OOIR: Observatory of International Research

Papers

(The TQCC of Nursing Ethics is 6. The table below lists those papers that are above that threshold based on CrossRef citation counts [max. 250 papers]. The publications cover those that have been published in the past four years, i.e., from 2021-10-01 to 2025-10-01.)

Article	Citations
COVID-19 and nurses’ ethical issues: Comparisons between two European countries	60
Public health nurses’ professional dignity: An interview study in Finland	48
Spontaneous ethics in nurses’ willingness to work during a pandemic	47
Relationship between nurses’ ethical ideology, professional values, and clinical accountability	44
Applicants' success in the ethics entrance exam: A cross-sectional study	39
Moral distress and moral resilience of nurse managers	38
Midwifery students’ experiences: Violations of dignity during childbirth	33
Moral injury and mental health outcomes in nurses: A systematic review	31
Do ethical views of end-of-life patients’ family members impact organ donation decisions?	31
A typology of nurses' interaction with relatives in emergency situations	30
Ethical challenges in residential care facilities during COVID-19: Leaders’ perspective	30
Conceptual framework for the ethical climate in health professionals	30
Nursing ethics and the perspectivity of nursing: Response to ‘30 years of nursing ethics’	29
Truth-telling, and ethical considerations in terminal care: an Eastern perspective	27
Care-deficits and polarization: Why the time is ripe for a universal care conscription	24
Family Systems Care ‒ Expert consensus on ethics behind committed practice	24
Relational vulnerability and technological mediation: The ethics of intelligent eldercare	23
Physician-nurse collaboration in the relationship between professional autonomy and practice behaviors	22
Reflections on the 2025 Nursing Ethics Conference in Turku, Finland	22
Solidarity and collectivism in the context of COVID-19	21
Informed consent prior to nursing care: Nurses’ use of information	21
Preserving client autonomy when guiding medicine taking in telehomecare: A conversation analytic case study	21
Children’s informed signified and voluntary consent to heart surgery: Professionals’ practical perspectives	20
Moral distress to moral success: Strategies to decrease moral distress	20
Ethical issues in research with second victims: A scoping review	20

