The relationship between ethical conflict and nurses’ personal and organisational characteristics

Saberi, Zahra; Shahriari, Mohsen; Yazdannik, Ahmadreza

doi:10.1177/0969733018791350

Cited by 12 publications

(29 citation statements)

References 30 publications

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“…This points to the possibility of intervening, for example, in the work dynamics adopted by the ICU team, in line with other studies that have taken the clinical environment into consideration. 2,5,7,22,23,36 –38 The fact that the type of ethical conflict most experienced in the sample under study was moral outrage is consistent with results obtained for the Spanish sample. 2 These results differ, however, from those obtained for the Iranian sample, 28 in which the most commonly experienced type of conflict was moral dilemma.…”

Section: Discussionsupporting

confidence: 87%

“…However, previous studies about moral distress have shown correlations between sex, 48 age 18 and type of ICUs 49 with high levels of moral distress. Consistent with other studies, 2,5,26,36,44,50 –52 the variables having ever thought about leaving the service due to overload or stress, being in an environment that is favourable to making ethical decisions and having the availability to participate more actively in these decisions correlated with exposure to types of ethical conflict. All the above show that ethical conflict, despite being an individual phenomenon, can be influenced by certain characteristics of the professionals’ working environment.…”

Section: Discussionsupporting

confidence: 84%

“…2,29,30 Finally, several studies have shown that some conflicting situations emerge from relationships between professionals and team dynamics, from resource management or burnout. 2,18,24,28 –31,33 –38…”

Section: Introductionmentioning

confidence: 99%

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Ethical conflicts and their characteristics among critical care nurses

et al. 2019

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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 characteristics. Methods: A cross-cultural validation and descriptive, prospective and correlational study. The sample was made for 184 critical care nurses in 2016. Ethical Considerations: The study was authorised by Bioethics Commission of the University of Barcelona, the Associaçâo de Apoio ao Serviço de Cuidados Intensivos do Centro Hospitalar do Porto and the Sociedade Portuguesa de Enfermagem de Saúde Mental. Findings: The Portuguese version of the Ethical Conflict Nursing Questionnaire–Critical Care Version was a valid and reliable instrument to measure exposure to conflict. Moral outrage was the most common type of conflict. The most problematic situations were the ineffectiveness of analgesic treatments, the administration of treatments considered futile and the mismanagement of resources.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 84%

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Ethical conflicts and their characteristics among critical care nurses

et al. 2019

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“…Naše ugotovitve kažejo, da je stopnja obremenjenosti medicinskih sester v intenzivnih enotah z etičnim konfliktom zmerna. Te ugotovitve so v skladu z ugotovitvami petih predhodno opravljenih raziskav (Browning, 2013;Ebrahimi, et al, 2013;Tavakol & Molazem, 2015;Falcó-Pegueroles, et al, 2016;Saberi, et al, 2019).…”

Section: Situacije -Scenariji Ki Predstavljajo Potencialni Etični Prunclassified

Etični konflikti med medicinskimi sestrami v intenzivni enoti

et al. 2020

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Uvod: Etični konflikt predstavlja resen poklicni problem. Medicinske sestre so na svojem delovnem mestu čedalje bolj obremenjene, še posebej v intenzivnih enotah, kjer je delo z življenjsko ogroženimi pacienti posebej težavno in je pojavnost etičnih konfliktov toliko večja. Namen je bil ugotoviti stopnjo izpostavljenosti etičnim konfliktom med medicinskimi sestrami v intenzivni enoti.Metode: Izvedena je bila kvantitativna presečna opazovalna raziskava. Vanjo je bilo vključenih 97 medicinskih sester, zaposlenih v intenzivnih enotah ene bolnišnice. Podatki so bili zbrani s pomočjo vprašalnika in statistično obdelani z uporabo univariatne statistike.Rezultati: Raziskava je pokazala, da so medicinske sestre v intenzivnih enotah zmerno izpostavljene etičnim konfliktom (x = 138,85, s = 89,08). Najpogosteje doživljajo etični konflikt ob situacijah, ko primanjkuje virov,ki zdravstvenemu timu omogočajo upoštevanje etičnih smernic za delovanje (x = 14,11, s = 9,13). Najmanj so izpostavljene etičnim konfliktom, ko je treba v okviru kliničnega preizkušanja dajati zdravila in pri tem ne prejmejo vseh potrebnih informacij, ki so po njihovem mnenju potrebne za izvajanje te naloge (x = 2,25, s = 3,70).Diskusija in zaključek: Pri pojavnosti stopnje etičnega konflikta pri medicinskih sestrah je bilo ugotovljeno, da se srečujejo s konflikti, ki so rahlo problematični in precej problematični. Največji etični konflikt se pojavi pri pomanjkanju časa za upoštevanje etičnih smernic za delovanje, kar kaže, da je medicinskih sester premalo za kakovostno oskrbo pacientov.

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“…13 In this regard, it is imperative that nurses have a detailed understanding of the ethical challenges and are able to use strategies to meet them. 14 Correct ethical decisions by nurses may improve the patient’s recovery and the quality of healthcare services, and reduce healthcare costs. 13…”

Section: Introductionmentioning

confidence: 99%

Ethical challenges of obtaining informed consent from surgical patients

Moeini¹,

Shahriari

Shamali

2019

Nurs Ethics

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Background: Informed consent can be obtained by various methods, by various people, and with use of various types of consent forms. Persistent effort is necessary to reveal the practical realities of informed consent to improve ethical and legal standards. Objective: To determine the ethical challenges of obtaining informed consent from surgical patients. Methods: The present study was a descriptive cross-sectional study using two researcher-made questionnaires and a checklist for data collection. Data were collected from nursing personnel ( n = 95) and surgical patients ( n = 203) on the surgical wards of three university hospitals in Isfahan, Iran. Data were analyzed using descriptive statistics, Spearman’s rank correlation, Pearson’s correlation coefficient, and the t-test. Ethical considerations: The study was approved by the Ethics Committee of Isfahan University of Medical Sciences (No: 396478). Results: The mean scores (maximum 100) of awareness, competency, and authority were 36.3, 67.7, and 57.6, respectively. The overall quality of the informed consent was poor (score 53.9 of 100). The higher educational level in patients was correlated with lower awareness of and less authority to give informed consent. Only 12.6% of the nurses stated that patients were given sufficient information to assure informed consent. In 89.2% of the consent forms, the risks of the treatment were mentioned. However, alternative methods and risks and advantages of rejecting the treatment were not mentioned in any of the forms. Conclusion: Ethical challenges to obtaining informed consent include patients’ poor awareness of their rights, a failure to provide adequate information to patients, absence of consideration of patients’ educational level, an unclear definition of who is responsible for obtaining informed consent from the patients, time constraints, and use of unclear language and medical jargon. Constructing an ethical framework may guide nursing staff in dealing with the ethical challenges involved in obtaining informed consent.

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The relationship between ethical conflict and nurses’ personal and organisational characteristics

Cited by 12 publications

References 30 publications

Ethical conflicts and their characteristics among critical care nurses

Ethical conflicts and their characteristics among critical care nurses

Etični konflikti med medicinskimi sestrami v intenzivni enoti

Ethical challenges of obtaining informed consent from surgical patients

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