Results for ' critical care nursing'

987 found
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  1.  4
    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 (...)
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  2.  29
    Eliciting critical care nurses’ beliefs regarding physical restraint use.Gemma Via-Clavero, Marta Sanjuán-Naváis, Marta Romero-García, Laura de la Cueva-Ariza, Gemma Martínez-Estalella, Erika Plata-Menchaca & Pilar Delgado-Hito - 2019 - Nursing Ethics 26 (5):1458-1472.
    Background: Despite the reported harms and ethical concerns about physical restraint use in the critical care settings, nurses’ intention to apply them is unequal across countries. According to the theory of planned behaviour, eliciting nurses’ beliefs regarding the use of physical restraints would provide additional social information about nurses’ intention to perform this practice. Aim: To explore the salient behavioural, normative and control beliefs underlying the intention of critical care nurses to use physical restraints from the (...)
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  3.  40
    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, (...)
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  4.  20
    Critical care nurses’ experiences on dishonesty: A qualitative content analysis.Reza Negarandeh, Mitra Khoobi, Majid Ahmadihedayat & Dougie Marks - 2022 - Nursing Ethics 29 (5):1209-1219.
    Background: Providing information to patients is an essential aspect of care. The way in which such information is transmitted is also important and is affected by different variables. The perceptions of dishonest nursing staff have not been sufficiently discussed to date. Aim: The purpose is to explore the reasons for dishonesty in transmitting information to patients. Design and Method: In this qualitative content analysis study, data were collected using semi-structured interviews with Twelve Iranian Critical Care Nurses (...)
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  5.  23
    Critical care nurses’ moral sensitivity during cardiopulmonary resuscitation: Qualitative perspectives.Nader Aghakhani, Hossein Habibzadeh & Farshad Mohammadi - 2022 - Nursing Ethics 29 (4):938-951.
    Background Cardiopulmonary Resuscitation (CPR) is one of the areas in which moral issues are of great significance, especially with respect to the nursing profession, because CPR requires quick decision-making and prompt action and is associated with special complications due to the patients’ unconsciousness. In such circumstances, nurses’ ability in terms of moral sensitivity can be determinative in the success of the procedure. Identifying the components of moral sensitivity in nurses in this context can promote moral awareness and improve moral (...)
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  6.  78
    Ethical conflict among critical care nurses during the COVID-19 pandemic.Anjita Khanal, Sara Franco-Correia & Maria-Pilar Mosteiro-Diaz - 2022 - Nursing Ethics 29 (4):819-832.
    Background Ethical conflict is a problem with negative consequences, which can compromise the quality and ethical standards of the nursing profession and it is a source of stress for health care practitioners’, especially for nurses. Objectives The main aim of this study was to analyze Spanish critical care nurses’ level of exposure to ethical conflict and its association with sociodemographic, occupational, and COVID-19–related variables. Research Design, Participants, and Research context: This was a quantitative cross-sectional descriptive study (...)
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  7.  1
    Critical care nurses’ experiences of ethical challenges in end-of-life care.Lena Palmryd, Åsa Rejnö, Anette Alvariza & Tove Godskesen - forthcoming - Nursing Ethics.
    Background In Swedish intensive care units, nine percent of patients do not survive despite receiving advanced life-sustaining treatments. As these patients transition to end-of-life care, ethical considerations may become paramount. Aim To explore the ethical challenges that critical care nurses encounter when caring for patients at the end of life in an intensive care context. Research design The study used a qualitative approach with an interpretive descriptive design. Research context and participants Twenty critical (...) nurses from eight intensive care units in an urban region in Sweden were interviewed, predominately women with a median age of fifty-one years. Ethical considerations This study was approved by The Swedish Ethics Review Authority. Findings Critical care nurses described encountering ethical challenges when life-sustaining treatments persisted to patients with minimal survival prospects and when administering pain-relieving medications that could inadvertently hasten patients’ deaths. Challenges also arose when patients expressed a desire to withdraw life-sustaining treatments despite the possibility of recovery, or when family members wanted to shield patients from information about a poor prognosis; these wishes occasionally conflicted with healthcare guidelines. The critical care nurses also encountered ethical challenges when caring for potential organ donors, highlighting the balance between organ preservation and maintaining patient dignity. Conclusion Critical care nurses encountered ethical challenges when caring for patients at the end of life. They described issues ranging from life-sustaining treatments and administration of pain-relief, to patient preferences and organ donation considerations. Addressing these ethical challenges is essential for delivering compassionate person-centered care, and supporting family members during end-of-life care in an intensive care context. (shrink)
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  8.  25
    Mitigating Moral Distress: Pediatric Critical Care Nurses’ Recommendations.Sadie Deschenes, Shannon D. Scott & Diane Kunyk - 2024 - HEC Forum 36 (3):341-361.
