Nursing Ethics最新文献

{"title":"Ethical responsibility displacement: When treatment communication becomes separated from treatment authority.","authors":"Optimus Hurtig","doi":"10.1177/09697330261493485","DOIUrl":"https://doi.org/10.1177/09697330261493485","url":null,"abstract":"<p><p>BackgroundInterprofessional collaboration is a component of healthcare. However, responsibilities distributed across professional boundaries may create ethical challenges concerning decision-making authority, communication responsibility and professional accountability. Treatment decisions may be made by one professional while another communicates information and facilitates patient participation.AimThis theoretical article introduces Ethical Responsibility Displacement (ERD), a phenomenon in which ethical responsibility within patient-facing treatment dialogue becomes separated from the professional authority responsible for the underlying treatment decision.MethodsThe article uses a conceptual approach informed by Walker and Avant's strategies for theory construction in nursing, concept synthesis and concept analysis. Literature concerning interprofessional collaboration, nursing scope of practice, patient advocacy, informed decision-making, professional accountability and communication was examined to delineate ERD and distinguish it from concepts. Particular attention was given to the relationship between ethical responsibility, professional agency, information and authority.DiscussionERD may occur when a healthcare professional is expected to facilitate an informed treatment decision without access to the reasoning, risk-benefit assessment and decision-making authority underlying the recommendation. ERD does not imply transfer of authority or that nurses should exceed their scope of practice. It identifies an ethical asymmetry when communication responsibility is separated from decision-making authority. The concept distinguishes this phenomenon from moral distress, which may result when responsibility-authority mismatches constrain professional moral agency. ERD does not challenge nurses' roles in patient education, advocacy, shared decision-making or treatment follow-up; instead, it highlights the implications when nurses assume responsibility for explaining or contextualising decisions initiated by another professional.ConclusionInterprofessional collaboration requires shared responsibility without obscured accountability. Clarifying the relationship between decision-making authority, communication responsibility and ethical responsibility may strengthen informed decision-making, professional accountability and collaboration. Research is needed to refine ERD and examine its implications for professional agency, moral distress and patient decision-making.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330261493485"},"PeriodicalIF":3.8,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventions addressing moral distress among nurses: A systematic review.","authors":"Faeze Sobhanifar, Seyedmohammad Mirhosseini, Pooyan Ghorbani Vajargah, Zahra Taheri-Ezbarami, Abdolhosein Emami Sigaroudi","doi":"10.1177/09697330261490879","DOIUrl":"https://doi.org/10.1177/09697330261490879","url":null,"abstract":"<p><p>BackgroundNurses frequently encounter ethical dilemmas that, when they are unable to act in accordance with perceived ethical standards, may lead to moral distress. Moral distress is associated with a wide range of adverse psychological, physical, and professional outcomes, and its development is influenced by multiple individual, team-related, and organizational factors. Although various interventions have been proposed to reduce moral distress, the existing evidence regarding their effectiveness remains fragmented and heterogeneous.Research question/aim/objectivesThis systematic review aimed to identify, synthesize, and evaluate evidence on interventions designed to address moral distress in nurses across various clinical settings.Research designA systematic review study.Search and quality appraisalA comprehensive systematic search was conducted in major databases using a PICO-based strategy with no time restrictions, alongside citation tracking and manual searching to ensure completeness. Study selection followed Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 (PRISMA), and risk of bias and certainty of the evidence were assessed independently by three reviewers using Joanna Briggs Institute (JBI) tools and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework.Findings/resultsThis review synthesized evidence from 29 studies conducted in various countries and clinical contexts, focusing on interventions designed to reduce moral distress among nurses. The majority of studies, especially those based on educational, cognitive-behavioral, and communication-oriented strategies, indicated a decrease in moral distress alongside improvements in associated professional and psychological outcomes.ConclusionsThis systematic review suggests that educational and skill-based interventions may reduce nurses' moral distress, particularly in the short term. However, the certainty of evidence is low due to methodological limitations and heterogeneity, and more rigorous, large-scale studies with longer follow-up are needed to confirm their effectiveness and sustainability.