Being torn by inevitable moral dilemma: experiences of ICU nurses

Abstract Background Ethical decision-making of nurses could affect patients’ recovery and also decrease medical costs. To make ethical decisions, ICU nurses experience complicated ethical conflicts. Considering the multi-dimensional process of ethical decision-making, the present study was conducted...

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Autores principales:	Neda Asadi, Zahra Royani, Mahbubeh Maazallahi, Fatemeh Salmani
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Intensive care unit Nurses Ethical decision-making Content analysis Medical philosophy. Medical ethics R723-726
Acceso en línea:	https://doaj.org/article/4d9cf6796a144d90a0e388ddc90076e6
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spelling	oai:doaj.org-article:4d9cf6796a144d90a0e388ddc90076e62021-12-05T12:03:34ZBeing torn by inevitable moral dilemma: experiences of ICU nurses10.1186/s12910-021-00727-y1472-6939https://doaj.org/article/4d9cf6796a144d90a0e388ddc90076e62021-11-01T00:00:00Zhttps://doi.org/10.1186/s12910-021-00727-yhttps://doaj.org/toc/1472-6939Abstract Background Ethical decision-making of nurses could affect patients’ recovery and also decrease medical costs. To make ethical decisions, ICU nurses experience complicated ethical conflicts. Considering the multi-dimensional process of ethical decision-making, the present study was conducted to describe the experiences of ICU nurses regarding ethical decision making. Method The present research is a qualitative study with conventional content analysis approach that was done in 2020. Fourteen ICU nurses were interviewed using a semi-structured in-depth interview method. The interviews were recorded, transcribed verbatim, and analyzed using Granheim and Landman approach. Results Being torn by inevitable moral dilemma was defined as the main category which contained the categories of conflict with professional self, feeling squeezed between self-authority and demands of others, and Surrounded by organizational limitations. Conclusions Results of the present study showed that moral dilemma is a situation in which the nurses are forced to choose between two options based on their equipment and facilities. In these situations, the nurses would hesitate between their internal conflicts and confusion between choosing their own benefits and patients’ benefits. To prevent ethical challenges in decision making, it is necessary to educate healthcare team about ethical dilemmas and empower the personnel for encountering ethical challenges.Neda AsadiZahra RoyaniMahbubeh MaazallahiFatemeh SalmaniBMCarticleIntensive care unitNursesEthical decision-makingContent analysisMedical philosophy. Medical ethicsR723-726ENBMC Medical Ethics, Vol 22, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Intensive care unit Nurses Ethical decision-making Content analysis Medical philosophy. Medical ethics R723-726
spellingShingle	Intensive care unit Nurses Ethical decision-making Content analysis Medical philosophy. Medical ethics R723-726 Neda Asadi Zahra Royani Mahbubeh Maazallahi Fatemeh Salmani Being torn by inevitable moral dilemma: experiences of ICU nurses
description	Abstract Background Ethical decision-making of nurses could affect patients’ recovery and also decrease medical costs. To make ethical decisions, ICU nurses experience complicated ethical conflicts. Considering the multi-dimensional process of ethical decision-making, the present study was conducted to describe the experiences of ICU nurses regarding ethical decision making. Method The present research is a qualitative study with conventional content analysis approach that was done in 2020. Fourteen ICU nurses were interviewed using a semi-structured in-depth interview method. The interviews were recorded, transcribed verbatim, and analyzed using Granheim and Landman approach. Results Being torn by inevitable moral dilemma was defined as the main category which contained the categories of conflict with professional self, feeling squeezed between self-authority and demands of others, and Surrounded by organizational limitations. Conclusions Results of the present study showed that moral dilemma is a situation in which the nurses are forced to choose between two options based on their equipment and facilities. In these situations, the nurses would hesitate between their internal conflicts and confusion between choosing their own benefits and patients’ benefits. To prevent ethical challenges in decision making, it is necessary to educate healthcare team about ethical dilemmas and empower the personnel for encountering ethical challenges.
format	article
author	Neda Asadi Zahra Royani Mahbubeh Maazallahi Fatemeh Salmani
author_facet	Neda Asadi Zahra Royani Mahbubeh Maazallahi Fatemeh Salmani
author_sort	Neda Asadi
title	Being torn by inevitable moral dilemma: experiences of ICU nurses
title_short	Being torn by inevitable moral dilemma: experiences of ICU nurses
title_full	Being torn by inevitable moral dilemma: experiences of ICU nurses
title_fullStr	Being torn by inevitable moral dilemma: experiences of ICU nurses
title_full_unstemmed	Being torn by inevitable moral dilemma: experiences of ICU nurses
title_sort	being torn by inevitable moral dilemma: experiences of icu nurses
publisher	BMC
publishDate	2021
url	https://doaj.org/article/4d9cf6796a144d90a0e388ddc90076e6
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Being torn by inevitable moral dilemma: experiences of ICU nurses

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