Ethics and Transcultural Nursing

Selected and Compiled by Jacquelyn Coughlan, M.S., M.L.S.

Andersson, M., Mendes, I. A., & Trevizan, M. A. (2002). Universal and culturally dependent issues in healthcare ethics. Medicine and Law, 21(1), 77-85.
Ayonrinde, O. (2003). Importance of cultural sensitivity in therapeutic transactions: Considerations for healthcare providers. Disease Management and Health Outcomes, 11(4), 233-248.
Baker, C. (1997). Cultural relativism and cultural diversity: Implication for nursing practice. Advances in Nursing Science, 20(1), 3-11.
Baker, C. M., & Mayer, G. G., (1982). One approach to teaching cultural similarities and differences. Journal of Nursing Education, 21(4), 17-22.
Bartels, E. (2003). Medical ethics and rites involving blood. Anthropology and Medicine, 10(1), 105-114.
Beck, S. E. & Goldberg, E. K. (1996). Jewish beliefs, values, and practices: Implications for culturally sensitive nursing care. Advanced Practice Nursing Quarterly, 2(2), 15-22.
Bedolla, M. A. (1995). The principles of medical ethics and their application to Mexican-American elderly patients. Clinics in Geriatric Medicine, 11(1), 131-137.
Benner, P. (1991). The role of experience, narrative, and community in skilled ethical comportment. Advances in Nursing Science, 14(2), 1-21.
Bennett, M. J. (1986). A developmental approach to training for intercultural sensitivity. International Journal of Intercultural Relations, 10(2), 179-195.
Bennett, M. J. (1993). Towards ethnorelativism: A developmental model of intercultural sensitivity. In M. Paige (Ed.), Education for the intercultural experience. Yarmouth, ME: Intercultural Press.
Bjorn, G. J. (2005). Ethics and interpreting in psychotherapy with refugee children and families. Nordic Journal of Psychiatry, 59(6), 516-521.
Brannigan, M. (2000). Cultural diversity and the case against ethical relativism. Health Care Analysis: Journal of Health Philosophy and Policy, 8(3), 321-328.
California Healthcare Interpreters Association (CHIA) Standards and Certification Committee. (2002). California standards for healthcare interpreters: Ethical principles, protocols, and guidance on roles and intervention. (90 pages). Retrieved October 15, 2008 from
Campbell, C. S. (1992). Religious ethics and active euthanasia in a pluralistic society. Kennedy Institute of Ethics Journal, 2(3), 253-277.
Carter, M.A. & Klugman, C.M. (2001). Special section: Culture, health, and bioethics: At the crossroads. Cultural engagement in clinical ethics: A model for ethics consultation. Cambridge Quarterly of Healthcare Ethics, 10, 16-33.

CIOMS Round Table Conference, Bańkowski, Z., & Bryant, J. H. (1985). Health policy, ethics, and human values an international dialogue : proceedings of the XVIIIth CIOMS Round Table Conference, Athens, Greece, 29 October-2 November 1984. Geneva: Council for International Organizations of Medical Sciences.


Clarfield, A. M., Gordon, M., Markwell, H., & Alibhai, S. M. (2003). Ethical issues in end-of-life geriatric care: The approach of three monotheistic religions-- Judaism, Catholicism, and Islam. Journal of the American Geriatrics Society, 51(8), 1149-1154.

Cohen-Almagor, R. (2000). Medical ethics at the dawn of the 21st century. Annals of the New York Academy of Sciences, 913, 1-22.

Congress, E. P. (1997). Clinical work with culturally diverse dying patients. Ethics Network News, 4(3), 5-6. Retrieved June 26, 2008, from


Congress, E. P. (2004). Cultural and ethical issues in working with culturally diverse patients and their families: The use of the Culturagram to promote cultural competent practice in health care settings. Social Work in Health Care, 39(3-4), 249-262.

