The DOI matches its Crossref record; 29 of the 31 references it cites were found in a registry or an index; none of the 10 sources its claims cite is checked for support yet.
Everyday ethics: ethical issues and stress in nursing practice
Open accessAbstract
Study of the type, frequency, and level of stress of ethical issues encountered by nurses in their everyday practice.
Overview
Integrity signals
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Claims the paper makes
33 Own result · 11 Own method · 6 No full text of the sources · 4 Own interpretation · 3 Sources not found · 2 No basis given
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The five most frequently-occurring and most stressful ethical and patient care issues were protecting patients' rights; autonomy and informed consent to treatment; staffing patterns; advanced care planning; and surrogate decision-making.”
- Also stated in: § What this paper adds · plain
“Nurses cited frequent ethical problems associated with protecting patient rights, autonomy and informed consent, staffing patterns, advance planning and surrogate decision-making, among others.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > Abstract > Results
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Also stated in: § What this paper adds · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Nurses from different regions also experienced specific types of ethical problems more commonly.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > Abstract > Results
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“More than one in every three respondents (37%) reported staffing patterns that negatively affected their work frequently or daily.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Almost 80% felt confident that they could justify their ethical decisions”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“one in three (36%) reported feeling powerless.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Maryland nurses more frequently reported that resource allocation was stressful (16.8%) as compared to those in Ohio (7.5%), California (5.4%), and Massachusetts (6.7%) [χ2= 10.45, df= 3, p=.015].”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Bivariate Analysis
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“more than 45% reported that ethics-related stress had at least some influence on their thinking about remaining in their position”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Almost three-quarters (71%) reported that there were some ethical issues about which they could do nothing”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This was more commonly-reported by nurses who worked for not-for-profit institutions than those who worked in for-profit institutions.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“respondents less frequently reported experiencing breaches of patient confidentiality and unethical practices (Table 1).”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“More California RNs (10.4%) also reported frequent or daily experiences with genetic testing and counseling compared to 3.4% of Maryland, 3.8% of Ohio, and 2.2% of Massachusetts nurses [χ2 = 8.48, df=3, p=.037].”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Bivariate Analysis
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Nurses working in direct patient care were more likely to indicate high or very high stress [χ2 = 5.84, df= 1, p=.016] associated with provider rights and duties (8%) as compared to only 1.7% of those not working in direct patient care.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Bivariate Analysis
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Generally, younger nurses were more stressed overall (r=−.14, p < .01).”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Bivariate Analysis
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“respondents in not-for-profit organizations were more likely to report greater frequency of encountering ethical issues associated with surrogate decision-making (p = .004), provider rights and duties (p = .017), end-of-life care (p = .028) and staffing concerns (p = .025).”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“20.8% of those in direct patient care reported high or very high stress (χ2 = 13.67, df= 1, p < .001] associated with end-of-life concerns compared to 5.9% of those not in direct patient care.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Bivariate Analysis
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“more respondents practising in California (14.6%) reported frequent or daily encounters with end-of-life decision-making than those in Maryland (8.4%), Ohio (5.7%), and Massachusetts (3.3%) [χ2= 9.04, df= 3, p=.029].”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Bivariate Analysis
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“60% of those with doctoral preparation reported frequent or daily issues with medical research, therapeutic innovation, or experimental treatment compared to 26.9% of those with a Master's degree, 9.9% of those with a Baccalaureate degree in nursing, 4.9% of Diploma-qualified nurses, and 3.4% with Associate Degrees [χ2=24.19, df=12,p<.05].”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Bivariate Analysis
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Stress associated with resource allocation also was more often reported as high by nurses with ethics training both in their educational programmes and continuing education(CE)/in-house training (22.1%), than by those with training through CE/in-house only (14.3%), those with no training (5.9%), and those with training in their educational programmes only(2.3%) [χ2= 25.01, df=3, p<.001].”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Bivariate Analysis
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“about a quarter of our respondents said that to some extent ethics stress influenced their current thinking about remaining in active practice.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > DISCUSSION > Ethical issues for nurses
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“nearly two-thirds (62.3%) felt prepared to deal with ethical issues.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Most respondents (74%) indicated no or low stress from resource allocation.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Bivariate Analysis
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“about 38% their thinking about remaining in active practice.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The majority of respondents reported no or low stress associated with each of the items encountered except for staffing patterns that negatively affected their work.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Nurses face daily ethical challenges in the provision of quality care.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > Abstract > Conclusion
