| 1. |
- Cronqvist, Agneta, et al.
(författare)
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Caring about--caring for : moral obligations and work responsibilities in intensive care nursing.
- 2004
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Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; 11:1, s. 63-76
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to analyse experiences of moral concerns in intensive care nursing. The theoretical perspective of the study is based on relational ethics, also referred to as ethics of care. The participants were 36 intensive care nurses from 10 general, neonatal and thoracic intensive care units. The structural characteristics of the units were similar: a high working pace, advanced technology, budget restrictions, recent reorganization, and shortage of experienced nurses. The data consisted of the participants' examples of ethical situations they had experienced in their intensive care unit. A qualitative content analysis identified five themes: believing in a good death; knowing the course of events; feelings of distress; reasoning about physicians' 'doings' and tensions in expressing moral awareness. A main theme was formulated as caring about--caring for: moral obligations and work responsibilities. Moral obligations and work responsibilities are assumed to be complementary dimensions in nursing, yet they were found not to be in balance for intensive care nurses. In conclusion there is a need to support nurses in difficult intensive care situations, for example, by mentoring, as a step towards developing moral action knowledge in the context of intensive care nursing.
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| 2. |
- Dahlqvist, Vera, et al.
(författare)
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Development of the perceptions of conscience questionnaire.
- 2007
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Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; 14:2, s. 181-193
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Tidskriftsartikel (refereegranskat)abstract
- Health care often involves ethically difficult situations that may disquiet the conscience. The purpose of this study was to develop a questionnaire for identifying various perceptions of conscience within a framework based on the literature and on explorative interviews about perceptions of conscience (Perceptions of Conscience Questionnaire). The questionnaire was tested on a sample of 444 registered nurses, enrolled nurses, nurses' assistants and physicians. The data were analysed using principal component analysis to explore possible dimensions of perceptions of conscience. The results showed six dimensions, found also in theory and empirical health care studies. Conscience was perceived as authority, a warning signal, demanding sensitivity, an asset, a burden and depending on culture. We conclude that the Perceptions of Conscience Questionnaire is valid for assessing some perceptions of conscience relevant to health care providers.
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| 3. |
- Elmberger, Eva, et al.
(författare)
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Experience of dealing with moral responsibility as a mother with cancer
- 2005
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Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; 12:3, s. 253-262
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- This study explored how women with a diagnosis of cancer (lymphoma) deal with moral concerns related to their responsibility as parents. Ten women with cancer and who had children living at home were interviewed. The interviews were analysed according to the constant comparative method used in grounded theory. In order to provide a focus for the analysis, the ethics of care and the concept of mothering were used as sensitizing concepts. The core concept ‘experience of dealing with moral responsibility of being a parent with cancer by redefining oneself as a mother’ was identified. The processes involved were: interrupted mothering; facing the life-threatening illness and children’s reactions; striving to be a good mother; attempting to deal with moral responsibility; and coming to terms with being a mother.
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| 4. |
- Högberg, T., et al.
(författare)
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To be a nurse or a neigbour? : A moral concern for psychiatric nurses living next door to individuals with a mental illness
- 2005
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Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; 12:5, s. 468-478
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Tidskriftsartikel (refereegranskat)abstract
- Several studies reveal that positive attitudes towards individuals with a mental illness are correlated with knowledge about mental illness. The aim of this study was to explore and describe psychiatric nurses’ experiences of living next to people with mental health problems. In addition, it sought to identify and describe how they handle situations arising in a neighbourhood where people with a mental illness live. Two men and seven women participated in the study. The constant comparative method of grounded theory was used for data collection and analysis. The process of ‘behaving as a nurse or not’ was identified as a core category. Four subcategories were identified: ‘receiving involuntary information’, ‘to take action or not’, ‘behaving as a mediator in the neighbourhood’ and ‘the freedom of choice’. The findings show that psychiatric nurses with professional knowledge about mental illness have moral concerns about their role as nurses during their leisure time. In conclusion, it is not obvious that psychiatric nurses want to live in the same neighbourhood as persons with a mental illness. However, this study shows that their knowledge about mental illness creates for them a moral dilemma consisting of a conflict between whether to care for these mentally ill persons or to preserve their own leisure time.
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| 5. |
- Lützen, Kim, et al.
(författare)
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Developing the concept of moral sensitivity
- 2006
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Ingår i: Nursing Ethics. - 0969-7330 .- 1477-0989. ; 13:2, s. 187-196
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this Swedish study was to develop the concept of moral sensitivity in health care practice. This process began with an overview of relevant theories and perspectives on ethics with a focus on moral sensitivity and related concepts, in order to generate a theoretical framework. The second step was to construct a questionnaire based on this framework by generating a list of items from the theoretical framework. Nine items were finally selected as most appropriate and consistent with the research team’s understanding of the concept of moral sensitivity. The items were worded as assumptions related to patient care. The questionnaire was distributed to two groups of health care personnel on two separate occasions and a total of 278 completed questionnaires were returned. A factor analysis identified three factors: sense of moral burden, moral strength and moral responsibility. These seem to be conceptually interrelated yet indicate that moral sensitivity may involve more dimensions than simply a cognitive capacity, particularly, feelings, sentiments, moral knowledge and skills.
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| 6. |
- Lützén, Kim, et al.
(författare)
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Developing the concept of moral sensitivity in health care practice.
