Factors influencing ethical decision-making in nursing: A mixed-methods systematic review
Background Ethical decision-making in nursing significantly impacts population health, yet systematic analyses of factors influencing this process remain scarce.Aim The aim is to systematically evaluate factors influencing ethical decision-making in clinical care and provide a reference for follow-u...
| Autores principales: | ; ; |
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| Tipo de documento: | Electrónico Artículo |
| Lenguaje: | Inglés |
| Verificar disponibilidad: | HBZ Gateway |
| Interlibrary Loan: | Interlibrary Loan for the Fachinformationsdienste (Specialized Information Services in Germany) |
| Publicado: |
2026
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| En: |
Nursing ethics
Año: 2026, Volumen: 33, Número: 1, Páginas: 287-300 |
| Otras palabras clave: | B
Nursing
B influencing factors analysis B Patient Rights B Systematic Review B Mixed Methods B ethical decision-making |
| Acceso en línea: |
Volltext (lizenzpflichtig) |
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| 520 | |a Background Ethical decision-making in nursing significantly impacts population health, yet systematic analyses of factors influencing this process remain scarce.Aim The aim is to systematically evaluate factors influencing ethical decision-making in clinical care and provide a reference for follow-up nursing ethics education, medical institution management, and policy research in this field.Research Design This study was conducted using a mixed-methods systematic review design. In December 2024, we searched PubMed, Web of Science, Wanfang Data, VIP Database, and China National Knowledge Infrastructure for studies on factors influencing nursing ethical decision-making. The search covered records from each database?s inception to 1 December 2024. After literature screening and quality assessment, quantitative and qualitative data were extracted following the Joanna Briggs Institute Mixed-Methods Review guidelines. Core influencing factors were identified through thematic synthesis.Ethical Considerations Ethical review was not required for this study.Results Seventeen studies were included (13 quantitative and 4 qualitative). Thematic integration revealed four categories of influencing factors: nurse-related factors (e.g., professional identity perception), patient-related factors (e.g., clinical condition changes), team dynamics (e.g., collaboration among healthcare providers), and decision-making context (e.g., workload intensity), totaling 17 specific factors.Conclusion Nursing ethical decision-making is influenced by personal, patient-related, team-related, and contextual factors. Strategies to enhance this process include improving nurses? ethical competence, fostering teamwork, optimizing decision-making environments, and integrating findings into clinical practice. | ||
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| 650 | 4 | |a Patient Rights | |
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| 700 | 1 | |a Wang, Zhuyin |e VerfasserIn |4 aut | |
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