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“This sense of powerlessness “fits” the classic definition of moral distress, where one knows the morally correct course of action but cannot carry it out due to situational and/or other internal and external constraints (Corley 2002; Corley et al. 2005).”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > DISCUSSION > Ethical issues for nurses
What the sources say
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Understaffing and other organizational and systematic barriers could preclude nurses from meeting many of their primary responsibilities, including protecting the rights of individual patients and families, alleviation of suffering, and preserving their own integrity.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > DISCUSSION > Ethical issues for nurses
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Without sufficient staffing it is difficult to meet the ethical standards of professional practice.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > DISCUSSION > Ethical issues for nurses
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
In the paper
“the intensity in which nurses experience these ethical issues or problems can influence the degree to which they engage in moral behavior (Jones 1991).”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > BACKGROUND
What the sources say
- Not checked — no full text of the sourcecites Jones 1991 source
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- It may state two separate claims as one. 16
- Probably not a substantial claim. 19
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Younger nurses and those with fewer years of experience encountered ethical issues more frequently and reported higher levels of stress.”
- Also stated in: § What this paper adds · plain
“Younger nurses and those with less years of experience encountered ethical issues more frequently and reported higher levels of stress.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > Abstract > Results
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Also stated in: § What this paper adds · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Other common occurrences were unethical practices of healthcare professionals; breaches of patient confidentiality or right to privacy; and end-of-life decision-making.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > Abstract > Results
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Younger nurses were more likely to report increased frequency of encountering issues related to provider rights and duties (r=−.19, p < .01), medical research (r=−.12, p < .05), and staffing patterns (r= −.16, p < .01).”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Bivariate Analysis
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“More than one third of the nurses indicated that advanced care planning issues occurred frequently, and this was equally reflected in both for-profit and not-for-profit organizations.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > DISCUSSION > Ethical issues for nurses
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Staffing patterns created the most stress (M= 3.20), followed by the stress associated with protecting patient rights (M = 2.41), and unethical practices of healthcare professionals (M = 2.37) (Tables 2, 3).”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“many reported being tired (44%), frustrated (57.5%), and overwhelmed (37.7%) when dealing with ethical issues in practice.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Everyday encounters were also common with advanced care planning (41%), difficult staffing patterns (37.3%) surrogate decision-making (32.5%) and end-of life (26.2%) issues”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The majority of respondents reported frequently or daily encountering issues related to protecting patients' rights (63.9%) and informed consent to treatment procedures (61.3%).”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Those with fewer years in practice also more frequently encountered issues related to provider rights and medical research (r=−.17, p<.01), issues related to end-of-life (r=−.16, p < .01), organ donation (r=−.10, p < .05), resource allocation (r=−.11, p < .05), conflicting professional obligations (r=−.12, p < .05), conflicts of interest (r=−.15, p< .01), and negative staffing patterns that affect”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Bivariate Analysis
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Nurses from all of the four regions of the U.S.A. reported encountering staffing problems that negatively affected their work, with nearly half of Maryland nurses (47.9%) indicating frequent or daily experience, 39.2% of Ohio RNs, 32.3% of Californians, and 29.7% of those in Massachusetts.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Bivariate Analysis
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“end-of-life issues, advance care planning, provider rights and duties, conflicts of interest and staffing patters were statistically significantly more stressful for those who were younger (Table 7).”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Bivariate Analysis
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The response rate of 52% was calculated according to the standards of the American Association of Public Opinion Research (2000) that adjusts for those who have not responded to the survey and are assumed to be disqualified.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > THE STUDY > Participants
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Seventy-nine percent of the 934 nurses surveyed by the American Nurses Association Center for Ethics and Human Rights at the ANA Convention in 1994 reported confronting ethical issues in practice daily (43%) or weekly (36%).”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > BACKGROUND
What the sources say
- Not matchedcites Scanlon 1994
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
- Not matched
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Return of a completed questionnaire represented implied consent.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > THE STUDY > Ethical Considerations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Previous researchers, however, have not explored the type, frequency, and level of stress that ethical problems engender in nurses across practice specialties.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > BACKGROUND
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper may give no reason why it holds.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Missing responses on the scales were negligible, consisting of less than 3% on any one item.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > THE STUDY > Data Analysis
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“A total of 422 questionnaires were used in the analysis.”
