Understanding moral distress in home-care nursing: An interview study
CONCLUSIONS: In cases of tension between the service and billing system and the understanding of these nurses' care services, moral distress is unavoidable. Alternative forms of organization and billing modalities, such as payment by time and the expansion and refinancing of service, should be implemented. The latter relates to systematic case and ethics meetings. Further, a transfer of medical activities, such as the prescription of wound material to registered nurses, could prevent morally stressful situations and improve patients' quality of care.PMID:38490749 | DOI:10.1177/09697330241238338 (Source: Nursing Ethics)
Source: Nursing Ethics - March 15, 2024 Category: Nursing Authors: Julia Petersen Ulrike R ösler Gabriele Meyer Christiane Luderer Source Type: research

Moral distress among acute mental health nurses: A systematic review
Nurs Ethics. 2024 Mar 15:9697330241238337. doi: 10.1177/09697330241238337. Online ahead of print.ABSTRACTMoral distress has been identified as an occupational hazard for clinicians caring for vulnerable populations. The aim of this systematic review was (i) to summarize the literature reporting on prevalence of, and factors related to, moral distress among nurses within acute mental health settings, and (ii) to examine the efficacy of interventions designed to address moral distress among nurses within this clinical setting. A comprehensive literature search was conducted in October 2022 utilizing Nursing & Allied Heal...
Source: Nursing Ethics - March 15, 2024 Category: Nursing Authors: Sara Lamoureux Amy E Mitchell Elizabeth M Forster Source Type: research

Moral disengagement, moral identity, and counterproductive work behavior among emergency nurses
CONCLUSION: Counterproductive work behavior guided by moral disengagement is detrimental to organizations, and moral identity can inhibit the effect of moral disengagement on CWB-I. Nursing administrators should focus on improving nurses' moral identity and improving the healthcare workplace environment so that moral identity can better exert its inhibitory effect on counterproductive work behavior among nurses.PMID:38481193 | DOI:10.1177/09697330241238336 (Source: Nursing Ethics)
Source: Nursing Ethics - March 14, 2024 Category: Nursing Authors: Yanfei Ke Fuda Li Source Type: research

Moral disengagement, moral identity, and counterproductive work behavior among emergency nurses
CONCLUSION: Counterproductive work behavior guided by moral disengagement is detrimental to organizations, and moral identity can inhibit the effect of moral disengagement on CWB-I. Nursing administrators should focus on improving nurses' moral identity and improving the healthcare workplace environment so that moral identity can better exert its inhibitory effect on counterproductive work behavior among nurses.PMID:38481193 | DOI:10.1177/09697330241238336 (Source: Nursing Ethics)
Source: Nursing Ethics - March 14, 2024 Category: Nursing Authors: Yanfei Ke Fuda Li Source Type: research

Can an AI-carebot be filial? Reflections from Confucian ethics
This article discusses the application of artificially intelligent robots within eldercare and explores a series of ethical considerations, including the challenges that AI (Artificial Intelligence) technology poses to traditional Chinese Confucian filial piety. From the perspective of Confucian ethics, the paper argues that robots cannot adequately fulfill duties of care. Due to their detachment from personal relationships and interactions, the "emotions" of AI robots are merely performative reactions in different situations, rather than actual emotional abilities. No matter how "humanized" robots become, it is difficult ...
Source: Nursing Ethics - March 13, 2024 Category: Nursing Authors: Kathryn Muyskens Yonghui Ma Michael Dunn Source Type: research

Emergency department crowding: An examination of older adults and vulnerability
Nurs Ethics. 2024 Mar 13:9697330241238333. doi: 10.1177/09697330241238333. Online ahead of print.ABSTRACTEmergency departments in many nations worldwide have been struggling for many years with crowding and the subsequent provision of care in hallways and other unconventional spaces. While this issue has been investigated and analyzed from multiple perspectives, the ethical dimensions of the place of emergency department care have been underexamined. Specifically, the impacts of the place of care on patients and their caregivers have not been robustly explored in the literature. In this article, a feminist ethics and human...
Source: Nursing Ethics - March 13, 2024 Category: Nursing Authors: Meghan MacIsaac Elizabeth Peter Source Type: research

Ethical issues in research with second victims: A scoping review
CONCLUSION: Over half of the included studies with second victims did not comply with fundamental ethical aspects, with risk to inflict respect for individual autonomy, confidentiality, and of not causing any harm to participants.IMPLICATIONS FOR NURSING RESEARCH: Healthcare personnel involved in adverse events are most often nursing professionals; therefore, any breach of ethics in research with this population is likely to directly affect their rights as research participants. We provide recommendations to promote better research practices with second victims towards safeguarding their rights as research participants.PMI...
Source: Nursing Ethics - March 13, 2024 Category: Nursing Authors: Luc ía Catalán Mar ía Kappes Gabriela Morgado D éborah Oliveira Source Type: research

