ArticleBelitung nursing journal2023
Strategies and challenges in addressing ethical issues in the hospital context: A phenomenological study of nurse team leaders.
Article in Belitung nursing journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Principles and elements of patient-centredness in mental health services: a thematic analysis of a systematic review of reviews.BMJ open quality · 2024Pooled it
- Ethical dilemmas and decision-making in emergency and critical care nursing in Western Amhara region, Northwest Ethiopia: a multi-method qualitative study.BMC nursing · 2025Article
- A case study of Muslims' perspectives of expanded terminal sedation:addressing the elephant in the room.BMC medical ethics · 2024Article
- Exploration of clinical ethics consultation in Uganda: a case study of Uganda Cancer Institute.BMC medical ethics · 2024Article
- Cross-Cultural Adaptation and Psychometric Evaluation of the Chinese Version of the Authentic Nurse Leadership Questionnaire.Journal of nursing management · 2024Article
- Perceptions and experiences of female nurses when confronted with expressing a conscientious objection towards end-of-life care in Greece.BMC nursing · 2023Article
- How do Nursing Staff's Personal and Professional Experiences, Demographics, and Career Stage Influence Their Perceptions of Authentic Leadership?SAGE open nursingArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Nurse team leaders encounter considerable ethical challenges that necessitate using effective strategies to overcome them. However, there is a lack of research exploring the experiences of nurse team leaders in Indonesia who face ethical dilemmas in their professional duties. Objective: This study aimed to explore nurse team leaders' experiences regarding strategies and challenges in dealing with ethical problems in hospital settings in Indonesia. Methods: This qualitative study employed a hermeneutic phenomenology design. Online semi-structured interviews were conducted between November 2021 and February 2022 among 14 nurse team leaders selected using a snowball sampling from seven hospitals (three public and four private hospitals). Van Manen's approach was used for data analysis. Results: The strategies for overcoming ethical dilemmas included (i) seeking the facts, (ii) stepping back, (iii) considering support, and (iv) standing by patients. The challenges for the nurse team leaders in resolving ethical problems consisted of (i) seniority, (ii) trust issue, and (iii) lack of reflection and ethics training. Conclusion: Nurse team leaders recognize their specific roles in the midst of ethical challenges and seek strategies to deal with them. However, a negative working environment might impact ethical behavior and compromise the provision of quality care. Therefore, it is imperative for hospital management to take note of these findings and address issues related to seniority by providing regular ethics training and group reflection sessions to maintain nurses' ethical knowledge in hospital practice. Such interventions can support nurse team leaders in resolving ethical dilemmas and provide a conducive environment for ethical decision-making, ultimately improving patient outcomes.
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