Evidence map›Paper›PMID 41810265›Full record

ArticleJournal of nursing management2026

Beyond Reporting: A Qualitative Approach to Managing Ethical Incidents in Healthcare.

Paula Järvisalo, Monika von Bonsdorff, Kaisa Haatainen, Marja Härkänen

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. 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.

Paula JärvisaloDepartment of Nursing Science, University of Eastern Finland, Yliopistonranta 8, Kuopio, 70210, Finland, uef.fi.ORCID https://orcid.org/0000-0002-8326-8250
Monika von BonsdorffSchool of Business and Economics, University of Jyväskylä, Seminaarinkatu 15, Jyväskylä, 40014, Finland, jyu.fi.ORCID https://orcid.org/0000-0002-4689-2126
Kaisa HaatainenDepartment of Nursing Science, University of Eastern Finland, Yliopistonranta 8, Kuopio, 70210, Finland, uef.fi.ORCID https://orcid.org/0000-0003-3450-5288
Marja HärkänenDepartment of Nursing Science, University of Eastern Finland, Yliopistonranta 8, Kuopio, 70210, Finland, uef.fi.ORCID https://orcid.org/0000-0001-8542-8193

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patient safety incident reporting systems foster a nonblaming culture and support organizational learning. By incorporating an ethical dimension, these systems can support nursing managers in addressing ethical incidents, strengthen healthcare professionals' ethical competence and conduct, and promote the delivery of high-quality patient care. Aim: This study aimed to describe the types of reported ethical incidents, outline the actions and measures implemented to prevent recurrence, and reflect on how our findings inform the organization of ethical incident prevention management. Design: This retrospective register study was conducted using an artificial intelligence-based closed data analysis program and inductive content analysis. The standards for reporting qualitative research (SRQR) checklist was used. Research Context: Data were collected using the HaiPro system at a university hospital in Finland from 2018 to 2021. During this time, 3615 patient safety incident reports were submitted, of which 579 (16%) were categorized as ethical incidents and subsequently analyzed. Ethical Considerations: Ethical requirements were met. According to the Finnish ethical guidelines, an ethical review was unnecessary for this register study. The research permit was provided by the participating organization. Results: We found two main categories: (1) ethical incidents, with subcategories of professional conduct and patient care management and (2) actions and preventive measures, emphasizing continuous improvement, enhancing professional competence, fostering professional communication and conduct, improving data management, and enhancing patient care through the reporting system. Conclusions: Cultivating an ethical culture through the strategic management of ethical incidents is vital. An efficient structure for handling such incidents can improve decision-making, ensure accountability, support professionals, and reduce their burden, ultimately enhancing care quality. Implications: This study provides valuable insights for nursing managers on effectively addressing ethical incidents. Their role is pivotal in shaping an ethical culture through strategic leadership, promoting educational initiatives, and supporting the implementation of ethical practices.

Indexed as

Risk ManagementFinlandHumansPatient SafetyQualitative ResearchRetrospective Studiesartificial intelligenceethical incidenthealthcareincident reportingmanagementnurse

Identifiers

PMID41810265
PMCPMC12967915

What OpenQuestion holds

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LicenceCC BY
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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.