Exploring Ethical Dilemmas and Coping Strategies in Nursing: A Focus Group Study of Nurses and Nursing Students

This study explored the ethical dilemmas and coping behaviors of nurses and students in clinical settings and analyzed their differences. Using separate focus group interviews, 12 nurses and 18 fourth-year nursing students who had completed internships shared their experiences. The results identified two major themes related to ethical dilemmas: Powerlessness and diversity in ethical decision-making. Nurses and students often experienced powerlessness due to the hierarchical structure of healthcare or their lack of experience, making it difficult to navigate complex clinical situations. Coping strategies included demonstrating empathy and patient companionship, enhancing professional literacy, and seeking support from available resources. Participants emphasized the need to strengthen nursing ethics education by focusing on ethical awareness, understanding personal values, and improving communication skills. Strengthening these areas could enhance ethical decision-making, improve professional competence, and support best clinical care practices.