Levels of exposure to ethical conflict in the ICU: correlation between sociodemographic variables and the clinical environment

Objectives: To analyse the level of exposure of nurses to ethical conflict and determine the relationship between this exposure, sociodemographic variables and perceptions of the clinical environment. Design and setting: Prospective and descriptive correlational study conducted at 10 intensive care...

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Autores: Falcó Pegueroles, Anna M. (Anna Marta), Lluch Canut, Ma. Teresa, Martínez Estalella, Gemma, Zabalegui Yárnoz, Adelaida, Delgado-Hito, Pilar, Via-Clavero, Gemma, Guàrdia-Olmos, Joan, 1958-
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2016
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/225309
Acceso en línea:https://hdl.handle.net/2445/225309
Access Level:acceso abierto
Palabra clave:Personal sanitari
Infermeria en cures intensives
Competències professionals
Medical personnel
Intensive care nursing
Vocational qualifications
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spelling Levels of exposure to ethical conflict in the ICU: correlation between sociodemographic variables and the clinical environmentFalcó Pegueroles, Anna M. (Anna Marta)Lluch Canut, Ma. TeresaMartínez Estalella, GemmaZabalegui Yárnoz, AdelaidaDelgado-Hito, PilarVia-Clavero, GemmaGuàrdia-Olmos, Joan, 1958-Personal sanitariInfermeria en cures intensivesCompetències professionalsMedical personnelIntensive care nursingVocational qualificationsObjectives: To analyse the level of exposure of nurses to ethical conflict and determine the relationship between this exposure, sociodemographic variables and perceptions of the clinical environment. Design and setting: Prospective and descriptive correlational study conducted at 10 intensive care units in two tertiary hospitals affiliated to the University of Barcelona. Sociodemographic and professional data were recorded from a questionnaire and then the previously validated Ethical Conflict in Nursing Questionnaire-Critical Care Version was administered to obtain data regarding experiences of ethical conflict. Results: Two hundred and three nurses (68.6%) participated in the study, of whom only 11.8% had training in bioethics. Exposure to ethical conflict was moderate with a x¯=182.35 (SD=71.304; [0-389]). The realisation that analgesia is ineffective and the administration of treatment without having participated in the decision-making process were the most frequently reported ethical conflicts. Professionals who perceived their environment as supportive for dealing with ethical conflicts reported lower levels of these events (p=0.001). Conclusions: Ethical conflict is an internal problem but it is strongly influenced by certain variables and environmental conditions. The involvement of nurses in the decision-making processes regarding the care of critically ill patients emerges as a factor that protects against ethical conflicts.Elsevier Ltd.2026202620162026info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersion23 p.application/pdfhttps://hdl.handle.net/2445/225309Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésVersió postprint del document publicat a: https://doi.org/10.1016/j.iccn.2015.10.004Intensive And Critical Care Nursing, 2016, vol. 33, p. 12-20https://doi.org/10.1016/j.iccn.2015.10.004cc-by-nc-nd (c) Elsevier Ltd., 2016http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2253092026-05-29T05:05:01Z
dc.title.none.fl_str_mv Levels of exposure to ethical conflict in the ICU: correlation between sociodemographic variables and the clinical environment
title Levels of exposure to ethical conflict in the ICU: correlation between sociodemographic variables and the clinical environment
spellingShingle Levels of exposure to ethical conflict in the ICU: correlation between sociodemographic variables and the clinical environment
Falcó Pegueroles, Anna M. (Anna Marta)
Personal sanitari
Infermeria en cures intensives
Competències professionals
Medical personnel
Intensive care nursing
Vocational qualifications
title_short Levels of exposure to ethical conflict in the ICU: correlation between sociodemographic variables and the clinical environment
title_full Levels of exposure to ethical conflict in the ICU: correlation between sociodemographic variables and the clinical environment
title_fullStr Levels of exposure to ethical conflict in the ICU: correlation between sociodemographic variables and the clinical environment
title_full_unstemmed Levels of exposure to ethical conflict in the ICU: correlation between sociodemographic variables and the clinical environment
title_sort Levels of exposure to ethical conflict in the ICU: correlation between sociodemographic variables and the clinical environment
dc.creator.none.fl_str_mv Falcó Pegueroles, Anna M. (Anna Marta)
Lluch Canut, Ma. Teresa
Martínez Estalella, Gemma
Zabalegui Yárnoz, Adelaida
Delgado-Hito, Pilar
Via-Clavero, Gemma
Guàrdia-Olmos, Joan, 1958-
author Falcó Pegueroles, Anna M. (Anna Marta)
author_facet Falcó Pegueroles, Anna M. (Anna Marta)
Lluch Canut, Ma. Teresa
Martínez Estalella, Gemma
Zabalegui Yárnoz, Adelaida
Delgado-Hito, Pilar
Via-Clavero, Gemma
Guàrdia-Olmos, Joan, 1958-
author_role author
author2 Lluch Canut, Ma. Teresa
Martínez Estalella, Gemma
Zabalegui Yárnoz, Adelaida
Delgado-Hito, Pilar
Via-Clavero, Gemma
Guàrdia-Olmos, Joan, 1958-
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Personal sanitari
Infermeria en cures intensives
Competències professionals
Medical personnel
Intensive care nursing
Vocational qualifications
topic Personal sanitari
Infermeria en cures intensives
Competències professionals
Medical personnel
Intensive care nursing
Vocational qualifications
description Objectives: To analyse the level of exposure of nurses to ethical conflict and determine the relationship between this exposure, sociodemographic variables and perceptions of the clinical environment. Design and setting: Prospective and descriptive correlational study conducted at 10 intensive care units in two tertiary hospitals affiliated to the University of Barcelona. Sociodemographic and professional data were recorded from a questionnaire and then the previously validated Ethical Conflict in Nursing Questionnaire-Critical Care Version was administered to obtain data regarding experiences of ethical conflict. Results: Two hundred and three nurses (68.6%) participated in the study, of whom only 11.8% had training in bioethics. Exposure to ethical conflict was moderate with a x¯=182.35 (SD=71.304; [0-389]). The realisation that analgesia is ineffective and the administration of treatment without having participated in the decision-making process were the most frequently reported ethical conflicts. Professionals who perceived their environment as supportive for dealing with ethical conflicts reported lower levels of these events (p=0.001). Conclusions: Ethical conflict is an internal problem but it is strongly influenced by certain variables and environmental conditions. The involvement of nurses in the decision-making processes regarding the care of critically ill patients emerges as a factor that protects against ethical conflicts.
publishDate 2016
dc.date.none.fl_str_mv 2016
2026
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/225309
url https://hdl.handle.net/2445/225309
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: https://doi.org/10.1016/j.iccn.2015.10.004
Intensive And Critical Care Nursing, 2016, vol. 33, p. 12-20
https://doi.org/10.1016/j.iccn.2015.10.004
dc.rights.none.fl_str_mv cc-by-nc-nd (c) Elsevier Ltd., 2016
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc-nd (c) Elsevier Ltd., 2016
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 23 p.
application/pdf
dc.publisher.none.fl_str_mv Elsevier Ltd.
publisher.none.fl_str_mv Elsevier Ltd.
dc.source.none.fl_str_mv Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.811543

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