Workplace distress and ethical dilemmas in neuroscience nursing.
This study concerns Swedish nurses' experiences of workplace stress and the occurrence of ethical dilemmas in a neurological setting. Qualitative interviews were conducted with 21 nurses. The interview results were subjected to qualitative latent content analysis and sorted into 4 content areas: workplace distress, ethical dilemmas, managing distress and ethical dilemmas, and quality of nursing. Common workplace stressors were high workload and lack of influence. These were perceived to have negative consequences for the quality of nursing. Ethical dilemmas mainly concerned decision making on initiation or withdrawal of treatment, which was experienced as a troublesome situation where conflicts could arise. The nurses managed the distress and ethical dilemmas by accepting and adjusting to the situation and seeking support from colleagues. They also endeavored to gain new strength in their private lives.
Silén
Marit
M
School of Health Sciences, Jönköping University, Jönköping, Sweden. marit.silen@hhj.hj.se
Tang
Ping Fen
PF
Wadensten
Barbro
B
Ahlström
Gerd
G
D000223:Adaptation, Psychological; D000328:Adult; D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000517:prevention & control / Q000523:psychology*; D003220:Conflict, Psychological; D003657:Decision Making / Q000941:ethics; D006272:Health Facility Environment; D006785:Hospitals, University; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D008875:Middle Aged; D009422:Nervous System Diseases / Q000451:nursing*; D009488:Neurosciences; D024802:Nurse's Role / Q000523:psychology; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000941:ethics / Q000523:psychology; D036301:Qualitative Research; D011787:Quality of Health Care / Q000941:ethics; D012944:Social Support; D011795:Surveys and Questionnaires; D013548:Sweden; D016526:Workload / Q000523:psychology; D017132:Workplace / Q000523:psychology*