Cargando…

Ethical Problems and Moral Distress in Primary Care: A Scoping Review

Background: Since 1997, nursing ethics research has focused on solving ethical dilemmas, enhancing decision-making strategies, and introducing professional education. Few studies describe the triggers of ethical dilemmas among primary care nurses. The aim of this study was to explore the moral distr...

Descripción completa

Detalles Bibliográficos
Autores principales: Giannetta, Noemi, Villa, Giulia, Pennestrì, Federico, Sala, Roberta, Mordacci, Roberto, Manara, Duilio Fiorenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8303154/
https://www.ncbi.nlm.nih.gov/pubmed/34300016
http://dx.doi.org/10.3390/ijerph18147565
_version_ 1783727018698866688
author Giannetta, Noemi
Villa, Giulia
Pennestrì, Federico
Sala, Roberta
Mordacci, Roberto
Manara, Duilio Fiorenzo
author_facet Giannetta, Noemi
Villa, Giulia
Pennestrì, Federico
Sala, Roberta
Mordacci, Roberto
Manara, Duilio Fiorenzo
author_sort Giannetta, Noemi
collection PubMed
description Background: Since 1997, nursing ethics research has focused on solving ethical dilemmas, enhancing decision-making strategies, and introducing professional education. Few studies describe the triggers of ethical dilemmas among primary care nurses. The aim of this study was to explore the moral distress and ethical dilemmas among primary care nurses. Methods: A scoping review was performed following Arskey and O’Malley’s framework. PubMed, CINAHL, PsycINFO, Embase, and Scopus were searched systematically to retrieve relevant titles and abstracts. A temporal filter was applied to focus on the most recent literature (years of 2010–2020). The research was completed on 17 November 2020. Results: Of 184 articles retrieved, 15 were included in the review. Some (n = 7) studies had a qualitative design, and the most productive country was Brazil (n = 7). The total number of nurses involved in quantitative studies was 1137 (range: 36–433); the total number of nurses involved in qualitative studies was 144 (range: 7–73). Three main focus areas were identified: (a) frequent ethical conflicts and moral distress episodes among nurses working in primary care settings; (b) frequent moral distress measures here employed; (c) coping strategies here adopted to prevent or manage moral distress. Conclusion: Further research is needed to examine the differences between moral distress triggers and sources of ethical dilemmas among the different care environments, such as primary care and acute care settings.
format Online
Article
Text
id pubmed-8303154
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-83031542021-07-25 Ethical Problems and Moral Distress in Primary Care: A Scoping Review Giannetta, Noemi Villa, Giulia Pennestrì, Federico Sala, Roberta Mordacci, Roberto Manara, Duilio Fiorenzo Int J Environ Res Public Health Review Background: Since 1997, nursing ethics research has focused on solving ethical dilemmas, enhancing decision-making strategies, and introducing professional education. Few studies describe the triggers of ethical dilemmas among primary care nurses. The aim of this study was to explore the moral distress and ethical dilemmas among primary care nurses. Methods: A scoping review was performed following Arskey and O’Malley’s framework. PubMed, CINAHL, PsycINFO, Embase, and Scopus were searched systematically to retrieve relevant titles and abstracts. A temporal filter was applied to focus on the most recent literature (years of 2010–2020). The research was completed on 17 November 2020. Results: Of 184 articles retrieved, 15 were included in the review. Some (n = 7) studies had a qualitative design, and the most productive country was Brazil (n = 7). The total number of nurses involved in quantitative studies was 1137 (range: 36–433); the total number of nurses involved in qualitative studies was 144 (range: 7–73). Three main focus areas were identified: (a) frequent ethical conflicts and moral distress episodes among nurses working in primary care settings; (b) frequent moral distress measures here employed; (c) coping strategies here adopted to prevent or manage moral distress. Conclusion: Further research is needed to examine the differences between moral distress triggers and sources of ethical dilemmas among the different care environments, such as primary care and acute care settings. MDPI 2021-07-16 /pmc/articles/PMC8303154/ /pubmed/34300016 http://dx.doi.org/10.3390/ijerph18147565 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Giannetta, Noemi
Villa, Giulia
Pennestrì, Federico
Sala, Roberta
Mordacci, Roberto
Manara, Duilio Fiorenzo
Ethical Problems and Moral Distress in Primary Care: A Scoping Review
title Ethical Problems and Moral Distress in Primary Care: A Scoping Review
title_full Ethical Problems and Moral Distress in Primary Care: A Scoping Review
title_fullStr Ethical Problems and Moral Distress in Primary Care: A Scoping Review
title_full_unstemmed Ethical Problems and Moral Distress in Primary Care: A Scoping Review
title_short Ethical Problems and Moral Distress in Primary Care: A Scoping Review
title_sort ethical problems and moral distress in primary care: a scoping review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8303154/
https://www.ncbi.nlm.nih.gov/pubmed/34300016
http://dx.doi.org/10.3390/ijerph18147565
work_keys_str_mv AT giannettanoemi ethicalproblemsandmoraldistressinprimarycareascopingreview
AT villagiulia ethicalproblemsandmoraldistressinprimarycareascopingreview
AT pennestrifederico ethicalproblemsandmoraldistressinprimarycareascopingreview
AT salaroberta ethicalproblemsandmoraldistressinprimarycareascopingreview
AT mordacciroberto ethicalproblemsandmoraldistressinprimarycareascopingreview
AT manaraduiliofiorenzo ethicalproblemsandmoraldistressinprimarycareascopingreview