This study is part of a comprehensive investigation of ethical thinking amo
ng male and female physicians and nurses.
Nine women physicians with different levels of expertise, working in variou
s wards in paediatric clinics at two of the university hospitals in Norway,
narrated 37 stories about their experience of being in ethically difficult
care situations. All of the interviewees narrations were concerned with pr
oblems relating to both action ethics and relation ethics. The main focus w
as on problems in a relation ethics perspective. The most common themes in
an action ethics perspective were overtreatment and withholding treatment.
The more experienced physicians reasoned differently from the group of less
experienced physicians and they coped with pressure in different ways. The
less experienced physicians disclosed their professional experience yet se
emed uncertain, while putting on an air of certainty, but the more experien
ced physicians disclosed both their professional and personal experience of
caregiving and they seemed to allow themselves to feel uncertain in their
certainty. Both groups emphasized a need for deep discussion between collea
gues about their being in ethically difficult care situations.