Araştırma Makalesi
PDF Zotero Mendeley EndNote BibTex Kaynak Göster

Intensive Care Nurses’ Ethical Challenges Caring for People with COVID-19: A Qualitative Study

Yıl 2021, Cilt 12, Sayı 4, 753 - 759, 29.09.2021
https://doi.org/10.31067/acusaglik.929307

Öz

Purpose: The purpose of this study was to analyze the ethical challenges experienced by nurses, who provide care for COVID-19 patients in intensive care units. Methods: Qualitative phenomenological method was used with in-depth interviews, focusing on the concept of "ethical challenges". The study was conducted with 15 nurses working in Adult Intensive Care Units who were members of a National Nursing Association. The data were collected through the personal information form and in-depth interviews involving 5 questions regarding ethical challenges. The interviews were recorded in writing and then turned into a written document. Analysis of the open-ended questions was performed using the content analysis method. Results: Five themes and nine sub-themes have emerged as a result of in-depth interviews. Themes were defined as the Concept of Ethical Dilemma, Conditions in which an Ethical Dilemma is Experienced, Ethical Challenges in a Newly Defined Infectious Disease, Guiding Ethical Principles, and the Ways to Cope with an Ethical Dilemma. Sub-themes were identified as the conflict of interest, patient rights, patient privacy, role confusion, professional incompetence, non-maleficence, beneficence, confidentiality, and professional ethics. Conclusion: The nurses expressed that they had an ethical difficulty and ethical dilemma in a newly defined infectious disease. It is of importance to set international standards on the priority of care and the quality of care, which will eliminate ethical dilemmas for care during the pandemic.

Kaynakça

  • 1. Amiri E, Ebrahimi H, Asghari Jafarabadi M, et al. Relationship between nurses’ moral sensitivity and the quality of care. Nursing ethics 2019; 26(4): 1265-73. DOI: 10.34172/JCS.2020.015
  • 2. Nora D, Rigon C and Zoboli Eş Vieira MM. Moral sensitivity of nurses assessed through scoping review. Cogitare Enferm 2017; 22(2):e47162. DOI: 10.5380/ce.v22i1.47162
  • 3. Roshanzadeh M, Borhani F and Mohammadi S. Moral sensitivity and moral distress in critical care Unit Nurses. Medical Ethics Journal, 2017; 10(38):19-28.
  • 4. Moon JY and Kim JO. Ethics in the Intensive Care Unit. Tuberc Respir Dis (Seoul). 2015;78(3):175-9. DOI:10.4046/trd.2015.78.3.175
  • 5. Larkin ME, Beardslee B, Cagliero E, et al. Ethical challenges experienced by clinical research nurses: a qualitative study. Nurs Ethics 2019; 26(1): 172–84. DOI:10.1177/0969733017693441
  • 6. Ejder Apay S, Gürol A and Gür E. Midwifery students’ reactions to ethical dilemmas encountered in outpatient clinics. Nurs Ethics. 2020;27(7): 1542-55. DOI:10.1177/0969733020922875
  • 7. Lantos JD. Ethical problems in decision making in the neonatal ICU. New England Journal of Medicine, 2018; 379(19): 1851-60. DOI: 10.1056/NEJMra1801063
  • 8. Lusignani M, Giannì ML, Re LG, et al. Moral distress among nurses in medical, surgical and intensive‐care units. Journal of Nursing Management, 2017, 25(6): 477-85. DOI: 10.1111/jonm.12431
  • 9. Yönt GH, Korhan E A, Dizer B, et al. Determination of Ethical Problems Experienced by Nurses in the Intensive Care Units. Turkiye Klinikleri J Med Ethics. 2013;21(2):74-8.
