{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T00:32:49Z","timestamp":1759969969335,"version":"build-2065373602"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Hamadan University of Medical Science","award":["IR.UMSHA.REC. 1402.261","IR.UMSHA.REC. 1402.261","IR.UMSHA.REC. 1402.261","IR.UMSHA.REC. 1402.261","IR.UMSHA.REC. 1402.261"],"award-info":[{"award-number":["IR.UMSHA.REC. 1402.261","IR.UMSHA.REC. 1402.261","IR.UMSHA.REC. 1402.261","IR.UMSHA.REC. 1402.261","IR.UMSHA.REC. 1402.261"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Ethics"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Ethical competence leads to the provision of principled and ethical care, which subsequently improves health and increases patient satisfaction. Among these, the cardiac operating room is one of the most challenging and stressful therapeutic environments, in which the ethical competencies of healthcare professionals can significantly impact the performance and quality of care. Therefore, it is critical to describe healthcare professionals\u2019 experiences in the operating room regarding ethical competency. The present study aimed to investigate the experiences and perceptions of ethical competency among healthcare professionals in a cardiac operating room.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This qualitative research project utilized a phenomenological design and included 23 participants selected through purposeful sampling. Data were collected from July 2023 to March 2024. Sampling continued until data saturation was achieved. Data were collected through semi-structured interviews. The collected data were analyzed using the Colaizzi approach.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The mean age of the participants was 36.64\u2009\u00b1\u20093.53 years. Three final themes with ten theme clusters \u201crespect to the dignity of the patient (respecting the patient\u2019s identity, respecting physical and sexual privacy, protecting information privacy), promoting the patient\u2019s mental health (paying attention to the patient\u2019s independence, providing comprehensive information, compassion) and expansion of moral obligations (promoting moral courage, avoiding discrimination, expansion ethical and principled care, promotion of ethical knowledge) were extracted from the data.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>According to this research, respecting the dignity of patients, paying attention to their identity and privacy, and promoting mental health and professional support are the most important indicators of ethical competence, which are associated with developing moral courage and fair and thoughtful decision-making in healthcare professionals. Based on this, officials and policymakers can take fundamental steps towards achieving and promoting the ethical competence of healthcare providers by creating fair policies that preserve human dignity and adhere to the principles of professional ethics.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Clinical trial number<\/jats:title>\n            <jats:p>Not applicable.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s12910-025-01295-1","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T09:11:11Z","timestamp":1759914671000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ethical competence: the cornerstone of care in the cardiac operating room, a phenomenological study"],"prefix":"10.1186","volume":"26","author":[{"given":"Seyed Kianoosh","family":"Hosseini","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fateme","family":"Mohammadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seyed Reza","family":"Borzou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mostafa","family":"Bijani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seyedeh Zahra","family":"Masoumi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"issue":"6","key":"1295_CR1","doi-asserted-by":"publisher","first-page":"694","DOI":"10.1177\/0969733016667773","volume":"25","author":"K Lechasseur","year":"2018","unstructured":"Lechasseur K, Caux C, Doll\u00e9 S, Legault A. 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The research code for the current study is 140207256120. All methods were performed in accordance with the relevant guidelines and regulations, and all the research methods met the ethical guidelines described in the Declaration of Helsinki. Also, at the beginning of each interview, the researcher introduced herself, explained the study's goals, and provided assurance that all information would remain confidential and that they could withdraw from the study at any time. The researchers allowed participants to inform the researcher about their withdrawal from the study at any stage. They assured them that their lack of participation or withdrawal would not have any consequences for them. Finally, the written informed consent was obtained from study participants.\u00a0","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"128"}}