Roghayeh Mehdipour-Rabori - Associate Professor, Nursing Research Center, Kerman University of Medical Science, Kerman, Iran
Monirsadat Nematollahi - Associate Professor, Department of Pediatric and Neonatal Intensive Care Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
Behnaz Bagherian - Assistant Professor, Department of Medical Surgical Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
Fatemeh Esmaelzadeh - Assistant Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Background: Nurses working in pediatric wards face many challenges when caring for sick children of different ages due to their physical and mental needs, especially if they have not been trained professionally. Nursing students and nurses are faced with ethical challenges in pediatric wards, hence their experiences can help identify the ethical problems in the healthcare setting. Since the explanation of ethical challenges depends on the context and factors such as values, beliefs, and hospital culture, this study aimed to explain the ethical challenges associated with caring for sick children based on the experiences of nursing students.Methods: This qualitative study used conventional content analysis to investigate the experiences of undergraduate and postgraduate nursing students and nurses working in pediatric wards selected by purposive sampling. Data collection tools were interviews and field notes. Data were categorized via MAXQDA۱۰ and analyzed using conventional content analysis.Results: The participants included ۳ pediatric nurses and ۱۷ nursing students. The mean age of the participants was ۲۴.۹ ± ۱.۲. The findings of the study revealed the main theme i.e., ethical challenges associated with caring for sick children, was classified into two main categories including care challenges and organizational constraints. Care challenges were classified into the following subcategories: feeling worried when caring for sick children, compassionate care, emotional needs of children, inattention to family-centered care, and insufficient capability of the healthcare team. Organizational constraints were classified into facility constraints and hospital managers’ inattention to the environmental design of pediatric wards.Conclusion: The results of the study showed that the ethical challenges associated with caring for sick children were related to the healthcare team and organizational management. With the provision of appropriate training for nurses, as well as proper planning and implementation of policies to standardize the pediatric wards, nurses can provide nursing care to this age group with the least amount of moral distress.

Nursing, Care, ethical challenges, Pediatric wards, Sick children