{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T02:56:15Z","timestamp":1773975375401,"version":"3.50.1"},"reference-count":44,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Texto contexto - enferm."],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:p>The study's objectives were: to seek evidence on ethical situations experienced by nurses in the health services; to identify the coping resources which they use; and to ascertain the role of ethical competence in coping with moral distress. The integrative literature review was used as the method. The search was made in the LILACS, IBECS, MEDLINE, SciELO, CINAHL, PubMed, RCAAP and BDTD databases. A total of 23 studies was selected, based on previously established inclusion and exclusion criteria. The results indicate ethical questions experienced by the nurses in their relations with patients and family members, the team and the health system. Coping resources used by the professionals and implemented by the researchers are described. It may be concluded that the ethical challenges and moral distress are present in the nurses' work context, and the strategies aimed at promoting ethical competence, have positive consequences in coping with, and in reducing, levels of moral distress.<\/jats:p>","DOI":"10.1590\/0104-07072015001032014","type":"journal-article","created":{"date-parts":[[2015,7,19]],"date-time":"2015-07-19T03:03:44Z","timestamp":1437275024000},"page":"563-573","source":"Crossref","is-referenced-by-count":19,"title":["Ethical competence as a coping resource for moral distress in nursing"],"prefix":"10.1590","volume":"24","author":[{"given":"Rafaela","family":"Schaefer","sequence":"first","affiliation":[{"name":"Catholic University of Portugal, Portugal"}]},{"given":"Margarida","family":"Vieira","sequence":"additional","affiliation":[{"name":"UCP, Portugal"}]}],"member":"530","reference":[{"issue":"4","key":"ref1","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1177\/096973300000700409","article-title":"Nurses' ethical conflicts: what is really known about them?","volume":"7","author":"Redman BK","year":"2000","journal-title":"Nurs Ethics"},{"key":"ref2","series-title":"Bio\u00e9tica","author":"Segre M","year":"2002"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1590\/S0104-07072009000100020","article-title":"A dimens\u00e3o \u00e9tica do agir e as quest\u00f5es da qualidade colocadas face aos cuidados de enfermagem","volume":"; 18","author":"Mendes G","year":"2009","journal-title":"Texto Contexto Enferm"},{"issue":"4","key":"ref4","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1191\/0969733005ne809oa","article-title":"Nurse moral distress and ethical work environment","volume":"; 12","author":"Corley MC","year":"2005","journal-title":"Nurs Ethics"},{"issue":"3","key":"ref5","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1177\/0969733012462049","article-title":"Moral distress in nursing: contributing factors, outcomes and interventions","volume":"; 20","author":"Burston AS","year":"2013","journal-title":"Nurs Ethics"},{"issue":"6","key":"ref6","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1191\/0969733002ne557oa","article-title":"Nurse moral distress: a proposed theory and research agenda","volume":"; 9","author":"Corley MC","year":"2002","journal-title":"Nurs Ethics"},{"issue":"4","key":"ref7","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1177\/0969733011408041","article-title":"The ethical component of professional competence in nursing: an analysis","volume":"; 18","author":"Paganini MC","year":"2011","journal-title":"Nurs Ethics"},{"key":"ref8","series-title":"Fundamentos de pesquisa em Enfermagem: avalia\u00e7\u00e3o de evid\u00eancia para a pr\u00e1tica da enfermagem.","author":"Polit DF","year":"2011","edition":"7\u00aa ed"},{"key":"ref9","first-page":"125","article-title":"The Discovery of deliberation From ambiguity to appreciation through the learning process of doing Moral Case Deliberation in Dutch elderly care","volume":"; 83","author":"Dam SVD","year":"2013","journal-title":"Soc Sci Med"},{"issue":"5","key":"ref10","article-title":"Effect of education based on the \"4A Model\" on the Iranian nurses' moral distress in CCU wards","volume":"; 6","author":"Molazem Z","year":"2013","journal-title":"J Med Ethics Hist Med"},{"key":"ref11","series-title":"A \u00e9tica das rela\u00e7\u00f5es: percep\u00e7\u00e3o de m\u00e9dicos e enfermeiros sobre os conflitos na pr\u00e1tica profissional","author":"Pimentel D","year":"2013"},{"issue":"1","key":"ref12","first-page":"293","article-title":"Sofrimento moral no cotidiano da enfermagem: tra\u00e7os ocultos de poder e resist\u00eancia","volume":"; 21","author":"Barlem ELD","year":"2013","journal-title":"Rev. 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