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Summary
Nurse ethical sensitivity is crucial for professional obligations. While assessed in dilemmas, its role in daily practice needs more research for better assessment and interventions.
Area of Science:
- Nursing Ethics
- Professional Practice
- Healthcare Ethics
Background:
- Ethical sensitivity is foundational for ethical nursing action.
- Diminished ethical sensitivity can lead to ethically incongruent care.
- Assessing ethical sensitivity is imperative for facilitating ethical practice.
Purpose of the Study:
- To review and critique the current state of scientific literature on nurse ethical sensitivity.
- To synthesize findings across existing studies on the topic.
Main Methods:
- An integrative review guided by Whittemore and Knafl's revised framework.
- A comprehensive literature search of CINAHL and PubMed databases.
- Systematic data extraction, reduction, and synthesis.
Main Results:
- Four major conceptualizations of ethical sensitivity were identified.
- A total of 25 reports met inclusion criteria (17 empirical, 8 theoretical).
Conclusions:
- Ethical sensitivity remains a theoretical concept with competing conceptualizations.
- Assessment has focused on ethical dilemmas, neglecting day-to-day practice.
- Future research should improve operationalization and assessment, especially in everyday nursing.
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