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cc-by-nc-nd (c) Elsevier Ltd., 2016
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/225309

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

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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.

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FALCÓ PEGUEROLES, Anna M. (Anna Marta), et al. Levels of exposure to ethical conflict in the ICU: correlation between sociodemographic variables and the clinical environment. Intensive And Critical Care Nursing. 2016. Vol. 33, num. 12-20. ISSN 0964-3397. [consulted: 23 of May of 2026]. Available at: https://hdl.handle.net/2445/225309

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