    In pediatric critical care, nurses are the primary caregivers for critically ill children and are particularly vulnerable to moral distress. There is limited evidence on what approaches are effective to minimize moral distress among these nurses. To identify intervention attributes that critical care nurses with moral distress histories deem important to develop a moral distress intervention. We used a qualitative description approach. Participants were recruited using purposive sampling between October 2020 to May 2021 from pediatric (...) care units in a western Canadian province. We conducted individual semi-structured interviews via Zoom. A total of 10 registered nurses participated in the study. Four main themes were identified: (1) “I’m sorry, there’s nothing else”: increasing supports for patients and families; (2) “someone will commit suicide”: improving supports for nurses: (3) “Everyone needs to be heard”: improving patient care communication; and (4) “I didn’t see it coming”: providing education to mitigate moral distress. Most participants stated they wanted an intervention to improve communication among the healthcare team and noted changes to unit practices that could decrease moral distress. This is the first study that asks nurses what is needed to minimize their moral distress. Although there are multiple strategies in place to help nurses with difficult aspects of their work, additional strategies are needed to help nurses experiencing moral distress. Moving the research focus from identifying moral distress towards developing effective interventions is needed. Identifying what nurses need is critical to develop effective moral distress interventions. (shrink)
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  9.  34
    Effective interventions for reducing moral distress in critical care nurses.Amir Emami Zeydi, Mohammad Javad Ghazanfari, Riitta Suhonen, Mohsen Adib-Hajbaghery & Samad Karkhah - 2022 - Nursing Ethics 29 (4):1047-1065.
    Moral distress (MD) has received considerable attention in the nursing literature over the past few decades. It has been found that high levels of MD can negatively impact nurses, patients, and their family and reduce the quality of patient care. This study aimed to investigate the potentially effective interventions to alleviate MD in critical care nurses. In this systematic review, a broad search of the literature was conducted in the international databases including PubMed/MEDLINE, Web of Science, (...)
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  10.  14
    Experiences of critical care nurses during the early months of the COVID-19 pandemic.Dorothy James Moore, Denise Dawkins, Michelle DeCoux Hampton & Susan McNiesh - 2022 - Nursing Ethics 29 (3):540-551.
    Background: Critical care nurses have risked their lives and in some cases their families through hazardous duty during the COVID-19 pandemic and have faced multiple ethical challenges. Research/aim: The purpose of our study was to examine how critical care nurses coped with the sustained multi-faceted pressures of the critical care environment during the unchartered waters of the COVID-19 pandemic. It was anticipated that our study might reveal numerous ethical challenges and decision points. Research design: (...)
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  11.  43
    Moral distress among critical care nurses: A cross-cultural comparison.Kaoru Ashida, Tetsuharu Kawashima, Aki Kawakami & Makoto Tanaka - 2022 - Nursing Ethics 29 (6):1341-1352.
    Background Although, moral distress presents a serious problem among critical care nurses in many countries, limited research has been conducted on it. A validated scale has been developed to evaluate moral distress and has enabled cross-cultural comparison for seeking its root causes. Research aims This study aimed to (1) clarify the current status of moral distress among nurses who worked in critical care areas in Japan, (2) compare the moral distress levels among nurses in Japan with (...)
