. Aim The aim is to identify the strategies of moral resilience in the nursing management of University Hospitals in Brazil. Research design The research design is the qualitative study with discursive textual analysis. Participants (...)
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  • Latent profiles of nurses’ moral resilience and compassion fatigue.Xuelei Chen, Yanju Zhang, Ruishuang Zheng, Wei Hong & Jingping Zhang - 2024 - Nursing Ethics 31 (4):635-651.
    Background Compassion fatigue is often associated with moral distress in the nursing practice among registered nurses. Moral resilience is an important ability to maintain, restore, or promote their physical and mental health in response to ethical dilemmas in nursing. Moral resilience can be utilized as a potential solution to aid registered nurses in effectively managing compassion fatigue. Aim To identify latent profiles of moral resilience among registered nurses and to explore the relationships of these profiles with compassion fatigue. Research design (...)
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  • Moral distress in nurses: Resources and constraints, consequences, and interventions.Mohammad Javad Ghazanfari, Amir Emami Zeydi, Reza Panahi, Reza Ghanbari, Fateme Jafaraghaee, Hamed Mortazavi & Samad Karkhah - 2022 - Clinical Ethics 17 (3):265-271.
    Background Moral distress is a complex and challenging issue in the nursing profession that can negatively affect the nurses’ job satisfaction and retention and the quality of patient care. This study focused on describing the resources and constraints, consequences, and interventions of moral distress in nurses. Methods In a literature review, an extensive electronic search was conducted in databases including PubMed, ISI, Scopus as well as Google Scholar search engine using the keywords including “moral distress” and “nurses” to identify resources, (...)
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  • Moral neutralization: Nurses’ evolution in unethical climate workplaces.Hamideh Hakimi, Soodabeh Joolaee, Mansoureh Ashghali Farahani, Patricia Rodney & Hadi Ranjbar - 2020 - BMC Medical Ethics 21 (1):1-10.
    Introduction Good quality of care is dependent on nurses’ strong clinical skills and moral competencies, as well. While most nurses work with high moral standards, the moral performance of some nurses in some organizations shows a deterioration in their moral sensitivity and actions. The study reported in this paper aimed to explore the experiences of nurses regarding negative changes in their moral practice. Materials and methods This was a qualitative study utilizing an inductive thematic analysis approach, which was conducted from (...)
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  • Latent profile analysis of nurses’ moral courage: a professional values perspective.Kaili Hu, Quan Zhou, Yufen Zhang, Wei Tian & Minglong Wu - forthcoming - Nursing Ethics.
    Introduction Nurses’ 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. Aim To investigate the current situation of nurses’ moral courage, analyze the latent profiles of nurses’ moral courage, and explore the influencing factors from the perspective of professional values. Research Design A cross-sectional design was (...)
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