Evidence map›Paper›PMID 42366692›Full record

ArticleJournal of family nursing2026

Ethical Challenges in the Delivery of Family-Centered Nursing Care.

Oonjee Oh, Janet A Deatrick, Anessa M Foxwell, Emma Cho, Ann Kutney-Lee, Sarah Ratcliffe, Christine Grady, Connie M Ulrich

Abstract read
In one paragraph

Article in Journal of family nursing, 2026. 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. Moving Family Ethics Forward.Journal of family nursing · 2026
    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

8 authors.

Oonjee OhUniversity of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-0022-1797
Janet A DeatrickUniversity of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-6447-3259
Anessa M FoxwellPalliative and Advanced Illness Research, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-4665-0108
Emma ChoUniversity of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-2799-3914
Ann Kutney-LeeUniversity of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-3934-8122
Sarah RatcliffeUniversity of Virginia, Charlottesville, VA, USA.ORCID 0000-0002-6644-8284
Christine GradyGeorgetown University, Washington, DC, USA.ORCID 0000-0002-9093-4450
Connie M UlrichUniversity of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0001-5681-3463

Funding

AHRQ HHS R01 HS028427
6 · The paper itself

Abstract

purposeWe aimed to explore the ethical challenges encountered by nurses when providing family-centered care.

methodsThematic analysis was conducted using data from 82 semi-structured interviews with practicing nurses across four states in the United States.

findingsTheme 1: Navigating professional and ethical boundaries in nursing care that complement or complicate family advocacy; Theme 2: Experiencing family conflicts and disagreements; Theme 3: Feeling helpless at times from ethical, legal, and familial expectations and moral constraints.

conclusionParticipants showed commitment to involving families in patient care. Yet, we also observed tension in balancing respect for families' wishes with patient autonomy, which led to moral distress and ethical uncertainty in their professional boundaries. While family-centered care recognizes families' contributions to patient care and health care decisions, ongoing efforts are needed to address the ethical challenges that arise in its implementation in practice.

Indexed as

clinical decision-makingfamily-centered carefamily ethicsnursing care

Identifiers

PMID42366692
PMCPMC13646388

What OpenQuestion holds

Textmetadata
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.