Healthcare Professionals’ Experiences of Bioethical Conflict in Clinical Settings
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Abstract
Healthcare professionals frequently encounter bioethical conflicts arising from tensions between patient-centered care, institutional constraints, and professional responsibility. Although ethical frameworks and institutional guidelines are available, limited attention has been given to how healthcare professionals subjectively experience and interpret these conflicts in everyday clinical practice. This study used an interpretative phenomenological approach to explore the lived experiences of healthcare professionals facing bioethical conflict. Data were collected through in-depth semi-structured interviews and analyzed using Interpretative Phenomenological Analysis. The findings reveal that bioethical conflict is experienced as a sustained moral struggle marked by moral distress, constrained ethical agency, and adaptive responses such as silence, compromise, and resistance. Participants also engaged in ongoing meaning-making to preserve ethical integrity within structurally limited healthcare systems. These findings highlight the need for ethically responsive institutional practices and contribute to human-centered discussions in Health Law and Bioethics.
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References
AlOmeir, O., Almuqbil, M., Hussam Alsawadi, A., Mohamed Genedy, A., Fawaz Almutairi, A., Talal Alaydaa, H., Alanazi, S. A., AlAbdan, N., Alshakrah, M., & Gilkaramenthi, R. (2024). An exploration of factors influencing the selection of generic and innovator medicines in Saudi Arabia using an observational cross-sectional study. Saudi Pharmaceutical Journal, 32(4). Scopus. https://doi.org/10.1016/j.jsps.2024.102021
AlZaabi, A., & Masters, K. (2025). Assessing medical students’ readiness for artificial intelligence after pre-clinical training. BMC Medical Education, 25(1). Scopus. https://doi.org/10.1186/s12909-025-07008-x
Carreiras, H., & Castro, C. (2012). Qualitative methods in military studies: Research experiences and challenges (p. 194). Taylor and Francis. Scopus. https://doi.org/10.4324/9780203099223
Chen, J., Collins, J. C., Scanlan, J. N., Mccloughen, A., Howard, R., Ashton-James, C., O’Reilly, C. L., Moles, R. J., Ung, T. X., & Schneider, C. R. (2025). Co-design and content validation of psychosis care assessment material for medical, pharmacy, nursing, and occupational therapy curricula. BMC Medical Education, 25(1). Scopus. https://doi.org/10.1186/s12909-024-06580-y
Cohen, E. Y., Kavishe, B. B., Urry, M., Okello, E., Kapiga, S., Mwakisole, A. H., Kalokola, F., Malibwa, D., Peck, R. N., & Downs, J. A. (2025). Development of a curriculum to educate religious leaders about blood pressure using community-based participatory research and educational theory in Mwanza, Tanzania. BMC Medical Education, 25(1). Scopus. https://doi.org/10.1186/s12909-025-06836-1
Daly, K. J. (2007). Qualitative methods for family studies & human development (p. 293). SAGE Publications Inc. Scopus. https://doi.org/10.4135/9781452224800
Dashti, S., Heidari, A. S., & Keshmiri, F. (2025). Effect of interprofessional education on interprofessional professionalism behavior and Self-efficacy in communication among the infertility and reproductive medicine team. BMC Medical Education, 25(1). Scopus. https://doi.org/10.1186/s12909-025-07720-8
Debesay, J., Kartzow, A. H., & Fougner, M. (2022). Healthcare professionals’ encounters with ethnic minority patients: The critical incident approach. Nursing Inquiry, 29(1). Scopus. https://doi.org/10.1111/nin.12421
Ellicott, C., Norman, A., & Jackson, S. (2025). Voicing Experiences of Family Members Providing Care to Loved Ones With a Pituitary Condition. Family Journal, 33(4), 650–659. Scopus. https://doi.org/10.1177/10664807241292052
