Nursing Ethics最新文献

{"title":"Palliative nurses' empathic tendencies, quality of life, individualized care perceptions.","authors":"Emel Emine Kayikci, Cemile Savci, Ayse Cil Akinci","doi":"10.1177/09697330251314091","DOIUrl":"https://doi.org/10.1177/09697330251314091","url":null,"abstract":"<p><p><b>Background:</b> Palliative care is an important part of health services. The individualized care perceptions are is critical for supporting individuality during care and providing quality nursing care. Individualized care not only has, as well as having foundation of the philosophy of nursing but also, is also related to the nurses' empathic tendencies and professional quality of life of nurses.<b>Aim:</b> This study was conducted to examine the relationships between the empathic tendencies, professional quality of life, and individualized care perceptions of palliative care nurses.<b>Research design:</b> This is a cross-sectional study.<b>Participants and research context:</b> The study was conducted with 141 nurses working in palliative care between December 2023 and February 2024. The data of the study were collected using a \"Participant Information Form,\" the \"Emphatic Tendency Scale (ETS),\" the \"Professional Quality of Life Scale (ProQOL R-IV),\" and the \"Individualized Care Scale-Nurse Version A (ICS-Nurse-A).\"<b>Ethical considerations:</b> Ethics committee approval was obtained to conduct the study. Individuals who agreed to participate in the study were informed of the purpose of the study, and their written consent was obtained.<b>Findings:</b> The participants had moderate levels of empathic tendencies, compassion satisfaction, and burnout, while their compassion fatigue and individualized care perceptions were high. There was a positive correlation between empathic tendencies and individualized care perceptions (<i>p</i> < .01). Empathic tendency and compassion satisfaction were significant positive predictors of the individualized care perceptions of the participants and respectively explained 13% and 20% of the total variance in their individualized care perceptions. On the other hand, burnout was a significant negative predictor of their individualized care perceptions and explained 5% of the total variance in their individualized care perceptions.<b>Conclusions:</b> High levels of empathic tendencies and compassion satisfaction had positive effects on the individualized care perceptions of palliative care nurses, whereas high levels of burnout had a negative effect on the same variable.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251314091"},"PeriodicalIF":2.9,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015100","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":"Nurse-patient relationship boundaries and power: A critical discursive analysis.","authors":"Jeanette Varpen Unhjem, Marit Helene Hem","doi":"10.1177/09697330251314093","DOIUrl":"https://doi.org/10.1177/09697330251314093","url":null,"abstract":"<p><p><b>Introduction:</b> Mental health nursing is dependent on nurses' ability to engage in therapeutic relationships with patients. The ability to manage professional boundaries is equally important, but less explored. This study aims to address the following research questions: How do nurses define their professional, personal, and private roles? What are nurses' experiences with professional boundaries? What are the implications of nurses' understanding of these boundaries?<b>Background:</b> Nurse-patient relationships are characterized by asymmetrical power dynamics, which places the responsibility of delineating professional boundaries on the nurse. While ethical codes offer guidance, nurses must identify appropriate boundaries in a dynamic process that relies on the clinical context.<b>Research design:</b> This study used critical discursive psychological analysis to examine data from participant observations, individual interviews, and focus group discussions.<b>Participants and research context:</b> We included 16 nurses working in mental health care in this study, comprising 12 in specialist mental health care and 4 in community mental health care.<b>Ethical considerations:</b> The study was registered with Norwegian Social Science Data Services.<b>Results:</b> Nurses defined professionalism as being an educated caregiver who prioritizes patients' needs. Professionalism involves personal engagement, while some personal matters remain private. However, nurses experienced challenges in maintaining professional boundaries, facing dilemmas due to the subjective nature of boundaries and patients' unpredictable responses.<b>Conclusions:</b> While nurses prioritize patients' needs and best interests, this study demonstrated that personal engagement is considered part of professionalism. However, nurses encounter complex dilemmas in setting professional boundaries. Additionally, these boundaries can either emphasize or de-emphasize the power differential in nurse-patient relationships.