Evidence map›Paper›PMID 38334427›Full record

ArticleScandinavian journal of primary health care2024

Ethical challenges causing moral distress: nursing home staff's experiences of working during the COVID-19 pandemic.

Annaclara Ariander, Anna Olaison, Christer Andersson, Rune Sjödahl, Lena Nilsson, Lisa Kastbom

Open access · goldAbstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
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

6 authors at 1 institution in 1 country.

Annaclara ArianderPrimary Health Care Centre in Johannelund and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Anna OlaisonDepartment of Culture and Society, Linköping University, Linköping, Sweden.ORCID 0000-0001-9293-4932
Christer AnderssonDepartment of Orthopedics, Linköping University, Linköping, Sweden.ORCID 0000-0001-5589-8282
Rune SjödahlDepartment of Surgery and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.ORCID 0000-0002-6207-7500
Lena NilssonDepartment of Anaesthesiology and Intensive Care and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.ORCID 0000-0002-7489-9077
Lisa KastbomDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID 0000-0002-9860-7593
Linköping University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the experiences of healthcare staff in nursing homes during the COVID-19 pandemic.

designIndividual interviews. Latent qualitative content analysis.

settingTen nursing homes in Sweden. SUBJECTS: Physicians, nurses and nurse assistants working in Swedish nursing homes.

main outcome measuresParticipants' experiences of working in nursing homes during the COVID-19 pandemic.

resultsFour manifest categories were found, namely:

conclusionDuring the pandemic, nursing home staff encountered ethical challenges that caused moral distress. Moral distress stemmed from not being given adequate conditions to perform their work properly, and thus not being able to give the residents adequate care. Another aspect of moral distress originated from feeling forced to act against their moral values when a course of action was considered to cause discomfort or harm to a resident. Alerting employers and policymakers to the harm and inequality experienced by staff and the difficulty in delivering appropriate care is essential. Making proposals for improvements and developing guidelines together with staff to recognize their role and to develop better guidance for good care is vital in order to support and sustain the nursing home workforce.

Indexed as

COVID-19Nursing StaffHumansMoralsNursing HomesPandemicsCOVID-19 pandemicnursing homesolder adultsprimary healthcarequalitative research

Identifiers

PMID38334427
PMCPMC11003312
OpenAlexW4391679598

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.