Ethical problems in nursing management: The role of codes of ethics

2010 ◽  
Vol 17 (4) ◽  
pp. 469-482 ◽  
Author(s):  
Elina Aitamaa ◽  
Helena Leino-Kilpi ◽  
Pauli Puukka ◽  
Riitta Suhonen
Keyword(s):  
Health Care ◽  
Resource Allocation ◽  
Nurse Managers ◽  
Ethical Decision Making ◽  
Quality Care ◽  
Codes Of Ethics ◽  
Nursing Management ◽  
Ethical Problems ◽  
Managerial Positions

The aim of this study was to identify the ethical problems that nurse managers encounter in their work and the role of codes of ethics in the solutions to these difficulties. The data were collected using a structured questionnaire and analysed statistically. The target sample included all nurse managers in 21 specialized health care or primary health care organizations in two hospital districts in Finland (N = 501; response rate 41%). The most common ethical problems concerned resource allocation as well as providing and developing high quality care. This was the case in different managerial positions as well as in types of organization. Professional codes of ethics were used more often for problems related to patients’ care compared with issues of resource allocation. Nurse managers at middle or strategic management levels used codes of ethics more often than those in charge of a ward. More research is required to investigate ethical decision making in nursing management, especially with regard to problem solving. In addition, new guidelines and continuing education in ethics are important for management personnel.

scholarly journals Patient and family–centred care for pediatric patients in the emergency department

CJEM ◽  
2008 ◽  
Vol 10 (01) ◽  
pp. 38-43 ◽  
Author(s):  
Kathleen Brown ◽  
Sharon E. Mace ◽  
Ann M. Dietrich ◽  
Stephen Knazik ◽  
Neil E. Schamban
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care Professionals ◽  
Pediatric Population ◽  
Quality Care ◽  
Medical Decision ◽  
Care Integration ◽  
The Family ◽  
Integral Role

ABSTRACT Patient and family–centred care (PFCC) is an approach to health care that recognizes the integral role of the family and encourages mutually beneficial collaboration between the patient, family and health care professionals. Specific to the pediatric population, the literature indicates that the majority of families wish to be present for all aspects of their child's care and be involved in medical decision-making. Families who are provided with PFCC are more satisfied with their care. Integration of these processes is an essential component of quality care. This article reviews the principles of PFCC and their applicability to the pediatric patient in the emergency department; and it discusses a model for integrating PFCC that is modifiable based on existing resources.

Teaching ethics that honor the patient’s and the provider’s voice: The role of clinical integrity

2018 ◽  
Vol 53 (5-6) ◽  
pp. 445-454
Author(s):  
Aaron J Grace ◽  
Heather A Kirkpatrick
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Dilemmas ◽  
Ethics Training ◽  
Teaching Ethics ◽  
Care Providers ◽  
Educational Module

Medical ethics training is as variable as it is widespread. Previous research has indicated that medical learners find systematic approaches to ethical dilemmas to be helpful. This article describes a bioethics educational module. It includes an overview of common bioethical principles and presents a tool for organizing health-care providers’ thinking and discussions about challenging ethical dilemmas. We discuss an area of bioethics that is often neglected, clinical integrity, and the role that a health-care provider’s clinical integrity plays in ethical decision-making. We provide several hypothetical ethical vignettes for practice and discussion using the clinical integrity tool. The article also describes how this module has been implemented in one medical education setting and provides suggestions for educators.

2. The Provision of HealthCare Services: The NHS, Resource Allocation, and Public Health

Medical Law ◽  
2019 ◽  
pp. 37-120
Author(s):  
Emily Jackson
Keyword(s):  
Public Health ◽  
Health Care ◽  
Resource Allocation ◽  
Health Care Services ◽  
Healthcare Services ◽  
Health Law ◽  
Care Services ◽  
Role Of The State ◽  
Healthy Behaviour

All books in this flagship series contain carefully selected substantial extracts from key cases, legislation, and academic debate, providing able students with a stand-alone resource. This chapter examines the provision of health care services. It first considers the way in which NHS services are commissioned. Secondly, it covers the issue of resource allocation or rationing. It examines different rationing strategies, and considers the role of the National Institute of Health and Care Excellence, and the use of judicial review to challenge funding decisions. Finally, it examines public health law, and role of the state in encouraging healthy behaviour and addressing health inequalities.

