Evidence map›Paper›PMID 38606684›Full record

ArticleNursing ethics2025

Digital ethical reflection in home nursing care: Nurse leaders' and nurses' experiences.

Lena Jakobsen, Rose Mari Olsen, Berit Støre Brinchmann, Siri Andreassen Devik

Abstract read
In one paragraph

Article in Nursing ethics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Reflective practice to reduce moral injury in healthcare workers.Occupational medicine (Oxford, England) · 2026
    Review
  3. Moral Distress and the Governance of Attention in Nursing: A Hanian Reading of the Structural Restriction of Moral Agency.Nursing philosophy : an international journal for healthcare professionals · 2026
    Article
  4. Article
  5. Article
  6. Article
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

4 authors.

Lena JakobsenNord University.ORCID 0000-0002-3659-7895
Rose Mari OlsenNord University.ORCID 0000-0002-7009-8803
Berit Støre BrinchmannNord University and Nordland Regional Hospital.ORCID 0000-0001-6541-4931
Siri Andreassen DevikNord University.ORCID 0000-0001-5890-203X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNurse leaders increasingly need effective tools that facilitate the prioritisation of ethics and help staff navigate ethical challenges and prevent moral distress. This study examined experiences with a new digital tool for ethical reflection, tailored to improve the capabilities of both leaders and employees in the context of municipal long-term care.

aimThe aim was to explore the experiences of nurse leaders and nurses in using Digital Ethical Reflection as a tool for ethics work in home nursing care. RESEARCH

designThe study employed a qualitative design, incorporating individual and focus group interviews for data collection. Qualitative content analysis was used to analyse the data. PARTICIPANTS AND RESEARCH CONTEXT: The participants comprised six nurse leaders and 13 nurses, representing six home care zones across two Norwegian municipalities. ETHICAL CONSIDERATIONS: The study involved informed, voluntary participation and was approved by the Norwegian Agency for Shared Services in Education and Research.

findingsFour themes were developed:

conclusionSuccess with Digital Ethical Reflection in home nursing care depends on clear leadership planning, nurses' understanding of the tool's purpose, and active use of digital registrations. Support from ethically interested nurses enhances overall engagement. Further research is needed to explore the potential of Digital Ethical Reflection as an additional tool in long-term care ethics work.

Indexed as

Ethics, NursingLeadershipNurse AdministratorsNursesAdultAttitude of Health PersonnelFemaleFocus GroupsHumansMaleMiddle AgedNorwayQualitative Researchdigital ethical reflectionethics interventionethics supportethics toolhome nursing carenurse leader

Identifiers

PMID38606684
PMCPMC11771091

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.