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251314093"},"PeriodicalIF":2.9,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015099","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":"Blueprint of ethics content in undergraduate education: A workshop-research study.","authors":"Stefania Chiappinotto, Alessandro Galazzi, Evridiki Papastavrou, Michael Igoumenidis, Catherine Mc Cabe, Chris Gastmans, Johanna Wiisak, Minna Stolt, Riitta Suhonen, Alvisa Palese","doi":"10.1177/09697330251313784","DOIUrl":"https://doi.org/10.1177/09697330251313784","url":null,"abstract":"<p><strong>Background: </strong>Ethics is a fundamental component of nursing education to increase students' moral competence and moral reasoning abilities. However, the core ethics content that should be included in undergraduate education has not been established to date at the international level.</p><p><strong>Aim: </strong>To identify the core contents required in formal undergraduate education to ensure morally competent nurses.</p><p><strong>Research design: </strong>An international workshop-research study design in 2023 reported here according to the COnsolidated criteria for REporting Qualitative research.</p><p><strong>Participants and research context: </strong>Five countries in the context of Promoting a Morally Competent Nurse project participated. In each country, two workshops took place, one with nurse professionals and one with patients' representatives for a total of 58 individuals (32 and 26, respectively). After being translated into English language, data were categorized deductively. The Dublin Learning Outcomes Descriptors and the blueprint methodology were applied.</p><p><strong>Ethical considerations: </strong>The research protocol was ethically approved in every country where the study was performed.</p><p><strong>Results: </strong>A total of 59 core content elements emerged, with 'ethics of individualized/tailored/patient-centred care' (<i>n</i> = 8) and 'empathy' (<i>n</i> = 6) as the most suggested. Nearly half (<i>n</i> = 26) of the core content items suggested were reported only once (e.g. 'priority setting') while overall several referred to 'communication skills' (<i>n</i> = 17). A diverse richness across countries emerged, with some suggesting a few items, and others providing several. Similarly, professionals and patients in most countries agreed that some contents of individualized care, empathy and responsibility should be taught in nursing education, but several core contents were mentioned by only one group of participants and in one country.</p><p><strong>Conclusion: </strong>The lack of convergence on core content to be taught suggests that different views are still present. Merging these perspectives may stimulate a reciprocal understanding between professionals and patients, as well as across countries, and support the identification of commonalities and differences to further harmonize undergraduate education in the field.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251313784"},"PeriodicalIF":2.9,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015094","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":"High-fidelity simulation training for improving nursing professional values acquisition.","authors":"Oscar Arrogante, Ismael Ortuño-Soriano, Ana Sofia Fernandes-Ribeiro, Marta Raurell-Torredà, Diana Jiménez-Rodríguez, Ignacio Zaragoza-García","doi":"10.1177/09697330251313782","DOIUrl":"https://doi.org/10.1177/09697330251313782","url":null,"abstract":"<p><strong>Background: </strong>Nursing professional values form the basis of nursing interventions and serve as a guide for professional practice, reflecting in all interactions with patients and other healthcare professionals. As nursing professional values constitute powerful influencers in nursing practice, a strong commitment to these values is essential for nursing students to provide high-quality care.</p><p><strong>Aim: </strong>To evaluate the impact of high-fidelity simulation training on first-year nursing students' nursing professional values acquisition.</p><p><strong>Research design: </strong>Quasi-experimental study using a longitudinal design with a single group pre- and post-intervention evaluation.</p><p><strong>Participants and research context: </strong>202 first-year nursing students at the Complutense University of Madrid (Spain) participated in the study between September 2023 and May 2024. Their nursing professional values were compared at baseline and after the simulation experience using the \"Nurses Professional Values Scale-Revised\" (NVPS-R). The acquisition of these values was also evaluated using a verification list during simulation sessions. Five simulated scenarios recreated ethics dilemmas, where students should manage conflictive situations with a standardized patient.</p><p><strong>Ethical considerations: </strong>The study was approved by the Research Ethics Committee from the Complutense University of Madrid (reference code: CE_20231116_18_SAL).