AI Article Synopsis
- The study aimed to explore the ethical challenges nurses faced during COVID-19 in intensive care settings and how they felt they provided "good" care while navigating these issues.
- The research involved qualitative surveys and interviews with 49 nurses from various hospitals, revealing key themes related to ethical dilemmas like patient isolation and the decision-making process.
- Findings indicated that while nurses showed some level of moral resilience, their experiences highlighted the need for enhanced ethics training for nursing management to better support their teams.
Article Abstract
Aims: To identify and understand ethical challenges arising during COVID-19 in intensive care and nurses' perceptions of how they made "good" decisions and provided "good" care when faced with ethical challenges and use of moral resilience.
Background: Little is known about the ethical challenges that nurses faced during the COVID-19 pandemic and ways they responded.
Design: Qualitative, descriptive free-text surveys and semi-structured interviews, underpinned by appreciative inquiry.
Methods: Nurses working in intensive care in one academic quaternary care centre and three community hospitals in Midwest United States were invited to participate. In total, 49 participants completed free-text surveys, and seven participants completed interviews. Data were analysed using content analysis.
Results: Five themes captured ethical challenges: implementation of the visitation policy; patients dying alone; surrogate decision-making; diminished safety and quality of care; and imbalance and injustice between professionals. Four themes captured nurses' responses: personal strength and values, problem-solving, teamwork and peer support and resources.
Conclusions: Ethical challenges were not novel but were amplified due to repeated occurrence and duration. Some nurses' demonstrated capacities for moral resilience, but none described drawing on all four capacities.
Implications For Nursing Management: Nurse managers would benefit from greater ethics training to support their nursing teams.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9537935 | PMC |
| http://dx.doi.org/10.1111/jonm.13792 | DOI Listing |
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