Evidence map›Paper›PMID 40415179›Full record

ArticleScandinavian journal of caring sciences2025

Evaluation of the Relationship Between Nurses' Attitudes Towards Futile Treatments and Their Ethical Attitudes: A Cross-Sectional and Analytical Study.

Senem Andi, Sumeyye Akcoban, Serap Gungor, Neslihan Yağmur Gider, Betül Tosun, Ezgi Dirgar

Abstract read
In one paragraph

Article in Scandinavian journal of caring sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Senem AndiNursing Department, Faculty of Health Sciences, Hasan Kalyoncu University, Gaziantep, Turkey, Mersin Yenişehir District Health Directorate, Mersin, Turkey.ORCID 0000-0002-0973-3679
Sumeyye AkcobanKırıkhan Vocational School, Health Services Department, Hatay Mustafa Kemal University, Hatay, Turkey.ORCID 0000-0002-7533-8140
Serap GungorVocational School of Health Services, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.ORCID 0000-0003-0854-6350
Neslihan Yağmur GiderCeyhan State Hospital, Adana, Turkey.ORCID 0000-0002-1722-0224
Betül TosunHacettepe University, Faculty of Nursing, Ankara, Turkey.ORCID 0000-0002-4505-5887
Ezgi DirgarFaculty of Health Sciences, Gaziantep University, Gaziantep, Turkey.ORCID 0000-0001-8214-7441

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFutile treatments waste health resources and may conflict with nurses' ethical attitudes, causing moral distress. Nurses frequently administer such treatments due to external pressures. DESING AND

methodsThis cross-sectional study involved 205 nurses in a public hospital in Turkey (June-August 2024). Data were collected using the "Nurse Descriptive Information Form," "Nurses' Attitudes Towards Futile Treatment Scale (NAFTS)," and "Ethical Attıtude Scale in Nursıng Care (EASNC)."

resultsThe mean age of participants was 33.62 ± 7.37 years; 69.8% were female, and 37.1% worked in intensive care. While 90.7% received ethics training, 54.6% lacked knowledge about futile treatments. Over half (54.1%) had administered care they considered futile, with 82.9% citing physician orders as the main reason. Most (70.7%) saw futile treatments as an ethical issue. The NAFTS mean score was 40 ± 7.67 (medium level), and the EASNC score was 158.60 ± 14.85 (high level). A moderate negative correlation (r = -0.394, p < 0.05) indicated that stronger ethical attitudes reduced acceptance of futile treatments.

conclusionAs nurses' ethical attitudes strengthened, their tendency to administer futile treatments decreased. Setting realistic, patient-specific care goals can prevent ethical conflicts and unhelpful care. IMPLICATIONS FOR THE PROFESSION: Providing ethical training is essential to help nurses avoid futile treatments and make better decisions in challenging situations. Developing supportive policies in healthcare institutions can guide ethical practices and reduce unnecessary treatments. Improving work conditions, such as adjusting hours and reducing workloads, enhances nurses' ability to focus on ethical and patient-centered care. Encouraging teamwork between nurses and doctors strengthens communication and shared decision-making, minimising conflicts. Additionally, reducing futile treatments not only saves healthcare resources but also improves the quality of patient care and professional satisfaction for nurses. These measures collectively support the nursing profession and contribute to better healthcare outcomes. REPORTING

methodWe adhered to the STROBE. NO PATIENT OR PUBLIC CONTRIBUTION: Given that this study is based on the literature, namely the codes of ethics, there is no direct/indirect involvement of patients or the public.

Indexed as

Ethics, NursingMedical FutilityNursesAdultCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansMaleTurkeyethical attitudesfutile treatmentmedical futilitynursesnursing ethics

Identifiers

PMID40415179
PMCPMC12104489

What OpenQuestion holds

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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.