Ethical issues in pediatric hospitalization: Mid-career nurses’ perspectives and responses

Abstract

The objective of this study is to clarify the ethical issues in pediatric hospitalization perceived by mid-career nurses and their responses. A qualitative descriptive design was employed, with participants of 13 nurses with 3 to 10 years of clinical experience in pediatric nursing. Analysis of semi-structured interviews revealed three ethical issues: [restrictions on the living environment necessary for children’s growth and development], [healthcare professionals’ words and actions that cause children to feel pain and fear], and [situations where children’s wishes are difficult to be respected]. Additionally, three categories of mid-career nurses’ responses were revealed, [trial and error to create a living environment necessary for children’s growth and development], [interactions with children and healthcare professionals to reduce pain and fear] and [interactions with parents and healthcare professionals to respect children’s wishes]. The findings suggested that by respecting children as individuals and placing importance on their growth, development, and lifestyle, nurses can recognize ethical issues in pediatric hospitalization and reduce children’s pain and fear.