Coward, H., & Ratanakul, P. (Eds.). (1999). A cross-cultural dialogue on health care ethics. Waterloo, Ontario, Canada: Wilfred Laurier University Press.
Davidhizar, R., Bechtel, G. A., & McEwen, M. (1999). Referencing in transcultural nursing: An ethical analysis. Nursing Forum, 34(4), 14-18.

Davis, A. J., & Konishi, E. (2000). End-of-life ethical issues in Japan. Geriatric Nursing, 21(2), 89-91.

Davis, A.J. (1999). Global influence of American nursing: Some ethical issues. Nursing Ethics, 6(2), 118-125.
Donnelly, P. L. (2000). Ethics and cross-cultural nursing. Journal of Transcultural Nursing, 11(2), 119-126.

Dorff, E. N. (1998). Matters of life and death: A Jewish approach to modern medical ethics. Philadelphia: Jewish Publication Society.

Doswell, W. M. & Erlen, J. A. (1998). Multicultural issues and ethical concerns in the delivery of nursing care interventions. Nursing Clinics of North America, 33(2), 353-361.
Eliason, M. J. (1993). Ethics and transcultural nursing. Nursing Outlook, 41(5), 225-228.
Elliot, A. C. (2001). Health care ethics: Cultural relativity of autonomy. Journal of Transcultural Nursing, 12(4), 326-330.
Ellis, B. H., Kia-Keating, M., Yusuf, S. A., Lincoln, A. & Nur, A. (2007). Ethical research in refugee communities and the use of community participatory methods. Transcultural Psychiatry, 44(3), 459-481.
Erlen, J. A. (1998). Culture, ethics, and respect: The bottom line is understanding. Orthopaedic Nursing, 17(6), 79.
Evanoff, R. J. (2004). Universalist, relativist, and constructivist approaches to intercultural ethics. International Journal of Intercultural Relations, 28(5), 439-458.
Feldman, M.D., Zhang, J., Cummings, S.R. (1999). Chinese and U.S. internists adhere to different ethical standards. Journal of General Internal Medicine, 14(8), 469-473.
Haddad, A. (2001). Ethics in action: A competent, elderly Chinese woman who needs immediate treatment says she can't give consent because she must wait for her family to arrive to give approval. RN, 64(3), 21-24.
Haddad, A., & Brown, K. (1994). Ethics in action: What would you do? Cultural issues on end-of-life decisions. RN, 57(7), 19-21.
Hadwiger, S. C. (1999). Cultural competence case scenarios for critical care. Nursing Education, 24(5), 47-51.
Hagey, R., & MacKay, R. W. (2000). Qualitative research to identify racialist discourse: Towards equity in nursing curricula. International Journal of Nursing Studies, 37(1), 45-56.

Harper, M. G. (2006). Ethical multiculturalism: An evolutionary concept analysis. Advances  in Nursing Science, 29(2), 110-124.

Healy, L.M. (2007). Universalism and cultural relativism in social work ethics. International Social Work, 50(1), 11-26.
Hepburn, K., & Reed, R. (1995). Ethical and clinical issues with Native-American elders: End-of-life decision making. Clinics in Geriatric Medicine, 11(1), 97-111.
Irvine, R., McPhee, J., & Kerridge, I.H. (2002). The challenge of cultural and ethical pluralism to medical practice. The Medical Journal of Australia, 176(4), 174-175.
Jenkins, G. L., & Sugarman, J. (2005). The importance of cultural considerations in the promotion of ethical research with human biologic material. The Journal of Laboratory and Clinical Medicine, 145(3), 118-124.

Katims, I. P. (1999). Buddhist ethics and implications for end-of-life issues. In L. Zhan (Ed.), Asian voices: Asian and Asian-American health educators speak out (pp. 106-116). Boston: Jones and Bartlett.

