December 16, 2025
Correlation of nurses’ and midwives’ stress of conscience with hospital ethical climate and moral sensitivity
  • Glasberg, A. L. et al. Development and initial validation of the stress of conscience questionnaire. Nurs. Ethics 13(6), 633–648. (2006).

    Article 
    PubMed 

    Google Scholar 

  • Crowell, S., Malpas, J. & Kukla, R. The ontology and temporality of conscience. Continental Philos. Rev. 35, 1–34 (2002).

    Article 

    Google Scholar 

  • Langston, D. Conscience and other virtues (Penn State University Press, 2001).

    Google Scholar 

  • Habermas, J. Moral Consciousness and Communicative Action. 1981/1990, Polity, Cambridge (Original work in German published 1981).

  • Crowell, S. & Malpas, J. Review article. [Review of the book Transcendental Heidegger]. Parrhesia J. (2008). Available from http://www.parrhesiajournal.org/parrhesia05/parrhesia05_farin.pdf.

  • Häggström, E., Skovdahl, K., Fläckman, B., Kihlgren, A. L. & Kihlgren, M. To feel betrayed and to feel that you are betraying the older residents: Caregivers’ experiences at a newly opened nursing home. J. Clin. Nurs. 13(6), 687–696. (2004).

    Article 
    PubMed 

    Google Scholar 

  • Häggström, E. Municipal care for older people: Experiences narrated by caregivers and relatives [Dissertation]. Karolinska Institutet (2005).

  • Gastmans, C. A fundamental ethical approach to nursing: Some proposals for ethics education. Nurs. Ethics 9(5), 494–507. (2002).

    Article 
    PubMed 

    Google Scholar 

  • Weaver, K. Ethical sensitivity: State of knowledge and needs for further research. Nurs. Ethics 14(2), 141–155. (2007).

    Article 
    PubMed 

    Google Scholar 

  • Park, M., Kjervik, D., Crandell, J. & Oermann, M. H. The relationship of ethics education to moral sensitivity and moral reasoning skills of nursing students. Nurs. Ethics 19(4), 568–580. (2012).

    Article 
    PubMed 

    Google Scholar 

  • Dziurka, M. & Dobrowolska, B. Determinants of moral sensitivity of midwives and nurses – current state of knowledge. Nurs. 21st Century 22(1(82), 41–47. (2023).

  • Olson, L. Ethical climate in health care organizations. Int. Nurs. Rev. 42, 85–90 (1995).

    CAS 
    PubMed 

    Google Scholar 

  • Lee, E. J. & Chae, Y. R. A. Structural model on the moral distress in clinical nurses. J. Muscle Jt. Health. 29, 194–204. (2022).

    Article 

    Google Scholar 

  • Lee, J. S. & Lee, S. Y. Ethical climate and patient safety competencies between nurses in long-term care hospital. J. Converg. Cult. Technol. 7, 237–242 (2021).

    Google Scholar 

  • Noh, Y. G. & Lee, O. S. Factors related to ethical climate of nurses in Korea: A systematic review. J. Health Inform. Stat. 45, 261–272. (2020).

    Article 

    Google Scholar 

  • Lanes, T. C. et al. Evaluation of ethical climate in health services: A systematic review. Rev. Bioética. 28, 718–729. (2020).

    Article 

    Google Scholar 

  • Glasberg, A. L. Factors associated with ‘stress of conscience’ in healthcare. Scand. J. Caring. Sci. 22(2), 249–258 (2008).

    Article 
    PubMed 

    Google Scholar 

  • von Elm, E. et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. J. Clin. Epidemiol. 61(4), 344–349. (2008).

    Article 

    Google Scholar 

  • Number of nurses and midwives registered and employed. Supreme Chamber of Nurses and Midwives. Avaiable in Polish at: https://nipip.pl/liczba-pielegniarek-poloznych-zarejestrowanych-zatrudnionych/.

  • Ministry of Health. Report of coronavirus infection (SARS-CoV-2). Avaiable in Polish at: https://www.gov.pl/web/koronawirus/wykaz-zarazen-koronawirusem-sars-cov-2.

  • International Test Commission (2017). International test commission guidelines for translating and adapting tests, Second edition. Available from: http://www.intestcom.org.

  • Olson, L. L. Hospital nurses’ perceptions of the ethical climate of their work setting. Image J. Nurs. Sch. 30(4), 345–349. (1998).