- Also stated in: § Participants · plain
“A total of 422 respondents returned usable questionnaires.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > Abstract > Results
plainn = 422- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
- Also stated in: § Participants · plain
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The sample was derived from state licensing lists from four states, one in each of the four census regions of the United States of America (USA) (California, Maryland, Massachusetts, and Ohio).”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > THE STUDY > Participants
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
In the paper
“Over 50% of these nurses identified the following four issues as the most frequent: cost-containment issues that jeopardized patient welfare; end-of-life decisions; breaches of patient confidentiality; and incompetent, unethical or illegal practices of colleagues.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > BACKGROUND
What the sources say
- Not matchedcites Scanlon 1994
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
- Not matched
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Moral distress can leave a person emotionally scarred and often hesitant to speak out against what is perceived as an impenetrable hierarchical system of care.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > DISCUSSION > Ethical issues for nurses
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Both scales were internally consistent (α = .82 and .89, respectively).”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > THE STUDY > Data collection
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“Studies have shown that nurses, more often than their physician colleagues, feel that end-of-life ethical issues are not thoroughly discussed within the care team or with families and significant others (Levi et al. 2004).”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > BACKGROUND
What the sources say
- Not checked — no full text of the sourcecites Levi et al. 2004 source
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Confidentiality was maintained by using unique identification numbers and all data were reported in the aggregate.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > THE STUDY > Ethical Considerations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“The ethical issue or problem needs to be identified by the moral agent before moral decision-making processes can be activated.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > BACKGROUND
What the sources say
- Not checked — no full text of the sourcecites Rest's (1986)
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The appropriate institutional review board approved the study.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > THE STUDY > Ethical Considerations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“In 2004, we randomly selected 250 nurses from each state list.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > THE STUDY > Participants
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Rest's (1986) four-component model of ethical decision-making identifies the importance of recognizing ethical issues that evolve from the social, cultural, and organizational environment in which one is embedded.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > BACKGROUND
What the sources say
- Not checked — no full text of the sourcecites Rest's (1986)
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
In the paper
“although our response rate was slightly lower than hoped for, it is consistent with mean response rates among surveys using nurse respondents (61± 23) (Asch et al, 1997).”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > DISCUSSION > Study limitations
What the sources say
- Not checked — no full text of the sourcecites Asch et al, 1997 source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The adjusted response rate was 52%.”
- Also stated in: § Participants · plain
“The response rate of 52% was calculated according to the standards of the American Association of Public Opinion Research (2000) that adjusts for those who have not responded to the survey and are assumed to be disqualified.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > Abstract > Methods
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
- Also stated in: § Participants · plain
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“We used 30 of the original 52 items with good internal consistency reliability (α = .90).”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > THE STUDY > Data collection
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“Pain management, use of advance directives, informed consent for procedures, access to healthcare, issues in the care of persons with HIV/AIDs, and providing “futile” treatment completed the list of 10 (Scanlon 1994).”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > BACKGROUND
What the sources say
- Not matchedcites Scanlon 1994
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
- Not matched
The paper relies on this without support.
