ArticleNursing ethics2021
Ethical climate and moral distress in paediatric oncology nursing.
Article in Nursing ethics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Estimation of moral distress among nurses: A systematic review and meta-analysis.Nursing ethics · 2023Pooled it
- Effects of ethics communication in health care: a cluster randomised controlled trial.BMC medical ethics · 2025Trial
- Iranian Nurses' Experiences of Moral Distress in Paediatric Wards: A Qualitative Study.Nursing open · 2026Article
- Moral Courage Mediates the Relationship Between Ethical Climate and Sustainable Environmental Health Literacy Among Nurses.International journal of environmental research and public health · 2026Article
- The Relationship Between Guilt Feeling and Job Stress in Oncology Nurses: A Cross-Sectional Study.Health science reports · 2026Article
- Ethical behavior profiles among nursing interns and their determinants: a latent profile analysis.BMC medical education · 2026Article
- Hospital ethical climate and nurses' cyber ethics literacy: the mediating role of compassion competence.Frontiers in medicine · 2026Article
- Moral distress among pediatric nurses: a cross-sectional study from Sichuan, China.Frontiers in pediatrics · 2026Article
- Positioning Ethics When Direct Patient Care is Prioritized: Experiences from Implementing Ethics Case Reflection Rounds in Childhood Cancer Care.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2025Article
- A predictive study of factors associated with burnout, compassion fatigue, and moral distress among emergency nurses.Scientific reports · 2025Article
- Moral distress among maternity and neonatal healthcare workers during the COVID-19 pandemic in Sweden: Results from the COPE staff longitudinal cohort study.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Moral distress, ethical climate, and compassion fatigue among oncology nurses: the mediating role of moral distress.BMC nursing · 2025Article
- Moral distress among family caregivers of people with cancer in palliative care: A qualitative study.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2025Article
- Strategies to mitigate moral distress as reported by eldercare professionals.International journal of qualitative studies on health and well-being · 2024Article
- Mitigating Moral Distress: Pediatric Critical Care Nurses' Recommendations.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2024Article
- Moral Distress of Nurses Working in Paediatric Healthcare Settings.Healthcare (Basel, Switzerland) · 2024Review
- The predictive role of resilience and the ethical climate of hospital in the fatigue of surgical technologists working in operating rooms.BMC psychology · 2024Article
- Professional ethical challenges and suggested strategies in nursing: a qualitative study.Journal of medical ethics and history of medicine · 2024Article
- Article
- Psychometric testing of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP).BMC medical ethics · 2023Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEthical climate and moral distress have been shown to affect nurses' ethical behaviour. Despite the many ethical issues in paediatric oncology nursing, research is still lacking in the field. RESEARCH
aimTo investigate paediatric oncology nurses' perceptions of ethical climate and moral distress. RESEARCH
designIn this cross-sectional study, data were collected using Finnish translations of the Swedish Hospital Ethical Climate Survey-Shortened and the Swedish Moral Distress Scale-Revised. Data analysis includes descriptive statistics and non-parametric analyses. RESPONDENTS AND RESEARCH CONTEXT: Ninety-three nurses, working at paediatric oncology centres in Finland, completed the survey. ETHICAL CONSIDERATIONS: According to Finnish legislation, no ethical review was needed for this type of questionnaire study. Formal research approvals were obtained from all five hospitals. Return of the questionnaire was interpreted as consent to participate.
resultsEthical climate was perceived as positive. Although morally distressing situations were assessed as highly disturbing, in general they occurred quite rarely. The situations that did appear often reflected performing procedures on school-aged children who resist such treatment, inadequate staffing and lack of time. Perceptions of ethical climate and frequencies of morally distressing situations were inversely correlated. DISCUSSION: Although the results echo the recurrent testimonies of busy work shifts, nurses could most often practise nursing the way they perceived as right. One possible explanation could be the competent and supportive co-workers, as peer support has been described as helpful in mitigating moral distress.
conclusionNurturing good collegial relationships and developing manageable workloads could reduce moral distress among nurses.
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