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 Factors that influence the quality of worklife of first-line nurse managers in a French Canadian Healthcare system

2019 ◽  
Vol 8 (4) ◽  
pp. 1 ◽  
Author(s):  
Sylvain Brousseau ◽  
Chantal Cara ◽  
Régis Blais
Keyword(s):  
Organizational Support ◽  
Online Survey ◽  
Nurse Managers ◽  
Quality Of Work Life ◽  
Public Healthcare ◽  
Nursing Management ◽  
Healthcare Organizations ◽  
First Line ◽  
Healthcare Administrators

Aim(s): This quantitative study sought to explore the factors that influence positively and negatively the quality of work life (QWL) of first-line nurse managers (FLNMs) among healthcare institutions from a humanistic standpoint.Background: In Canada, the public healthcare reforms have had a considerable impact on FLNMs, which could have a negative effect on the FLNMs’ QWL.Method: A quantitative descriptive design was conducted with FLNMs (n = 291) using a Web online survey to identify the factors that influenced favorably and unfavorably the FLNMs’ QWL. A statistical analysis (SPSS software, version 22 for Windows 7) of Quebec’s French Web survey questionnaire highlight was used to conduct this descriptive study.Results: The quantitative results show some significant connections between socio-demographic characteristics, such as age and years of experience, and the choice of factors that affect QWL of FLNMs . The most important favourable factors were the actualization of leadership and political skills to improve quality of nursing, the contextual elements conducive to organizational humanization and the organizational support promoting personal and socioprofessional fulfillment. On the opposite, the main unfavourable factors were the organizational dehumanization, the undesirable working conditions in nursing management and the insufficient coaching of novice nurse managers.Conclusion: Healthcare organizations should develop a QWL program and policies to provide information on nursing management humanistic practices. These findings enable us to provide recommendations in the fourth domains of nursing practice.Implications for nursing management: Healthcare administrators must consider strategies to maximize the QWL of the next generation of FLNMs in healthcare institutions.

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.

scholarly journals Factors that guide nurse managers regarding the staffing of agency nurses in intensive care units at private hospitals in Pretoria

Curationis ◽  
2013 ◽  
Vol 36 (1) ◽  
Author(s):  
Karien Jooste ◽  
Carine Prinsloo
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Nurse Managers ◽  
Validity And Reliability ◽  
Ethical Considerations ◽  
Private Hospitals ◽  
Role Players ◽  
Agency Nurse ◽  
Staffing Needs

Staffing needs affect the nursing department’s budget, staff productivity, the quality of care provided to patients and even the retention of nurses. It is unclear how the role players (the nursing agency manager, the nurse manager and the agency nurse) perceive the staffing of agency nurses in intensive care units (ICUs). The purpose of this study was to explore and describe the factors that guide nurse managers regarding the staffing of agency nurses in ICUs at private hospitals in Pretoria. A quantitative exploratory and descriptive design was used. A survey by means of a structured questionnaire was carried out. Probability sampling was implemented to obtain a study sample (n = 124). One similar self-administered 5-point scale instrument was completed by the participants. Data was analysed by means of descriptive and inferential statistics. The principles of validity and reliability were adhered to and ethical considerations were also taken into account. The results indicated limitations in the determining of posts, recruitment and advertising, as well as the selection and appointment of agency nurses in ICUs at private hospitals in Pretoria. Recommendations on staffing are made to nurse managers in ICUs.

Nurses’ adherence to ethical codes

2016 ◽  
Vol 23 (7) ◽  
pp. 794-803 ◽  
Author(s):  
Marzieh Momennasab ◽  
Afifeh Rahmanin Koshkaki ◽  
Camellia Torabizadeh ◽  
Seyed Ziaeddin Tabei
Keyword(s):  
Nurse Managers ◽  
Clinical Care ◽  
Study Data ◽  
International Studies ◽  
Medical Sciences ◽  
Ethical Considerations ◽  
Ethical Codes ◽  
Significant Difference ◽  
Method R

