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Related Concept Videos

Ethical Dilemmas I01:17

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Ethical conflict in nursing: A concept analysis.

Yuanfei Liu1, Xueqing Wang2, Zhaochen Wang3

  • 1Department of Nursing, The Second Affiliated Hospital Zhejiang University School of Medicine (SAHZU), Zhejiang University, Hangzhou, China.

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Ethical conflict in nursing, marked by emotional responses and value clashes, negatively impacts nurses and patients. Understanding its attributes, causes, and consequences is key to improving well-being and care.

Keywords:
concept analysisethical conflictethicsnursing

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Area of Science:

  • Nursing Ethics
  • Healthcare Management
  • Professional Well-being

Background:

  • Ethical conflict is increasing in nursing, affecting nurse well-being and patient care.
  • A clear conceptual understanding of ethical conflict in nursing is lacking.
  • This study addresses the need for a comprehensive conceptualization of ethical conflict in nursing.

Purpose of the Study:

  • To clarify the concept of ethical conflict in nursing.
  • To highlight the importance of addressing ethical conflict in nursing practice.
  • To develop a unified conceptual model for ethical conflict in nursing.

Main Methods:

  • Concept analysis using Walker and Avant's method.
  • Systematic literature search across multiple databases (PubMed, PsycINFO, CINAHL, Scopus, Embase, Web of Science, SocINDEX) from 1984 to 2021.
  • Inclusion of both quantitative and qualitative studies relevant to ethical conflict in nursing.

Main Results:

  • Thirty studies were included in the conceptualization.
  • Defining attributes include emotional responses, incompatible values, competing interests, and ambiguous obligations.
  • Antecedents identified were ethical sensitivity, negative ethical climate, insufficient authority, unrealistic expectations, poor collaboration, and inadequate resources.
  • Consequences encompass moral residue, loss of identity, professional burnout, and compromised patient care.

Conclusions:

  • A unified conceptual model of ethical conflict in nursing clarifies ethical issues faced by nurses.
  • Ethical conflict, though negative, can be viewed as a neutral fact and an opportunity for nursing action.
  • This conceptualization provides a basis for practice development, staff support, and education to enhance nurse well-being and patient care.