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Expert nurses’ coping strategies in ethically challenging situations: a qualitative study

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Abstract
Background: Nurses frequently encounter ethically challenging situations in everyday practice. In these situations,
nurses often know an appropriate course of action to take but are unable to do so. Many studies have examined
the ethically challenging situations faced by nurses, but how nurses cope with these situations is not well
understood. Therefore, this study aims to explore the coping strategies used or adopted in ethically challenging
situations by expert nurses in South Korea.
Methods: Participants were recruited via purposive sampling. Small group interviews were conducted with 26
expert registered nurses in a general hospital in South Korea. The data were analyzed using Giorgi’s descriptive
phenomenological method.
Results: The essential theme of nurses’ experience of coping with ethically challenging situations was “being
faithful to the nature of caring.” This essential theme comprised three themes: self-monitoring of ethical
insensitivity, maintaining honesty, and actively acting as an advocate.
Conclusions: The findings of this study suggest that the coping strategies of expert nurses are mostly consistent
with the attributes of ethical competence as previously defined in healthcare, and expert nurses can address
ethically challenging situations in an effective and ethical manner by faithfully adhering to the spirit of caring.
System-wide early counseling and interventions should be considered for nurses who have experienced ethical
difficulties
Author(s)
김연희Jeong Hui OkKwisoon ChoeYoung-ah Kang
Issued Date
2021
Type
Article
Keyword
Coping behaviorEthical competencyHealthcare ethicsMedical ethicsNursing ethicsProfessional ethics
DOI
10.1186/s12912-021-00709-w
URI
https://oak.ulsan.ac.kr/handle/2021.oak/9440
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_doaj_primary_oai_doaj_org_article_d10fdabb1e1e4188ad4594d74b1fdf98&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Expert%20nurses%E2%80%99%20coping%20strategies%20in%20ethically%20challenging%20situations:%20a%20qualitative%20study&offset=0&pcAvailability=true
Publisher
BMC NURSING
Location
영국
Language
영어
ISSN
1472-6955
Citation Volume
20
Citation Number
1
Citation Start Page
183
Citation End Page
183
Appears in Collections:
Medicine > Nursing
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