Everyday ethical issues in nursing practice attract little attention but can create stress for nurses.
“Everyday ethical issues in nursing practice attract little attention but can create stress for nurses.”
The paper relies on this without support.
Nurses often feel uncomfortable in addressing the ethical issues they encounter in patient care.
“Nurses often feel uncomfortable in addressing the ethical issues they encounter in patient care.”
The paper relies on this without support.
The 2004 survey data remain relevant to contemporary thought about the study topic.
“Although the survey was administered in 2004, the data remain relevant to contemporary thought about the study topic.”
The paper relies on this without support.
Ethics-related stress may be linked to job satisfaction and retention of nurses.
“Ethics-related stress may be linked to job satisfaction and retention of nurses.”
The paper relies on this without support.
Nurses continue to face challenging ethical issues in clinical practice and this will only increase with an aging, chronically-ill society.
“nurses continue to face challenging ethical issues in clinical practice and this will only increase with an aging, chronically-ill society.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Healthcare professionals and students in clinical practice are confronted daily with difficult choices and must cope with questions of ‘rightness’ or ‘wrongness’ that influence their decision-making and the quality of the care provided [11, 12].”
From Ethics education to support ethical competence learning in healthcare: an integrative systematic review (2022) · cites this paper as [11]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“However, previous research indicates that those with less clinical experience are more perceptive of ethical issues than more experienced colleagues, possibly counteracting the potential lack of experience [11].”
From Ethics education to support ethical competence learning in healthcare: an integrative systematic review (2022) · cites this paper as [11]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“This, in turn, might lead to compromised moral integrity and generate moral distress [11, 15, 16], as these reactions result from acting or not acting on the basis of one's own sense of right and wrong [17].”
From Ethics education to support ethical competence learning in healthcare: an integrative systematic review (2022) · cites this paper as [11]
In the citing paper
“However, ethical decision-making of the nurses may be affected by the several factors such as policies and expectations of the institutions where they work, feeling of mastery of the medical profession, stressful environment, patient complex conditions, and the communication with patients that instead of following the rules, they listen to their inner voice [43, 44].”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Rated major: it would touch a result — a value a result rests on, reported and recomputed p-values on opposite sides of the significance level, two passages that conflict with no sign which is right, or a cited work retracted before this paper was published.
In the paper
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
“Everyday encounters were also common with advanced care planning (41%), difficult staffing patterns (37.3%) surrogate decision-making (32.5%) and end-of life (26.2%) issues”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Bivariate Analysis
“more respondents practising in California (14.6%) reported frequent or daily encounters with end-of-life decision-making than those in Maryland (8.4%), Ohio (5.7%), and Massachusetts (3.3%)”
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
“Almost three-quarters (71%) reported that there were some ethical issues about which they could do nothing”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > DISCUSSION > Ethical issues for nurses
“more than three-quarters felt that there were some ethical issues they can do nothing about.”
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
“protecting patients' rights (63.9%)”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > DISCUSSION > Ethical issues for nurses
“more than two-thirds of our respondents cited protection of patient rights as their most frequent ethical issue”
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
“about 38% their thinking about remaining in active practice”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > DISCUSSION > Ethical issues for nurses
“about a quarter of our respondents said that to some extent ethics stress influenced their current thinking about remaining in active practice.”
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > DISCUSSION > Ethical issues for nurses
“more than two-thirds of our respondents cited protection of patient rights as their most frequent ethical issue”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
“The majority of respondents reported frequently or daily encountering issues related to protecting patients' rights (63.9%) and informed consent to treatment procedures (61.3%).”
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > Abstract > Results
“The five most frequently-occurring and most stressful ethical and patient care issues were protecting patients' rights; autonomy and informed consent to treatment; staffing patterns; advanced care planning; and surrogate decision-making.”