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330261490879"},"PeriodicalIF":3.8,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cross-sectional study of transplant clinicians' moral distress and grit.","authors":"Preston H Miller, Shikha Modi, Haley Hoy","doi":"10.1177/09697330261489549","DOIUrl":"https://doi.org/10.1177/09697330261489549","url":null,"abstract":"<p><p>BackgroundWhen transplant clinicians encounter ethical challenges and are constrained by their institution from acting in a manner within their professional ethical obligations, they may experience moral distress. Moral distress has been associated with negative effects such as burnout and turnover. Conversely, high grit has been positively correlated with job satisfaction, job performance, and organizational commitment.Research questionsWhat is the level of grit and moral distress among transplant clinicians? What correlations between demographics, grit, moral distress, and intent to leave exist among transplant clinicians?Research designThis cross-sectional study was conducted from October 2024 through March 2025. Three instruments, an investigator-developed demographic survey, the 12-Item Grit Scale, and the Measure of Moral Distress for Healthcare Professionals, were used to capture transplant clinician's grit and level of moral distress. Data were analyzed using descriptive statistics, Pearson correlation, and generalized structural equation modeling.Participants and research contextThe target population for this study consisted of organ transplant clinicians (e.g., surgeons, physicians, coordinators, advanced practice providers, nurses, and allied health team members) in the United States.Ethical considerationsEthics review and approval was obtained prior to subject recruitment.ResultsAmong 101 transplant clinicians, higher moral distress was observed in those with advanced education, frequent ethical challenges, and specific transplant roles (e.g., advanced practice providers, physicians, multi-organ), while grit remained consistent across demographic and clinical factors. Generalized structural equation modeling suggests a potential mediating role between clinician characteristics (education), workforce factors (frequent ethical issues and specific transplant roles), and turnover intentions.ConclusionTransplant clinicians who experience moral distress frequently and at high intensity may express an intent to leave their role regardless of their level of grit. Healthcare organizations must create targeted interventions and resources to mitigate moral distress and support transplant clinicians who experience moral distressing events.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330261489549"},"PeriodicalIF":3.8,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Narrative nursing: A primary ethical practice.","authors":"Hasan Erbay","doi":"10.1177/09697330261490914","DOIUrl":"https://doi.org/10.1177/09697330261490914","url":null,"abstract":"<p><p>Narrative medicine has emerged as an influential framework in contemporary healthcare, arguing that attending to patients' stories improves the quality of clinical practice and ethical reasoning. Yet the conversation surrounding narrative practice has developed largely within medicine, leaving nursing positioned as a secondary site of application rather than a primary source. This paper challenges that positioning. The paper argues that <i>narrative nursing</i> is not an extension of narrative medicine but a primary ethical practice in its own right, grounded in nursing's unique structural capacity for sustained, embodied presence at the site where illness stories unfold. The argument develops across three interlocking dimensions. The first establishes the conceptual foundations of narrative practice in healthcare, tracing a genealogy that extends beyond the most cited frameworks to include the contributions of Kleinman, Frank, and Benner. This genealogy suggests that nursing's relationship to narrative practice is not derivative but constitutive. The second examines nursing's structural position. Continuity, embodied presence, and relational depth are not features that nursing needs to acquire; they are its defining characteristics, and they are precisely the conditions under which illness stories can be told and heard. The third develops the ethical argument. Hearing a patient's story is an act of epistemic justice, moral witnessing, and relational care. Nursing's structural position makes it the discipline positioned to perform that act, drawing on the traditions of care ethics and the relational foundations already embedded in nursing practice. The paper concludes by arguing that <i>narrative nursing</i> has the potential to make a distinctive contribution to clinical ethics, one grounded in sustained, relational presence rather than in episodic encounter. The implications for nursing education, clinical practice, and professional identity are considered.