Nursing Ethics最新文献

{"title":"Effectiveness of interventions on conscience: Findings of a systematic review.","authors":"Christina M Lamb, Dimitra V Pouliopoulou, Ken Kirkwood, Kelsey Groenenboom, Megan Kennedy, Edith Pituskin","doi":"10.1177/09697330251333386","DOIUrl":"https://doi.org/10.1177/09697330251333386","url":null,"abstract":"<p><p>Research indicates that conscience is an asset to healthcare professional's personal and professional practice. However, little work has been done to support healthcare professionals to use and understand their conscience for moral decision-making. Disparity exists between international and national bodies that value conscience for healthcare professionals and the paucity of practice supports available to formally assist healthcare professionals to openly discuss and then navigate their moral decisions arising from their conscience. Therefore, the purpose of this systematic review was to examine the effectiveness of existing interventions aimed at supporting healthcare professionals to understand and use their conscience for healthcare practice. This review was conducted and reported following the Preferred Reporting Items for Systematic Reviews and Metanalyses. International, interdisciplinary databases including Medline, Embase, PsycINFO, CINAHL, Academic Search Complete, ATLA Religion, Religion and Philosophy Collection, PhilPapers, Scopus and Cochrane Controlled Register of Trials were searched and quantitative as well as qualitative outcomes were reported. We found 11 studies that met the inclusion criteria and underwent data extraction and synthesis. Five interventions were identified that aimed to address aspects of HCP's conscience. No interventions were identified that aim to support healthcare professionals to understand or use their conscience for moral decision-making in practice. Empirical and humanities research indicates that conscience is essential to healthcare practice, but issues of conscience remain a polarizing experience for many HCPs. Intervention and education-based research are therefore needed to support HCP's understanding and use of conscience for practice.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251333386"},"PeriodicalIF":2.9,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057002","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":"Psychological contract breach mediates ethical climate and deviance among nurses.","authors":"Govind Gopi Verma, Aditya Simha, Hamidha Sharin A, Devika Sai Chandra, Nijanthan Kumar","doi":"10.1177/09697330251328643","DOIUrl":"https://doi.org/10.1177/09697330251328643","url":null,"abstract":"<p><p>BackgroundHealthcare organizations are driven by mission-driven values, yet these values can be compromised in employee-organization relationships. Hospitals present psychologically challenging environments for their nurses, potentially causing breaches of psychological contracts. Despite extensive research on ethical climates, their impact on mitigating interpersonal deviance in healthcare remains understudied. This warrants investigation into how ethical workplace climates and breaches of psychological contracts affect interpersonal deviance in nurses.Research Objective/Purpose/AimThis study investigates how psychological contract breaches mediate the relationship between ethical climates and interpersonal deviance.Research Design/MethodThe study employs a cross-sectional design, collecting data from 230 nurses across five hospitals in India. Standard scales are used to measure the constructs in the study, with established reliability and validity. Structural equation modeling (SEM) was utilized to examine the hypotheses outlined in the study. We also tested the moderating effect of work experience in the moderated mediation model.Ethical considerationsThis study received ethical approval (#ERB-ASBC-2024-027) from the University Ethical Review Board, constituted at Amrita School of Business, Coimbatore.Participants and proceduresPermission to conduct the study was obtained from the hospital administration. Nursing staff participated voluntarily. They were informed about the survey's purpose and their right to withdraw at any time. Consent was obtained on the survey form before recording their responses, and no personal identifiers were collected.FindingsAn ethical workplace climate reduces nurses' interpersonal deviance, mediated by psychological contract breach. This mediation is moderated by work experience, with a stronger effect on less-experienced nurses.ConclusionThe study suggests that regular assessments of ethical workplace climate can aid in planning effective reinforcements at individual, leadership, or organizational level to reduce interpersonal deviance and perceptions of psychological contract breach.