Solving work-related ethical problems

2016 ◽  
Vol 23 (8) ◽  
pp. 838-850 ◽  
Author(s):  
Laura Laukkanen ◽  
Riitta Suhonen ◽  
Helena Leino-Kilpi
Keyword(s):  
Nurse Managers ◽  
Ethical Decision Making ◽  
Work Organization ◽  
Ethical Awareness ◽  
Healthcare Organizations ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Ethical Problems ◽  
Work Related ◽  
Decision Making Model

Background: Nurse managers are responsible for solving work-related ethical problems to promote a positive ethical culture in healthcare organizations. Objectives: The aim of this study was to describe the activities that nurse managers use to solve work-related ethical problems. The ultimate aim was to enhance the ethical awareness of all nurse managers. Research Design: The data for this descriptive cross-sectional survey were analyzed through inductive content analysis and quantification. Participants and research context: The data were collected in 2011 using a questionnaire that included an open-ended question and background factors. Participants were nurse managers working in Finnish healthcare organizations (n = 122). Ethical considerations: Permission for the study was given by the Finnish Association of Academic Managers and Experts of Health Sciences. Findings: Nurse managers identified a variety of activities they use to solve work-related ethical problems: discussion (30%), cooperation (25%), work organization (17%), intervention (10%), personal values (9%), operational models (4%), statistics and feedback (4%), and personal examples (1%). However, these activities did not follow any common or systematic model. Discussion and conclusion: In the future, nurse managers need a more systematic approach to solve ethical problems. It is important to establish new kinds of ethics structures in organizations, such as a common, systematic ethical decision-making model and an ethics club for nurse manager problems, to support nurse managers in solving work-related ethical problems.

Relational Caring Inquiry: Nurses’ Perspective on How Management Can Promote A Caring Practice

1999 ◽  
Vol 3 (1) ◽  
pp. 22-30 ◽  
Author(s):  
Chantal M. Cara,
Keyword(s):  
Health Care ◽  
Nurse Managers ◽  
Health Care Systems ◽  
Staff Nurses ◽  
Nurse Manager ◽  
Managerial Practices ◽  
Personal Experiences ◽  
Care Systems ◽  
Caring Environment

The caring role of nurses is not impervious to obstacles that might be present in today’s health care systems. Such obstacles might occur when nurses do not feel cared for by their nurse managers. Through the “Relational Caring Inquiry”, 16 staff nurses were asked to answer two questions pertaining to their personal experiences with a nurse manager and how these experiences influenced their caring practice. Concerning managerial practices, the staff nurses’ stories revealed the presence of a “Dialectic of Power”, involving two contradictory forces: subjugation and empowerment. These findings can assist managers to better create a caring environment within the institution and help sensitize nurses to patients’ suffering.

Ethical problems in nursing management

2016 ◽  
Vol 23 (6) ◽  
pp. 646-658 ◽  
Author(s):  
Elina Aitamaa ◽  
Helena Leino-Kilpi ◽  
Silja Iltanen ◽  
Riitta Suhonen
Keyword(s):  
Nurse Managers ◽  
National Standards ◽  
Nursing Management ◽  
Healthcare Organizations ◽  
Ethical Considerations ◽  
Ethical Problems ◽  
New Information ◽  
Ethical Approval ◽  
Organization Ethics

Background: Nurse managers have responsibilities relating to the quality of care, the welfare of the staff and running of the organization. Ethics plays significant role in these responsibilities. Ethical problems are part of daily management, but research in this area is limited. Objective: The aim of this study was to identify and describe ethical problems nurse managers encounter in their work to get more detailed and extensive view of these problems. Methods: The data consisted of nine interviews with nurse managers at different management levels in primary healthcare and specialized healthcare organizations, and it was analysed by inductive content analysis. Ethical considerations: Permission to conduct the interviews including ethical approval was given at all participating organizations according to national standards. The respondents were informed about the aim of the study, and voluntary participation, anonymous response and confidentiality were explained to them. Findings: Four main categories were found: conflicts in practical situations, lack of appreciation, disregard of problems and experienced inadequacy. Problems could also be divided to patient-related, staff-related, organization-related and other problems. Discussion: The findings correspond with results from earlier studies but add knowledge of the nature and details of nurse managers’ ethical problems. New information is produced related to the ethical problems with nurse managers’ own courage, motivation and values. Conclusion: Nurse managers identified a variety of different ethical problems in their work. This information is useful in the development of ethics in nursing management. Further research about the frequency and intensity of nurse managers’ ethical problems is needed as well as possible differences in different levels of management.

