Evidence map›Paper›PMID 40273952›Full record

ArticleNursing & health sciences2025

Exploring Ethical Dilemmas and Coping Strategies in Nursing: A Focus Group Study of Nurses and Nursing Students.

Lien-Jen Hwu, Hsiang-Chu Pai

Abstract read
In one paragraph

Article in Nursing & health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Trial
  2. Article
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  4. Review
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  7. 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

2 authors.

Lien-Jen HwuDepartment of Nursing, Chung Shan Medical University, Taichung City, Taiwan.ORCID https://orcid.org/0000-0001-7704-7307
Hsiang-Chu PaiDepartment of Nursing, Chung Shan Medical University, Taichung City, Taiwan.ORCID https://orcid.org/0000-0001-6557-5719

Funding

Ministry of Science and Technology, Taiwan
6 · The paper itself

Abstract

This study explored the ethical dilemmas and coping behaviors of nurses and students in clinical settings and analyzed their differences. Using separate focus group interviews, 12 nurses and 18 fourth-year nursing students who had completed internships shared their experiences. The results identified two major themes related to ethical dilemmas: Powerlessness and diversity in ethical decision-making. Nurses and students often experienced powerlessness due to the hierarchical structure of healthcare or their lack of experience, making it difficult to navigate complex clinical situations. Coping strategies included demonstrating empathy and patient companionship, enhancing professional literacy, and seeking support from available resources. Participants emphasized the need to strengthen nursing ethics education by focusing on ethical awareness, understanding personal values, and improving communication skills. Strengthening these areas could enhance ethical decision-making, improve professional competence, and support best clinical care practices.

Indexed as

Adaptation, PsychologicalEthics, NursingNursesStudents, NursingAdultCoping SkillsEthical DilemmasFemaleFocus GroupsHumansMaleMiddle AgedQualitative Researchcoping strategiesethical dilemmasfocus group discussionsnursing ethicsqualitative research

Identifiers

PMID40273952
PMCPMC12021456

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.