  • 10. Teixeira C, Ribeiro O, Fonseca AM, et al. Ethical decision making in intensive care units: a burnout risk factor? Results from a multicentre study conducted with physicians and nurses. J Med Ethics 2014;40(2):97-103. DOI: 10.1136/medethics-2012-100619
  • 11. Kırşan M, Yıldırım D, Ceylan B. et al. Ethical Problems in Intensive Care Units: A Systematic Review Turkiye Klinikleri J Med Ethics. 2018;26(2):57-65.
  • 12. Akın Palandöken E. COVID-19 Pandemisi ve Hemşireler için Etik Sorunlar. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2020; 5(2): 139-42.
  • 13. World Health Organization. What are the symptoms of COVID-19, 2020, https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/q-a-coronaviruses
  • 14. Chan JF, Yuan S, Kok KH, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet 2020; 395(10223): 514–23. DOI:10.1016/S0140-6736(20)30154-9
  • 15. Yuxiu J, Ou C, Zhiying X, et al. Nurses’ ethical challenges caring for people with COVID-19: A qualitative study. Nurs Ethics 2020;28(1):33-45 DOI:10.1177/0969733020944453
  • 16. Leblebicioğlu H and Nair Aktaş F. Covid-19 Salgınıyla Mücadele: Yoğun Bakım Hemşireliği Meslek ve Kişisel Etik Perspektifi. Yoğun Bakım Hemşireliği Dergisi 2020;24(EK-1):73-80.
  • 17. Tong A, Sainsbury P and Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19:349-57.
  • 18. Giorgi A. The theory, practice, and evaluation of the phenomenological method as a qualitative research procedure. J Phenomenol Psychol 1997;28:235-60.
  • 19. Giorgi A. Concerning the application of phenomenology to caring research. Scand J Caring Sci 2000;14:11-5.
  • 20. Fry TS. Conceptual Themes Basic To Cancer Nursing, Cancer Nursing: A Comprehensive Textbook, Bird, S (Ed.), Philadelphia, W.B. Saunders Company, 1991.
  • 21. Kıraner E, Terzi B, Türkmen E, et al. Experiences of Turkish Intensive Care Nurses during the COVID-19 Outbreak. HEAD Journal of Education and Research in Nursing 2020;17(3):284-6.
  • 22. Robert, R., Kentish-Barnes, N., Boyer, A. et al. Ethical dilemmas due to the Covid-19 pandemic. Ann. Intensive Care 2020;10(84):1-9. DOI:10.1186/s13613-020-00702-7
  • 23. Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA 2020; 323: 1061–9. DOI:10.1001/jama.2020.1585
  • 24. Scott PA. Key Concepts and Issues in Nursing Ethics. Galway, Ireland. Springer International Publishing AG,2017.
  • 25. University of Toronto Joint Centre for Bioethics Pandemic Influenza Working Group. 2005. Stand on guard for thee: Ethical considerations in preparedness planning for pandemic influenza. Available at: http://www.jcb.utoronto.ca/people/documents/upshur_stand_guard.pdf
  • 26. Altaker KW, Howie-Esquivel J and Cataldo, JK. Relationships among palliative care, ethical climate, empowerment, and moral distress in intensive care unit nurses. AJCC, 2018; 27(4): 295-302. DOI: 10.4037/ajcc2018252
  • 27. Turale S, Meechamnan C and Kunaviktikul W. Challenging times: ethics, nursing and the COVID-19 pandemic. Int Nurs Rev 2020 Jun;67(2):164-7. DOI:10.1111/inr.12598
  • 28. Hakko A and Madenoğlu Kıvanç M. Creating Ethical Behaviors in Nursing Management. Journal of Health and Nursing Management 2018;5(3):227-32 DOI:10.5222/SHYD.2018.227
  • 29. Barkhordari-Sharifabad M, Ashktorab T and Atashzadeh-Shoorideh F. Ethical leadership outcomes in nursing: A qualitative study. Nurs Ethics. 2018;25(8):1051-63. DOI:10.1177/0969733016687157

