{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T08:02:36Z","timestamp":1773129756630,"version":"3.50.1"},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Texto contexto - enferm."],"abstract":"<jats:p>ABSTRACT  Objective: to understand hospital nurse managers\u2019 ethical problems from the perspective of Macintyre\u2019s virtue ethics.  Method: qualitative research of the single case study type, encompassed by Alasdair Macintyre\u2019s theoretical framework of virtue ethics. Sixteen nurses in management positions participated in the study for a minimum period of six months. The setting was a university hospital in Belo Horizonte, Brazil. Data were collected between August and October 2021, through individual interviews with a semi-structured script and document analysis, analyzed using Bardin\u2019s content analysis. Two categories of ethical problems emerged from the thematic analysis linked to violations of care values: internal goods; and linked to breaking norms, patterns of behavior and interpersonal relationships: external goods.  Results:  the ethical problem is present in care, in relationships and in the institution. When referring to the profession\u2019s internal assets, ethical problems are characterized as a violation of care values: denial of assistance, negligent and reckless actions or violation of the rights of professionals, patients, staff and institutions. When referring to external goods, such problems are linked to interruption of norms, inappropriate actions and behaviors or ethical conduct questioned and disrespected by professionals.  Conclusion: nurse managers understand ethical problems as circumstances that generate opposition to actions considered correct and that go against what is proper to nurses and against their duty, negatively affecting professionals, patient care, the institution and the public service.<\/jats:p>","DOI":"10.1590\/1980-265x-tce-2024-0045en","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T07:47:20Z","timestamp":1729496840000},"source":"Crossref","is-referenced-by-count":1,"title":["NURSE MANAGERS\u2019 ETHICAL PROBLEMS IN HOSPITAL SETTINGS: AN ANALYSIS FROM THE MACINTYRIAN PERSPECTIVE"],"prefix":"10.1590","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0445-4822","authenticated-orcid":false,"given":"Simone Graziele Silva","family":"Cunha","sequence":"first","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8076-8276","authenticated-orcid":false,"given":"S\u00e9rgio","family":"Deodato","sequence":"additional","affiliation":[{"name":"Universidade Cat\u00f3lica Portuguesa,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0077-2292","authenticated-orcid":false,"given":"Fl\u00e1via Regina Souza","family":"Ramos","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Catarina,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6219-3301","authenticated-orcid":false,"given":"Carolina da Silva","family":"Caram","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9183-1982","authenticated-orcid":false,"given":"Maria Jos\u00e9 Menezes","family":"Brito","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","DOI":"10.1590\/1980-265x-tce-2023-0059en","article-title":"Challenges faced by nurse-managers at work in brazilian and portuguese hospitals: A mixed-methods study","volume":"32","author":"Vandresen L","year":"2023","journal-title":"Texto Contexto Enferm"},{"issue":"1","key":"ref2","first-page":"211","article-title":"Nurse managers in the Unified Health System: Profile and prospects with emphasis on the 2017-2020","volume":"25","author":"Carvalho ALB","year":"2020","journal-title":"Ci\u00eanc Sa\u00fade Coletiva"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1177\/0969733019832941","article-title":"Nurses experiences of ethical dilemmas: A review","volume":"27","author":"Haahr A","year":"2020","journal-title":"Nurs Ethics"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"2424","DOI":"10.1111\/jonm.13810","article-title":"The status of ethical behavior in clinical nursing in three Chinese hospitals: a qualitative interview study","volume":"30","author":"Wang S","year":"2022","journal-title":"J Nurs Manag"},{"key":"ref5","article-title":"Ethical problems experienced by nurse managers in the pandemic of COVID-19 in university hospital","volume":"24","author":"Cunha SGS","year":"2023","journal-title":"Rev Rene"},{"key":"ref6","article-title":"Ethical issues experienced by nurses during covid-19: Relationship with moral distress","volume":"32","author":"Yasin JCM","year":"2023","journal-title":"Texto Contexto Enferm"},{"key":"ref7","doi-asserted-by":"crossref","DOI":"10.1016\/j.jemep.2022.100796","article-title":"Ethical problems among nurses during pandemics: A study from turkey","volume":"22","author":"Soylar P","year":"2022","journal-title":"Ethics Med Public Health"},{"key":"ref8","doi-asserted-by":"crossref","DOI":"10.1590\/1983-1447.2019.20190080","article-title":"Professional practice of nurses and influences on moral sensitivity","volume":"41","author":"Moreira DA","year":"2020","journal-title":"Rev Gaucha Enferm"},{"issue":"2","key":"ref9","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1177\/09697330211033408","article-title":"The process of moral distress development: A virtue ethics perspective","volume":"29","author":"Caram CS","year":"2022","journal-title":"Nurs Ethics"},{"issue":"1","key":"ref10","doi-asserted-by":"crossref","DOI":"10.1186\/s12912-022-00834-0","article-title":"The