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  12.  29
    Moral distress among critical care nurses before and during the COVID-19 pandemic: A systematic review.Fatemeh Beheshtaeen, Camellia Torabizadeh, Sahar Khaki, Narjes Abshorshori & Fatemeh Vizeshfar - 2024 - Nursing Ethics 31 (4):613-634.
    Moral distress has emerged as a significant concern for critical care nurses, particularly due to the complex and demanding care provided to critically ill patients in critical care units. The ongoing COVID-19 pandemic has introduced new ethical challenges and changes in clinical practice, further exacerbating the experience of moral distress among these nurses. This systematic review compares the factors influencing moral distress among critical care nurses before and during the COVID-19 pandemic to gain (...)
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  13.  36
    Ethical conflict in critical care nursing.Anna Falcó-Pegueroles, Teresa Lluch-Canut, Juan Roldan-Merino, Josefina Goberna-Tricas & Joan Guàrdia-Olmos - 2015 - Nursing Ethics 22 (5):594-607.
    Background: Ethical conflicts in nursing have generally been studied in terms of temporal frequency and the degree of conflict. This study presents a new perspective for examining ethical conflict in terms of the degree of exposure to conflict and its typology. Objectives: The aim was to examine the level of exposure to ethical conflict for professional nurses in critical care units and to analyze the relation between this level and the types of ethical conflict and moral states. (...)
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  14.  88
    Consequences of clinical situations that cause critical care nurses to experience moral distress.Debra L. Wiegand & Marjorie Funk - 2012 - Nursing Ethics 19 (4):479-487.
    Little is known about the consequences of moral distress. The purpose of this study was to identify clinical situations that caused nurses to experience moral distress, to understand the consequences of those situations, and to determine whether nurses would change their practice based on their experiences. The investigation used a descriptive approach. Open-ended surveys were distributed to a convenience sample of 204 critical care nurses employed at a university medical center. The analysis of participants’ responses used an inductive (...)
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  15.  41
    Ethical conflicts and their characteristics among critical care nurses.Teresa Lluch-Canut, Carlos Sequeira, Anna Falcó-Pegueroles, José António Pinho, Albina Rodrigues-Ferreira, Joan Guàrdia Olmos & Juan Roldan-Merino - 2020 - Nursing Ethics 27 (2):537-553.
    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 (...)
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  16.  55
    Gender and the experience of moral distress in critical care nurses.Christopher B. O’Connell - 2015 - Nursing Ethics 22 (1):32-42.
    Background: Nursing practice is complex, as nurses are challenged by increasingly intricate moral and ethical judgments. Inadequately studied in underrepresented groups in nursing, moral distress is a serious problem internationally for healthcare professionals with deleterious effects to patients, nurses, and organizations. Moral distress among nurses has been shown to contribute to decreased job satisfaction and increased turnover, withdrawal from patients, physical and psychological symptoms, and intent to leave current position or to leave the profession altogether. Research question: Do (...)
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  17.  26
    Influences of the culture of science on nursing knowledge development: Using conceptual frameworks as nursing philosophy in critical care nursing.Margie Burns, Jill Bally, Meridith Burles, Lorraine Holtslander & Shelley Peacock - 2020 - Nursing Philosophy 21 (4):e12310.
    Nursing knowledge development and application are influenced by numerous factors within the context of science and practice. The prevailing culture of science along with an evolving context of increasingly technological environments and rationalization within health care impacts both the generation of nursing knowledge and the practice of nursing. The effects of the culture of science and the context of nursing practice may negatively impact the structure and application of nursing knowledge, how nurses practice, and (...)
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  18.  21
    Empathy and ethical sensitivity among intensive and critical care nurses: A path analysis.Amir Masoud Sharifnia, Heidi Green, Ritin Fernandez & Ibrahim Alananzeh - 2024 - Nursing Ethics 31 (2-3):227-242.
    Background Intensive and critical care nurses need to demonstrate ethical sensitivity especially in recognizing and dealing with ethical dilemmas particularly as they often care for patients living with life-threatening conditions. Theories suggest that there is a convergence between nurses’ empathy and ethical sensitivity. Evidence in the literature indicates that nurses’ emotional, demographic, and work characteristics are associated with their level of empathy and ethical sensitivity. Aim To investigate the relationship between nurses’ empathy and ethical sensitivity, considering their (...)