Feng, H., Musah, A. A., Keat, O. B., & Wei, Y. (2024). Bridging the Gap: How Innovation and Entrepreneurship Education Prepares Medical Students for the Workforce. Pakistan Journal of Life and Social Sciences, 22(1), 5801–5812. Scopus. https://doi.org/10.57239/PJLSS-2024-22.1.00428
Fernandes, D. S., Bhat, S. K., Inamdar, N., & Kamath, V. G. (2025). A Qualitative Study of Key Informants’ Perceptions of Factors Influencing Women’s Reproductive Autonomy. Sexuality and Culture, 29(4), 1858–1881. Scopus. https://doi.org/10.1007/s12119-025-10349-w
Fife, W. (2020). Counting as a Qualitative Method: Grappling with the Reliability Issue in Ethnographic Research (p. 140). Springer International Publishing. Scopus. https://doi.org/10.1007/978-3-030-34803-8
Freeman, K. J., Nestel, D., Houghton, S., & Carr, S. E. (2025). ‘It causes me to minimise myself’: Impostor phenomenon in simulation educators. Advances in Simulation, 10(1). Scopus. https://doi.org/10.1186/s41077-025-00369-9
Hillman, W., & Radel, K. (2018). Qualitative methods in tourism research: Theory and practice (p. 294). Channel View Publications. Scopus. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050434848&partnerID=40&md5=7ea1e3f0b2027993b53f6a795804ee51
Iosifides, T. (2016). Qualitative Methods in Migration Studies: A Critical Realist Perspective (p. 266). Taylor and Francis. Scopus. https://doi.org/10.4324/9781315603124
Kawamura, Y. (2020). DOING RESEARCH IN FASHION AND DRESS: An Introduction to Qualitative Methods, 2nd edition (p. 166). Bloomsbury Publishing Plc. Scopus. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85188589040&partnerID=40&md5=b3db406659cd1ea5b20e05664bec39a3
Longhofer, J., Floersch, J., & Hoy, J. (2012). Qualitative Methods for Practice Research (p. 224). Oxford University Press. Scopus. https://doi.org/10.1093/acprof:oso/9780195398472.001.0001
Lutz, W., & Knox, S. (2014). Quantitative and qualitative methods in psychotherapy research (p. 448). Taylor and Francis. Scopus. https://doi.org/10.4324/9780203386071
Mahmoud, M. A., Ali, S. S. A. R., Ahmed, H. G. A., Ibrahim, A. A., Islam, M. A., & Ur Rahman, S. A. U. (2022). Healthcare Professionals Knowledge, Practice, Experiences, Encouraging Factors and Barriers to Adverse Drug Reactions (ADR) Reporting. Latin American Journal of Pharmacy, 41(11), 2323–2330. Scopus. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85141190901&partnerID=40&md5=d90a4295f43578cd393e6245133f5848
Mammadli, T., Whitfield, D. L., & Call, J. (2025). Gender Identity Conversion Efforts as a Source of Minority Stress Among Transgender and Nonbinary Persons Living in the U.S.: Correlation with Wellbeing and Proximal Stressors. Sexuality Research and Social Policy, 22(1), 393–406. Scopus. https://doi.org/10.1007/s13178-024-00955-y
McNabb, D. E. (2015). Research methods for political science: Quantitative and qualitative methods: Second edition (p. 426). Taylor and Francis. Scopus. https://doi.org/10.4324/9781315701141
Merchant, A. A. H., Afzal, N., Abdul-Rahim, K. A., Shah, S. A., Jamal, W. Z., Rahim, A., Bakhshi, S. K., Shaikh, N. Q., Noorali, A. A., Mahmood, S. B. Z., Akbarali, L., Tariq, M., Khan, S., & Haider, A. H. (2025). Application to achievement: Association between pre-admission factors, admission scores, and medical students’ performance. BMC Medical Education, 25(1). Scopus. https://doi.org/10.1186/s12909-025-06800-z
Migdal, A. B. (2018). Qualitative Methods in Quantum Theory (p. 460). CRC Press. Scopus. https://doi.org/10.1201/9780429497940
Mukhlis, L. (2025a). A Phenomenological Study of Personal Spiritual Experiences in Navigating Religious Pluralism within Interfaith Communities. Irfana: Journal of Religious Studies, 1(6), 212–220.