Intensive care unit professionals’ responses to a new moral conflict assessment tool: A qualitative study	20
Racism during clinical placement, the perpetrators, impact, advocating and reporting	19
Measuring trust in healthcare with instruments developed in different disciplines – A scoping review	19
Moral courage of nursing: Bibliometric analysis	19
Paradoxes, nurses’ roles and Medical Assistance in Dying: A grounded theory	18
Patient’s sexual dignity discomfort in healthcare setting: A concept development	18
Interventions for the promotion of the ethical environment among health professionals: Scoping review	17
The moral dilemma of obstetric violence: A meta-synthesis	17
Co-production as a resolution to authoritarian attitudes in healthcare	17
Linking ethical leadership to nurses’ internal whistleblowing through psychological safety	17
Defining and characterising the nurse–patient relationship: A concept analysis	16
Ethical competence in nursing: A theoretical definition	15
Moral distress among critical care nurses before and during the COVID-19 pandemic: A systematic review	15
Nurses’ moral suffering, burnout and turnover intentions: A two-wave study	15
Factors affecting the formation of nurses’ moral sensitivity in cardiopulmonary resuscitation settings: A qualitative study	14
Transparency and Authority Concerns with Using AI to Make Ethical Recommendations in Clinical Settings	14
Empowerment as an alternative to traditional patient advocacy roles	14
Navigating discriminatory requests and refusals of healthcare workers: A Canadian-based inpatient hospital algorithm	14
Nurses’ experiences of ethical responsibilities of care during the COVID-19 pandemic	14
Value pluralism about sexual intimacy in residential care	13
NICU nurses' moral distress surrounding the deaths of infants	13
Nurses who kill: Opportunity, organisational failure or an evil individual?	13
Nurses’ values on medical aid in dying: A qualitative analysis	13
The scope of ethical dilemmas in paediatric nursing: a survey of nurses from a tertiary paediatric centre in Australia	13
Nurses’ strategies for maintaining the privacy of children with cancer	13
Editorial	13
Patient privacy protection among university nursing students: A cross-sectional study	13
Investigating compassion fatigue and predictive factors in paediatric surgery nurses	13
Factors contributing to the promotion of moral competence in nursing	12
Nursing professions’ distinctive ethical standards: Exploring a code of ethics	12
Unveiling the burden of compassion fatigue in nurses	12
Quality improvement in palliative care: A review of the ethics	12
Key professional stakeholders roles in promoting older people's autonomy in residential care	12
Estimation of moral distress among nurses: A systematic review and meta-analysis	12
Can an AI-carebot be filial? Reflections from Confucian ethics	12
Care leaders safeguarding the rights of care home residents during COVID-19: Moral failures offering moral lessons	12
Critical care nurse leaders’ moral distress: A qualitative descriptive study	11
Blurred lines: Ethical challenges related to autonomy in home-based care	11
Respectful care of newborns after childbirth globally: a systematic review	11
Care leaders’ moral distress in older adult care: A scoping review	11
An umbilical cord around women’s necks	11
Futile therapeutic nursing interventions in adult intensive care: A descriptive study	11
Ethical climate in healthcare: A systematic review and meta-analysis	11
Ethical dilemmas in nursing documentation	11
Post COVID-19 workplace ostracism and counterproductive behaviors: Moral leadership	11
Labouring women perspectives on mistreatment during childbirth: a qualitative study	11
Compassion, emotions and cognition: Implications for nursing education	11
Physiotherapists’ moral distress: Mixed-method study reveals new insights	10
Patient privacy investigation in the emergency departments in teaching hospitals	10
Ethics and frontline nursing during COVID-19: A qualitative analysis	10

