Ethical Challenges of Nurses in COVID-19 Pandemic: Integrative Review

Gebreheat, Gdiom; Teame, Hirut

doi:10.2147/jmdh.s308758

Cited by 43 publications

(56 citation statements)

References 15 publications

(36 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The fear of becoming infected with COVID-19, infecting loved ones or patients, insufficient supplies, lack of staff, and ever-changing federal, state, and local pandemic guidance have all contributed to an ethically complex practice environment ( Billings et al, 2021 ; Combe, 2020 ; Morley et al, 2021). In some cases, due to restrictions on the presence of families in hospitals, nurses were unable to fulfill their ethical obligation to patient autonomy that includes the individual’s right to make decisions about who contributes to their care ( Gebreheat & Teame, 2021 ). Nurses also questioned their duty to the patient when their own safety was endangered and reported feeling moral distress when striving to ensure high quality care while ethically managing limited resources ( Billings et al, 2021 ; Gebreheat & Teame, 2021 ).…”

Section: Healthcare Deliverymentioning

confidence: 99%

“…In some cases, due to restrictions on the presence of families in hospitals, nurses were unable to fulfill their ethical obligation to patient autonomy that includes the individual’s right to make decisions about who contributes to their care ( Gebreheat & Teame, 2021 ). Nurses also questioned their duty to the patient when their own safety was endangered and reported feeling moral distress when striving to ensure high quality care while ethically managing limited resources ( Billings et al, 2021 ; Gebreheat & Teame, 2021 ).…”

Section: Healthcare Deliverymentioning

confidence: 99%

See 1 more Smart Citation

The NCSBN 2022 Environmental Scan: Resiliency, Achievement, and Public Protection

2022

Journal of Nursing Regulation

View full text Add to dashboard Cite

Section: Healthcare Deliverymentioning

confidence: 99%

Section: Healthcare Deliverymentioning

confidence: 99%

The NCSBN 2022 Environmental Scan: Resiliency, Achievement, and Public Protection

2022

Journal of Nursing Regulation

View full text Add to dashboard Cite

“… 2020 a; Sahebi et al. 2020 ; Gebreheat und Teame 2021 ; Hödl et al. 2021 ; Parekh de Campos und Daniels 2021 ; Sperling 2021 ).…”

Section: Introductionunclassified

Covid-19 Schutzmaßnahmen in Alten- und Pflegeheimen: zwischen Autonomie und Fürsorge – Ergebnisse einer Interviewstudie

et al. 2022

View full text Add to dashboard Cite

ZusammenfassungDie vorliegende Interviewstudie untersucht ethische Herausforderungen des Pflegealltags in Einrichtungen der Langzeitpflege aus Sicht der Pflegepersonen während der Covid-19-Pandemie. Durch das explorative, wie auch deskriptive methodische Vorgehen liegen Interviewdaten vor, die vier Themenbereichen zugeordnet werden können, die eine komplexe und teilweise konfliktreiche Arbeits- und Lebenswirklichkeit der Langzeitpflege in der Pandemie aufzeigen. Zum einen werden von den Pflegepersonen die staatlich und institutionell getroffenen Schutzmaßnahmen sowie die daraus resultierenden Einschränkungen der persönlichen Freiheit der Bewohner:innen kritisch reflektiert und damit verbunden der Grad der Selbstbestimmtheit der Bewohner:innen von Alten- und Pflegeheimen in der Pandemie hinterfragt. Zum anderen wird – gegeben der pandemiebedingten Maßnahmen – das pflegerische Handeln im Arbeits- und Lebensort Heim als herausfordernd und die Möglichkeiten pflegerischer Fürsorge als stark eingeschränkt beschrieben. Genannt werden hier als konkrete Herausforderungen veränderte pflegerische Prozesse und Pflegequalität, wie auch eine veränderte Beziehungsqualität zu den Bewohner:innen.Diese vier Themenbereiche können grundsätzlich den ethischen Prinzipien der Autonomie und Fürsorge zugeordnet werden und präsentieren eine inhaltlich relevante Konkretisierung der prinzipienorientierten ethischen Herausforderungen. In der Zusammenschau und Interpretation der Ergebnisse wird ersichtlich, dass die interviewten Pflegepersonen die Beachtung und Umsetzung des Autonomie-Prinzips im pflegerischen Alltag eng mit dem Fürsorgeprinzip und dem daraus resultierenden Wohltun für die Bewohner:innen verknüpfen.Unsere Ergebnisse verdeutlichen, dass der in den letzten Jahrzehnten erarbeitete Paradigmenwechsel in der Langzeitpflege durch die Covid-19-Pandemie (zeitweise massiv) geschwächt wurde. Zudem machen die berichteten moralischen Unsicherheiten und Konflikte klar, dass Pflegepersonen Unterstützung hinsichtlich der ethischen Reflexion ihres pflegerischen Handelns benötigen und eine nachhaltige Integration von Ethikberatung in Langzeitpflegeeinrichtungen einen möglichen Lösungsansatz darstellen kann.

show abstract

“…Nurses are confronting many ethical challenges during the pandemic 8 , 13 , 14 and ICU nurses, in particular, are at a greater risk of experiencing patient-related issues causing moral distress. 15 Furthermore, ICU nurses have the highest prevalence rates of burnout among different specialties, which is often related to moral distress as well as other unique characteristics of the critical care environment (e.g.…”

Section: Introductionmentioning

confidence: 99%

A critical incident study of ICU nurses during the COVID-19 pandemic

Rhéaume¹,

Breau²,

Boudreau

2021

Nurs Ethics

View full text Add to dashboard Cite

Background: Intensive care unit nurses are providing care to COVID-19 patients in a stressful environment. Understanding intensive care unit nurses’ sources of distress is important when planning interventions to support them. Purpose: To describe Canadian intensive care unit nurse experiences providing care to COVID-19 patients during the second wave of the pandemic. Design: Qualitative descriptive component within a larger mixed-methods study. Participants and research context: Participants were invited to write down their experiences of a critical incident, which distressed them when providing nursing care. Thematic analysis was used to analyze the data. Ethical considerations: The study was approved by the ethics committee at the researchers’ university in eastern Canada. Results: A total of 111 critical incidents were written by 108 nurses. Four themes were found: (1) managing the pandemic, (2) witness to families’ grief, (3) our safety, and (4) futility of care. Many nurses’ stories also focused on the organizational preparedness of their institutions and concerns over their own safety. Discussion: Nurses experienced moral distress in relation to family and patient issues. Situations related to insufficient institutional support, patient, and family traumas, as well as safety issues have left nurses deeply distressed. Conclusion: Identifying situations that distress intensive care unit nurses can lead to targeted interventions mitigating their negative consequences by providing a safe work environment and improving nurses’ well-being.

show abstract

Ethical Challenges of Nurses in COVID-19 Pandemic: Integrative Review

Cited by 43 publications

References 15 publications

The NCSBN 2022 Environmental Scan: Resiliency, Achievement, and Public Protection

The NCSBN 2022 Environmental Scan: Resiliency, Achievement, and Public Protection

Covid-19 Schutzmaßnahmen in Alten- und Pflegeheimen: zwischen Autonomie und Fürsorge – Ergebnisse einer Interviewstudie

A critical incident study of ICU nurses during the COVID-19 pandemic

Contact Info

Product

Resources

About