{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T04:47:55Z","timestamp":1771649275112,"version":"3.50.1"},"reference-count":52,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,7,14]],"date-time":"2019-07-14T00:00:00Z","timestamp":1563062400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Research Support Grant School of Nursing University of Barcelona"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nurs Ethics"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec><jats:title>Introduction:<\/jats:title><jats:p> Ethical conflict is a phenomenon that has been under study over the last three decades, especially the types moral dilemma and moral distress in the field of nursing care. However, ethical problems and their idiosyncrasies need to be further explored. <\/jats:p><\/jats:sec><jats:sec><jats:title>Aim:<\/jats:title><jats:p> The objectives of this study were, first, to obtain a transcultural Portuguese-language adaptation and validation of the Ethical Conflict Nursing Questionnaire\u2013Critical Care Version and, second, to analyse Portuguese critical care nurses\u2019 level of exposure to ethical conflict and its characteristics. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> A cross-cultural validation and descriptive, prospective and correlational study. The sample was made for 184 critical care nurses in 2016. <\/jats:p><\/jats:sec><jats:sec><jats:title>Ethical Considerations:<\/jats:title><jats:p> The study was authorised by Bioethics Commission of the University of Barcelona, the Associa\u00e7\u00e2o de Apoio ao Servi\u00e7o de Cuidados Intensivos do Centro Hospitalar do Porto and the Sociedade Portuguesa de Enfermagem de Sa\u00fade Mental. <\/jats:p><\/jats:sec><jats:sec><jats:title>Findings:<\/jats:title><jats:p> The Portuguese version of the Ethical Conflict Nursing Questionnaire\u2013Critical Care Version was a valid and reliable instrument to measure exposure to conflict. Moral outrage was the most common type of conflict. The most problematic situations were the ineffectiveness of analgesic treatments, the administration of treatments considered futile and the mismanagement of resources. <\/jats:p><\/jats:sec>","DOI":"10.1177\/0969733019857785","type":"journal-article","created":{"date-parts":[[2019,7,15]],"date-time":"2019-07-15T03:56:51Z","timestamp":1563163011000},"page":"537-553","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Ethical conflicts and their characteristics among critical care nurses"],"prefix":"10.1177","volume":"27","author":[{"given":"Teresa","family":"Lluch-Canut","sequence":"first","affiliation":[{"name":"University of Barcelona, Spain"}]},{"given":"Carlos","family":"Sequeira","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem do Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3702-3009","authenticated-orcid":false,"given":"Anna","family":"Falc\u00f3-Pegueroles","sequence":"additional","affiliation":[{"name":"University of Barcelona, Spain"}]},{"given":"Jos\u00e9 Ant\u00f3nio","family":"Pinho","sequence":"additional","affiliation":[{"name":"Centro Hospitalar Santo Ant\u00f3nio do Porto, Portugal"}]},{"given":"Albina","family":"Rodrigues-Ferreira","sequence":"additional","affiliation":[{"name":"Centro Hospitalar San Jo\u00e2o do Porto, Portugal"}]},{"given":"Joan Gu\u00e0rdia","family":"Olmos","sequence":"additional","affiliation":[{"name":"University of Barcelona, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7895-6083","authenticated-orcid":false,"given":"Juan","family":"Roldan-Merino","sequence":"additional","affiliation":[{"name":"Campus Docent Sant Joan de D\u00e9u Fundaci\u00f3 Privada, Spain"}]}],"member":"179","published-online":{"date-parts":[[2019,7,14]]},"reference":[{"key":"bibr1-0969733019857785","volume-title":"Nursing Practice: The Ethical Issues","author":"Jameton A","year":"1984"},{"key":"bibr2-0969733019857785","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2015.10.004"},{"key":"bibr3-0969733019857785","volume-title":"Bioethics a Nursing Perspective","author":"Johnstone MG","year":"2009","edition":"5"},{"key":"bibr4-0969733019857785","volume-title":"Ethics and Issues in Contemporary Nursing","author":"Burkhardt MA","year":"2010"},{"issue":"28","key":"bibr5-0969733019857785","first-page":"1260","volume":"7","author":"Rittenmeyer L","year":"2009","journal-title":"JBI Libr Syst Rev"},{"key":"bibr6-0969733019857785","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2015476"},{"key":"bibr7-0969733019857785","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2008.04702.x"},{"key":"bibr8-0969733019857785","doi-asserted-by":"publisher","DOI":"10.1177\/0969733014557139"},{"key":"bibr9-0969733019857785","doi-asserted-by":"publisher","DOI":"10.1111\/bioe.12064"},{"key":"bibr10-0969733019857785","doi-asserted-by":"publisher","DOI":"10.1191\/0969733002ne557oa"},{"key":"bibr11-0969733019857785","doi-asserted-by":"publisher","DOI":"10.1191\/0969733003ne608oa"},{"key":"bibr12-0969733019857785","doi-asserted-by":"publisher","DOI":"10.1177\/0969733014549883"},{"key":"bibr13-0969733019857785","first-page":"16","volume":"23","author":"Wilkinson JM","year":"1989","journal-title":"JOGNN"},{"key":"bibr14-0969733019857785","unstructured":"Falc\u00f3-Pegueroles A. 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