Yıl 2021, Cilt 12, Sayı 4, 753 - 759, 29.09.2021
https://doi.org/10.31067/acusaglik.929307

Öz

Kaynakça

  • 1. Amiri E, Ebrahimi H, Asghari Jafarabadi M, et al. Relationship between nurses’ moral sensitivity and the quality of care. Nursing ethics 2019; 26(4): 1265-73. DOI: 10.34172/JCS.2020.015
  • 2. Nora D, Rigon C and Zoboli Eş Vieira MM. Moral sensitivity of nurses assessed through scoping review. Cogitare Enferm 2017; 22(2):e47162. DOI: 10.5380/ce.v22i1.47162
  • 3. Roshanzadeh M, Borhani F and Mohammadi S. Moral sensitivity and moral distress in critical care Unit Nurses. Medical Ethics Journal, 2017; 10(38):19-28.
  • 4. Moon JY and Kim JO. Ethics in the Intensive Care Unit. Tuberc Respir Dis (Seoul). 2015;78(3):175-9. DOI:10.4046/trd.2015.78.3.175
  • 5. Larkin ME, Beardslee B, Cagliero E, et al. Ethical challenges experienced by clinical research nurses: a qualitative study. Nurs Ethics 2019; 26(1): 172–84. DOI:10.1177/0969733017693441
  • 6. Ejder Apay S, Gürol A and Gür E. Midwifery students’ reactions to ethical dilemmas encountered in outpatient clinics. Nurs Ethics. 2020;27(7): 1542-55. DOI:10.1177/0969733020922875
  • 7. Lantos JD. Ethical problems in decision making in the neonatal ICU. New England Journal of Medicine, 2018; 379(19): 1851-60. DOI: 10.1056/NEJMra1801063
  • 8. Lusignani M, Giannì ML, Re LG, et al. Moral distress among nurses in medical, surgical and intensive‐care units. Journal of Nursing Management, 2017, 25(6): 477-85. DOI: 10.1111/jonm.12431
  • 9. Yönt GH, Korhan E A, Dizer B, et al. Determination of Ethical Problems Experienced by Nurses in the Intensive Care Units. Turkiye Klinikleri J Med Ethics. 2013;21(2):74-8.
  • 10. Teixeira C, Ribeiro O, Fonseca AM, et al. Ethical decision making in intensive care units: a burnout risk factor? Results from a multicentre study conducted with physicians and nurses. J Med Ethics 2014;40(2):97-103. DOI: 10.1136/medethics-2012-100619
  • 11. Kırşan M, Yıldırım D, Ceylan B. et al. Ethical Problems in Intensive Care Units: A Systematic Review Turkiye Klinikleri J Med Ethics. 2018;26(2):57-65.
  • 12. Akın Palandöken E. COVID-19 Pandemisi ve Hemşireler için Etik Sorunlar. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2020; 5(2): 139-42.
  • 13. World Health Organization. What are the symptoms of COVID-19, 2020, https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/q-a-coronaviruses
  • 14. Chan JF, Yuan S, Kok KH, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet 2020; 395(10223): 514–23. DOI:10.1016/S0140-6736(20)30154-9
  • 15. Yuxiu J, Ou C, Zhiying X, et al. Nurses’ ethical challenges caring for people with COVID-19: A qualitative study. Nurs Ethics 2020;28(1):33-45 DOI:10.1177/0969733020944453
  • 16. Leblebicioğlu H and Nair Aktaş F. Covid-19 Salgınıyla Mücadele: Yoğun Bakım Hemşireliği Meslek ve Kişisel Etik Perspektifi. Yoğun Bakım Hemşireliği Dergisi 2020;24(EK-1):73-80.
  • 17. Tong A, Sainsbury P and Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19:349-57.
  • 18. Giorgi A. The theory, practice, and evaluation of the phenomenological method as a qualitative research procedure. J Phenomenol Psychol 1997;28:235-60.
  • 19. Giorgi A. Concerning the application of phenomenology to caring research. Scand J Caring Sci 2000;14:11-5.
  • 20. Fry TS. Conceptual Themes Basic To Cancer Nursing, Cancer Nursing: A Comprehensive Textbook, Bird, S (Ed.), Philadelphia, W.B. Saunders Company, 1991.
  • 21. Kıraner E, Terzi B, Türkmen E, et al. Experiences of Turkish Intensive Care Nurses during the COVID-19 Outbreak. HEAD Journal of Education and Research in Nursing 2020;17(3):284-6.
  • 22. Robert, R., Kentish-Barnes, N., Boyer, A. et al. Ethical dilemmas due to the Covid-19 pandemic. Ann. Intensive Care 2020;10(84):1-9. DOI:10.1186/s13613-020-00702-7
  • 23. Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA 2020; 323: 1061–9. DOI:10.1001/jama.2020.1585
  • 24. Scott PA. Key Concepts and Issues in Nursing Ethics. Galway, Ireland. Springer International Publishing AG,2017.
  • 25. University of Toronto Joint Centre for Bioethics Pandemic Influenza Working Group. 2005. Stand on guard for thee: Ethical considerations in preparedness planning for pandemic influenza. Available at: http://www.jcb.utoronto.ca/people/documents/upshur_stand_guard.pdf
  • 26. Altaker KW, Howie-Esquivel J and Cataldo, JK. Relationships among palliative care, ethical climate, empowerment, and moral distress in intensive care unit nurses. AJCC, 2018; 27(4): 295-302. DOI: 10.4037/ajcc2018252
  • 27. Turale S, Meechamnan C and Kunaviktikul W. Challenging times: ethics, nursing and the COVID-19 pandemic. Int Nurs Rev 2020 Jun;67(2):164-7. DOI:10.1111/inr.12598
  • 28. Hakko A and Madenoğlu Kıvanç M. Creating Ethical Behaviors in Nursing Management. Journal of Health and Nursing Management 2018;5(3):227-32 DOI:10.5222/SHYD.2018.227
  • 29. Barkhordari-Sharifabad M, Ashktorab T and Atashzadeh-Shoorideh F. Ethical leadership outcomes in nursing: A qualitative study. Nurs Ethics. 2018;25(8):1051-63. DOI:10.1177/0969733016687157

Ayrıntılar

Birincil Dil İngilizce
Konular Hemşirelik
Bölüm Araştırma Makaleleri
Yazarlar

Türkan KARACA
Adıyaman Üniversitesi Sağlık Bilimleri Fakültesi
0000-0002-8603-5460
Türkiye


Semiha AYDIN ÖZKAN (Sorumlu Yazar)
Adıyaman Üniversitesi Sağlık Bilimleri Fakültesi
0000-0003-4538-0396
Türkiye

Destekleyen Kurum yok
Proje Numarası yok
Yayımlanma Tarihi 29 Eylül 2021
Başvuru Tarihi 28 Nisan 2021
Kabul Tarihi 3 Ağustos 2021
Yayınlandığı Sayı Yıl 2021, Cilt 12, Sayı 4

Kaynak Göster

EndNote %0 Acıbadem Üniversitesi Sağlık Bilimleri Dergisi Intensive Care Nurses’ Ethical Challenges Caring for People with COVID-19: A Qualitative Study %A Türkan Karaca , Semiha Aydın Özkan %T Intensive Care Nurses’ Ethical Challenges Caring for People with COVID-19: A Qualitative Study %D 2021 %J Acıbadem Üniversitesi Sağlık Bilimleri Dergisi %P 1309-470X-1309-5994 %V 12 %N 4 %R doi: 10.31067/acusaglik.929307 %U 10.31067/acusaglik.929307