N Canha, C Mandin, O Ramalho, G Wyart, J Ribéron, C Dassonville, O Hänninen, S M Almeida, M Derbez
Assessment of ventilation and indoor air pollutants in nursery and elementary schools in France
Indoor air
todays healthcare system requires nurses strong medicaltechnical competences ability focus ethical dimension care nurses coping ethical dimension care practise difficult often nurses cannot act according personal values norms generates internal moral distress negative impact nurses patients objective review thorough analysis literature nurses ethical practise particularly regard processes ethical reasoning decision making implementation decisions practise conducted extensive search electronic databases medline embase cinahl psycinfo papers published january 1988 september 2008 broad range search keywords used 39 selected articles quantitative qualitative mixedmethod design despite conceptual difficulties literature ethical practise nurses suffers review understand nurses ethical practise complex process reasoning decision making implementation decision practise process decision making pure cognitive process influenced personal contextual factors difficulties nurses encounter ethical conduct linked difficult work environment result nurses often capitulate decisions made others results conformist way acting less individually adapted care review provides us nuanced understanding way nurses reason act ethically difficult situations emerged previously want support nurses ethical care want help change conformist practises research needed especially needed indepth qualitative studies explore experiences nurses studies could help us better understand nurses reason behave practise also relationship two processes