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330261490914"},"PeriodicalIF":3.8,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A grounded theory of compassionate care among clinical nurses.","authors":"Hwa Soon Kim, Eun Ha Roh, Kyung-Sun Moon, Ji Hee Kim, Youngjin Lee","doi":"10.1177/09697330261493482","DOIUrl":"https://doi.org/10.1177/09697330261493482","url":null,"abstract":"<p><p>BackgroundCompassionate care is a core ethical obligation in nursing, yet the processes through which nurses enact and sustain it remain insufficiently theorized. Existing grounded theory models have not examined an East Asian care context in which nursing staff may assume both clinical and daily living care.Research question/aim/objectivesHow do clinical nurses experience, construct, and sustain compassionate care, and what ethical challenges shape this process?Research designA grounded theory design following Strauss and Corbin was employed. Semi-structured interviews were analysed using open, axial, and selective coding with constant comparison. Ethics of care and moral distress served as sensitizing concepts, while categories were generated inductively. Trustworthiness followed Lincoln and Guba's criteria.Participants and research contextParticipants were thirteen female nurses from tertiary and secondary hospitals in South Korea, working across intensive care, hospice and palliative care, general and haematology wards, and emergency settings (mean clinical experience 14.9 years). Interviews were conducted from July 2020 to February 2021 during the COVID-19 pandemic.Ethical considerationsInstitutional Review Board approval was obtained, and all participants provided written informed consent.Findings/resultsThe core category-comprehensive care grounded in an understanding of the illness trajectory-described compassionate nursing as a practice in which anticipating where a patient stands in the illness course shaped responses to present and emerging needs. Workload and time pressure constrained compassionate engagement, while collegial support helped nurses sustain it. Professional fulfilment and emotional depletion appeared as consequences that could influence subsequent care.ConclusionsCompassionate care was shaped by the integration of clinical understanding, relational engagement, and organizational conditions. Sustaining this practice may require workload governance and structured collegial support rather than reliance on individual resilience alone.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330261493482"},"PeriodicalIF":3.8,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' and midwives' ethical perspectives on euthanasia legalisation in advanced cancer care.","authors":"Merri Iddrisu, Hadiru Iddris Mumuni, Bisi Adewale, Frema Osei Tutu, Gladys Dzansi","doi":"10.1177/09697330261489781","DOIUrl":"https://doi.org/10.1177/09697330261489781","url":null,"abstract":"<p><p>BackgroundEuthanasia remains a highly debated issue in end-of-life care because it raises ethical concerns surrounding patient autonomy, relief of suffering, professional responsibilities, and the sanctity of life. Nurses and midwives frequently face these ethical challenges in caring for patients with advanced illness, yet evidence on their perspectives within sub-Saharan African cancer care settings remains limited.AimThis study explored nurses' and midwives' ethical perspectives and perceived implications regarding the potential legalisation of euthanasia in advanced cancer care in Ghana.Research designThis study employed a descriptive exploratory qualitative design.Participants and research contextTwenty-four nurses and midwives involved in direct cancer care were purposively recruited from six healthcare facilities across Ghana's coastal, forest, and savanna ecological zones. Semi-structured interviews were conducted and analysed using reflexive thematic analysis.Ethical considerationsThe Noguchi Memorial Institute for Medical Research Institutional Review Board approved the study (Approval No: NMIMR-IRB CPN 034/21-22). Participants provided written informed consent, and the researchers ensured confidentiality, anonymity, and voluntary participation throughout the study.FindingsParticipants did not adopt fixed positions regarding euthanasia but actively negotiated competing ethical responsibilities. Participants grounded support for euthanasia in compassion and relief of suffering, while opposition emerged from concerns regarding preservation of life, religious beliefs, professional responsibilities, and possible risks to vulnerable individuals. Participants also situated ethical decision-making within broader family relationships, cultural values, and health system realities.ConclusionsNurses and midwives viewed euthanasia through complex ethical and sociocultural perspectives, highlighting the need for strengthened ethics education, institutional support, and context-sensitive end-of-life care policies.