To Stay or Leave? Consequences of Ethical Dilemma Experienced by Nurses in the Intensive Care Units

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dc.authoridhttps://orcid.org/0000-0002-7593-9835
dc.authoridhttps://orcid.org/0000-0002-5743-4075
dc.contributor.authorKalaycıoğlu, Ozan
dc.contributor.authorSert Özen, Arzu
dc.contributor.authorYeşildağ, Ahmet
dc.date.accessioned2025-05-22T14:06:59Z
dc.date.available2025-05-22T14:06:59Z
dc.date.issued2024
dc.departmentİktisadi İdari ve Sosyal Bilimler Fakültesi
dc.description.abstractGlobal shortages of healthcare workers, particularly nurses, have been exacerbated by the COVID-19 pandemic, putting signifcant pressure on healthcare systems worldwide. According to the International Council of Nurses (ICN), 13 million additional nurses are urgently needed to meet global demand. Nurses, who are the backbone of patient care, have faced unprecedented ethical dilemmas, particularly in intensive care units (ICUs), where resource allocation, such as ventilator management and triage decisions, often confict with basic ethical principles. This study seeks to contribute to the literature by examining the efect of the ethical dilemmas experienced by ICU nurses during COVID-19 pandemic on emotional exhaustion and turnover intention and testing whether emotional exhaustion has a mediating role on the relationship between ethical dilemma and turnover intention. The research model was tested with partial least square structural equation modeling (PLS– SEM) in the package program SmartPLS. The bias-corrected bootstrapping (resampling) method was applied to the sample of 189 nurses who work in the intensive care units in the hospitals in the East Black Sea Region of Türkiye. The research results indicated that ethical dilemma is positively associated with emotional exhaustion (β=0.305, 95% CI [0.167–0.407]), and turnover intention (β=0.156, 95% CI [0.146—0.423]). In addition, emotional exhaustion has a complementary partial mediation efect (B=0.149, 95% CI [0.083–0.215]) between ethical dilemma and turnover intention among ICU nurses.
dc.identifier.doihttps://doi.org/10.1007/s10551-024-05915-5
dc.identifier.endpage16
dc.identifier.issn0167-4544
dc.identifier.issn1573-0697
dc.identifier.startpage1
dc.identifier.urihttps://hdl.handle.net/11363/9811
dc.identifier.wos001387209600001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.institutionauthorSert Özen, Arzu
dc.institutionauthoridhttps://orcid.org/0000-0002-5743-4075
dc.language.isoen
dc.publisherSPRINGER, VAN GODEWIJCKSTRAAT 30, 3311 GZ DORDRECHT, NETHERLANDS
dc.relation.ispartofJOURNAL OF BUSINESS ETHICS
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectEthical dilemmas
dc.subjectEmotional exhaustion
dc.subjectTurnover intention
dc.subjectCOVID-19 pandemic
dc.subjectICU nurses
dc.titleTo Stay or Leave? Consequences of Ethical Dilemma Experienced by Nurses in the Intensive Care Units
dc.typeArticle

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