Ethical difficulties in healthcare: A comparison between physicians and nurses

Leuter, Cinzia; Cerra, Carmen La; Calisse, Santina; Dosa, Danila; Petrucci, Cristina; Lancia, Loreto

doi:10.1177/0969733016687158

Cited by 12 publications

(12 citation statements)

References 26 publications

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“…Other authors have assessed KPE in nurses, resident doctors, and physicians, concluding that KPE is essential to bridge the gap regarding the ethically sensitive situations they face in clinical practice. [7,[49][50][51][52] This is in line with the idea that healthcare ethics implies various professions including nurses, physicians, physical therapists, or lab staffs. [49] Moreover, the assessment of perception of KPE may allow to point out the needs and deficits of students.…”

Section: Discussionsupporting

confidence: 71%

Professional values and perception of knowledge regarding professional ethics in physical therapy students: A STROBE compliant cross-sectional study

et al. 2022

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Undergraduate students start the acquisition of a professional identity, and begin to achieve professional values and consciousness of an ethical behavior as future health professionals. The aim of this study was describe professional values and perception of knowledge regarding professional ethics of physical therapy students. A cross-sectional study was performed. A total of 351 students participated in the study. Professional values and perception of knowledge regarding professional ethics were assessed. Ethical approval was obtained from the University Ethics Review Board. The most important value was equity, while the least one was abnegation. The second educational year showed higher scores in importance of scientific quality (P = .010 vs first year), the third year in respect for life (P = .041 vs first year, respectively), and the fourth year in respect to patient’s autonomy (P = .033 vs first year). First-year students showed lower scores in perception of knowledge regarding professional ethics (P < .001 vs second, third, and fourth year), while second-year students had higher scores (P < .001 vs first and third; P = .006 vs fourth year) and no differences between third- and fourth-year students were found. Those professional values highly considered by the students were mainly shared professional values, with equity ranked highest and abnegation lowest. Furthermore, second-year students had a well-established perception of knowledge regarding professional ethics, showing significant higher scores when compared to the rest of the educational years. This is the first cross-sectional study that describes these variables among physical therapy students and it is a starting point for future. Physical therapy educators might want to take into account these findings when teaching and guiding students in developing awareness for their professional values and perception of knowledge regarding professional ethics.

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Section: Discussionsupporting

confidence: 71%

Professional values and perception of knowledge regarding professional ethics in physical therapy students: A STROBE compliant cross-sectional study

et al. 2022

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“…In addition, 81% had never used ethics specialists to solve an ethical problem. There are probably two explanations: these methods were either not available or were not used, as has been found to be the case among nurses and physicians [22, 23]. In our study, the participants were not asked if they had a possibility to use ethical committees or ethical specialists in their organisations.…”

Section: Discussionmentioning

confidence: 97%

Ethical problems in nursing management – a cross-sectional survey about solving problems

Aitamaa

Suhonen

Puukka

et al. 2019

BMC Health Serv Res

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Background Nurse managers encounter a wide range of ethical problems related to patients, staff, the organisation and themselves. However, little is known about the methods they use to try to solve these problems. In this study, our goal is to fill this knowledge gap by investigating the ethical problems encountered by nurse managers, the frequency of use and usefulness of different methods to solve these problems, and the background factors associated with the use of the methods. Methods A cross-sectional survey study was conducted in November 2014–May 2015 in Finland. The data were collected from nurse managers in strategic, middle and ward management ( n = 214) using a questionnaire developed for this study. The questionnaire consisted of four parts: socio-demographic background factors, frequency and difficulty of ethical problems in nursing management, frequency of use and usefulness of the methods in solving ethical problems, and work-related background factors. Results Discussions with nurses was the most frequently used method, used by 94% of the nurse managers either often or always in the case of ethical problems, followed by the use of personal values (74%) and discussions with manager colleagues (70%). However, almost all methods in the different groups – discussion and deliberation, use of outside experts, written instructions and ethical principles, acts and degrees as well as work arrangements – were considered somewhat or very useful by more than half of the respondents. The use of outside experts was the least used and the least useful method. Conclusions When solving ethical problems, nurse managers use most frequently the same methods as a few decades ago. A more diverse range of methods would be helpful in ethical problem-solving. The use of outside experts, ethics literature and codes of ethics should be combined with ethical reasoning and decision-making to get new dimensions and outside knowledge.

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“…To explain the observed correlation in the current study, it can be said that moral sensitivity is an important attribute for nurses, which enables them to provide high-quality and safe care in an environment where they may be confronted with ethical issues related to making decisions, fairness in the care provided, and related to patients' needs, rights, and problems (Muldrew et al, 2019). In other words, moral insensitivity or the inability to identify ethical challenges may lead to inappropriate caring behaviour (Leuter et al, 2018). Moral sensitivity helps nurses to be responsive to patients' needs or those of their families (Goethals et al, 2010;Mokhtari Lakeh et al, 2014) because the decisions made by nurses depend on the degree of their moral sensitivity (Callister et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

“…Professional ethics can guide these processes and activities (Leuter et al, 2018;Leuter et al, 2013). In other words, moral sensitivity is necessary to ensure the quality of nurses' caring behaviour (Hassanpoor et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Nurses’ caring behaviour and its correlation with moral sensitivity

Afrasiabifar

Mosavi

Dehbanizadeh

et al. 2021

Journal of Research in Nursing

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Background Different and contradictory results have been reported for nurses’ caring behaviour and moral sensitivity. Aims The present study aimed to examine the correlation between nurses’ caring behaviour and moral sensitivity. Methods The research was a descriptive, correlational study. Data were collected using moral sensitivity (range: 0–100) and caring behaviour (range: 24–144) questionnaires. A total of 250 nurses who worked in the clinical wards of Yasuj teaching hospitals in 2018, were selected by systematic random sampling. The collected data were analysed using SPSS version 19 for descriptive statistics and Pearson correlation tests. Results Seventy-four percent of nurses had moderate moral sensitivity (50–74). Nurses’ moral sensitivity and caring behaviour mean scores were reported to be 59.5 ± 11.1 (range: 31–87) (Potential range 0--100) and 110.99 ± 17.99 (range: 69–94) (Potential range 22–144), respectively. The Pearson test showed a positive correlation between nurses’ caring behaviour and moral sensitivity at a 99% level ( p = 0.001). Conclusions Nurses’ moral sensitivity and caring behaviour were found to be moderate and good, respectively. Furthermore, there was a positive correlation between moral sensitivity and caring behaviour in nurses, that is, nurses provided better caring behaviour as levels of moral sensitivity increased.

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Ethical difficulties in healthcare: A comparison between physicians and nurses

Abstract: The presence of a consulting service that can lead to shared choices may represent, together with basic and continuing education, a valid support for professional growth in the ethical field for both physicians and nurses.

Cited by 12 publications

References 26 publications

Professional values and perception of knowledge regarding professional ethics in physical therapy students: A STROBE compliant cross-sectional study

Professional values and perception of knowledge regarding professional ethics in physical therapy students: A STROBE compliant cross-sectional study

Ethical problems in nursing management – a cross-sectional survey about solving problems

Nurses’ caring behaviour and its correlation with moral sensitivity

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