</p><p><strong>Results: </strong>Most of the students (84.87%) acquired the nursing professional values needed to manage adequately simulated ethical dilemmas. Nursing students significantly improved their nursing professional values after the simulation sessions. The effect size was medium for the \"professional expertise\" and \"professional mastery\" dimensions, and the total score of NVPS-R, whereas the obtained effect size was small for the \"ethics\" dimension.</p><p><strong>Conclusion: </strong>High-fidelity simulation training using standardized patients allows first-year nursing students to acquire and improve nursing professional values. The inclusion of simulation training programs in nursing study plans to foster nursing professional values is needed to train undergraduate nursing students, providing them with the necessary ethical concepts and principles for their future clinical practice and ensuring high-quality care.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251313782"},"PeriodicalIF":2.9,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015095","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":"Patient's sexual dignity discomfort in healthcare setting: A concept development.","authors":"Sihyun Park, Hyunji Woo, Yegyu Lee, Yejung Ko","doi":"10.1177/09697330251314095","DOIUrl":"https://doi.org/10.1177/09697330251314095","url":null,"abstract":"<p><p><b>Background:</b> Body touch and close physical proximity are inevitable in some healthcare procedures and can evoke feelings of shame, humiliation, and anger in patients. Given the increasing recognition of human dignity, exploring the occurrence of these negative emotional experiences and identifying mechanisms for their prevention are crucial.<b>Aim:</b> To develop and define the concept of \"patient's sexual dignity discomfort.\" Design: A hybrid model of concept development was utilized.<b>Methods:</b> In the theoretical phase, a scoping review was conducted to establish a working definition of patient's sexual dignity discomfort. This definition was refined and validated using qualitative data collected during the fieldwork phase. In the analytical phase, a final conceptual model of patient's sexual dignity discomfort was proposed by integrating findings from both the theoretical and fieldwork phases.<b>Ethical considerations:</b> All participants completed an informed consent process, and interviews were conducted via Zoom or phone by a certified psychiatric nurse to ensure confidentiality, anonymity, and comfort.<b>Results:</b> Four themes describing attributes of patient's sexual dignity discomfort were explored: experiencing shame and embarrassment, vulnerability-induced loss of control, dehumanization and objectification, and uncertain sexual autonomy. Patient's sexual dignity discomfort occurs when patients perceive care procedures as sexually inappropriate or as involving unnecessary sexual activity, particularly when healthcare providers display unprofessional attitudes or when patients lack consent or are not mentally prepared for the procedure because of insufficient information. This discomfort leads patients to refuse or avoid healthcare treatments and prioritize finding better healthcare services over their health. It can also prompt providers to avoid patients, resulting in a compromised quality of care and poor health outcomes.<b>Conclusions:</b> Patient's sexual dignity discomfort poses a significant threat to the quality of patient care and preservation of dignity. Nurses can trigger this intentionally or unintentionally, highlighting the need for comprehensive education and training to prevent it.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251314095"},"PeriodicalIF":2.9,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015102","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":"Sources of moral distress in nursing professionals: A scoping review.","authors":"Murilo Karasinski, Elena Lomba de Oliveira, Victor Lucas de Souza Pousa, Giovanna Carolina Massaneiro Dos Santos, Carla Corradi Perini","doi":"10.1177/09697330241312382","DOIUrl":"https://doi.org/10.1177/09697330241312382","url":null,"abstract":"<p><p>This article presents a scoping review aimed at mapping the main sources of moral distress among nursing professionals. The review was conducted according to the Arksey and O'Malley methodology, using the SPIDER framework to guide the systematic search in the BVS, PubMed, PsycArticles, Scielo, and Scopus databases. Initially, 2320 publications were identified. After the application of inclusion and exclusion criteria, 83 studies were selected for analysis in terms of their methodological characteristics, objectives, practice contexts, and various sources of moral distress identified. The analysis facilitated the grouping of these sources into specific situations, reflecting the challenges experienced by nurses under different practice settings. This review augments the knowledge of the causes of moral distress in nursing, highlighting the impact of this phenomenon on the physical and mental health of professionals, as well as on the quality of care provided.