{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T20:10:46Z","timestamp":1792181446879,"version":"4.4.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,8,14]],"date-time":"2017-08-14T00:00:00Z","timestamp":1502668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nurs Ethics"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Research suggests that nurses generally do not participate in ethical decision-making in accordance with ethical guidelines for nurses. In addition to completing their training, nurses need to reflect on and use ethically grounded arguments and defined ethical values such as patient\u2019s dignity in their clinical work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The purpose of this article is to gain a deeper understanding of how nurses deal with ethical decision-making in daily practice. The chosen research question is \u201cHow do nurses participate in ethical decision-making for the patient?\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and method:<\/jats:title>\n                    <jats:p>We use Gadamer\u2019s philosophical hermeneutics as well as Kvale and Brinkmann\u2019s three levels of understanding in interpreting the data material. Nine registered nurses were interviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethical considerations:<\/jats:title>\n                    <jats:p>The Ombudsman of Norwegian Social Science Data and the head of the hospital approved the investigation. The participants received both oral and written information about the study and they gave their consent. We informed the participants that the participation was voluntary and that they were free to withdraw at any point in the course of the study. The requirement of anonymity and proper data storage was in accordance with the World Medical Association Declaration of Helsinki (1964). The participants were assured that privacy, and confidentiality would be duly protected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Four key themes emerged: (1) confusion in relation to professional and operational expectations of role, (2) ideal somnolence, (3) inadequate argumentation skills, and (4) compound pressure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Ethical ideals appear to be latent in the mindset of the participants; however, the main finding of this investigation is that nurses need to activate the ideals and apply them into practice. Furthermore, management needs to initiate professional reasoning and interdisciplinary discussions leading to common goals for patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0969733017720827","type":"journal-article","created":{"date-parts":[[2017,8,14]],"date-time":"2017-08-14T06:00:08Z","timestamp":1502690408000},"page":"715-727","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Hindrances to achieve professional confidence: The nurse\u2019s participation in ethical decision-making"],"prefix":"10.1177","volume":"26","author":[{"given":"Anne","family":"Storaker","sequence":"first","affiliation":[{"name":"Oslo and Akershus University College, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dagfinn","family":"N\u00e5den","sequence":"additional","affiliation":[{"name":"Oslo and Akershus University College, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berit","family":"S\u00e6teren","sequence":"additional","affiliation":[{"name":"Oslo and Akershus University College, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,8,14]]},"reference":[{"key":"bibr1-0969733017720827","volume-title":"Yrkesetiske retningslinjer for sykepleiere","author":"Norsk Sykepleierforbund","year":"2011"},{"key":"bibr2-0969733017720827","volume-title":"The International Nurses Code of Ethics 2017","author":"International Council of Nurses","year":"2017"},{"key":"bibr3-0969733017720827","author":"Storaker Anne","year":"2016","journal-title":"Nursing Ethics"},{"key":"bibr4-0969733017720827","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2009.12.010"},{"key":"bibr5-0969733017720827","doi-asserted-by":"publisher","DOI":"10.1177\/0969733014560931"},{"key":"bibr6-0969733017720827","doi-asserted-by":"publisher","DOI":"10.5480\/1536-5026-33.1.10"},{"key":"bibr7-0969733017720827","doi-asserted-by":"publisher","DOI":"10.1177\/0969733014534873"},{"key":"bibr8-0969733017720827","doi-asserted-by":"publisher","DOI":"10.5480\/13-1195"},{"key":"bibr9-0969733017720827","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2010.05425.x"},{"key":"bibr10-0969733017720827","doi-asserted-by":"publisher","DOI":"10.1191\/0969733002ne557oa"},{"key":"bibr11-0969733017720827","doi-asserted-by":"publisher","DOI":"10.1177\/0969733013505312"},{"key":"bibr12-0969733017720827","doi-asserted-by":"publisher","DOI":"10.1177\/0969733014542674"},{"key":"bibr13-0969733017720827","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12213"},{"key":"bibr14-0969733017720827","doi-asserted-by":"publisher","DOI":"10.1177\/0969733015583184"},{"key":"bibr15-0969733017720827","doi-asserted-by":"publisher","DOI":"10.1177\/0969733011412099"},{"key":"bibr16-0969733017720827","doi-asserted-by":"publisher","DOI":"10.1177\/0969733014547972"},{"key":"bibr17-0969733017720827","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1800.2007.00357.x"},{"key":"bibr18-0969733017720827","doi-asserted-by":"publisher","DOI":"10.7748\/nm2012.04.19.1.32.c9015"},{"key":"bibr19-0969733017720827","doi-asserted-by":"publisher","DOI":"10.4135\/9781452204840"},{"key":"bibr20-0969733017720827","volume-title":"Sannhet og metode: grunntrekk i en filosofisk hermeneutikk","author":"Gadamer H-G","year":"2012"},{"key":"bibr21-0969733017720827","volume-title":"Interview: introduktion til et h\u00e5ndv\u00e6rk","author":"Kvale S","year":"2011"},{"key":"bibr22-0969733017720827","volume-title":"Sannhet og metode: grunntrekk i en filosofisk hermeneutikk","author":"Gadamer H-G","year":"2010"},{"key":"bibr23-0969733017720827","volume-title":"Sensibilitet og refleksjon: filosofi og vitenskapsteori for helsefag","author":"Nortvedt P","year":"2004"},{"key":"bibr24-0969733017720827","doi-asserted-by":"publisher","DOI":"10.4037\/ccn2009436"},{"key":"bibr25-0969733017720827","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2011.05622.x"},{"issue":"1","key":"bibr26-0969733017720827","first-page":"31","volume":"25","author":"Streeton A","year":"2016","journal-title":"MEDSURG Nurs"},{"key":"bibr27-0969733017720827","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12597"},{"key":"bibr28-0969733017720827","unstructured":"Martinsen K. 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