ArticleBMC nursing2023
The experiences of intensive care nurses coping with ethical conflict: a qualitative descriptive study.
Article in BMC nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 12 citations in OpenAlex.
- Ethical Sensitivity as Mediator Between Conflict and Decision-Making: A Cross-Sectional Study of ICU Nurses.Journal of advanced nursing · 2026Observational
- Operational Ethics in the Cardiovascular Intensive Care Unit: A Practical Framework for Ethical Decision-Making.Journal of clinical medicine · 2026Review
- 'Nurses' Assessment and Perception of Live Music in the Intensive Care Unit: A Convergent Mixed-Methods Study.Nursing in critical care · 2026Article
- Resilient nursing in ICU: Aadaptive practices beyond IPC protocols for MDRO management. A qualitative study.PloS one · 2026Article
- The process of nurses' confrontation with ethical conflicts in home care: a grounded theory study.BMC nursing · 2025Article
- Examining the link between intensive care unit nurses' burnout and perceived quality of life: a multicenter cross-sectional study.BMC nursing · 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
- Critical care, critical gaps: assessment of burnout and behavioral profiles of ICU healthcare workers in China-a multicenter cross-sectional study.Frontiers in public health · 2025Article
- Navigating end-of-life decision-making in nursing: a systematic review of ethical challenges and palliative care practices.BMC nursing · 2024Article
- Perception of the ethical climate among healthcare professionals in an emergency room from southern Brazil.Revista CuidarteArticle
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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
backgroundThe critical conditions and life risk scenarios make intensive care nurses susceptible to ethical conflict. Negative consequences were recognized at both the individual level and the professional level which highly compromised the patient care and nurses' well-being. Therefore, ethical conflict has become a major concern in nursing practice. However, the experience of coping with ethical conflict among intensive care nurses remains unclear.
aimsThis study aims to explore the experience of intensive care nurses coping with ethical conflict in China.
methodsFrom December 2021 to February 2022, in- depth interviews with 15 intensive care nurses from five intensive care units in a tertiary general hospital in China was performed using purposive sampling. An inductive thematic analysis approach was used to analyze the data. We applied the consolidated criteria for reporting qualitative research for this study.
resultsTwo distinctive themes were found: detachment and engagement, which contained four subthemes: ignoring ethical problems in the workplace, seeking ways to express emotions, perspective-taking, and identifying positive assets. Theses coping strategies demonstrated an ongoing process with different essential features.
conclusionThis study provides a new insight into the experience of intensive care nurses coping with ethical conflict in clinical nursing. Intensive care nurses demonstrated differential experience of coping with ethical conflict including problem-focused, emotion-focused and meaning-making strategies. These findings have implications for policymakers and nursing administrators to develop ethical education and training and supportive environment for intensive care nurses to tackle this issue.
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