A cross‐sectional survey of moral distress and ethical climate – Situations in paediatric oncology care that involve children’s voices

Abstract

Aim To assess experiences of morally distressing situations and perceptions of ethical climate in paediatric oncology care, with a focus on situations that involve children's voices. Design Cross‐sectional survey. Methods Registered Nurses at all four paediatric oncology centres in Denmark were asked to complete a web‐based questionnaire with Danish translations of the Swedish Moral Distress Scale‐Revised (MDS‐R) and the Swedish Hospital Ethical Climate Survey‐Shortened (HECS‐S). Data analysis included descriptive statistics and non‐parametric correlation tests. Results Nurses (n = 65) perceived morally distressing situations as rather uncommon, except for those that involved shortage of time, poor continuity of care and unsafe staffing levels. Most nurses (83%) found it disturbing to perform procedures on school‐aged children against their will, and 20% reported that they do this often. Perceptions of ethical climate were positive and healthcare professionals were perceived to be attentive to children's wishes.

Moral distress and ethical climate in pediatric oncology care impact healthcare professionals' intentions to leave

“…The last data collection was completed in Norway in September 2022, where three centers wished to postpone data collection until after Covid‐19 pandemic. Parts of the findings from Sweden, 18–20 Finland 21 and Denmark 22 have been previously published.…”

“…All versions of the 26-item MDS-R and the 18-item HECS-S had alpha values greater than 0.8, which indicate good internal consistency. [18][19][20] Finland 21 and Denmark 22 have been previously published.…”

Influência do clima ético na saúde do trabalhador entre profissionais de saúde: revisão sistemática

“…O corpus da revisão foi composta por 20 artigos (3,5,6,8,13,(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36) . Realizou-se uma busca nas referências dos artigos incluídos, no entanto, nenhum estudo que respondesse ao objetivo da pesquisa foi encontrado.…”

“…Prevaleceram estudos com delineamento transversal (75%; n=15) (3,5,6,8,(22)(23)(24)(25)(30)(31)(32)(33)(34)(35)(36) , realizados nos Estados Unidos (n=5;33,3%) (1,(26)(27)(28)31) e no Irã (n=5; 25%) (3,5,8,25,35) , publicados entre 2005 a 2023, em especial no de 2017 (n=4;26,7%) (3,5,6,30) , com um total de 4896 participantes. Os participantes, em sua maioria, eram do sexo feminino, com exceção de um estudo que não apresentou esta informação em seu texto, e outro que teve prevalência do sexo masculino (32) (90%; n=18) (3,5,6,8,(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(33)(34)(35)(36) , com idade entre 21 a 60 anos e atuantes como enfermeiros (9...…”

“…No que se refere aos resultados individuais para cada variável, verificou-se que o clima ético foi avaliado de forma individual em 17 estudos (3,6,8,13,(23)(24)(25)(26)(27)(28)(29)(30)(31)(33)(34)(35)(36) , nos quais foi percebido como positivo (70,6%; n=12) (3,6,24,26,27,(29)(30)(31)(33)(34)(35)(36) mediante a variação de sua média de (3,51 ± 0,53) (3) a 3,93 (± 0,58) (36) , e a variação da soma das suas médias de(94,39 ± 18,3) (26) a (100,60 ± 14,41) (34) .…”