relationship between moral sensitivity and caring behavior among nurses in Iran during COVID-19 pandemic","volume":"21","author":"Hajibabaee F","year":"2022","journal-title":"BMC Nurs"},{"issue":"2","key":"ref11","article-title":"The relationship between ethical climate of hospital and moral courage of nursing staff","volume":"16","author":"Taraz Z","year":"2019","journal-title":"Electron J Gen Med"},{"issue":"2","key":"ref12","doi-asserted-by":"crossref","DOI":"10.15448\/1983-4012.2021.2.38876","article-title":"Retorno \u00e0 \u00e9tica das virtudes segundo Alasdair Macintyre","volume":"14","author":"Guerra J\u00c1","year":"2021","journal-title":"Intuitio"},{"issue":"1","key":"ref13","doi-asserted-by":"crossref","first-page":"210","DOI":"10.5585\/prismaj.v19n2.16991","article-title":"A concep\u00e7\u00e3o de racionalidade e justi\u00e7a em Alasdair Macintyre","volume":"19","author":"Borile GO","year":"2020","journal-title":"Prisma Jur"},{"issue":"1","key":"ref14","doi-asserted-by":"crossref","first-page":"281","DOI":"10.12775\/SetF.2022.014","article-title":"Valoraci\u00f3n \u00e9tica de la modernidad seg\u00fan Alasdair Macintyre","volume":"10","author":"Camacho JMM","year":"2022","journal-title":"SetF"},{"key":"ref15","series-title":"Estudo de caso: planejamento e m\u00e9todos","author":"Yin RK","year":"2014","edition":"5"},{"key":"ref16","series-title":"Fundamentos de pesquisa em enfermagem: Avalia\u00e7\u00e3o de evid\u00eancias para a pr\u00e1tica da enfermagem","author":"Polit DF","year":"2018","edition":"9"},{"issue":"2","key":"ref17","first-page":"655","article-title":"The use of multiple triangulations as a validation strategy in a qualitative study","volume":"25","author":"Santos KS","year":"2020","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref18","series-title":"An\u00e1lise de Conte\u00fado","author":"Bardin L","year":"2011","edition":"1"},{"issue":"16","key":"ref19","first-page":"34","article-title":"Felicidade e virtude: Notas sobre a \u00e9tica de Arist\u00f3teles","volume":"2","author":"Oliveira LA","year":"2018","journal-title":"APRENDER"},{"issue":"15-16","key":"ref20","first-page":"4408","article-title":"Ethical conflict in nursing: A concept analysis","volume":"32","author":"Lui Y","year":"2022","journal-title":"J Clin Nurs"},{"issue":"4","key":"ref21","first-page":"590","article-title":"Equity in the daily work of the SUS: Social representations of Primary Health Care professionals","volume":"28","author":"Carvalho AMP","year":"2020","journal-title":"Cad Sa\u00fade Colet"},{"issue":"3","key":"ref22","doi-asserted-by":"crossref","DOI":"10.1590\/0034-7167-2019-0783","article-title":"Reflections on equity and its applicability to the nursing work process","volume":"73","author":"Silva NC","year":"2020","journal-title":"Rev Bras Enferm"},{"issue":"1","key":"ref23","doi-asserted-by":"crossref","DOI":"10.1186\/s12910-020-00558-3","article-title":"Moral neutralization: Nurses\u00b4evolution in unethical climate workplaces","volume":"21","author":"Hakimi H","year":"2020","journal-title":"BMC Med Ethics"},{"issue":"14","key":"ref24","doi-asserted-by":"crossref","first-page":"890","DOI":"10.51723\/hrj.v3i14.317","article-title":"Conflitos \u00e9ticos-morais na assist\u00eancia de enfermagem no per\u00edodo perioperat\u00f3rio","volume":"3","author":"Ara\u00fajo IA","year":"2022","journal-title":"Health Resid J"},{"issue":"2","key":"ref25","first-page":"78","article-title":"Os desafios na gest\u00e3o hospitalar","volume":"3","author":"Parente ZS","year":"2019","journal-title":"Multi Debates"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"2424","DOI":"10.1111\/jonm.13810","article-title":"The status of ethical behavior in clinical nursing in three Chinese hospitals: A qualitative interview study","volume":"30","author":"Wang S","year":"2022","journal-title":"J Nurs Manag"},{"issue":"3","key":"ref27","article-title":"Ethics in nursing: Categorization of legal processes","volume":"57","author":"Ues LV","year":"2022","journal-title":"Rev Bras Enferm"},{"key":"ref28","article-title":"Analysis of ethical issues: Criminal acts in nursing practice","volume":"34","author":"Mattozinho FCB","year":"2021","journal-title":"Acta Paul Enferm"},{"issue":"1","key":"ref29","article-title":"Retos \u00e9ticos para los administradores en salud en la \u00e9poca contempor\u00e1nea","volume":"40","author":"Medina ML","year":"2022","journal-title":"Rev Fac Nac Salud P\u00fablica"}],"container-title":["Texto &amp; Contexto - Enfermagem"],"original-title":["PROBLEMAS \u00c9TICOS DE ENFERMEIRAS GESTORAS NO CONTEXTO HOSPITALAR: UMA AN\u00c1LISE NA PERSPECTIVA MACINTYRIANA"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-07072024000100349&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T07:47:28Z","timestamp":1729496848000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-07072024000100349&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":29,"alternative-id":["S0104-07072024000100349"],"URL":"https:\/\/doi.org\/10.1590\/1980-265x-tce-2024-0045en","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1980-265x-tce-2024-0045pt","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1980-265x-tce-2024-0045pt","asserted-by":"object"}]},"ISSN":["1980-265X","0104-0707"],"issn-type":[{"value":"1980-265X","type":"electronic"},{"value":"0104-0707","type":"print"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e20240045"}}