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330261489781"},"PeriodicalIF":3.8,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moral sensitivity of long-term care givers: A qualitative study.","authors":"Xinyue Guo, Min Chen","doi":"10.1177/09697330261486770","DOIUrl":"https://doi.org/10.1177/09697330261486770","url":null,"abstract":"<p><p>BackgroundChina's rapidly aging population and the implementation of long-term care insurance have increased the demand for long-term care givers (LTCGs), a certified non-nursing workforce with both practical and ethical responsibilities. Research on moral sensitivity has predominantly focused on nurses, leaving the experiences of LTCGs underexplored, particularly through qualitative inquiry.Research aimThis study characterizes how moral sensitivity is experienced and enacted by certified Chinese LTCGs and examines how the provisional dimensions of moral duty, moral burden, and moral strength structure these experiences.Research designA descriptive qualitative design incorporating semi-structured interviews and non-participant observations.Participants and research contextTwelve certified LTCGs were selected through purposive sampling. Participants were employed in nursing institutions (<i>n</i> = 6) and home-based settings (<i>n</i> = 6), with a mean age of 44.2 years; 25% held managerial positions with practical care experience. Data saturation was achieved after 12 interviews.Ethical considerationsThe study was approved by the Biomedical Research Ethics Review Committee of (Anonymous) (Approval No. [Anonymous]). Informed consent was obtained from participating LTCGs and service recipients before interview and observation.ResultsThe analysis identified three primary dimensions of moral sensitivity: moral duty, encompassing fulfillment of care responsibilities, adherence to rules, and protection of dignity; moral burden, arising from emotional distress, structural constraints, and dilemmas related to professional identity; and moral strength, encompassing perceptual, communication, ethical decision-making, psychological resilience, and relational capacities. These results illustrate how LTCGs recognized and navigated morally salient situations in everyday care.ConclusionsThis study provides a context-specific account of moral sensitivity among certified non-nursing LTCGs. The findings can inform ethics-oriented training and organizational support for long-term care practitioners in long-term-care settings across China and other nations. Given the small sample drawn from China, the three-dimensional framework should be further investigated across other regions and care settings before broader application.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330261486770"},"PeriodicalIF":3.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suspended will: The ethical journey of paediatric stem cell donors.","authors":"Xinyu Zhu, Yun Gao, Jiasi Li, Meng Li, Fuyong Yang, Rongrong Guo, Xinmiao Chen, Yingying Wang, Huiying Xu, Xiaoqin Feng","doi":"10.1177/09697330261483850","DOIUrl":"https://doi.org/10.1177/09697330261483850","url":null,"abstract":"<p><p>BackgroundIn allogeneic haematopoietic stem cell transplantation, paediatric donors may have limited involvement in donation decisions, as their psychological experiences and ethical needs may receive less attention when prioritising the recipient's survival.ObjectiveThis study explored paediatric donors' experiences of autonomy, competence, and relatedness throughout the donation process, using Self-Determination Theory (SDT) as a sensitising interpretive lens to examine implications for ethically sensitive nursing practice.DesignInterpretative phenomenological analysis (IPA).Participants and research contextNine paediatric donors aged 7-17 years were recruited in our centre between December 2025 and March 2026. Semi-structured interviews were conducted during haematopoietic stem cell collection or the early post-collection recovery period. Purposive sampling was used, and data collection and analysis proceeded concurrently. After initial analysis of seven interviews, two further interviews were conducted to explore experiential variation and refine interpretation.Ethical considerationsEthical approval was granted by the hospital ethics committee, and dual informed assent procedures were adhered to for all participants.ResultsInterpretative phenomenological analysis generated three stage-specific experiential themes across the donation journey and two cross-cutting contextual themes. Paediatric donors experienced constrained participation during the Informed Consent and Donor Matching Periods, relationally mediated distress and support during the Mobilisation and Collection Periods, and meaning reconstruction during the Post-collection Early Recovery Period. Throughout the journey, disrupted family dynamics and insufficient explanations shaped children's experiences.ConclusionPaediatric donation involves ongoing tensions in children's psychological needs, participation, and relational experiences. Nursing ethics should move beyond procedural safeguards towards approaches that recognise children as relational ethical subjects. Supporting communication, acknowledging suffering, and facilitating children's narratives may help safeguard their dignity and participation throughout donation.