Ethical Challenges in Healthcare Professions: Decision-Making in Uncertain Scenarios

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 1 August 2026 | Viewed by 1229

Special Issue Editors


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Guest Editor
Department of Nursing and Physiotherapy, Faculty of Health Sciences, University of Castilla-La Mancha, 45600 Talavera de la Reina, Spain
Interests: aging; nursing

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Guest Editor Assistant
Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Health Sciences, Universidad de Castilla La Mancha, 45600 Talavera de la Reina, Spain
Interests: occupational therapy; sexology; LGBT studies; care; sexuality
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Special Issue Information

Dear Colleagues, 

We are pleased to invite you to contribute to the Special Issue “Ethical Challenges in Healthcare Professions: Decision-Making in Uncertain Scenarios” in Healthcare. Ethical decision-making is a cornerstone of clinical practice, yet healthcare professionals are increasingly confronted with complex, ambiguous situations where clear-cut answers are absent. From rapidly evolving medical technologies to emergencies such as pandemics and end-of-life care dilemmas, these scenarios demand not only scientific competence but also ethical clarity and integrity. 

This Special Issue aims to explore the ethical dimensions of decision-making within healthcare, especially under conditions of uncertainty. It aligns with Healthcare’s scope by addressing interdisciplinary and practical challenges in delivering responsible, equitable, and person-centered care. Contributions may examine how healthcare workers navigate moral conflict, institutional constraints, cultural expectations, and patient autonomy when clear evidence or consensus is lacking. 

In this Special Issue, original research articles, case studies, and comprehensive reviews are welcome. Research areas may include (but are not limited to) the following: clinical ethics, bioethics education, moral distress, AI and digital ethics in care, triage protocols, and decision-making frameworks in uncertain or crisis contexts. 

We look forward to hearing from you.

Prof. Dr. Beatriz Rodriguez-Martin
Guest Editor

Dr. Pablo A. Cantero Garlito
Guest Editor Assistant

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • ethical decision-making
  • clinical ethics
  • uncertainty in healthcare
  • moral distress
  • bioethics
  • healthcare professionalism
  • crisis and emergency ethics
  • patient autonomy
  • interdisciplinary ethics
  • ethical frameworks in clinical practice

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Published Papers (1 paper)

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Research

12 pages, 260 KB  
Article
Ethical Conflicts and Knowledge of the Code of Ethics Among Occupational Therapists in Spain
by Daniel Emeric-Méaulle, Pablo A. Cantero-Garlito and Ana A. Laborda-Soriano
Healthcare 2026, 14(3), 367; https://doi.org/10.3390/healthcare14030367 - 31 Jan 2026
Viewed by 713
Abstract
Objective: This study characterized Spanish occupational therapists’ knowledge of the national Code of Ethics and perceptions of professional ethics and examined associations with sociodemographic and educational variables. It quantified knowledge of key Code elements (approving body and professional values), described ethics education and [...] Read more.
Objective: This study characterized Spanish occupational therapists’ knowledge of the national Code of Ethics and perceptions of professional ethics and examined associations with sociodemographic and educational variables. It quantified knowledge of key Code elements (approving body and professional values), described ethics education and participation in formal ethical support structures, and identified resources used to manage ethical conflicts in routine practice. Methods: A descriptive cross-sectional online survey was administered between March and September 2022. The analytical sample included 596 occupational therapists practicing in Spain. The questionnaire assessed participant characteristics, ethics education, knowledge and perceived importance of the Code, participation in ethics committees or similar structures, experience of ethical conflicts, and conflict-management strategies. Descriptive and bivariate analyses were conducted (p < 0.05). Results: Respondents were mostly women (86.6%) and aged 20–40 years. Although 65.3% reported university ethics education and 73.2% rated the Code as important/very important, 11.4% were unaware of its existence. Only 28.2% identified the approving body, and 16.3% correctly identified the professional values included in the Code. Ethical conflicts were reported by 43.1%. When conflicts occurred, respondents most often consulted the interdisciplinary team (25.5%) or occupational therapy colleagues (24.3%), whereas few consulted the Code (4.5%) or an ethics committee (2.7%). Ethics education and greater professional experience were associated with higher Code knowledge. Conclusions: Occupational therapists in Spain endorse professional ethics, yet actionable knowledge and use of the Code and engagement with formal support structures remain limited. Strengthening practice-oriented ethics education and accessible deliberation mechanisms may improve ethical decision-making. Full article
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