Kaufert, J.M., &  Putsch, R.W. (1997). Communication through interpreters in healthcare: Ethical dilemmas arising from differences in class, culture, language, and power. The Journal of Clinical Ethics, 8(1), 71-87.
Ketefian, S. (2000). Ethical consideration in international nursing. Journal of Professional Nursing, 16(5), 257.
Kim, S.H. (2005). Confucian bioethics and cross-cultural considerations in health care decision-making. Journal of Nursing Law, 10(3), 161-166. 
Knapp, S. & VandeCreek, L. (2007). When values of different cultures conflict: Ethical decision making in a multicultural context. Professional Psychology: Research and Practice, 38(6), 660-666.
Konishi, E., Davis, A. J., & Aiba, T. (2002). The ethics of withdrawing artificial food and fluid from terminally ill patients: An end-of-life dilemma for Japanese nurses and families. Nursing Ethics, 9(1), 7-19.
Lange, S. S. (1992). Psychosocial, legal, ethical, and cultural aspects of organ donation and transplantation. Critical Care Nursing Clinics of North America, 4(1), 25-42.
Long, S. O. (1999). Family surrogacy and cancer disclosure: Physician-family negotiation of an ethical dilemma in Japan. Journal of Palliative Care, 15(3), 31-42.
Ludwick, R. & Silva, M.C. (2000). Ethics: Nursing around the world: Cultural values and ethical conflicts. OJIN: Online Journal of Issues in Nursing. Retrieved October 20, 2008 from
Lynam, M. J., (1992). Towards the goal of providing culturally sensitive care: Principles upon which to build nursing curricula. Journal of Advanced Nursing, 17(2), 149-157.
Macklin, R. (1999). The doctor-patient relationship in different cultures. In R. Macklin (Ed.), Against relativism, cultural diversity and the search for ethical universals in medicine. New York: Oxford University Press.
Mahtani, A. (2003). The right of refugee clients to an appropriate and ethical psychological service. International  Journal of Human Rights, 7(1), 40-57.
Mares, S. & Jureidini, J. (2004). Psychiatric assessment of children and families in immigration detention-- clinical, administrative and ethical issues. Australian and New Zealand Journal of Public Health, 28(6), 520-526.
McCabe, M. (1994). Patient self-determination act: A Native American (Navajo) perspective. Cambridge Quarterly of Healthcare Ethics, 3(3), 419-421.
Meleis, A. I., & Jonsen, A. R. (1983). Ethical crises and cultural differences. Western Journal of Medicine, 138(6), 889-893.
Michel, V. (1994). Factoring ethnic and racial differences into bioethics decision making. Generations, 18(4), 23-26.
Mill, J.E. & Ogilvie, L.D. (2002). Ethical decision making in international nursing research. Qualitative Health Research, 12(6), 807-815.
Miller, J.H. & Desmond, B. (1992). Ethical dilemmas in a cross-cultural context. The Western Journal of Medicine, 157(3), 323-327.
Minami, H. (1985). East meets west: Some ethical considerations. International Journal of Nursing Studies, 22(4), 311-318.
Muller, J., & Desmond, B. (1992). Ethical dilemmas in a cross-cultural context. A Chinese example. Western Journal of Medicine, 157(3) 323-327.
Nagayama Hall, G. (2001). Psychotherapy research with ethnic minorities: Empirical, ethical and conceptual issues. Journal of Consulting and Clinical Psychology, 69(3), 502-510.
Narrigan, D. (2004). Examining an ethical dilemma: A case study in clinical practice. Journal of Midwifery & Women's Health, 49(3), 243-249, 274-276.
Ott, B. B., Al-Khadhuri, J., & Al- Junaibi, S. (2003). Preventing ethical dilemmas: Understanding Islamic health care practices. Pediatric Nursing, 29(3), 227-30.
Oulton, J. (2001). At issue: Ethical recruitment. International Nursing Review, 48(2), 78.
Padela, A.I. (2007). Islamic medical ethics: A primer. Bioethics, 21(3), 169-178.
