Volume 17 - Supplement of 11th Annual Iranian Congress of Medical Ethics (Posters)                   IJMEHM 2024, 17 - Supplement of 11th Annual Iranian Congress of Medical Ethics (Posters): 1-2 | Back to browse issues page

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Falahati E, Alavi M, Shahriari M. Defenders without a Defense: Factors Associated with Ethical Conflict in the Context of Nursing Care. IJMEHM 2024; 17 (S1) :1-2
URL: http://ijme.tums.ac.ir/article-1-6885-en.html
1- PhD candidate of nursing, Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
2- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract:   (118 Views)
While ethical conflict is an internal and individual experience, it is significantly influenced by environmental factors and variables. It describes a situation characterized by a discrepancy or conflict between the ethical values of caregivers, between caregivers and patients, or within the individual caregiver regarding the morally right course of action, often leading to ambiguity regarding duties and obligations. This research aimed to elucidate the factors associated with ethical conflict within the nursing context. This qualitative study employed conventional content analysis. Participants included 27 nurses working in various clinical departments, including emergency, intensive care, internal medicine, and surgery. Data were collected through in-depth semi-structured individual interviews conducted after obtaining written informed consent. Data analysis was performed using MAXQDA version 20 software, adhering to Granheim and Lundman's approach. To enhance the rigor of the study, the criteria of credibility, confirmability, dependability, and transferability proposed by Lincoln and Guba were applied. Decision-making challenges within the context of care emerged as a central theme. Several factors were identified as contributing to ethical conflict in nursing care, including disrupted relationships, inefficient management systems, physician prioritization, conflicts of interest, legal constraints, a negative ethical climate, and insufficient resources. Nurses, as primary patient advocates, are consistently exposed to various ethical conflicts within their practice. This study highlights the critical importance of addressing decision-making challenges within the context of care for policymakers within the healthcare system. Reducing these conflicts is crucial for improving the quality of nursing care.
Full-Text [PDF 366 kb]   (28 Downloads)    
Type of Study: Ethics Congress | Subject: Congress of Ethics
Received: 2025/03/1 | Accepted: 2024/12/23 | Published: 2024/12/23

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