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  19.  19
    A hermeneutic study of the concept of ‘focusing’ in critical care nursing practice.Allan John Walters - 1994 - Nursing Inquiry 1 (1):23-30.
    A phenomenological hermeneutic study of the lifeworld of critical care nursing was undertaken, from which emerged the concept of ‘focusing’. Focusing is defined as empathizing concern for the critically ill person and his/her family amid the high technology of the intensive care unit. When nurses focus on the patient and the patient's family they are able to empathize with die personal dimensions of caring. The study used a phenomenological hermeneutic approach to describe die nature of the (...)
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  20.  29
    Learning, Decisions and Transformation in Critical Care Nursing Practice.M. Catherine Hough - 2008 - Nursing Ethics 15 (3):322-331.
    Critical care nurses are key providers in a high acuity environment. This qualitative research study explored ethical decision making in a critical care practice setting. Fifteen critical care nurses with varying experience and education levels were purposively sampled to assure the representativeness of the data. The theoretical concepts of experiential learning, perspective transformation, reflection-in-action and principle-based ethics were used as a framework for eliciting information from the participants. A new model of focused reflection in (...)
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  21.  1
    Moral sensitivity and attitudes towards patient safety among critical care nurses.Ali Afshari, Mohammad Torabi, Mahsa Dehghani & Mona Farhadi - forthcoming - Nursing Ethics.
    Introduction Patient safety is essential for healthcare quality and a global concern. The rapid advancement of medical technology presents ethical challenges for critical care nurses, who navigate complex decision-making processes. Given their close relationships with patients, nurses are uniquely positioned to address patient safety issues. Thus, enhancing nurses’ moral sensitivity and ethical values is increasingly important. Objective This study aims to explore the relationship between moral sensitivity and attitude towards patient safety in critical care nurses. Methods (...)
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  22.  30
    Factors behind ethical dilemmas regarding physical restraint for critical care nurses.Zahra Salehi, Tahereh Najafi Ghezeljeh, Fatemeh Hajibabaee & Soodabeh Joolaee - 2020 - Nursing Ethics 27 (2):598-608.
    Background: Physical restraint is among the commonly used methods for ensuring patient safety in intensive care units. However, nurses usually experience ethical dilemmas over using physical restraint because they need to weigh patient autonomy against patient safety. Aim: The aim of this study was to explore factors behind ethical dilemmas for critical care nurses over using physical restraint for patients. Design: This is a qualitative study using conventional content analysis approach, as suggested by Graneheim and Lundman, to (...)
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  23.  19
    The influential factors in humanistic critical care nursing.Somaye Mohamadi Asl, Mojgan Khademi & Eesa Mohammadi - 2022 - Nursing Ethics 29 (3):608-620.
    Background: One of the main concerns in critical care units is the development of humanistic approaches. In this regard, recognizing the factors affecting humanistic nursing can contribute to humanizing nursing care in these units. Objective: The objective was to recognize the influential factors of humanistic nursing in critical care units. Research design: This qualitative study was carried out using a phenomenology method. Thirty-nine in-depth unstructured interviews were performed. The data were analyzed using (...)
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  24.  30
    Bowen Family Systems Theory: Mapping a framework to support critical care nurses’ well‐being and care quality.Samantha Jakimowicz, Lin Perry & Joanne Lewis - 2021 - Nursing Philosophy 22 (2):e12320.
    Intensive care nursing is prone to episodic anxiety linked to patients’ immediate needs for treatment. Balancing biomedical interventions with compassionate patient‐centred nursing can be particularly anxiety provoking. These patterns of anxiety may impact compassion and patient‐centred nursing. The aim of this paper is to discuss the application of Bowen Family Systems Theory to intensive care nursing, mapping a framework to support critical care nurses’ well‐being and, consequently, the quality of care they (...)
