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Table 5 Themes and units of meaning from the narrative analysis

From: A multi-country mixed-method study identifying the association between perceived ethical work climate and problems among critical care nurses

Themes

Unit of meaning

Ethical sense of failure

Ignorance of autonomy, imbalance between patient care & personal safety [self-demand], delivering bad news [empathy], injustice, inadequate care quality [beneficence]

Environment deficiencies

Insufficient resources including time, incompetent staff, processes for resolving conflicts job demotivation & dissatisfaction, lack of proper communication channels, reporting unethical acts,, policies & regulations

Instant action plan for resolving ethical conflicts

Task management, teamwork, metacognitive strategies [problem-solving], ethical consultation, ethical resilience, organizational support [resources availability], personal coping strategies