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330261483850"},"PeriodicalIF":3.8,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconceptualizing brain death as a boundary decision.","authors":"Lawrence Chyall","doi":"10.1177/09697330261487674","DOIUrl":"https://doi.org/10.1177/09697330261487674","url":null,"abstract":"<p><p>Brain death, or death by neurologic criteria (BD/DNC), is commonly presented as a determination that, performed correctly, yields a settled fact. Yet at the bedside it often functions less like discovery than conversion: a protocolized sequence authorizes a rapid shift in what the patient is understood to be and what families are expected to accept. This paper reframes BD/DNC disputes as boundary decisions that join physiology to moral status and institutional authority. Taking thanatopolitics, the political administration of death, as its organizing concept, and drawing on the lineage from Foucault's biopolitics through Agamben's bare life to Mbembe's necropolitics, together with the relational nursing ethics of Tronto and Benner, it argues that these controversies are conflicts about meaning, responsibility, and trust rather than misunderstandings of neurologic criteria. Because nursing work is grounded in prolonged proximity to the patient's body and the family's reading of it, nurses occupy a distinctive ethical position that generates duties of care even when medico-legal status is treated as settled. I defend a requirement for informed consent, or an equivalent authorization process, before brain death testing, understood as a procedural safeguard rather than a family veto and consistent with nursing's obligations to advocacy and equity. The case of Jahi McMath, declared brain dead in Oakland in 2013, threads through the argument.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330261487674"},"PeriodicalIF":3.8,"publicationDate":"2026-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dignity of older adults among nursing homes: A scoping review.","authors":"Yujia Liu, Xueying Li, Yanjie Wang","doi":"10.1177/09697330261489535","DOIUrl":"https://doi.org/10.1177/09697330261489535","url":null,"abstract":"<p><p>BackgroundDignity is a core concept in geriatric care. However, current attention to dignity-related care issues faced by older adults in nursing homes remains insufficient. There is a notable lack of systematic and proactive support measures in both theoretical research and practical interventions.AimsThe aim of this scoping review was to describe literature focussing on older adults' dignity in the context of nursing homes, in order to identify research gaps in this field and provide evidence for developing interventions to preserve dignity.MethodsA scoping review was conducted following the Arksey and O'Malley framework. Medline (via PubMed), Web of Science Core Collection (WoSCC), Embase, CINAHL Ultimate (via EBSCOhost) and PsycINFO (via EBSCOhost) were searched up to 1 August 2026. Two reviewers independently screened, extracted and synthesised the data.ResultsIn total, 25 articles were selected from a pool of 1362 documents. The aspects addressed in the included literature covered the level of dignity, influencing factors, the adverse impact of dignity loss, assessment tools and intervention measures for older adults in nursing homes. Results showed that older adults in nursing homes were at a significantly higher risk of dignity loss than their community-dwelling counterparts. The influencing factors mainly included demographic characteristics, disease-related factors, psychological and cognitive factors, care service and environmental factors, and sociocultural factors. Dignity loss significantly increased the risk of emotional problems such as depression and despair. The assessment tools identified included patient dignity inventory (PDI), dignity in dying questionnaire-14 (DD-14) and measurement instrument for dignity Amsterdam-for long-term care facilities (MIDAM-LTC). Dignity care interventions can be divided into three major categories: psychological and communicative tools, daily humanistic care strategies, and self-initiated dignity-preserving strategies.ConclusionsNursing home residents often experience compromised dignity, influenced by multifaceted factors. Currently, there is a lack of universally applicable assessment tools, as well as a systematic framework for comprehensive interventions. Future research should standardise assessment tools and develop evidence-based, effective coping strategies.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330261489535"},"PeriodicalIF":3.8,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}