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  25.  36
    Effects of an ethical empowerment program on critical care nurses’ ethical decision-making.Fatemeh Jamshidian, Mohsen Shahriari & Mohsen Rezaei Aderyani - 2019 - Nursing Ethics 26 (4):1256-1264.
    Background: Nurses require empowerment if they are to make ethical decisions. Ethical empowerment has always been one of the main concerns in nurse training programs. Research aim: The present study was conducted to determine the effect of an ethical empowerment program on critical care nurses’ ethical decision-making. Research design: This is a clinical trial study with two groups and pre and post design. Participants and research context: In this study, 60 nurses working in Intensive Care Unit were (...)
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  26.  33
    Values and self-perception of behaviour among critical care nurses.Kaoru Ashida, Aki Kawakami, Tetsuharu Kawashima & Makoto Tanaka - 2021 - Nursing Ethics 28 (7-8):1348-1358.
    Background: Moral distress has various adverse effects on nurses working in critical care. Differences in personal values, and between values and self-perception of behaviour are factors that may cause moral distress. Research aims: The aims of this study were (1) to identify ethical values and self-perception of behaviour of critical care nurses in Japan and (2) to determine the items with a large difference between value and behaviour and the items with a large difference in value (...)
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  27.  52
    Moral sensitivity and moral distress in Iranian critical care nurses.Fariba Borhani, Abbas Abbaszadeh, Elham Mohamadi, Erfan Ghasemi & Mohammad Javad Hoseinabad-Farahani - 2017 - Nursing Ethics 24 (4):474-482.
    Background: Moral sensitivity is the foremost prerequisite to ethical performance; a review of literature shows that nurses are sometimes not sensitive enough for a variety of reasons. Moral distress is a frequent phenomenon in nursing, which may result in paradoxes in care, dealing with patients and rendering high-quality care. This may, in turn, hinder the meeting of care objectives, thus affecting social healthcare standards. Research objective: The present research was conducted to determine the relationship between moral (...)
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  28.  5
    Echoes of Grief: Tales from an Emergency Medicine and Critical Care Nurse.Marcia King - 2024 - Narrative Inquiry in Bioethics 14 (2):74-75.
    In lieu of an abstract, here is a brief excerpt of the content:Echoes of Grief:Tales from an Emergency Medicine and Critical Care NurseMarcia KingWell, I have 42 years of stories from working in ICU and Emergency Medicine as a registered nurse. The first situation that comes to mind on the subject of grieving on the job in healthcare happened about 37 years ago. I had a nice lady in ICU for several days in a row as a patient. (...)
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  29.  88
    Moral distress and avoidance behavior in nurses working in critical care and noncritical care units.Mary Jo De Villers & Holli A. DeVon - 2013 - Nursing Ethics 20 (5):589-603.
    Nurses facing impediments to what they perceive as moral practice may experience moral distress. The purpose of this descriptive, cross-sectional study was to determine similarities and differences in moral distress and avoidance behavior between critical care nurses and non-critical care nurses. Sixty-eight critical care and 28 non-critical care nurses completed the Moral Distress Scale and Impact of Event Scale (IES). There were no differences in moral distress scores ( F = 0.892, p (...)
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  30.  30
    The position of home‐care nursing in primary health care: A critical analysis of contemporary policy documents.Ann-Kristin Fjørtoft, Trine Oksholm, Oddvar Førland, Charlotte Delmar & Herdis Alvsvåg - 2022 - Nursing Inquiry 29 (2):e12445.
    Internationally, primary health care has in recent years gained a more central position in political priorities to ensure sustainable health care for the population. Thus, more people receive health care locally and in their own homes, where home‐care nursing plays a large role. In this article, we investigate how home‐care nursing is articulated and made visible in contemporary Norwegian policy documents. The study is a Fairclough‐inspired critical discourse analysis seeking to uncover the (...)
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  31. Development process and initial validation of the Ethical Conflict in Nursing Questionnaire-Critical Care Version.Anna Falcó-Pegueroles, Teresa Lluch-Canut & Joan Guàrdia-Olmos - 2013 - BMC Medical Ethics 14 (1):22.