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330241312382"},"PeriodicalIF":2.9,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967169","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":"Truth-telling, and ethical considerations in terminal care: an Eastern perspective.","authors":"Qing Ma, Yi Wu, Ronghua Fang","doi":"10.1177/09697330241312376","DOIUrl":"10.1177/09697330241312376","url":null,"abstract":"<p><p>Truth-telling for terminally ill patients is a challenging ethical and social issue for Chinese health care professionals. However, despite the existence of ethical and moral standards for nurses, they frequently encounter moral dilemmas when making decisions about truth-telling to patients with end-stage diseases in China. This article aims to provide ethical strategies for clinical nurses in China regarding truth-telling decisions for terminally ill patients on the basis of their individual autonomy. This article first presents a common case scenario in China and then critically discusses ethical issues related to ethical principles and philosophical theories. The aim is to provide the much needed strategy for truth-telling for nurses who are terminally ill rather than to focus on attitudes toward disclosure. This article focuses on nursing morality, ethics, norms, and philosophy in health care and discusses countermeasures taken by nurses in truth-telling decision-making in combination with Chinese Confucian culture. The analysis identifies key ethical strategies tailored to Chinese nurses' practices, emphasizing individual autonomy, cultural sensitivity, and family dynamics in truth-telling decisions. The complexity of end-of-life illness requires Chinese nurses to strengthen the communication training needed to deliver bad news, as well as critical and autonomous thinking and good communication skills when implementing patient- and family-centered care, to achieve true delivery of bad news, thereby increasing patient autonomy and promoting more successful collaboration among patients, families, and providers. To improve the quality of care. Chinese nurses should integrate ethical principles with Confucian values to enhance patient-centered communication, respecting autonomy while adapting to cultural nuances in end-of-life care.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330241312376"},"PeriodicalIF":2.9,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957885","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 on the outside, problems on the inside! The duty of nurses to support unions.","authors":"Paul Neiman, Tammy Neiman","doi":"10.1177/09697330241312381","DOIUrl":"https://doi.org/10.1177/09697330241312381","url":null,"abstract":"<p><p>Healthcare is increasingly impacted by chronic short staffing of nurses, which causes and is caused by increased nurse burnout and decreased retention. Nurses' unions seek to address these problems by proposing safer nurse-to-patient ratios, retention bonuses for working through the COVID-19 pandemic, Personal Protective Equipment (PPE) stockpiles, sabbatical leaves, measures aimed at reducing workplace violence, and maintaining or increasing wages and benefits to keep nurses at the bedside. Chronic short staffing and burnout directly affect the quality and availability of patient care-as the International Council of Nurses has pointed out, there is no healthcare without healthcare workers. This article draws on Neiman's argument that the US healthcare system is best understood as a system of competing interests aimed at fulfilling the community's obligation to provide access to quality healthcare. Nurses' unions use contract negotiations, legislative advocacy, and strikes to pressure other members of the healthcare community to address chronic short staffing, burnout, and retention. Nurses' unions in the US thus play a unique role in the system of competing interest as an organized group whose primary interest aligns with the community's obligation to provide access to quality healthcare. This article argues that nurses' professional duty to care for patients includes a duty to support nurses' unions as an important way to address the factors outside of nurses' direct practice that impacts the quality and accessibility of the care that nurses provide to patients. This duty to support unions applies to unionized and non-unionized nurses in the US, and includes duties to participate in union activities, to not cross picket lines, and to avoid work for strikebreaking nurse agencies.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330241312381"},"PeriodicalIF":2.9,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957883","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 considerations in the UK-Nepal nurse recruitment: Nepali nurses' perspectives.","authors":"Animesh Ghimire, Yunjing Qiu, Mamata Sharma Neupane, Purushottam Ghimire","doi":"10.1177/09697330241305574","DOIUrl":"https://doi.org/10.1177/09697330241305574","url":null,"abstract":"<p><strong>Background: </strong>The global migration of nurses from resource-constrained to affluent nations raises complex ethical concerns, often rooted in historical power imbalances and neocolonial legacies. The Nepal-UK Memorandum of Understanding (MoU) on nurse recruitment, while presented as a solution to workforce shortages, exemplifies this complex dynamic, prompting critical questions about its implications for individual nurses and the healthcare systems involved.