Pang, S.M.C., Sawada, A., Konishi, E., Olsen, D.P., Yu, P.L.H., Chan, M.F., & Mayumi, N. (2003). A comparative study of Chinese, American and Japanese nurses' perceptions of ethical role responsibilities. Nursing Ethics: An International Journal for Health Care Professionals, 10(3), 295-311.
Park, H.A., Cameron, M.E., Han, S.S., Ahn, S.H., Oh, H.S., & Kim, K.U. (2003). Korean nursing students' ethical problems and ethical decision making. Nursing Ethics, 10(6), 638-653.
Pellegrino, E. D., Mazzarella, P., et al. (Eds.). (1992). Transcultural dimensions in medical ethics. Frederick, MD: University Publishing Group.
Pharos Foundation for Refugee Health Care. (1998). Medical ethical standards in mental health care: For victims of organized violence, refugees and displaced persons. Amsterdam: Royal Tropical Institute.
Ray, M. A. (1994). Transcultural nursing ethics: A framework and model of transcultural ethical analysis. Journal of Holistic Nursing, 12(3), 251-264.
Rosner, F. (1993). Hospice, medical ethics and Jewish customs. The American Journal of Hospice and Palliative Care, 10(4), 6-10.
Ruhnke, G.W., Wilson, S.R., Akamatsu, T., Kinoue, T., Takashima, Y., & Goldstein, M.K. (2000). Ethical decision making and patient autonomy: A comparison of physicians and patients in Japan and the United States. Ethics in Cardiopulmonary Medicine, 118(4), 1172-1182.
Sahin, A. F. (1990). Islamic transplantations ethics. Transplantation Proceedings, 22(3), 939.
Saldov, M. & Kakai, H. (2004). The ethics of medical decision-making with Japanese-American elders in Hawaii: Signing informed consent documents without understanding them. Journal of Human Behavior in the Social Environment, 10(1), 113-130.
Steinberg, A. (1994). The terminally ill--secular and Jewish ethical aspects. Israel Journal of Medical Sciences, 30(1), 130-135.
Stutts, A., & Schloemann, J. (2002). Life-sustaining support: Ethical, cultural, and spiritual conflicts. Part II: Staff support--a neonatal case study. Neonatal Network, 21(4), 27-34.
Tierney, M.J., Minarik, P.A., & Tierney, L.M. (1994). Ethics in Japanese health care: A perspective for clinical nurse specialists. Clinic Nurse Special, 8(5), 235-240.
Turillazzi, E. & Fineschi, V. (2007). Female genital mutilation: The ethical impact of the new Italian law. Journal of Medical Ethics, 33(2), 98-101.
Turner, L. (2003). Bioethics in a multicultural world: Medicine and morality in pluralistic settings. Health Care Analysis, 11(2), 99-117.
Veatch, R. M. (1989). Cross cultural perspectives in medical ethics readings. The Jones and Bartlett series in biology. Boston: Jones and Bartlett.
Working Group for the Study of Ethical Issues in International Nursing Research. (2003). Ethical considerations in international nursing research: A report from the International Centre for Nursing Ethics. Nursing Ethics, 10(2), 122-137.
Wros, P.L., Doutrich, D., & Izumi, S. (2004). Ethical concerns: Comparison of values from two cultures. Nursing & Health Sciences, 6(2), 131-140.
Xu Y. & Zhang G. (2005). One size doesn't fit all: Ethics of international nurse recruitment from the conceptual framework of stakeholder interests. Nursing Ethics: An International Journal for Health Care Professionals, 12(6), 571-581.
Yarbrough, S. & Klotz, L. (2007). Incorporating cultural issues in education for ethical practice. Nursing Ethics, 14(4), 492-502.
Yick, A.G. (2007). Role of culture and context: Ethical issues in research with Asian Americans and immigrants in intimate violence. Journal of Family Violence, 22(5), 277-285.
Zoucha, R. & Husted, G.L. (2000). The ethical dimensions of delivering culturally congruent nursing and health care. Issues in Mental Health Nursing, 21(3), 325-340.
©Jacquelyn Coughlan, February 2009 ( citations)