Mukhlis, L. (2025b). Spiritual Grounds for Economic Growth: A Qualitative Exploration of Rural Indonesian Women’s Transformative Journeys Through Mosque-Led Empowerment Programs. Servina: Jurnal Pengabdian Kepada Masyarakat, 1(8), 289–298.
Mukhlis, L., & Abdullah, M. N. (2025). Hukum Keluarga Islam di Indonesia (1st edn). Mukhlisina Revolution Center.
Mukhlis, L., Arifin, T., Ridwan, A. H., & Zulbaidah. (2024). Integrating Artificial Intelligenceand Maqāṣid al-Syarī‘ah: Revolutionizing Indonesia’s Sharia Online Trading System. Computer Fraud and Security, 2024(11), 301–309. https://doi.org/10.52710/cfs.238
Mukhlis, L., Arifin, T., Ridwan, A. H., & Zulbaidah. (2025). Reorientation of Sharia Stock Regulations: Integrating Taṣarrufāt al-Rasūl and Maqāṣid al-Sharī‘ah for Justice and Sustainability. Journal of Information Systems Engineering and Management, 10(10s), 58–66. https://doi.org/10.52783/jisem.v10i10s.1341
Mukhlis, L., Arifin, T., Ridwan, A. H., Zulbaidah, Rosadi, A., & Solehudin, E. (2025). Reformulation of Islamic Stock Law: The Application of Taṣarrufāt al-Rasūl and Maqāṣid al-Syarī‘ahto Develop a Dynamic and Sustainable Islamic Capital Market in Indonesia. Journal of Posthumanism, 5(3), 1–13. https://doi.org/10.63332/joph.v5i3.913
Mukhlis, L., Janwari, Y., & Syafe`i, R. (2023). INDONESIA STOCK EXCHANGE: THEORETICAL AND PHILOSOPHICAL ANALYSIS OF MUDHARABAH AND MUSYARAKAH CONTRACTS. Yurisprudentia: Jurnal Hukum Ekonomi, 9(2), 243–264. https://doi.org/10.24952/yurisprudentia.v9i2.8466
Mukhlis, L., Maryam, S., & Sormin, S. A. (2023). Model Pembelajaran Living History Berbasis PjBL Untuk Meningkatkan Keterampilan Histografi Mahasiswa. Jurnal Educatio FKIP UNMA, 9(4), 1800–1809. https://doi.org/10.31949/educatio.v9i4.5595
Mukhlis, L., & Saidah, Y. (2025). Dynamics of Nature-Based learning in Developing Children’s Motoricic Skills: Teacher and Parent Perspectives. HUMANISMA: Journal of Gender Studies, 9(1), 64–79. http://dx.doi.org/10.30983/humanisme.v4i2.9366
Mukhlis, L., Suradi, Janwari, Y., & Syafe`i, R. (2023). Sosialisasi Saham Syariah sebagai Instrumen Pengembangan Ekonomi Masyarakat di Badan Kontak Majelis Taklim (BKMT) Kabupaten Mandailing Natal. Jurnal Pengabdian Multidisiplin, 3(2), 2–9. https://doi.org/10.51214/japamul.v3i2.604
Rodgers, L., Botting, N., Abdo, N., Amer-El-Khedoud, M., Baker, E., Franks, S., Harford, D., Salimi-Tabar, P., Temple, L., & Herman, R. (2025). “We’re all in it together”: Uniting a diverse range of professionals and people with lived experience within the development of a complex, theory-based paediatric speech and language therapy intervention. Research Involvement and Engagement, 11(1). Scopus. https://doi.org/10.1186/s40900-025-00738-8
Yu, C., Muratov, M., Mulligan, K., Welch, V., Nelson, M. L. A., Hébert, P., Biswas, S., Hsiung, S., & Card, K. G. (2025). The Importance of Trust Among Older Adults Throughout the Social Prescribing Pathway: A Mixed-Methods Analysis. International Journal of Community Well-Being, 8(3), 735–760. Scopus. https://doi.org/10.1007/s42413-025-00268-x