    Ethical conflicts are arising as a result of the growing complexity of clinical care, coupled with technological advances. Most studies that have developed instruments for measuring ethical conflict base their measures on the variables ‘frequency’ and ‘degree of conflict’. In our view, however, these variables are insufficient for explaining the root of ethical conflicts. Consequently, the present study formulates a conceptual model that also includes the variable ‘exposure to conflict’, as well as considering six ‘types of ethical conflict’. An (...)
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  32. Caring: Nurses, Women and Ethics.Helga Kuhse - 1997 - Maldon, MA, USA: Wiley-Blackwell.
    This volume provides a critical introduction to contemporary attempts to base nursing ethics on a feminine 'ethics of care'.
  33.  25
    Home‐care nurses’ distinctive work: A discourse analysis of what takes precedence in changing healthcare services.Ann-Kristin Fjørtoft, Trine Oksholm, Charlotte Delmar, Oddvar Førland & Herdis Alvsvåg - 2021 - Nursing Inquiry 28 (1):e12375.
    Ongoing changes in many Western countries have resulted in more healthcare services being transferred to municipalities and taking place in patients’ homes. This greatly impacts nurses’ work in home care, making their work increasingly diverse and demanding. In this study, we explore home‐care nursing through a critical discourse analysis of focus group interviews with home‐care nurses. Drawing on insights from positioning theory, we discuss the content and delineation of their work and the interweaving of contextual (...)
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  34.  38
    Primary Care Nurse Practitioners' Integrity When Faced With Moral Conflict.Carolyn Ann Laabs - 2007 - Nursing Ethics 14 (6):795-809.
    Primary care presents distressful moral problems for nurse practitioners (NPs) who report frustration, powerlessness, changing jobs and leaving advanced practice. The purpose of this grounded theory study was to describe the process NPs use to manage moral problems common to primary care. Twenty-three NPs were interviewed, commenting on hypothetical situations depicting ethical issues common to primary care. Coding was conducted using a constant comparative method. A theory of maintaining moral integrity emerged consisting of the phases of encountering (...)
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  35.  34
    Patient autonomy in home care: Nurses’ relational practices of responsibility.Gaby Jacobs - 2019 - Nursing Ethics 26 (6):1638-1653.
    Background: Over the last decade, new healthcare policies are transforming healthcare practices towards independent living and self-care of older people and people with a chronic disease or disability within the community. For professional caregivers in home care, such as nurses, this requires a shift from a caring attitude towards the promotion of patient autonomy. Aim: To explore how nurses in home care deal with the transformation towards fostering patient autonomy and self-care. Research design and context: A (...)
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  36.  75
    Caring in Crisis: An Oral History of Critical Care Nursing. Jacqueline Zalumas [Studies in Health, Illness, and Caregiving Series. Joan E. Lynaugh, Gen. Ed.] Philadelphia, PA: University of Pennsylvania Press, 1995. 212 pp. [REVIEW]Sarah Shannon - 1996 - Cambridge Quarterly of Healthcare Ethics 5 (1):174.
  37.  1
    Relationships among Climate of Care, Nursing Family Care and Family Well-being in ICUs.Natalie S. McAndrew, Rachel Schiffman & Jane Leske - 2019 - Nursing Ethics 26 (7-8):2494-2510.
    Background: Frequent exposure to ethical conflict and a perceived lack of organizational support to address ethical conflict may negatively influence nursing family care in the intensive care unit. Research aims: The specific aims of this study were to determine: (1) if intensive care unit climate of care variables (ethical conflict, organizational resources for ethical conflict, and nurse burnout) were predictive of nursing family care and family wellbeing and (2) direct and indirect effects of (...)
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  38.  23
    Culturally-sensitive moral distress experiences of intensive care nurses: A scoping review.Mustafa Sabri Kovanci & Imatullah Akyar - 2022 - Nursing Ethics 29 (6):1476-1490.