Critical care nurse leaders' moral distress: A qualitative descriptive study
CONCLUSIONS: The UBCCNL's experience of moral distress is not dissimilar from bedside staff; albeit, moral distress does occur as a result of the responsibilities of leadership and the associated systemic barriers that UBCCNLs are privier to. When organizations allocate resources for addressing moral distress, they should be convenient to leaders and staff. The UBCCNL perspective should be considered in the development of future moral distress measurement tools and interventions. Future research exploring the relationship between empathy and moral distress among nurse leaders is needed.PMID:38476080 | DOI:10.1177/096973302...
Source: Nursing Ethics - March 13, 2024 Category: Nursing Authors: Preston H Miller Elizabeth G Epstein Todd B Smith Teresa D Welch Miranda Smith Jennifer R Bail Source Type: research

Can an AI-carebot be filial? Reflections from Confucian ethics
This article discusses the application of artificially intelligent robots within eldercare and explores a series of ethical considerations, including the challenges that AI (Artificial Intelligence) technology poses to traditional Chinese Confucian filial piety. From the perspective of Confucian ethics, the paper argues that robots cannot adequately fulfill duties of care. Due to their detachment from personal relationships and interactions, the "emotions" of AI robots are merely performative reactions in different situations, rather than actual emotional abilities. No matter how "humanized" robots become, it is difficult ...
Source: Nursing Ethics - March 13, 2024 Category: Nursing Authors: Kathryn Muyskens Yonghui Ma Michael Dunn Source Type: research

Emergency department crowding: An examination of older adults and vulnerability
Nurs Ethics. 2024 Mar 13:9697330241238333. doi: 10.1177/09697330241238333. Online ahead of print.ABSTRACTEmergency departments in many nations worldwide have been struggling for many years with crowding and the subsequent provision of care in hallways and other unconventional spaces. While this issue has been investigated and analyzed from multiple perspectives, the ethical dimensions of the place of emergency department care have been underexamined. Specifically, the impacts of the place of care on patients and their caregivers have not been robustly explored in the literature. In this article, a feminist ethics and human...
Source: Nursing Ethics - March 13, 2024 Category: Nursing Authors: Meghan MacIsaac Elizabeth Peter Source Type: research

Ethical issues in research with second victims: A scoping review
CONCLUSION: Over half of the included studies with second victims did not comply with fundamental ethical aspects, with risk to inflict respect for individual autonomy, confidentiality, and of not causing any harm to participants.IMPLICATIONS FOR NURSING RESEARCH: Healthcare personnel involved in adverse events are most often nursing professionals; therefore, any breach of ethics in research with this population is likely to directly affect their rights as research participants. We provide recommendations to promote better research practices with second victims towards safeguarding their rights as research participants.PMI...
Source: Nursing Ethics - March 13, 2024 Category: Nursing Authors: Luc ía Catalán Mar ía Kappes Gabriela Morgado D éborah Oliveira Source Type: research

Critical care nurse leaders' moral distress: A qualitative descriptive study
CONCLUSIONS: The UBCCNL's experience of moral distress is not dissimilar from bedside staff; albeit, moral distress does occur as a result of the responsibilities of leadership and the associated systemic barriers that UBCCNLs are privier to. When organizations allocate resources for addressing moral distress, they should be convenient to leaders and staff. The UBCCNL perspective should be considered in the development of future moral distress measurement tools and interventions. Future research exploring the relationship between empathy and moral distress among nurse leaders is needed.PMID:38476080 | DOI:10.1177/096973302...
Source: Nursing Ethics - March 13, 2024 Category: Nursing Authors: Preston H Miller Elizabeth G Epstein Todd B Smith Teresa D Welch Miranda Smith Jennifer R Bail Source Type: research

Gerontechnologies, ethics, and care phases: Secondary analysis of qualitative interviews
CONCLUSIONS: The moral implications of gerontechnologies on care phases from the care ethics perspective open up several questions on whether they actually help give care a central role in social life and provide more competent care.PMID:38470960 | DOI:10.1177/09697330241238340 (Source: Nursing Ethics)
Source: Nursing Ethics - March 12, 2024 Category: Nursing Authors: Andrea Martani Yi Jiao Angelina Tian Nadine Felber Tenzin Wangmo Source Type: research

Ethical aspects of technologies of surveillance in mental health inpatient settings - Enabling or undermining the therapeutic nurse/patient relationship?
Nurs Ethics. 2024 Mar 10:9697330241237354. doi: 10.1177/09697330241237354. Online ahead of print.NO ABSTRACTPMID:38462480 | DOI:10.1177/09697330241237354 (Source: Nursing Ethics)
Source: Nursing Ethics - March 10, 2024 Category: Nursing Authors: Jenny Revel Kris Deering Ann Gallagher Source Type: research

Ethical aspects of technologies of surveillance in mental health inpatient settings - Enabling or undermining the therapeutic nurse/patient relationship?
Nurs Ethics. 2024 Mar 10:9697330241237354. doi: 10.1177/09697330241237354. Online ahead of print.NO ABSTRACTPMID:38462480 | DOI:10.1177/09697330241237354 (Source: Nursing Ethics)
Source: Nursing Ethics - March 10, 2024 Category: Nursing Authors: Jenny Revel Kris Deering Ann Gallagher Source Type: research