ArticleInternational journal of environmental research and public health2021
Ethical Conflict and Its Psychological Correlates among Hospital Nurses in the Pandemic: A Cross-Sectional Study within Swiss COVID-19 and Non-COVID-19 Wards.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 40 citations in OpenAlex.
- Ethical challenges experienced by nurses during COVID-19: are we ready for tomorrow?BMC nursing · 2025Article
- The Prevalence of Ethical Conflicts and Influencing Factors Among Critical Care Nurses in China: A National Cross-sectional Study: [RETRACTED].The journal of nursing research : JNR · 2025Article
- The Relationships Between Ethical Sensitivity, Ethical Decision-Making Ability, and Ethical Conflict Among ICU Nurses: A Structural Equation Model.Journal of nursing management · 2025Article
- COVID-19 and nurses' ethical issues: Comparisons between two European countries.Nursing ethics · 2024Article
- Managing the COVID-19 Pandemic: Experience of Managers in Healthcare: A Narrative Inquiry.Healthcare (Basel, Switzerland) · 2024Article
- Nurses Response to the Physical and Psycho-Social Care Needs of Patients with COVID-19: A Mixed-Methods Study.Healthcare (Basel, Switzerland) · 2024Article
- The Effectiveness of Healthcare System Resilience during the COVID-19 Pandemic: A Case Study.Medicina (Kaunas, Lithuania) · 2023Article
- Moral Distress of Intensive Care Nurses: A Phenomenological Qualitative Study Two Years after the First Wave of the COVID-19 Pandemic.International journal of environmental research and public health · 2022Article
- Experiences and Needs of Patients, Caregivers and Nurses during the COVID-19 Pandemic: Study Protocol for a Mixed-Methods Multicentre Study.International journal of environmental research and public health · 2022Article
- Article
- Communication and visiting policies in Italian intensive care units during the first COVID-19 pandemic wave and lockdown: a nationwide survey.BMC anesthesiology · 2022Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDuring the Covid-19 pandemic, nurses experienced increased pressure. Consequently, ethical concerns and psychological distress emerged. This study aimed to assess nurses' ethical conflict, resilience and psychological impact, and compare these variables between nurses who worked in Covid-19 wards and nurses who did not.
methodsDesign-Multicentre online survey. Setting-Multi-site public hospital; all nursing staff were invited to participate. The survey included validated tools and a novel instrument to assess ethical conflict. Spearman's rho coefficient was used to assess correlations between ethical conflict and psychological distress, logistic regressions to evaluate relationships between nurses' characteristics and outcome variables, and the Mann-Whitney/t-test to compare groups.
results548 questionnaires out of 2039 were returned (275 = Covid-19; 273 = non-Covid-19). We found a low-moderate level of ethical conflict (median = 111.5 [76-152]), which emerged mostly for seeing patients dying alone. A moderate and significant positive correlation emerged between ethical conflict and psychological distress
conclusionsEthical conflict was significantly linked to psychological distress, while a higher level of resilience was found to be a protective factor. These results can be informative for nursing management in future similar crises.
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