    Background Moral distress is a phenomenon that all nurses experience at different levels and contexts. The level of moral distress can be affected by individual values and the local culture. The sources of the values shape the level of moral distress experienced and the nurses’ decisions. Aim The present scoping review was conducted to examine the situations that cause moral distress in ICU nurses in different countries. Results A scoping review methodology was adopted for the study, in line with the (...)
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  39.  15
    Exploring the meaning of critical incident stress experienced by intensive care unit nurses.Giuliana Harvey & Dianne M. Tapp - 2020 - Nursing Inquiry 27 (4):e12365.
    The complexity of registered nurses’ work in the intensive care unit places them at risk of experiencing critical incident stress. Gadamer's philosophical hermeneutics (1960/2013) was used to expand the meanings of work‐related critical incident stress for registered nurses working with adults in the intensive care unit. Nine intensive care unit registered nurses participated in unstructured interviews. The interpretations emphasized that morally distressing experiences may lead to critical incident stress. Critical incident stress was influenced (...)
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  40.  3
    The effectiveness of narrative writing on the moral distress of intensive care nurses.Smat Saeedi, Leila Jouybari, Akram Sanagoo & Mohammad Ali Vakili - 2019 - Nursing Ethics 26 (7-8):2195-2203.
    Background: Nursing is a profession that has always been accompanied with common ethical concerns. There are some evidences which indicate that narrative writing on traumatic experiences may improve an individual’s emotional health. Objective: This study aimed to determine the effectiveness of narrative writing on moral distress of nurses working in intensive care unit. Research design: This study was a clinical trial with pre- and post-test design. The frequency and intensity of moral distress was measured by a valid and (...)
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  41.  67
    Hidden and Emerging Drama in a Norwegian Critical Care Unit: ethical dilemmas in the context of ambiguity.Eli Haugen Bunch - 2001 - Nursing Ethics 8 (1):57-68.
    The study presented in this article is based on field observations over one year on a critical care unit in Norway. Data were analysed according to Glaser’s grounded theory and generated a theory of hidden and emerging drama in the context of ambiguity while the nurses routinized the handling of complex technology. To the untrained eye the unit presented a picture of calm competence, while under the surface one finds hidden drama full of difficult interacting clinical and ethical (...)
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  42.  43
    Effect of moral empowerment program on moral distress in intensive care unit nurses.Safura Abbasi, Somayeh Ghafari, Mohsen Shahriari & Nahid Shahgholian - 2019 - Nursing Ethics 26 (5):1494-1504.
    Background: Moral distress has been experienced by about 67% of critical care nurses which causes many complications such as job dissatisfaction, loss of capacity for caring, and turnover for nurses and poor quality of care for patients as well as health system. Objective: The purpose of this research was to provide a moral empowerment program to nursing directors, school of nursing, and the heads of hospitals to reduce moral distress in nurses and improve the quality (...)
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  43.  30
    How nurses understand and care for older people with delirium in the acute hospital: a Critical Discourse Analysis.Irene Schofield, Debbie Tolson & Valerie Fleming - 2012 - Nursing Inquiry 19 (2):165-176.
    SCHOFIELD I, TOLSON D and FLEMING V. Nursing Inquiry 2012; 19: 165–176 [Epub ahead of print]How nurses understand and care for older people with delirium in the acute hospital: a Critical Discourse AnalysisDelirium is a common presentation of deteriorating health in older people. It is potentially deleterious in terms of patient experience and clinical outcomes. Much of what is known about delirium is through positivist research, which forms the evidence base for disease‐based classification systems and clinical guidelines. (...)
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  44.  16
    Giving nurses a voice during ethical conflict in the Intensive Care Unit.Natalie S. McAndrew & Joshua B. Hardin - 2020 - Nursing Ethics 27 (8):1631-1644.
    Background: Ethical conflict and subsequent nurse moral distress and burnout are common in the intensive care unit (ICU). There is a gap in our understanding of nurses’ perceptions of how organizational resources support them in addressing ethical conflict in the intensive care unit. Research question/objectives/methods: The aim of this qualitative, descriptive study was to explore how nurses experience ethical conflict and use organizational resources to support them as they address ethical conflict in their practice. Participants and research context: (...)
