Which are overriding during a pandemic: Professional healthcare duties or personal interests?

Chan, Helen Yue Lai

doi:10.1177/0969733020916668

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…As the COVID-19 pandemic continues, a mounting body of evidence shows that HCWs are facing high levels of stress, concerns for their own safety (or the safety of older people/high-risk cohabitants) and ethical challenges. 5 , 20 , 30 , 31 , 38 Therefore, it is not surprising that nurses in both countries agreed equally with the responsibility of the employer to offer protective equipment and vaccinations to the nurses and their families. This finding is consistent with those of previous studies that have reported the overall responsibility of the employer to protect the workers.…”

Section: Discussionmentioning

confidence: 99%

The duty to care and nurses’ well-being during a pandemic

Muñoz-Rubilar¹,

Carrillos

Mundal

et al. 2022

Nurs Ethics

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Background: The coronavirus disease 2019 pandemic is impacting the delivery of healthcare worldwide, creating dilemmas related to the duty to care. Although understanding the ethical dilemmas about the duty to care among nurses is necessary to allow effective preparation, few studies have explored these concerns. Aim: This study aimed to identify the ethical dilemmas among clinical nurses in Spain and Chile. It primarily aimed to (1) identify nurses’ agreement with the duty to care despite high risks for themselves and/or their families, (2) describe nurses’ well-being and (3) describe the associations between well-being and the duty to care. Research design: Cross-sectional self-reported anonymous data were collected between May and June 2020 via electronic survey distribution (snowball sampling). Ethical considerations: The Institutional Ethical Review Committees in both countries approved the study (CHUC_2020_33 and 27/2020). Findings: In total, 345 clinical nurses answered the primary question about the duty to care for the sick. Although in the total sample 77.4% agreed they have a duty to care for the sick, significant differences were found between the Spanish and Chilean samples. Overall, 53.6% of the nurses reported low levels of well-being; however, among those reporting low well-being, statistically significant differences were found between Spanish and Chilean nurses as 19.4% and 37.8%, respectively, disagreed with the statement regarding the duty to care. Discussion: Participants in both countries reported several ethical dilemmas, safety fears, consequent stress and low well-being. These results suggest that prompt actions are required to address nurses’ ethical concerns, as they might affect their willingness to work and psychological well-being. Conclusion: Our findings shed light on the ethical dilemmas nurses are facing related to the duty to care. Not only has the coronavirus disease 2019 pandemic given rise to ethical challenges, but it has also affected nurses’ well-being and willingness to work during a pandemic.

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Section: Discussionmentioning

confidence: 99%

The duty to care and nurses’ well-being during a pandemic

Muñoz-Rubilar¹,

Carrillos

Mundal

et al. 2022

Nurs Ethics

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show abstract

“…For example, during the pandemic of COVID-19 currently impacting the world, some nurses in Hong Kong went on strike, demanding that the border with China be cut off to prevent Coronavirus disease-19 (COVID-19) from owing from China. On the other hand, in February 2020, volunteer nurses from all over the country ocked to Daegu, South Korea to treat patients when the medical system collapsed due to the explosion of COVID-19 patients (Chan, 2020;Choi, 2020). What makes nurse give up other values and choose moral values?…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural Adaptation and Validation of the Korean Version of the Moral Identity Scale in Intensive Care Unit Nurses

Lee

Song

2021

Preprint

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Background: Korean intensive care unit (ICU) nurses face a variety of moral conflict situations. What makes nurse give up other values and choose moral values? To answer this question, scholars began to study a concept termed “moral identity.” However, despite the increased importance of nurses’ moral identity, it has not been thoroughly studied using empirical data analysis. Instruments developed to predict moral behavior need evidence of their reliability and validity for rigorous research. The purpose of this paper is to report psychometric properties of the Korean version of the Moral Identity Scale in Intensive Care Unit nurses. Methods: The aim of this study was to assess the reliability and validity of the Korean version of the MIS (K-MIS) developed by Aquino & Reed. Data were collected from 207 ICUs. Exploratory and confirmatory factor analysis were used to test the construct validity. Research question/aim/objectives: The aim of this study was to assess the reliability and validity of the Korean version of the MIS (K-MIS) developed by Aquino & Reed.Results: The results of exploratory factor analysis showed that the Eigen values ranged from 1.63 to 4.47 and comprised 52.17% of the total explained variance. Confirmatory factor analysis showed acceptable model fit indices (χ2 (p) = 28.822 (.051), df = 18, root mean square error of approximation = .076, GFI = .937, Tucker-Lewis index = .93, comparative fit index = .955) and standardized factor loadings (.45 to.82). Conclusion: As a professional, the ICU nurse must protect and advocate for the patient. In this respect, K-MIS is a acceptable tool to measure the moral identity of ICU nurses in Korea. Therefore, it is expected that the K-MIS will be used in nursing education programs to improve the moral identity of ICU nurses.

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Which are overriding during a pandemic: Professional healthcare duties or personal interests?

Cited by 2 publications

References 9 publications

The duty to care and nurses’ well-being during a pandemic

The duty to care and nurses’ well-being during a pandemic

Cross-cultural Adaptation and Validation of the Korean Version of the Moral Identity Scale in Intensive Care Unit Nurses

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