A1 Refereed original research article in a scientific journal

Ethical issues identified in nurses´ interprofessional collaboration in clinical practice: a meta-synthesis




AuthorsPakkanen Piiku, Haggman-Laitila Arja, Kangasniemi Mari

PublisherTaylor & Francis Inc

Publication year2022

JournalJournal of Interprofessional Care

Journal name in sourceJOURNAL OF INTERPROFESSIONAL CARE

Journal acronymJ INTERPROF CARE

Volume36

Issue5

First page 725

Last page734

Number of pages10

ISSN1356-1820

eISSN1469-9567

DOIhttps://doi.org/10.1080/13561820.2021.1892612

Web address https://doi.org/10.1080/13561820.2021.1892612

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/62077595


Abstract
The aim of this study was to synthesize previous knowledge about ethics in nurses' interprofessional collaboration in clinical practice. Although healthcare professionals have common goals and shared values, ethical conflicts still arise during patient care. We carried out a meta-synthesis of peer-reviewed papers published in any language from 2013-2019, using both electronic searches, with the CINAHL, PubMed, Scopus, and SocINDEX databases, and manual searches. We identified 4,763 papers and selected six qualitative papers, and three theoretical papers, based on predetermined inclusion and exclusion criteria and quality appraisal. The studies came from the USA, Canada, Sweden, Australia, Botswana, and the Netherlands. We found that in ethics studies on nurses' interprofessional collaboration in clinical practice the focus has been on factors that affect how patients receive care. These factors were patients' wishes, whether they were told the truth about their condition, and how different professionals recognized and treated their pain. The focus in the papers we reviewed was on the roles of different professionals during the care process, including ethical conflicts with regard to their aims, commitment, and the balance of power among them and other professions. More research is needed to raise the visibility of how nurses and other professionals recognize, and evaluate, their professional and interprofessional ethics.

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