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  45.  35
    Nurses’ autonomy in end-of-life situations in intensive care units.Maria Cristina Paganini & Regina Szylit Bousso - 2015 - Nursing Ethics 22 (7):803-814.
    Background: The intensive care unit environment focuses on interventions and support therapies that prolong life. The exercise by nurses of their autonomy impacts on perception of the role they assume in the multidisciplinary team and on their function in the intensive care unit context. There is much international research relating to nurses’ involvement in end-of-life situations; however, there is a paucity of research in this area in Brazil. In the Brazilian medical scenario, life support limitation generated a certain (...)
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  46.  41
    Reframing caring as discursive practice: a critical review of conceptual analyses of caring in nursing.Andrew Sargent - 2012 - Nursing Inquiry 19 (2):134-143.
    SARGENT A. Nursing Inquiry 2012; 19: 134–143 [Epub ahead of print]Reframing caring as discursive practice: a critical review of conceptual analyses of caring in nursingThis study critically examines the way in which the concept of caring is presented in the nursing literature through conceptual analytic approaches. A critical reflection on the potential consequences of representing a concept of caring as vague and ambiguous, yet central to ontology and epistemology in professional nursing is presented drawing on (...)
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  47.  14
    Discriminative and exploitive stereotypes: Artificial intelligence generated images of aged care nurses and the impacts on recruitment and retention.Amy-Louise Byrne, Jennifer Mulvogue, Siju Adhikari & Ellie Cutmore - 2024 - Nursing Inquiry 31 (3):e12651.
    This article uses critical discourse analysis to investigate artificial intelligence (AI) generated images of aged care nurses and considers how perspectives and perceptions impact upon the recruitment and retention of nurses. The article demonstrates a recontextualization of aged care nursing, giving rise to hidden ideologies including harmful stereotypes which allow for discrimination and exploitation. It is argued that this may imply that nurses require fewer clinical skills in aged care, diminishing the value of working in (...)
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  48.  18
    Ethical challenges in neonatal intensive care nursing.M. Strandas & S. -T. D. Fredriksen - 2015 - Nursing Ethics 22 (8):901-912.
    Background: Neonatal nurses report a great deal of ethical challenges in their everyday work. Seemingly trivial everyday choices nurses make are no more value-neutral than life-and-death choices. Everyday ethical challenges should also be recognized as ethical dilemmas in clinical practice. Research objective: The purpose of this study is to investigate which types of ethical challenges neonatal nurses experience in their day-to-day care for critically ill newborns. Research design: Data were collected through semi-structured qualitative in-depth interviews. Phenomenological-hermeneutic analysis was applied (...)
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  49.  34
    Ethical challenges in neonatal intensive care nursing.Maria Strandås & Sven-Tore D. Fredriksen - 2015 - Nursing Ethics 22 (8):901-912.
    Background: Neonatal nurses report a great deal of ethical challenges in their everyday work. Seemingly trivial everyday choices nurses make are no more value-neutral than life-and-death choices. Everyday ethical challenges should also be recognized as ethical dilemmas in clinical practice. Research objective: The purpose of this study is to investigate which types of ethical challenges neonatal nurses experience in their day-to-day care for critically ill newborns. Research design: Data were collected through semi-structured qualitative in-depth interviews. Phenomenological-hermeneutic analysis was applied (...)
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  50.  19
    A critical exploration of nurses' perceptions of access to oncology care among Indigenous peoples: Results of a national survey.Tara C. Horrill, Donna E. Martin, Josée G. Lavoie & Annette S. H. Schultz - 2022 - Nursing Inquiry 29 (1):e12446.
    Inequities in access to oncology care among Indigenous peoples in Canada are well documented. Access to oncology care is mediated by a range of factors; however, emerging evidence suggests that healthcare providers, including nurses, play a significant role in shaping healthcare access. The purpose of this study was to critically examine access to oncology care among Indigenous peoples in Canada from the perspective of oncology nurses. Guided by postcolonial theoretical perspectives, interpretive descriptive and critical discourse analysis (...)
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