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.
| Original language | English |
|---|---|
| Journal | Nursing Open |
| Volume | 9 |
| Issue number | 4 |
| Pages (from-to) | 2108-2116 |
| Number of pages | 9 |
| ISSN | 2162-5336 |
| DOIs | |
| Publication status | Published - Jul 2022 |
Keywords
- ethical climate
- moral distress
- nurses
- oncology
- paediatric
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