Clinical internship environment and caring behaviours among nursing students: A moderated mediation model	10
Special issue: Cultivating character for care	10
Integrity links ethics and efficiency in nursing leadership: Nurse leaders’ views	10
Caregiver decision-making concerning involuntary treatment in dementia care at home	10
Nursing students’ attitude toward euthanasia following its legalization in Spain	10
Stress of conscience in healthcare in turbulent times: A longitudinal study	10
Truth-telling to the seriously ill child – Nurses’ experiences, attitudes, and beliefs	9
Ethical challenges in organ transplants for refugees in a healthcare system	9
Ethical considerations in design and implementation of home-based smart care for dementia	9
Effect of digital storytelling-case studies patient privacy: A randomized controlled study	9
Perceived compassionate care and preoperative anxiety in hospitalized patients	9
Ethical aspects of professional migration	9
Public health nurses’ experiences of ethical responsibility: A meta-ethnography	9
Moral distress among nurse leaders: A qualitative systematic review	9
Managerial ethical principles and behaviours for nurse managers: A Delphi method	9
Barriers to maintaining dignity for patients with schizophrenia: A qualitative study	9
Operationalizing the role of the nurse ethicist: More than a job	9
Ethical conflict among critical care nurses during the COVID-19 pandemic	9
Towards democratic institutions: Tronto’s care ethics inspiring nursing actions in intensive care	9
Prioritization decision-making of care in nursing homes: A qualitative study	9
Moral distress in nursing students: Cultural adaptation and validation study	9
Withdrawal: Explaining the concept of moral resilience among intensive care unit nurses	8
Ethical challenges nurses faced during the COVID-19 pandemic: Scoping review	8
Factors influencing healthcare professionals’ moral distress: A descriptive qualitative analysis	8
Alleviating suffering of individuals with multimorbidity and complex needs: A descriptive qualitative study	8
Ethical aspects of staff responses when older people with dementia express false beliefs	8
Moral distress among nurse leaders: A conceptual framework	8
Ethical reflections of healthcare staff on ‘consentless measures’ in somatic care: A qualitative study	8
The meaning of respect and dignity for intensive care unit patients: A meta-synthesis of qualitative research	8
Educational needs of midwifery students in medical ethics: A qualitative study	8
Ethical analysis of community-based dementia screening for unhoused older adults	8
Multi-professional perspectives to reduce moral distress: A qualitative investigation	8
Lived experience of ethical challenges among undergraduate nursing students during their clinical learning	8
Nurses as the leading fighters during the COVID-19 pandemic: Self-transcendence	7
Ethical challenges in caring for healthy older adults: Qualitative perspectives	7
Nurses on the outside, problems on the inside! The duty of nurses to support unions	7
‘Blurred boundaries’: When nurses and midwives give anti-vaccination advice on Facebook	7
Nursing leadership and artificial intelligence ethics: Safeguarding relationships and values	7
How paediatric nurses frame the ethics of non-disclosure directives	7
Latent profiles of ethical climate and nurses’ service behavior	7
Moral distress and nursing competence: The mediating role of moral sensitivity and ethical climate	7
Acknowledging vulnerability in ethics of palliative care – A feminist ethics approach	7
Associations between self-compassion and moral injury among healthcare workers: A cross-sectional study	7
Views, attitudes, and reported practices of nephrology nurses regarding shared decision-making in end-of-life care	7
The role of moral integrity in the association between moral self and moral sensitivity among nurses: A mediation model	7
Systematic review of ethical issues in perinatal mental health research	7
“Humanizing intensive care: A scoping review (HumanIC)”	7
Coping strategies of intensive care unit nurses reducing moral distress: A content analysis study	7
Ethical climate and turnover intention among nurses: A scoping review	7
Charting new territories: Emerging domains of nursing jurisprudence research	7
Nurses’ adherence to ethical principles – A qualitative study	7
Nursing vaccine mandates: Ethically justified, an infringement on autonomy, or both?	7
Family involvement in nursing homes: an interpretative synthesis of literature	7
Understanding lived experiences of nurse managers about managerial ethics	7
Prerequisites for ethical leadership in health and social care: Integrative review	6
PASTRY: A nursing-developed quality improvement initiative to combat moral distress	6
The implicit ethical values in nurse educator stories	6
How does ethical leadership influence nurses’ job performance? Learning goal orientation as a mediator and co-worker support as a moderator	6
Advance care planning in dementia care: Wants, beliefs, and insight	6
Impacts of ethical climate and ethical sensitivity on caring efficacy	6
Nurses’ simulation-based medical error experiences: A qualitative study	6
Beyond the consult question: Nurse ethicists as architects of moral spaces	6
Compassion fatigue and moral sensitivity in midwives in COVID-19	6
Reimagining relationality for reproductive care: Understanding obstetric violence as “separation”	6
Exploring the concept of non-violent resistance amongst healthcare workers	6
A caring-perception model for ethical competence in virtual reality environment	6
Implications of assisted dying for nursing practice	6
Blueprint of ethics content in undergraduate education: A workshop-research study	6
High-fidelity simulation training for improving nursing professional values acquisition	6
Impact of Education on Student Nurses' Advocacy and Ethical Sensitivity	6
Nursing students’ movement toward becoming a professional caring nurse	6
Reflecting on ICU patient’s dignity using Taylor’s Emancipatory Reflection Model	6
Culturally-sensitive moral distress experiences of intensive care nurses: A scoping review	6
Ethical dilemmas and care actions in nurses providing palliative sedation	6
Am I my students’ nurse? Reflections on the nursing ethics of nursing education	6
Advance directives need full legal status in persons with dementia	6
Editorial & Perspectives on Assisted Dying	6
Responses to “Reflections on 30 Years of Nursing Ethics”	6
Psychiatric nurses’ experience of moral distress: Its relationship with empowerment and coping	6