ArticleBMC medical ethics2020
Moral neutralization: Nurses' evolution in unethical climate workplaces.
Article in BMC medical ethics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- The mediating role of ICU nurses' moral disengagement between moral resilience and moral distress.BMC nursing · 2026Article
- Support for the wellbeing of frontline healthcare workers should be incorporated in health emergency preparedness planning.Communications medicine · 2026Review
- Emotional dimensions of nurses' daily work in newborn units in Kenya: a qualitative study.BMC public health · 2025Article
- Moral disengagement in critical care nurses: a conventional content analysis.BMC medical ethics · 2025Article
- Moral sensitivity and professional quality of life in EMS personnel: a cross-sectional multicenter study.BMC emergency medicine · 2025Article
- Experiences of internship nursing students in confronting ethical issues: a qualitative study.BMC medical ethics · 2025Article
- An Exploration of Personally Mediated Racism Among Nursing Students Through the Participant-Driven Photo-Elicitation Method.Nursing inquiry · 2025Article
- Enhancing student nurses' ethical skills via simulation-based learning: barriers and opportunities.BMC nursing · 2025Article
- Barriers to ethical treatment of patients in clinical environments: A systematic narrative review.Health science reports · 2024Article
- Maintaining Moral Sensitivity as an Inevitable Necessity in the Nursing Profession.Journal of caring sciences · 2024Article
- Moral sensitivity as a personal and work attribute of emergency care nurses: a cross-sectional study.Revista latino-americana de enfermagem · 2024Article
- A study on different types of moral courage and coping styles of clinical nurses: based on potential profile analysis.BMC nursing · 2023Article
- Iranian nurses' views on barriers to moral courage in practice: A qualitative descriptive study.BMC nursing · 2021Article
- The Experiences of Patients, Patient Companions, and care Providers with Ethical and Unethical Behaviors Toward Patients: A Qualitative Study.Iranian journal of nursing and midwifery researchArticle
- Consequences of Moral Outrage among Nurses: A Scoping Review.Iranian journal of nursing and midwifery researchReview
- Nurses' Lived Experiences of Moral Courage Inhibitors: A Qualitative Descriptive Study.SAGE open nursingArticle
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Authors and funding
5 authors.
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Abstract
introductionGood quality of care is dependent on nurses' strong clinical skills and moral competencies, as well. While most nurses work with high moral standards, the moral performance of some nurses in some organizations shows a deterioration in their moral sensitivity and actions. The study reported in this paper aimed to explore the experiences of nurses regarding negative changes in their moral practice. MATERIALS AND
methodsThis was a qualitative study utilizing an inductive thematic analysis approach, which was conducted from February 2017 to September 2019. Twenty-five nurses participated in semi-structured interviews.
resultsThe main theme that emerged from our analysis was one of moral neutralization in the context of an unethical moral climate. We found five sub-themes, including: (1) feeling discouraged; (2) normalization; (3) giving up; (4) becoming a justifier; and (5) moral indifference.
conclusionsUnethical moral climates in health organizations can result in deterioration of morality in nurses which can harm both patients and health systems. Some unethical behaviors in nurses can be explained by this process.
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