A cross‐sectional survey of moral distress and ethical climate – Situations in paediatric oncology care that involve children’s voices

Abstract Aim To assess experiences of morally distressing situations and perceptions of ethical climate in paediatric oncology care, with a focus on situations that involve children's voices. Design Cross‐sectional survey. Methods Registered Nurses at all four paediatric oncology centres in Den...

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Main Authors: Päivi Ventovaara, Margareta af Sandeberg, Gitte Petersen, Klas Blomgren, Pernilla Pergert
Format: Article
Language:English
Published: Wiley 2022-07-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.1221
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author Päivi Ventovaara
Margareta af Sandeberg
Gitte Petersen
Klas Blomgren
Pernilla Pergert
author_facet Päivi Ventovaara
Margareta af Sandeberg
Gitte Petersen
Klas Blomgren
Pernilla Pergert
author_sort Päivi Ventovaara
collection DOAJ
description Abstract Aim To assess experiences of morally distressing situations and perceptions of ethical climate in paediatric oncology care, with a focus on situations that involve children's voices. Design Cross‐sectional survey. Methods Registered Nurses at all four paediatric oncology centres in Denmark were asked to complete a web‐based questionnaire with Danish translations of the Swedish Moral Distress Scale‐Revised (MDS‐R) and the Swedish Hospital Ethical Climate Survey‐Shortened (HECS‐S). Data analysis included descriptive statistics and non‐parametric correlation tests. Results Nurses (n = 65) perceived morally distressing situations as rather uncommon, except for those that involved shortage of time, poor continuity of care and unsafe staffing levels. Most nurses (83%) found it disturbing to perform procedures on school‐aged children against their will, and 20% reported that they do this often. Perceptions of ethical climate were positive and healthcare professionals were perceived to be attentive to children's wishes.
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spelling doaj.art-e95f79d0216b4c93bbd5074b57ae17c32022-12-22T00:35:49ZengWileyNursing Open2054-10582022-07-01942108211610.1002/nop2.1221A cross‐sectional survey of moral distress and ethical climate – Situations in paediatric oncology care that involve children’s voicesPäivi Ventovaara0Margareta af Sandeberg1Gitte Petersen2Klas Blomgren3Pernilla Pergert4Department of Women’s and Children’s Health Karolinska Institutet Stockholm SwedenDepartment of Women’s and Children’s Health Karolinska Institutet Stockholm SwedenDepartment of Paediatrics and Adolescent Medicine Copenhagen University Hospital (Rigshospitalet) Copenhagen DenmarkDepartment of Women’s and Children’s Health Karolinska Institutet Stockholm SwedenDepartment of Women’s and Children’s Health Karolinska Institutet Stockholm SwedenAbstract Aim To assess experiences of morally distressing situations and perceptions of ethical climate in paediatric oncology care, with a focus on situations that involve children's voices. Design Cross‐sectional survey. Methods Registered Nurses at all four paediatric oncology centres in Denmark were asked to complete a web‐based questionnaire with Danish translations of the Swedish Moral Distress Scale‐Revised (MDS‐R) and the Swedish Hospital Ethical Climate Survey‐Shortened (HECS‐S). Data analysis included descriptive statistics and non‐parametric correlation tests. Results Nurses (n = 65) perceived morally distressing situations as rather uncommon, except for those that involved shortage of time, poor continuity of care and unsafe staffing levels. Most nurses (83%) found it disturbing to perform procedures on school‐aged children against their will, and 20% reported that they do this often. Perceptions of ethical climate were positive and healthcare professionals were perceived to be attentive to children's wishes.https://doi.org/10.1002/nop2.1221ethical climatemoral distressnursesoncologypaediatric
spellingShingle Päivi Ventovaara
Margareta af Sandeberg
Gitte Petersen
Klas Blomgren
Pernilla Pergert
A cross‐sectional survey of moral distress and ethical climate – Situations in paediatric oncology care that involve children’s voices
Nursing Open
ethical climate
moral distress
nurses
oncology
paediatric
title A cross‐sectional survey of moral distress and ethical climate – Situations in paediatric oncology care that involve children’s voices
title_full A cross‐sectional survey of moral distress and ethical climate – Situations in paediatric oncology care that involve children’s voices
title_fullStr A cross‐sectional survey of moral distress and ethical climate – Situations in paediatric oncology care that involve children’s voices
title_full_unstemmed A cross‐sectional survey of moral distress and ethical climate – Situations in paediatric oncology care that involve children’s voices
title_short A cross‐sectional survey of moral distress and ethical climate – Situations in paediatric oncology care that involve children’s voices
title_sort cross sectional survey of moral distress and ethical climate situations in paediatric oncology care that involve children s voices
topic ethical climate
moral distress
nurses
oncology
paediatric
url https://doi.org/10.1002/nop2.1221
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