§ Everyday Ethics: Ethical Issues and Stress in Nursing Practice > RESULTS > Frequency and stress of ethical and patient care issues
“Staffing patterns created the most stress (M= 3.20), followed by the stress associated with protecting patient rights (M = 2.41), and unethical practices of healthcare professionals (M = 2.37) (Tables 2, 3).”
Citations
Cites
Mail and Telephone Surveys: The Total Design Method.
Osmond, M. W., & Dillman, D. A. (1979) · Social Forces · doi:10.2307/2577403 · Cited by 5,023
Ethical Decision Making by Individuals in Organizations: An Issue-Contingent Model
Jones, T. M. (1991) · The Academy of Management Review · doi:10.2307/258867 · Cited by 4,135 · cited 1×
“Additionally, the intensity in which nurses experience these ethical issues or problems can influence the degree to which they engage in moral behavior (Jones 1991).”
Background(1986) · DigitalGeorgetown (Georgetown University Library) · Cited by 3,204
Response rates to mail surveys published in medical journals
Asch, D. A., Jedrziewski, M. K., & Christakis, N. A. (1997) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(97)00126-1 · Cited by 2,110 · cited 1×
“Third, although our response rate was slightly lower than hoped for, it is consistent with mean response rates among surveys using nurse respondents (61± 23) (Asch et al, 1997).”
ResultDillman, D. A. (1999) · Cited by 1,161
Notes on nursing. What it is, and what it is not
(1860) · Notes and Queries · doi:10.1093/nq/s2-ix.218.172b · Cited by 903
Nurse Moral Distress: a proposed theory and research agenda
Corley, M. C. (2002) · Nursing Ethics · doi:10.1191/0969733002ne557oa · Cited by 735 · cited 1×
“This sense of powerlessness “fits” the classic definition of moral distress, where one knows the morally correct course of action but cannot carry it out due to situational and/or other internal and external constraints (Corley 2002; Corley et al. 2005).”
BackgroundNurse Moral Distress and Ethical Work Environment
Corley, M. C., Minick, P., Elswick, R. K., & Jacobs, M. (2005) · Nursing Ethics · doi:10.1191/0969733005ne809oa · Cited by 593 · cited 2×
“This sense of powerlessness “fits” the classic definition of moral distress, where one knows the morally correct course of action but cannot carry it out due to situational and/or other internal and external constraints (Corley 2002; Corley et al. 2005).”
BackgroundUlrich, C. M., O’Donnell, P., Taylor, C., Farrar, A., Danis, M., & Grady, C. (2007) · Social Science & Medicine · doi:10.1016/j.socscimed.2007.05.050 · Cited by 373 · cited 4×
“…acute and long-term care (Crego & Lipp 1998; Burns et al. 2001; Redman & Fry 2003); conflict resolution in parent-childprovider relationships in pediatric care (Butz et al. 1998); and physician collaboration, autonomy, and insurance constraints in advanced practice (Laabs 2005; Ulrich et al. 2007).”
BackgroundMethodInfluentialSelf-citationThe Role of Chemotherapy at the End of Life: “When Is Enough, Enough?”
Harrington, S. E., & Smith, T. J. (2008) · JAMA · doi:10.1001/jama.299.22.2667 · Cited by 280 · cited 1×
“Harrington and Smith (2008) note that “even clinicians who are well trained and skilled at giving bad news can find it burdensome and emotionally J Adv Nurs.”