- 2006
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Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; 13:2, s. 187-96
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this Swedish study was to develop the concept of moral sensitivity in health care practice. This process began with an overview of relevant theories and perspectives on ethics with a focus on moral sensitivity and related concepts, in order to generate a theoretical framework. The second step was to construct a questionnaire based on this framework by generating a list of items from the theoretical framework. Nine items were finally selected as most appropriate and consistent with the research team's understanding of the concept of moral sensitivity. The items were worded as assumptions related to patient care. The questionnaire was distributed to two groups of health care personnel on two separate occasions and a total of 278 completed questionnaires were returned. A factor analysis identified three factors: sense of moral burden, moral strength and moral responsibility. These seem to be conceptually interrelated yet indicate that moral sensitivity may involve more dimensions than simply a cognitive capacity, particularly, feelings, sentiments, moral knowledge and skills.
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| 7. |
- Lützén, Kim, et al.
(författare)
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Moral stress : synthesis of a concept
- 2003
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Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; 10:3, s. 312-322
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this article is to describe the synthesis of the concept of moral stress and to attempt to identify its preconditions. Qualitative data from two independent studies on professional issues in nursing were analysed from a hypothetical-deductive approach. The findings indicate that moral stress is independent of context-given specific preconditions: (1) nurses are morally sensitive to the patient's vulnerability; (2) nurses experience external factors preventing them from doing what is best for the patient; and (3) nurses feel that they have no control over the specific situation. The findings from this analysis are supported by recent research on stress in the workplace but differ that the imperatives directing work are moral in nature. Stress researchers have found that persons who experience that they have no control over their work situation and at the same time experience high demands may be prone to cardiovascular diseases. An important question raised by this study is whether moral stress should be recognized as a health risk in nursing. Further research is required in order to generate intervention models to prevent or deal with moral stress.
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| 8. |
- Lützen, Kim, et al.
(författare)
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Moral stress, moral climate and moral sensitivity among psychiatric professionals
- 2010
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Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; 17:2, s. 213-224
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study was to investigate the association between work-related moral stress, moral climate and moral sensitivity in mental health nursing. By means of the three scales Hospital Ethical Climate Survey, Moral Sensitivity Questionnaire and Work-Related Moral Stress, 49 participants' experiences were assessed. The results of linear regression analysis indicated that moral stress was determined to a degree by the work place's moral climate as well as by two aspects of the mental health staff's moral sensitivity. The nurses' experience of 'moral burden' or 'moral support' increased or decreased their experience of moral stress. Their work-related moral stress was determined by the job-associated moral climate and two aspects of moral sensitivity. Our findings showed an association between three concepts: moral sensitivity, moral climate and moral stress. Despite being a small study, the findings seem relevant for future research leading to theory development and conceptual clarity. We suggest that more attention be given to methodological issues and developing designs that allow for comparative research in other disciplines, as well as in-depth knowledge of moral agency.
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| 9. |
- Ramfelt, E., et al.
(författare)
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Patients with cancer : their approaches to participation in treatment plan decisions
- 2005
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Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; 12:2, s. 143-155
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore experiences of participation in treatment planning decisions from the perspective of patients recently treated for colorectal cancer. Ten patients were purposively selected and interviewed. Constant comparative analysis, the core concept of grounded theory, was used. The dimensions were developed and organized into the main theme of ‘compliant participation in serious decisions’, which was composed of the two variations: complying with participation; and complying without participation. Complying with participation was characterized by feelings of self-confidence and self-competence and by open dialogue between the participants, significant others and the physician. Complying without participation was characterized by participants’ feelings of uncertainty and distress, and of being rushed into submitting to decisions without having time to reflect on the information provided or the opportunity to influence the treatment and care process. To participate (or choosing not to participate) builds on open and affirming dialogue, information and knowledge about the illness. Patient participation in treatment and care decision making is interpreted as a health promoting way of coping with illness.
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| 10. |
- Tuvesson, Hanna, et al.
(författare)
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Demographic factors associated with moral sensitivity among nursing students
- 2017
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Ingår i: Nursing Ethics. - : Sage Publications. - 0969-7330 .- 1477-0989. ; 24:7, s. 847-855
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Tidskriftsartikel (refereegranskat)abstract
- Background:Today’s healthcare environment is often characterized by an ethically demanding worksituation, and nursing students need to prepare to meet ethical challenges in their future role. Moralsensitivity is an important aspect of the ethical decision-making process, but little is known regardingnursing students’ moral sensitivity and its possible development during nursing education.Objectives:The aims of this study were to investigate moral sensitivity among nursing students,differences in moral sensitivity according to sample sub-group, and the relation between demographiccharacteristics of nursing students and moral sensitivity.Research design:A convenience sample of 299 nursing students from one university completed aquestionnaire comprising questions about demographic information and the revised Moral SensitivityQuestionnaire. With the use of SPSS, non-parametric statistics, including logistic regression models,were used to investigate the relationship between demographic characteristics and moral sensitivity.Ethical considerations:The study followed the regulations according to the Swedish Ethical Review Actand was reviewed by the Ethics Committee of South-East Sweden.Findings:The findings showed that mean scores of nursing students’ moral sensitivity were found in themiddle to upper segment of the rating scale. Multivariate analysis showed that gender (odds ratio¼3.32),age (odds ratio¼2.09; 1.73), and parental status (odds ratio¼0.31) were of relevance to nursing students’moral sensitivity. Academic year was found to be unrelated to moral sensitivity.Discussion and conclusion:These demographic aspects should be considered when designing ethicseducation for nursing students. Future studies should continue to investigate moral sensitivity in nursingstudents, such as if and how various pedagogical strategies in ethics may contribute to moral sensitivity innursing students
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