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

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 nurs...

Full description

Bibliographic Details
Main Authors: Yeon Hee Kim, Young-ah Kang, Jeong Hui Ok, Kwisoon Choe
Format: Article
Language:English
Published: BMC 2021-09-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-021-00709-w
_version_ 1818885493443526656
author Yeon Hee Kim
Young-ah Kang
Jeong Hui Ok
Kwisoon Choe
author_facet Yeon Hee Kim
Young-ah Kang
Jeong Hui Ok
Kwisoon Choe
author_sort Yeon Hee Kim
collection DOAJ
description 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.
first_indexed 2024-12-19T16:06:19Z
format Article
id doaj.art-d10fdabb1e1e4188ad4594d74b1fdf98
institution Directory Open Access Journal
issn 1472-6955
language English
last_indexed 2024-12-19T16:06:19Z
publishDate 2021-09-01
publisher BMC
record_format Article
series BMC Nursing
spelling doaj.art-d10fdabb1e1e4188ad4594d74b1fdf982022-12-21T20:14:50ZengBMCBMC Nursing1472-69552021-09-012011810.1186/s12912-021-00709-wExpert nurses’ coping strategies in ethically challenging situations: a qualitative studyYeon Hee Kim0Young-ah Kang1Jeong Hui Ok2Kwisoon Choe3Department of Clinical Nursing, University of UlsanHematology Unit, Asan Medical CenterCancer Emergency Room, Asan Medical CenterDepartment of Nursing, Chung-Ang UniversityAbstract 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.https://doi.org/10.1186/s12912-021-00709-wCoping behaviorEthical competencyHealthcare ethicsMedical ethicsNursing ethicsProfessional ethics
spellingShingle Yeon Hee Kim
Young-ah Kang
Jeong Hui Ok
Kwisoon Choe
Expert nurses’ coping strategies in ethically challenging situations: a qualitative study
BMC Nursing
Coping behavior
Ethical competency
Healthcare ethics
Medical ethics
Nursing ethics
Professional ethics
title Expert nurses’ coping strategies in ethically challenging situations: a qualitative study
title_full Expert nurses’ coping strategies in ethically challenging situations: a qualitative study
title_fullStr Expert nurses’ coping strategies in ethically challenging situations: a qualitative study
title_full_unstemmed Expert nurses’ coping strategies in ethically challenging situations: a qualitative study
title_short Expert nurses’ coping strategies in ethically challenging situations: a qualitative study
title_sort expert nurses coping strategies in ethically challenging situations a qualitative study
topic Coping behavior
Ethical competency
Healthcare ethics
Medical ethics
Nursing ethics
Professional ethics
url https://doi.org/10.1186/s12912-021-00709-w
work_keys_str_mv AT yeonheekim expertnursescopingstrategiesinethicallychallengingsituationsaqualitativestudy
AT youngahkang expertnursescopingstrategiesinethicallychallengingsituationsaqualitativestudy
AT jeonghuiok expertnursescopingstrategiesinethicallychallengingsituationsaqualitativestudy
AT kwisoonchoe expertnursescopingstrategiesinethicallychallengingsituationsaqualitativestudy