    Article 
    MathSciNet 
    CAS 
    PubMed 

    Google Scholar 

  • Dziurka, M. et al. Hospital ethical climate survey – selected psychometric properties of the scale and results among Polish nurses and midwives. BMC Nursing 21, 295. (2022).

  • Lutzen, K., Dahlqvist, V., Eriksson, S. & Norberg, A. Developing the concept of moral sensitivity in health care practice. Nurs. Ethics 13, 187–196 (2006).

    Article 
    PubMed 

    Google Scholar 

  • Tavakol, M. & Dennick, R. Making sense of Cronbach’s alpha. Int. J. Med. Educ. 2, 53–55. (2011).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Åhlin, J., Ericson-Lidman, E., Norberg, A. & Strandberg, G. A comparison of assessments and relationships of stress of conscience, perceptions of conscience, burnout and social support between healthcare personnel working at two different organizations for care of older people. Scand. J. Caring Sci. 29, 277–287 (2015).

    Article 
    PubMed 

    Google Scholar 

  • Juthberg, C., Eriksson, S., Norberg, A. & Sundin, K. Perceptions of conscience in relation to stress of conscience. Nurs. Ethics 14(3), 329–343. (2007).

    Article 
    PubMed 

    Google Scholar 

  • Orrung Wallin, A., Jakobsson, U. & Edberg, A. K. Job strain and stress of conscience among nurse assistants working in residential care. J. Nurs. Manag. 23(3), 368–379. (2015).

    Article 
    PubMed 

    Google Scholar 

  • Ohnishi, K. et al. Impact of moral sensitivity on moral distress among psychiatric nurses. Nurs. Ethics 26(5), 1473–1483. (2018).

    Article 
    PubMed 

    Google Scholar 

  • Borhani, F., Abbaszadeh, A., Mohamadi, E., Ghasemi, E. & Hoseinabad-Farahani, M. J. Moral sensitivity and moral distress in Iranian critical care nurses. Nurs. Ethics 24(4), 474–482. (2017).

    Article 
    PubMed 

    Google Scholar 

  • Tuvesson, H. & Eklund, M. Nursing staff stress and individual characteristics in relation to the ward atmosphere in psychiatric in-patient wards. Issues Ment. Health Nurs. 38(9), 726–732. (2017).

    Article 
    PubMed 

    Google Scholar 

  • Zhang, H., Wang, K., Liu, Y. & Chan, D. K. Factors associated with stress of conscience among emergency medical technicians in China. Int. J. Nurs. Pract. 19(Suppl 3), 89–96. (2013).

    Article 
    PubMed 

    Google Scholar 

  • Tuvesson, H., Eklund, M. & Wann-Hansson, C. Stress of Conscience among psychiatric nursing staff in relation to environmental and individual factors. Nurs. Ethics 19(2), 208–219. (2012).

    Article 
    PubMed 

    Google Scholar 

  • Edvardsson, D., Sandman, P. O. & Borell, L. Implementing national guidelines for person-centered care of people with dementia in residential aged care: Effects on perceived person-centeredness, staff strain, and stress of conscience. Int. Psychogeriatr. 26(7), 1171–1179. (2014).

    Article 
    PubMed 

    Google Scholar 

  • Molin, J., Lindgren, B. M., Graneheim, U. H. & Ringnér, A. Time Together: A nursing intervention in psychiatric inpatient care: Feasibility and effects. Int. J. Ment. Health Nurs. 27(6), 1698–1708. (2018).

    Article 
    PubMed 

    Google Scholar 

  • Nilsson, U., Odom-Forren, J., Ring, M., van Kooten, H. & Brady, J. M. Stress of conscience of COVID-19 among perianaesthesia nurses having worked in a COVID-ICU during the coronavirus pandemic: an international perspective. BMC Nurs. 21(1), 82. (2022).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Sugg, H. V. R. et al. Fundamental nursing care in patients with the SARS-CoV-2 virus: Results from the “COVID-NURSE” mixed methods survey into nurses’ experiences of missed care and barriers to care. BMC Nurs. 20(1), 215. (2021).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Mazur, J., Kozakiewicz, A., Białorudzki, M. & Izdebski, Z. Selected aspects of patient communication and occupational burnout among nurses working during the COVID-19 pandemic. Nurs. 21st Century 22(3), 139–146. (2023).

    Article 

    Google Scholar 

  • Kohanová, D., Solgajová, A. & Bartoníčková, D. The association of rationed nursing care and the level of teamwork in acute care setting: A cross-sectional study. Nurs. 21st Century 23(2), 100–105. (2024).

    Article 

    Google Scholar 

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