Evidence map›Paper›PMID 36981671›Full record

ArticleInternational journal of environmental research and public health2023

Nurses' Perceptions of Ethical Conflicts When Caring for Patients with COVID-19.

Pedro Ángel Caro-Alonso, Beatriz Rodríguez-Martín, Julián Rodríguez-Almagro, Carlos Chimpén-López, Cristina Romero-Blanco, Ignacio Casado Naranjo, Antonio Hernández-Martínez, Fidel López-Espuela

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In one paragraph

Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Pedro Ángel Caro-AlonsoHealth Service of Castilla-La Mancha, Integrated Care Management of Talavera de la Reina (Toledo), 45600 Talavera de la Reina, Spain.
Beatriz Rodríguez-MartínDepartment of Nursing, Physiotherapy and Occupational Therapy, Faculty of Health Sciences, University of Castilla-La Mancha, Avd/Real Fábrica de Sedas s/n, 45660 Talavera de la Reina, Spain.ORCID 0000-0003-3939-0299
Julián Rodríguez-AlmagroDepartment of Nursing, Physiotherapy and Occupational Therapy, Faculty of Nursing, University of Castilla-La Mancha, Avd/ Camilo José Cela s/n, 13071 Cuidad Real, Spain.ORCID 0000-0002-6239-2842
Carlos Chimpén-LópezDepartment of Medical-Surgical Therapy, Psychiatry Area, Faculty of Nursing and Occupational Therapy, University of Extremadura, 10003 Caceres, Spain.
Cristina Romero-BlancoDepartment of Nursing, Physiotherapy and Occupational Therapy, Faculty of Nursing, University of Castilla-La Mancha, Avd/ Camilo José Cela s/n, 13071 Cuidad Real, Spain.ORCID 0000-0003-2286-5200
Ignacio Casado NaranjoNeurology Department, Universtity Hospital of Cáceres, 10003 Caceres, Spain.
Antonio Hernández-MartínezDepartment of Nursing, Physiotherapy and Occupational Therapy, Faculty of Nursing, University of Castilla-La Mancha, Avd/ Camilo José Cela s/n, 13071 Cuidad Real, Spain.ORCID 0000-0002-9100-1134
Fidel López-EspuelaMetabolic Bone Diseases Research Group, Department of Nursing, Faculty of Nursing and Occupational Therapy, University of Extremadura, 10003 Cáceres, Spain.ORCID 0000-0002-7509-1192
University of Castilla-La Mancha · ESUniversidad de Extremadura · ESComplejo Hospitalario de Cáceres · ESServicio de Salud de Castilla La Mancha · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic has caused ethical challenges and dilemmas in care decisions colliding with nurses' ethical values. This study sought to understand the perceptions and ethical conflicts faced by nurses working on the frontline during the first and second waves of the COVID-19 pandemic and the main coping strategies. A qualitative phenomenological study was carried out following Giorgi's descriptive phenomenological approach. Data were collected through semi-structured interviews until data saturation. The theoretical sample included 14 nurses from inpatient and intensive care units during the first and second waves of the pandemic. An interview script was used to guide the interviews. Data were analyzed following Giorgi's phenomenological method using Atlas-Ti software. Two themes were identified: (1) ethical conflicts on a personal and professional level; and (2) coping strategies (active and autonomous learning, peer support and teamwork, catharsis, focusing on care, accepting the pandemic as just another work situation, forgetting the bad situations, valuing the positive reinforcement, and humanizing the situation). The strong professional commitment, teamwork, humanization of care, and continuous education have helped nurses to deal with ethical conflicts. It is necessary to address ethical conflicts and provide psychological and emotional support for nurses who have experienced personal and professional ethical conflicts during COVID-19.

Indexed as

COVID-19NursesNursing Staff, HospitalHumansInpatientsPandemicsPatient CareQualitative Researchclinical ethicsCOVID-19duty of carenursing ethicqualitative researchSARS-CoV-2

Identifiers

PMID36981671
PMCPMC10048656
OpenAlexW4323568754

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.