Ethical Issues Encountered By Nurses and Their Relationship With Stress: A Systematic Review
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https://doi.org/10.5281/zenodo.14238799Keywords:
Ethical Issue, Stress, Nurse, Systematic ReviewAbstract
Objective: The main purpose of this study is to highlight the ethical problems faced by nurses in health services without any time constraints and to inform clinical nurses and researchers, especially manager nurses, administrative units, by examining their relationship with stress and to contribute to the literature.
Methods: The systematic review method was used in the study. There was no time restriction when scanning the literature, and it was searched in Web of Science, Scopus and Pubmed databases within the abstract, keyword and study name ("ethic* issues" OR "ethic* problems" OR "ethic* distress" OR "moral problems". The search was carried out with the keywords "OR "moral distress") AND ("stress") AND ("nurs*") between 9-31 July 2024. Screening and selection of articles PRISMA (Preferred Reporting Items for Systematic review and Meta-Analysis Protocols 10 articles were included in the review. Article selection and quality assessment processes were carried out independently by two authors, and it was determined that there was a statistically significant and significant level of agreement between the authors.
Results: A total of 10 articles were reviewed in accordance with the inclusion and exclusion criteria. In the studies examined, it was determined that the ethical problems that most increased the stress level of nurses were "lack of personnel and resources", "workload", "working with unethical and incompetent colleagues" and "patient density". Among the results is that the "social stigma" problem has been added to the ethical problems affecting the stress level with the COVID-19 pandemic.
Conclusion: According to the results of the study; ethical problems encountered by nurses negatively affect their stress levels. Providing nurses with the opportunity to express their ethical problems openly, especially eliminating personnel and resource deficiencies, establishing ethics committees, organizing training programs, providing support from the management especially on ethical issues and providing psychological support are important for controlling stress levels.
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