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251328643"},"PeriodicalIF":2.9,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024756","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' ethical competence during the COVID-19 pandemic: Qualitative perspectives.","authors":"Hye Min Byun, Eun Kyoung Yun","doi":"10.1177/09697330251328695","DOIUrl":"https://doi.org/10.1177/09697330251328695","url":null,"abstract":"<p><p>Background Ethical challenges and moral uncertainty are inevitable during infectious disease crises. To support ethical nursing practices, understanding the ethical competencies required in such contexts is essential.ObjectivesThe aim of this study was to explore the phenomenon related to ethical competence among clinical nurses during the COVID-19 pandemic.Research Design, Participants and Research ContextA qualitative explorative approach was used. Data were collected through focus group interviews from 10 clinical nurses working in general and tertiary hospitals in Korea, and analyzed using content analysis.Ethical ConsiderationsThis study was approved by the institutional review board of the university to which the researchers belonged.ResultsThis study derived five core categories-moral solidarity, moral courage, ethical knowledge, ethical decision-making, and ethical reflection-along with their respective components.ConclusionsThis study provides empirical evidence that can contribute to a structured conceptualization of nursing ethical competence for infectious disease crises. Further research is suggested to contribute to practical educational and institutional support to strengthen this competence.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251328695"},"PeriodicalIF":2.9,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043258","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 network analysis of moral distress among clinical internship nursing students: A cross-sectional study.","authors":"Yang Xiong, Ya-Qian Fu, Zhuo-Heng Li, Yu-Rong Tang, Zi-Yu Liu, Bi-Rong Liu, Zhuo-Er Huang, Qi-Feng Yi","doi":"10.1177/09697330251331195","DOIUrl":"https://doi.org/10.1177/09697330251331195","url":null,"abstract":"<p><p>BackgroundMoral distress is a significant challenge faced by clinical internship nursing students. Most current studies investigate the impact of external factors on nursing students' moral distress. However, there is a lack of in-depth exploration of the interactions between various moral distress items.Research objectiveThis study aims to construct a network structure of moral distress among clinical internship nursing students, while exploring the touchpoints of moral sensitivity and moral resilience on moral distress, to identify potential targets for moral distress intervention.Research designA cross-sectional design utilized acceptable validity scales. Network analysis was conducted using R (Version 4.4.0). Regularized partial correlation was utilized to describe the associations between different nodes in the network. Central nodes were identified through centrality indices.Participants and research contextThe participants in this study are 372 nursing students undergoing clinical internships at a comprehensive teaching hospital in Changsha, China.Ethical considerationsThis study was approved by the hospital ethics committee (Review Number: Express 241098). Written informed consent was obtained from all participants.ResultsIn the moral distress network, the connections between MD3 \"I provide life-sustaining treatment per the family's wishes\" and MD4 \"Despite only extending survival, I implement life-saving measures\" are the strongest. MD18 \"Decline in service quality due to poor team communication,\" MD19 \"I ignore situations lacking adequate information for informed consent,\" and MD17 \"I collaborate with colleagues unable to meet the patient's treatment needs\" are the central nodes of the moral distress network. In the relational network, MD19 is a critical connection point linking moral distress with moral sensitivity and moral resilience.ConclusionFuture interventions for moral distress could focus on the strongly related and significant distress (MD3, MD4, MD18, MD19, MD20, and MD17) mentioned in this study, and develop scientific and targeted interventions to reduce clinical internship nursing students' moral distress.