scholarly journals The Role of the Childbirth Educator in Supporting Vaginal Birth and Reducing Primary Cesareans: Highlights From the California Maternal Quality Care Collaborative Toolkit

2016 ◽  
Vol 25 (4) ◽  
pp. 208-214 ◽  
Author(s):  
Debby Amis
Keyword(s):  
Health Care ◽  
Maternity Care ◽  
Quality Care ◽  
Vaginal Birth ◽  
Evidence Based ◽  
Nulliparous Women ◽  
Cesarean Births ◽  
Maternal Quality

ABSTRACTMaternity care organizations, including the American Congress of Obstetricians and Gynecologists, have identified reducing the rate of primary cesarean births as an urgent health-care priority. Particular emphasis is placed on reducing the cesarean rate for nulliparous women who are at term with a singleton baby in the vertex position. The California Maternal Quality Care Collaborative recently published an evidence-based, comprehensive Toolkit to Support Vaginal Birth and Reduce Primary Cesareans for this population. This article highlights the recommended strategies from the Toolkit of particular interest to childbirth educators.

Fetuses with Neural Tube Defects: ethical approaches and the role of health care professionals in Turkish health care institutions

2005 ◽  
Vol 12 (1) ◽  
pp. 59-78 ◽  
Author(s):  
Hanzade Doğan ◽  
Serap Sahinoglu
Keyword(s):  
Health Care ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Health Care Professionals ◽  
Ethics Education ◽  
Ethical Decision Making ◽  
Ethics Committees ◽  
Ethical Frameworks ◽  
Ethical Approaches

Neural tube defects (NTDs) are very serious malformations for the fetus, causing either low life expectancy or a chance of survival only with costly and difficult surgical interventions. In western countries the average prevalence is 1/1000-2000 and in Turkey it is 4/1000. The aim of the study was to characterize ethical approaches at institutional level to the fetus with an NTD and the mother, and the role of health care professionals in four major centers in Turkey. The authors chose perinatology units of four university hospitals and prepared questionnaires for the responsible professionals concerning their own and their institution’s ethical approaches to the fetus with an NTD and the mother. The investigation revealed that there were no institutional ethical frameworks or ethics committees available to professional teams in the units. The roles of the health care professionals and their individual decisions and approaches based on ethical principles are described. The ethical decision-making process concerning fetuses with NTDs, examples of institutional approaches to the topic and institutional frameworks, and the role of nurses and other health care professionals are all discussed, based on a literature review. The authors suggest that institutional ethical frameworks, ethics committees, professionals’ ethics education and multidisciplinary teamwork should be established for critical situations such as fetuses with an NTD.

Applying an ethical decision-making tool to a nurse management dilemma

2010 ◽  
Vol 17 (3) ◽  
pp. 393-402 ◽  
Author(s):  
Orly Toren ◽  
Nurith Wagner
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Nurse Managers ◽  
Ethical Decision Making ◽  
Quality Care ◽  
Cost Effective ◽  
Working Environment ◽  
Conflicting Demands ◽  
Health Care Context ◽  
Decision Making Model

This article considers ethical dilemmas that nurse managers may confront and suggests an ethical decision-making model that could be used as a tool for resolving such dilemmas. The focus of the article is on the question: Can nurse managers choose the ethically right solution in conflicting situations when nurses’ rights collide with patients’ rights to quality care in a world of cost-effective and economic constraint? Managers’ responsibility is to ensure and facilitate a safe and ethical working environment in which nurses are able to give quality care to their patients. In nursing it is frequently declared that managers’ main obligations are to patients’ needs and their rights to receive quality care. However, managers’ ethical responsibilities are not only to patients but also to the nurses working in their institution. This article describes a real (but disguised) situation from an Israeli health care context to illustrate the dilemmas that may arise. The question is posed of whether nurse managers can maintain patients’ and nurses’ rights and, at the same time, fulfill their obligation to the conflicting demands of the organization. The article also offers a way to solve conflict by using an ethical decision-making model.

Sign in / Sign up

Export Citation Format

Share Document