Evidence map›Paper›PMID 38847389›Full record

ArticleNursing ethics2025

Reporting and managing ethical issues in intensive care using the critical incident reporting system.

Tina Hiltunen, Riitta Suhonen, Jaana Inkilä, Helena Leino-Kilpi

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Tina HiltunenUniversity of Turku.ORCID 0009-0001-9179-2714
Riitta SuhonenUniversity of Turku.ORCID 0000-0002-4315-5550
Jaana InkiläHUS Helsinki University Hospital.
Helena Leino-KilpiUniversity of Turku.ORCID 0000-0003-2477-971X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntensive care nurses frequently encounter ethical issues with potentially severe consequences for nurses, patients, and next of kin. Therefore, ethical issues in intensive care units (ICU) should be recognized and managed. RESEARCH

objectivesTo analyze ethical issues reported by intensive care nurses and how reported issues were managed within the organization using register data from the HaiPro critical incident reporting system (CIRS), and to explore the suitability of this system for reporting and managing ethical issues. RESEARCH

designThis was a retrospective descriptive register study. CIRS reports on ethical issues in adult ICUs ( ETHICAL CONSIDERATIONS: The study was approved by the University Ethics Committee, and permission to conduct the research was granted before data collection within the organization.

resultsCIRS reports on ethical issues (

conclusionsSystematic register data broadly describe ethical issues and their management, indicating that the CIRS could be suitable for reporting and managing ethical issues, thereby enabling the monitoring and development of ethical quality at the unit and organizational levels.

Indexed as

Critical CareCritical Care NursingRisk ManagementAdultEthics, NursingFemaleFinlandHumansIntensive Care UnitsRegistriesRetrospective StudiesCritical incident reporting systemethical issuesintensive carenursing

Identifiers

PMID38847389
PMCPMC11771081

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.