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251331195"},"PeriodicalIF":2.9,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046248","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":"Nursing care in assisted dying: Plasticity and relational commitment.","authors":"Maria Feijoo-Cid, Maria Verdaguer, Xavier Busquet-Duran, Eduard Moreno-Gabriel, Miquel Domènech, Lupicinio Iñiguez-Rueda, Núria Vallès-Peris, Patricia Beroiz-Groh, Gloria Cantarell-Barella, Pere Torán-Monserrat, Antonia Arreciado Marañón","doi":"10.1177/09697330251333378","DOIUrl":"https://doi.org/10.1177/09697330251333378","url":null,"abstract":"<p><p>BackgroundSpain's Euthanasia Law came into force in 2021. Nurses are involved throughout the entire process and yet the law only recognizes their role in the final administration of the drug.ObjectiveTo understand the practice and experience of nurses involved in the euthanasia process.Research designQualitative study with a phenomenological approach. An interpretative phenomenological analysis was conducted using ATLAS-ti.Participants and research contextThis study is part of a larger project for which the study population comprised professionals who have participated in the euthanasia process in Catalonia since the law came into force. This study is based on data collected from nurses through 6 in-depth interviews and 3 focus groups.Ethical considerationsThis study was approved by the Ethics Committee (22/094-P). All participants granted their informed consent. Interviews and focus groups were anonymized.FindingsThe results revolve around two themes: (1) Plasticity of nursing care in the face of regulatory gaps and (2) managing emotions while providing assisted dying. Nurses respond to patients and families by adapting to the demands of the process and self-managing any emotions that arise from participating in this practice. Nurses use rationalization to manage the range of emotions they experience resulting from the tension between respecting a person's autonomous decision to request euthanasia and upholding their professional duty to prevent harm. The team stands out as a crucial element in managing these emotions.ConclusionsSpanish nurses are involved throughout the entire euthanasia process, demonstrating great plasticity of care. Euthanasia care is complex and the relational context between professionals and the patient/family and between team members is key. The law should define and envisage the role of nurses, as it does for other professions.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251333378"},"PeriodicalIF":2.9,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039605","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":"Ethical and equity challenges in employment: Perspectives of international nursing graduates.","authors":"Animesh Ghimire, Yunjing Qiu","doi":"10.1177/09697330251333397","DOIUrl":"https://doi.org/10.1177/09697330251333397","url":null,"abstract":"<p><p>BackgroundAustralia faces a critical shortage of nurses, yet international nursing graduates (INGs) encounter significant barriers to securing employment after graduation. Current policies often prioritize domestic graduates, creating systemic disadvantages for INGs, particularly those on temporary visas. This inequity raises ethical concerns and undermines Australia's ability to fully utilize its nursing workforce, potentially compromising the quality of healthcare services.AimThis study explores the lived experiences of INGs regarding employment challenges in Australia, critically examining the ethical and equity implications of existing practices.Research Design A qualitative study employing a combined phenomenological and exploratory approach was conducted. Data were analyzed using a thematic analysis framework.Participants and Research ContextTwelve international nursing students in their final semester of the Bachelor of Nursing program at two metropolitan universities in Australia participated in semi-structured interviews.Ethical ConsiderationsEthical approval was obtained from the Monash University Human Research Ethics Committee (MUHREC-44400) and the University of Technology Sydney (ETH24-10028). Informed consent was obtained from all participants, who were assured of their right to confidentiality and to withdraw from the study at any time.ResultsFive overarching themes emerged: (1) Economic Disparity and Ethical Considerations, (2) Systemic Discrimination and Inequality, (3) Mental Health and Well-being, (4) Policy and Regulatory Barriers, and (5) Lack of Cultural Inclusion and a Sense of (Un)Belongingness.ConclusionsThe findings highlight urgent ethical concerns and equity challenges that demand comprehensive reforms to create a more inclusive and ethically sound environment for INGs in Australia. These reforms necessitate policy changes to address discriminatory practices and visa restrictions, enhanced institutional support to facilitate INGs' transition into the workforce, and a commitment to cultural competence and inclusion at all levels of the healthcare system. Addressing these systemic barriers is not only a matter of fairness and justice but is also crucial for ensuring a robust and ethically sustainable healthcare workforce in Australia.