Evidence map›Paper›PMID 40551339›Full record

ArticleScandinavian journal of caring sciences2025

Assistant Nurses' Experiences of Ethical Challenges While Working in Residential Care Facilities During the Pandemic: An Interview Study.

Anna-Carin Karlsson, Malin Sundström, Annica Backman, Anna-Karin Edberg

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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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.

Anna-Carin KarlssonResearch Platform for Collaboration for Health, Faculty of Health Science, Kristianstad University, Kristianstad, Sweden.ORCID 0009-0009-8805-9253
Malin SundströmResearch Platform for Collaboration for Health, Faculty of Health Science, Kristianstad University, Kristianstad, Sweden.ORCID 0000-0002-1284-3086
Annica BackmanResearch Platform for Collaboration for Health, Faculty of Health Science, Kristianstad University, Kristianstad, Sweden.ORCID 0000-0002-3408-2900
Anna-Karin EdbergResearch Platform for Collaboration for Health, Faculty of Health Science, Kristianstad University, Kristianstad, Sweden.ORCID 0000-0003-0161-4795

Funding

Gyllenstiernska KrapperupsstiftelsenThe Research Platform for Collaboration for Health, Kristianstad UniversityThe Swedish Dementia Foundation
6 · The paper itself

Abstract

introductionEarly in 2020, the World Health Organisation (WHO) declared COVID-19 to be a pandemic. Older people were especially vulnerable to illness and death from the virus. For care staff, including assistant nurses (ANs) working in residential care facilities (RCFs), many circumstances related to the pandemic caused ethical challenges.

aimThe aim of this study was to explore ANs' experiences of ethical challenges during the pandemic, while working in RCFs for older people in Sweden.

methodsThis study used an explorative qualitative design based on focus group interviews with 19 ANs. The interviews were analysed using thematic analysis.

resultsEthical challenges faced by ANs in RCFs during the pandemic included (a) being unable to give dignified care, depriving older people of their human rights; (b) being duty-bound to follow restrictions despite the suffering of relatives, witnessing injustice; (c) facing the deprioritisation of older people, being part of providing care on unequal terms; (d) being restricted and devalued, feeling abandoned; (e) being forced to adhere to personal constraints, having integrity and autonomy severely violated; and (f) fulfilling duty with life at stake, sensing the fear.

conclusionDuring the pandemic, ANs in Sweden experienced ethical challenges in the care of older people in RCFs, as well as personal ethical challenges. Such challenges arose in various situations, and their consequences entailed undignified and compromised care.

Indexed as

COVID-19Nursing AssistantsResidential FacilitiesAdultAgedFemaleFocus GroupsHumansInterviews as TopicMaleMiddle AgedPandemicsQualitative ResearchSARS-CoV-2Swedenassistant nursesCOVID‐19ethical challengesinterviewsolder peopleresidential carethematic analysis

Identifiers

PMID40551339
PMCPMC12185801

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.