Background
Research works printed but not linked: 5
- American Association for Public Opinion Research, 2000, Standard Definitions Final Dispositions of Case Codes and Outcome Rates for Surveys
- Anonymous, 2009, Health Affairs
- Pellegrino E.D., 1988, For the Patient’s Good
- Rheaume C., 2009, Understanding stress and its management, The LTC Nurse’s Companion, 7, 1
- Scanlon C., 1994, Survey yields significant results, American Nurses Association Center for Ethics and Human Rights Communique, 3, 1
Cited by
Sorted by citations
Hashish, E. A. A. (2015) · Nursing Ethics · doi:10.1177/0969733015594667 · Cited by 265
“Nursing is a profession vital to the health and well-being of all nations and is the backbone of any healthcare system.(1) Monitoring nurses’ working conditions and improving the organizational climate of hospitals are likely to improve the safety of the employee and the profitability of the hospital through improved…”
BackgroundAndersson, H., Svensson, A., Frank, C., Rantala, A., Holmberg, M., & Bremer, A. (2022) · BMC Medical Ethics · doi:10.1186/s12910-022-00766-z · Cited by 338
“This, in turn, might lead to compromised moral integrity and generate moral distress [11, 15, 16], as these reactions result from acting or not acting on the basis of one’s own sense of right and wrong [17].”
BackgroundMethodMason, V. M., Leslie, G., Clark, K. A., Lyons, P., Walke, E., Butler, C., & Griffin, M. (2014) · Dimensions of Critical Care Nursing · doi:10.1097/dcc.0000000000000056 · Cited by 260
Ethical competence: An integrative review
Lechasseur, K., Caux, C., Dollé, S., & Legault, A. (2018) · Nursing Ethics · doi:10.1177/0969733016667773 · Cited by 177
“Ulrich et al.(67) Stagg(68) Milton(69) Hoyt(70) Gropelli,(71) McCrink,(72) Fairchild(73) Reagan,(74) Park,(5) Milton(21) Callister et al.”
Ethical dilemmas in nursing: An integrative review
Rainer, J., Schneider, J. K., & Lorenz, R. A. (2018) · Journal of Clinical Nursing · doi:10.1111/jocn.14542 · Cited by 192
“, 2010), not meeting patient desires/ rights (Cooper et al., 2004; Ulrich et al., 2010), poor communication or lack of communication/honesty (Cooper et al.”
BackgroundInfluential
Metadata
- Authors
- Ulrich, C. M., Taylor, C., Soeken, K., O’Donnell, P., Farrar, A., Danis, M., & Grady, C.
- Affiliations
- Leonard Davis Institute of Health Economics (US)
- Georgetown University (US)
- University of Maryland, Baltimore (US)
- Inova Health System (US)
- National Institutes of Health (US)
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2010-08-23
- Volume
- 66
- Issue
- 11
- Pages
- 2510-2519
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- PMC
- PMC3865804
- OpenAlex
- W1851293454
- Cited by
- 305
- References
- 31
- Citations by year
- 2026: 14 · 2025: 22 · 2024: 34 · 2023: 32 · 2022: 36 · 2021: 18 · 2020: 24 · 2019: 17 · 2018: 17 · 2017: 18 · 2016: 19 · 2015: 18 · 2014: 15 · 2013: 7 · 2012: 10
- FWCI
- 11.94
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Funders
- National Institutes of Health (Z99CL999999)
- Topics
- Health Sciences › Health Professions › General Health Professions › Ethics in medical practice
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- nursing ethics, ethical stress, nurses, patient rights, informed consent, patient autonomy, staffing patterns, advance care planning, surrogate decision-making, patient confidentiality, end-of-life decisions, nurse retention
- MeSH terms
- Age Factors, Burnout, Professional, Clinical Competence, Cross-Sectional Studies, Decision Making, Ethics, Nursing, Female, Humans, Job Satisfaction, Male, Middle Aged, Nursing Staff, Personnel Staffing and Scheduling, Personnel Turnover, Surveys and Questionnaires, Terminal Care, United States, Nursing Research, Advance Directives, Conflict of Interest, Bioethical Issues, Patient Rights
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
A language model drew the claims from the paper on 2026-09-28, under version 3 of the claim definition (prompt extract-v3).
A second model labelled each claim on 2026-09-28 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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