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251333397"},"PeriodicalIF":2.9,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038294","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":"Ethical reflections of healthcare staff on 'consentless measures' in somatic care: A qualitative study.","authors":"Joar Björk, Niklas Juth, Tove Godskesen","doi":"10.1177/09697330251328649","DOIUrl":"https://doi.org/10.1177/09697330251328649","url":null,"abstract":"<p><p>BackgroundMany patients in medical wards lack decision-making capacity and cannot provide valid consent. As a result, nurses and other healthcare professionals often face a dilemma: whether to neglect the medical needs of such patients, or provide healthcare interventions without obtaining valid consent. Previous studies have indicated that many interventions are provided without consent; however, there is insufficient knowledge about how staff in this context reason about the ethical dilemmas they encounter.AimTo explore the ethical reasons provided by nurses and other healthcare professionals in medical wards for and against providing healthcare interventions without patients' consent.Research designThe study employed a qualitative explorative design. Eight focus group interviews were held with 37 staff across five different professions, mainly nurses, at two Swedish hospitals. The material was subjected to qualitative analysis, following a Reflective Thematic Analysis framework.Ethical considerationsEthical approval for this study was obtained from the Swedish Ethical Review Authority. All participants were informed orally and in writing about the study's aims and its voluntary nature. No sensitive personal information was registered. Participants provided their oral consent to participate before the interviews took place.Findings/ResultsThematic analysis resulted in four main themes: <i>Coercion is a bad word</i>; <i>Reasons to accept coercion</i>; <i>Coercion is part of ward culture,</i> and <i>Unacceptable coercion.</i>ConclusionsParticipants overwhelmingly supported the current use of 'consentless measures' at the investigated wards. Most situations described either needed no justification, according to participants, or could be easily justified by reference to the benefit of the patient, the patient's poor decision-making capacity, or the benefit of others. A range of implicit, contextual, and institutional justifications were also given. Suboptimal ward culture was considered a prime driver of consentless measures and a force that compromises nurses' agency in the patient encounter.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251328649"},"PeriodicalIF":2.9,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065130","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":"Nursing lived experience: Critical care ethics and intellectual developmental disabilities.","authors":"Adrianna Watson, Jeanette Drake, Matthew Anderson, Gabby Sutton-Clark, Sara Prescott","doi":"10.1177/09697330251333394","DOIUrl":"https://doi.org/10.1177/09697330251333394","url":null,"abstract":"<p><p>BackgroundPatients with intellectual developmental disabilities (IDDs), as members of a vulnerable population, require specialized care that many ICU nurses feel inadequately prepared to provide. The complexity of caring for IDD patients often leads to feelings of moral distress, self-doubt, and a struggle to maintain resilience among ICU nurses.Research question/aim/objectivesThis study aims to explore ICU nurses' lived experiences caring for patients with IDD.Research designA descriptive, phenomenological qualitative approach was used along with inductive analysis to explore the meanings ICU nurses attribute to experiences caring for IDD patients.Participants and research contextICU nurses (<i>N</i> <i>=</i> 20) who met inclusion criteria were purposively sampled.Ethical considerationsThe study received ethical approval from an institutional review board. Informed consent was obtained from all participants.Findings/resultsThree main themes emerged from the analysis. First, in main theme 1, <i>If Only I Had Known More,</i> nurses reported insufficient training specific to IDD care, expressing shame about their knowledge gaps. Second, in main theme 2, <i>They Deserve Better,</i> nurses highlighted the lack of resources and institutional support, complicating efforts to deliver appropriate care. Finally, in main theme 3, <i>It Weighs on My Soul,</i> nurses reflected on the emotional toll of caring for IDD patients, discussing subthemes such as self-doubt, emotional detachment, coping efforts, witnessing isolation, and moral distress.DiscussionThese findings highlight personal, educational, and systemic gaps shaping ICU nurses' experiences with IDD patients. Limited training and insufficient resources intensified moral distress. There is an urgent need for IDD-oriented education, institutional support, and policies that promote compassionate, tailored care.ConclusionsFindings suggest there is a strong alignment with the ethics of care framework. Such a connection emphasizes the need for systemic changes to empower ICU nurses to deliver compassionate, individualized care to IDD patients and enhance professional resilience and patient outcomes.