Ethical Challenges Associated with Caring for Sick Children Based on the Experiences of Nursing Students in Pediatric Wards: A Qualitative Content Analysis

Mehdipour-Rabori, Roghayeh; Nematollahi, Monirsadat; Bagherian, Behnaz; Esmaelzadeh, Fatemeh

doi:10.34172/jqr.2023.02

Document Type : Original Article

Authors

¹ Associate Professor, Nursing Research Center, Kerman University of Medical Science, Kerman, Iran

² Associate Professor, Department of Pediatric and Neonatal Intensive Care Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran

³ Assistant Professor, Department of Medical Surgical Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran

⁴ Assistant Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

10.34172/jqr.2023.02

Abstract

Background: Nurses working in pediatric wards face many challenges when caring for sick children of different ages due to their physical and mental needs, especially if they have not been trained professionally. Nursing students and nurses are faced with ethical challenges in pediatric wards, hence their experiences can help identify the ethical problems in the healthcare setting. Since the explanation of ethical challenges depends on the context and factors such as values, beliefs, and hospital culture, this study aimed to explain the ethical challenges associated with caring for sick children based on the experiences of nursing students.
Methods: This qualitative study used conventional content analysis to investigate the experiences of undergraduate and postgraduate nursing students and nurses working in pediatric wards selected by purposive sampling. Data collection tools were interviews and field notes. Data were categorized via MAXQDA10 and analyzed using conventional content analysis.
Results: The participants included 3 pediatric nurses and 17 nursing students. The mean age of the participants was 24.9 ± 1.2. The findings of the study revealed the main theme i.e., ethical challenges associated with caring for sick children, was classified into two main categories including care challenges and organizational constraints. Care challenges were classified into the following subcategories: feeling worried when caring for sick children, compassionate care, emotional needs of children, inattention to family-centered care, and insufficient capability of the healthcare team. Organizational constraints were classified into facility constraints and hospital managers’ inattention to the environmental design of pediatric wards.
Conclusion: The results of the study showed that the ethical challenges associated with caring for sick children were related to the healthcare team and organizational management. With the provision of appropriate training for nurses, as well as proper planning and implementation of policies to standardize the pediatric wards, nurses can provide nursing care to this age group with the least amount of moral distress.

Highlights

Roghayeh Mehdipour-Rabori (Google Scholar) (PubMed)

Monirsadat Nematollahi (Google Scholar) (PubMed)

Behnaz Bagherian (Google Scholar) (PubMed)

Fatemeh Esmaelzadeh (Google Scholar) (PubMed)

Keywords

References

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Journal of Qualitative Research in Health Sciences

Ethical Challenges Associated with Caring for Sick Children Based on the Experiences of Nursing Students in Pediatric Wards: A Qualitative Content Analysis

References

References

Volume 12, Issue 1
May 2023
Pages 9-16

Ethical Challenges Associated with Caring for Sick Children Based on the Experiences of Nursing Students in Pediatric Wards: A Qualitative Content Analysis

References

References

Volume 12, Issue 1May 2023Pages 9-16

Volume 12, Issue 1
May 2023
Pages 9-16