Assessing the relationship between pediatric nurses' three-dimensional work fatigue and ethical blindness levels
Dilek Uysal1, Selda Yildiz2, Dilek Eryürük3
1Eskisehir Osmangazi University, Health Services Vocational School, Eskisehir, Turkey.
Journal of Pediatric Nursing
|January 31, 2026
Summary
Pediatric nurses experience high work fatigue, which is linked to ethical blindness. Experience and job satisfaction may offer protection, highlighting the need for workload management and ethics education.
Area of Science:
- Nursing Research
- Occupational Health
- Bioethics
Background:
- Pediatric nurses face significant work fatigue due to demanding conditions.
- Work fatigue can impair ethical awareness, leading to ethical blindness.
- This study investigated the prevalence and relationship between work fatigue and ethical blindness in pediatric nurses.
Purpose of the Study:
- To assess work fatigue and ethical blindness levels in pediatric nurses.
- To examine the correlation between work fatigue and ethical blindness.
- To identify factors influencing ethical blindness in this population.
Main Methods:
- A descriptive, cross-sectional study was conducted in Turkey.
- Anonymous online questionnaires assessed work fatigue and ethical blindness.
- Data from 240 nurses were analyzed using descriptive and inferential statistics.
Main Results:
- High levels of work fatigue were reported, with ethical blindness being relatively low.
- Younger, less experienced nurses with lower job satisfaction showed higher ethical blindness.
- Pediatric intensive care nurses reported the highest work fatigue.
Conclusions:
- Professional motivation, career choice, and experience may mitigate ethical blindness.
- Workload regulation, support, and ethics education are crucial for pediatric nurses.
- Institutions should prioritize workload management and ethics training for professional development.
Related Concept Videos
Obedience
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
Nursing Ethical Principles I
Ethical principles serve as the moral compass in the longstanding tradition of nursing, guiding healthcare professionals in their interactions with patients and families. These principles, namely autonomy, beneficence, non-maleficence, justice, and fidelity, provide a robust framework for navigating the ethical complexities of daily nursing practice.
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting the...
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting the...
Nursing Ethical Principles II
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Ethical Standards I
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
Ethical Issues
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
Ethical Dilemmas I
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...


