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How Community Nurses Manage Ethical Conflicts

A Grounded Theory Study

Bibliographic Data

ID15736723
AuthorsCaroline Porr (0000-0002-0887-2116, Memorial University of Newfoundland, corresponding author), Alice Gaudine (0000-0002-0160-7424, Memorial University of Newfoundland), Kevin Woo (0000-0001-8676-5757, Queen's University), Joanne Smith-Young (0000-0001-5909-5444, Memorial University of Newfoundland), Candace Green (0000-0002-9612-3528, Memorial University of Newfoundland)
Year2019
Volume6
Pages2333393619894958-2333393619894958
Publication date2019-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Qualitative Nursing Research (JOURNAL)
Journal identifiersISSN: 2333-3936 • E-ISSN: 2333-3936
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/2333393619894958
PMID31909092
OpenAlexW2997034536
LanguageEN
Citations received3
References cited26

Research is limited on how nurses in community settings manage ethical conflicts. To address this gap, we conducted a study to uncover the process of behaviors enacted by community nurses when experiencing ethical conflicts. Guided by Glaserian grounded theory, we developed a theoretical model (Moral Compassing) that enables us to explain the process how 24 community nurses managed challenging ethical situations. We discovered that the main concern with which nurses wrestle is moral uncertainty ("Should I be addressing what I think is a moral problem?"). Moral Compassing comprises processes that resolve this main concern by providing community nurses with the means to attain the moral agency necessary to decide to act or to decide not to act. The processes are undergoing a visceral reaction, self-talk, seeking validation , and mobilizing support for action or inaction . We also discovered that community nurses may experience continuing distress that we labeled moral residue

Action (physics · Agency (philosophy · Engineering ethics · Grounded theory · Moral agency · Moral disengagement · Political science · Process (computing · Public relations · Qualitative research · Sociology · Ethics and Legal Issues in Pediatric Healthcare · Ethics in medical practice · Medicine · Nursing · Patient Dignity and Privacy · Psychology · Social Psychology

  • Relationship-based moral judgments

    Mahsa Mehdizadeh, Zohreh Khosravi et al.•Philosophical Psychology•2022

  • Moral distress

    Open Access•Charles Brockden Brown, Cullin Brown et al.•Medicine Health Care and Philosophy•2026

  • Perceiving Ethical Discomfort Triggered by Situations that Resist Meaning in Community Mental Health Settings

    Open Access•Marie-Claude Jacques, Jacques Quintin et al.•Community Mental Health Journal•2024

  • What is ‘moral distress’? A narrative synthesis of the literature

    Open Access•Georgina Morley, Jonathan Ives et al.•Nursing Ethics•2019

  • Ethically adrift

    Open Access•Celia Moore, Francesca Gino•Research in Organizational Behavior•2013

  • The Discovery of Grounded Theory

    Barney G Glaser, Anselm L Strauss•Discovery of Grounded Theory•2017

Unique citing works3
Citations per year0,75
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3

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Open DOISci-HubOpen Access
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