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Cited by 28Ethics in medical practiceEthics and bioethics in healthcareEthics in Business and Education

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Barriers to ethical decision-making for pre-hospital care professionals

Torabi, Mohammad, Borhani, Fariba, Abbaszadeh, Abbas, Atashzadeh-Shoorideh, Foroozan·2020·Nursing Ethics
DOI 10.1177/0969733019848044
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Abstract

Background: Emergency care providers are frequently faces with situations in which they have to make decisions quickly in stressful situations. They face barriers to ethical decision-making and recognizing and finding solutions to these barriers helps them to make ethical decision. Objectives: The purpose of this study was to identify barriers of ethical decision-making in Iranian Emergency Medical Service personnel. Methods: In this qualitative research, the participants (n = 15) were selected using the purposive sampling method, and the data were collected by deep and semi-structured interviews. Finally, the data are analyzed using the content analysis approach. Ethical considerations: Permission to conduct the study was obtained from the Ethics Committee of the Shahid Beheshti University of Medical Sciences. The objectives of the study were explained to the participants and written consent was received from them. Also, participants were assured that necessary measures were taken to protect their anonymity and confidentiality. Findings: The results of the analysis are classified in five main categories. It encompasses the following areas: perception of situation, patient-related factors, input and output imbalance, uncoordinated health system, and paradoxes. Conclusion: Emergency Medical Service personnel make ethical decisions every day. It is important that prehospital personnel know how to manage those decisions properly so that clients’ moral rights are respected. Hence, by identifying the dimensions and obstacles of ethical decision-making in Emergency Medical Service personnel, it is possible to enhance the moral judgment and ethical accountability of the personnel and develop the strategies necessary for ethical decision-making in them.

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Metadata

Authors
Torabi, M., Borhani, F., Abbaszadeh, A., & Atashzadeh-Shoorideh, F.
Affiliations
  • Hamedan University of Medical Sciences (IR)
  • Shahid Beheshti University of Medical Sciences (IR)
  • Bam University of Medical Sciences (IR)
  • Shahid Beheshti University of Medical Sciences, Iran
Corresponding author
Borhani, Fariba
ORCID
Venue
Nursing Ethics
Publisher
SAGE Publications
Published
2019-06-11
Volume
27
Issue
2
Pages
407-418
ISSN
  • 0969-7330 (ISSN-L)
  • 1477-0989
DOI
10.1177/0969733019848044
OpenAlex
W2953241566
Cited by
28
References
0
Citations by year
2026: 3 · 2025: 6 · 2024: 9 · 2023: 5 · 2022: 4 · 2020: 1
FWCI
1.71
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Nursing Ethics (publishedVersion)
  • PubMed (publishedVersion)
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
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Ethics in Business and Education
Keywords
ethical decision-making, prehospital care, emergency medical services, moral judgment, ethical accountability, patient factors
MeSH terms
Adult, Decision Making, Emergency Medical Services, Female, Humans, Iran, Male, Surveys and Questionnaires, Ethics, Clinical, Qualitative Research

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CoChat. (2026). Citation check: Barriers to ethical decision-making for pre-hospital care professionals. https://app.cochat.ai/papers/10.1177/0969733019848044
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Torabi, M., Borhani, F., Abbaszadeh, A., & Atashzadeh-Shoorideh, F. (2020). Barriers to ethical decision-making for pre-hospital care professionals. Nursing Ethics. https://doi.org/10.1177/0969733019848044