</p><p><strong>Aim: </strong>This qualitative study explored the ethical complexities and dilemmas associated with the Nepal-UK nurse recruitment Memorandum of Understanding (MoU). This bilateral agreement has sparked debate about its potential impact on both individual nurses and the healthcare systems of Nepal and the UK.</p><p><strong>Research design: </strong>A qualitative exploratory design utilizing semi-structured interviews was employed. Data were analyzed using reflexive thematic analysis.</p><p><strong>Participants and research context: </strong>Twelve Nepali nurses from two private hospitals in Kathmandu, Nepal, participated in the study.</p><p><strong>Ethical considerations: </strong>The study was approved by the Nepal Health Research Council. All participants provided informed consent and were assured of confidentiality and anonymity.</p><p><strong>Results: </strong>Four themes emerged from the data: (1) The lingering legacy of colonialism casts a shadow on the Nepal-UK relationship, raising concerns about potential exploitation and unequal power dynamics. (2) Nepali nurses grapple with the ethical dilemmas of pursuing personal dreams while acknowledging their responsibilities towards their communities and Nepal's healthcare system. (3) The MoU's claims of ethical recruitment are scrutinized, with nurses questioning its fairness and sustainability. (4) The agreement is challenged as a potential band-aid solution that may perpetuate global health inequities rather than fostering a genuine partnership.</p><p><strong>Conclusions: </strong>The Nepal-UK MoU, while offering opportunities for individual nurses, also raises alarms about brain drain, exploitation, and the perpetuation of global health disparities. The study underscores the urgent need for a paradigm shift in international nurse recruitment practices, prioritizing genuine partnership, equitable distribution of benefits, and sustainable solutions that address the root causes of healthcare workforce challenges in both source and destination countries.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330241305574"},"PeriodicalIF":2.9,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957861","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":"Patient privacy investigation in the emergency departments in teaching hospitals.","authors":"Mohammad Enayati Rangbar Ghorbanabadi, Samaneh Mirzaei, Mehdi Bagherabadi, Khadijeh Nasiriani","doi":"10.1177/09697330241307316","DOIUrl":"https://doi.org/10.1177/09697330241307316","url":null,"abstract":"<p><strong>Background: </strong>Patient privacy is important as one of the most principle components of quality healthcare and safe care. In teaching hospital emergency rooms, it is a challenge for staff to respect for privacy.</p><p><strong>Research aim: </strong>Recognizing the importance of this issue, this study aims to assess the privacy status of patients in emergency departments.</p><p><strong>Research design: </strong>This study employs a cross-sectional design.</p><p><strong>Participants and research context: </strong>This study was conducted in patients of the four emergency departments of the teaching hospitals. 426 patients completed the demographic and clinical profile, as well as a privacy questionnaire, in four teaching hospitals selected based on quota sampling after obtaining informed consent. The data were analyzed with SPSS 26 and independent t-tests and one-way ANOVA.</p><p><strong>Ethical considerations: </strong>This study was approved by the ethical committee and the designated authority within hospitals.</p><p><strong>Findings: </strong>According to the findings, the majority of the respondents were married (65.05%), with a diploma level (30.25%), self-employed (37.5%), and female (50/50%). The most frequent hospitalizations were also for internal emergencies (45.1%), night shifts (42.3%), and workdays (63.8%), with mean age of 41.78 (years and a duration of hospitalization of 6.34 hours). The patient privacy score in the emergency department was 67.61 ± 13.30 and in the physical, psychosocial, and spiritual/religious dimensions was reported as 3.31 ± 15.37, 6.97 ± 36.72, and 6.18 ± 15.50, respectively. The patient privacy showed a significant difference by type of emergency, number of beds, and nurses to bed ratio (<i>p</i> = .001).</p><p><strong>Conclusions: </strong>Based on the results of the study, as the level of patient privacy was average for patients, in order to increase patient trust and improve the services provided, it is suggested that more focus be placed on structural changes, the development of guidelines, training in medical and nursing ethics, and the establishment of hospital ethics committees.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330241307316"},"PeriodicalIF":2.9,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933306","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}