Evidence map›Paper›PMID 40722179›Full record

ArticleBMC nursing2025

Ethical challenges experienced by nurses during COVID-19: are we ready for tomorrow?

Maradana Gamage Sanduni Nishara, Thanuja Ariyasinghe Asurakkody

Abstract read
In one paragraph

Article in BMC nursing, 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

2 authors.

Maradana Gamage Sanduni NisharaDepartment of Fundamentals Nursing, Faculty of Nursing, University of Colombo, Colombo, Sri Lanka.ORCID https://orcid.org/0009-0006-9547-3370
Thanuja Ariyasinghe AsurakkodyDepartment of Fundamentals Nursing, Faculty of Nursing, University of Colombo, Colombo, Sri Lanka. thanuja@fnd.cmb.ac.lk.ORCID https://orcid.org/0000-0002-0408-2790

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProfessional ethics is an ethical standard for nursing practice. Nurses have experienced ethical challenges during COVID-19. Nurses' preparation for the future pandemic is pivotal to minimizing the ethical challenges.

methodThe study aims to discuss the ethical challenges faced by nurses during the pandemic and to provide recommendations for readiness for future pandemics. A scoping review was performed on three search engines, Google Scholar, Science Direct, and PubMed to identify the publications between 2019 and 2024. Bronfenbrenner's ecological model and Lichtenthal's PEEK model were applied to categorize the ethical challenges and the readiness factors respectively.

resultsTwenty-nine articles were eligible from the initial search strategy of 3764 studies. The study findings on ethical challenges were categorized according to the five levels of Bronfenbrenner's ecological model. Intrapersonal level: anxiety, willingness, isolation, and moral distress. Interpersonal level; nurse-patient and nurse-client relationships. Institutional level; staff shortage, limited facilities, and inequality. Community level; increased mortality and overcrowding. Policy level; visitation policies, privacy, and infection control. Findings on readiness were categorized according to the PEEK model of Lichtenthal, physical readiness; adequate resources and staff, and nutritional and immunity support. Emotional readiness; coordinating with loved ones, and ethics consultation subsided under. Experience readiness; assessment of hospitals and readiness for mass disaster. Knowledge readiness; implement training programs and prepare guidelines.

conclusionsTo prepare the nurses for future pandemics, health ministries, and hospital administrations are recommended to enhance facilities and equipment, provide emotional support by providing consultation sessions, enhance calamity plans to activate in a mass disaster, and initiate training programs.

Indexed as

COVID-19EducationEthicsNursing

Identifiers

PMID40722179
PMCPMC12306059

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.