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251333394"},"PeriodicalIF":2.9,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065133","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":"Support needed by nursing students to develop professional dignity.","authors":"Isabel Hlupheka Shilenge, Neltjie Christina van Wyk, Anna Elizabeth van der Wath","doi":"10.1177/09697330251328688","DOIUrl":"https://doi.org/10.1177/09697330251328688","url":null,"abstract":"<p><p>BackgroundNursing students' professional dignity development during work-integrated learning is dependent on support from professional nurses. If they are left unsupported, such development is jeopardised.AimThe aim of the study was to explore and describe the support that nursing students need from professional nurses, including their lecturers, during work-integrated learning to develop professional dignity.Research designA qualitative, exploratory-descriptive research design applied. Through volunteer sampling, participants were invited for face-to-face in-depth individual interviews to discuss the question: 'What support did you need from others during work-integrated learning to feel dignified as nursing students?' Saturation of data determined the number of participants. Recording of the interviews and the writing of field notes were carried out with the permission of the participants. Manual coding in a thematic analysis was done to analyse the intricate data content with intuition and insight.Participants and research contextThe study was undertaken in South Africa at a designated nursing education institution and the hospital where the students performed the bulk of work-integrated learning. Fourteen third-year students were interviewed. They had sufficient experience with work-integrated learning and could provide rich data concerning support needed to develop professional dignity.Ethical considerationsThe Faculty of Health Sciences Research Ethics Committee at the University of Pretoria approved the proposal (Reference number 73/2023) and the applicable authorities gave written permission for the research to be conducted. Since the participants were students, the researchers made sure that they did not feel obliged to participate.FindingsFour categories were identified, namely, (a) improving work-integrated learning experience, (b) value students' professional development, (c) cooperate to benefit students' professional growth and (d) manage resources optimally.ConclusionStudents needed to be respected and their input to quality nursing care acknowledged. Positive role models and learning conducive clinical environments contributed to their development.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251328688"},"PeriodicalIF":2.9,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044559","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":"The moral dilemma of obstetric violence: A meta-synthesis.","authors":"Wei Li, Rui-Qiu Wang, Attiq-Ur-Rehman, Xi-Yuan Peng, Meng-Wei Ge, Lu-Ting Shen, Fei-Hong Hu, Yi-Jie Jia, Xiao-Lei Tang, Hong-Lin Chen","doi":"10.1177/09697330251333403","DOIUrl":"https://doi.org/10.1177/09697330251333403","url":null,"abstract":"<p><p>Although the global healthcare system is paying increasing attention to obstetric violence, this form of gender-based violence during childbirth remains a serious issue. The primary objective of this comprehensive study is to explore the experiences and needs of women subjected to obstetric violence on a global scale. A systematic search was conducted in December 2024 across the Web of Science, Embase, PubMed, and CINAHL databases to identify eligible studies. Data synthesis was performed using the three-stage thematic and content analysis method. A total of 39 eligible qualitative studies were included in this review. Thematic synthesis identified 6 themes and 17 sub-themes: (1) Obstetric Violence Types; (2) Gaslighting Effect: The Authoritative Position of Healthcare Providers; (3) Stigmatization and Discrimination Experienced by Women; (4) Who is Normalizing Obstetric Violence? (5) Substandard Medical Institutions; (6) Trauma Induced by Obstetric Violence. Obstetric violence continues to persist in various countries and regions. Women have endured various forms of obstetric violence, with their autonomy and rights to informed consent being severely compromised. They have experienced neglect and abandonment by healthcare providers, and face discrimination and differential treatment due to factors such as race, socioeconomic status, age, and culture. The primary cause of obstetric violence is the unequal power dynamics between healthcare providers and women, with the authoritative position of healthcare providers leading to a lack of communication and recognition between both parties.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251333403"},"PeriodicalIF":2.9,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054387","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}