Background: Ethical codes are guidelines that orient nurses and ensure that their decisions are in accordance with the values of the professional system. These codes show that there is a connection among values, patients’ rights, and nurses’ duties. Objectives: This study aimed to compare the viewpoints of patients, nurses, and nurse managers regarding the extent to which clinical ethical codes are observed. Research design: In this descriptive–comparative study, data were collected using three questionnaires based on Iranian nurses’ ethical codes with a focus on clinical care. The reliability of the questionnaire was verified by test–retest method (r = 0.9). The patients were interviewed by the researcher, but nurses and managers completed the questionnaires themselves. After all, the data were analyzed using the SPSS statistical software (v 15). Participants and research context: In all, 100 patients, 100 nurses, and 30 managers from internal and surgical wards of two major hospitals in Shiraz, Iran, participated in 2014. Ethical considerations: This research was approved by the Ethics Committee of Shiraz University of Medical Sciences. All the participants signed written informed consents. Findings: According to the results, 70% of the patients, 86% of the nurses, and 53.3% of the nurse managers rated nurses’ adherence to ethical codes as satisfactory. The mean scores (standard deviation) of the level of adherence to ethical codes were 38.44 (6.91) in the patients, 41.08 (4.82) in the nurses, and 37.83 (6.98) in the nurse managers. The results of analysis of variance revealed a significant difference between the attitudes of the nurses and the other two groups (p = 0.001). Discussion: Nurses’ adherence to ethical codes was satisfactory in all three groups. Accordingly, our findings agree with the results of some national and international studies, although there are still controversies in this regard. Conclusion: Although the nurses rated their performance in certain fields more satisfactory compared to the patients and managers, all the three groups agreed that clinical ethical codes were properly observed in the internal and surgical wards. Nurses can improve the quality of care by considering the viewpoints of patients and managers about their ethical performance.

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.

The quality of obtaining surgical informed consent

2015 ◽  
Vol 24 (2) ◽  
pp. 167-176 ◽  
Author(s):  
Soodabeh Joolaee ◽  
Somayeh Faghanipour ◽  
Fatemeh Hajibabaee
Keyword(s):  
Informed Consent ◽  
Consent Form ◽  
Medical Sciences ◽  
Ethical Considerations ◽  
Cross Sectional ◽  
Local Conditions ◽  
Ethical Approval ◽  
The Mean ◽  
Spss Software

Background: Informed consent goes beyond signing a form; it is a process of providing necessary information, helping patients make an informed decision, and actively participate in their treatment. Aim/objective: This study aimed to assess the quality of obtaining surgical informed consent in hospitals affiliated with Tehran University of Medical Sciences. Research design/participants/context: In a cross-sectional, descriptive-analytical study, 300 patients were chosen through stratified sampling from seven hospitals affiliated with Tehran University of Medical Sciences. Data were collected using a questionnaire developed by the researchers and analyzed using descriptive and analytical statistics on SPSS software. Ethical considerations: Ethical approval of this study was granted by Tehran University of Medical Sciences research ethics committee. Written informed consent for participation was obtained. The participants were reassured that their information will be used anonymously and their answers will not affect their treatment and care. Findings: The mean score of quality of acquisition of informed consent was 17.13 out of 35, indicating that the quality falls in the inappropriate category. The results indicate that 48% of the signatories do not even read the form before signing it. Among the 52% who did read the consent form, 61.3% mentioned varying degrees of incomprehensibility of the consent form and 94.2% mentioned the presence of incomprehensible technical, medical and legal vocabulary. Only 12% and 18% of respondents reported that they were not in hurry and they had no fear or anxiety, respectively, when signing the form. The quality of obtaining informed consent was higher in women, younger patients, patients with higher education, and those who had special surgeries. Discussion: This study shows a poor practice in obtaining surgical informed consent in Iran. It seems necessary to consider fundamental changes in the process of acquiring consent based on the temporal and local conditions of the patients.

Allocation and Use of Financial Resources in Health Care in Kyrgyzstan

2017 ◽  
Author(s):  
Damira Japarova
Keyword(s):  
Current Method ◽  
Poor Quality ◽  
Financial Resources ◽  
Quality Of Services ◽  
Healthcare Organizations ◽  
State Hospitals ◽  
Hospitalization Rates ◽  
Single Payer ◽  
Distribution Of Resources

TThe distribution of the limited financial resources in the state hospitals in Kyrgyzstan is uneven. The problems associated with the current method of distribution of resources: the poor quality of services at the level of polyclinics and high hospitalization rates that require an evaluation of the budget allocation of healthcare organizations operating in the Single Payer system. In order to improve the efficiency of resource use it is suggested to review the principles of allocation of resources to the primary level of patient care.

Communicating about the brain in the digital era

2017 ◽  
Author(s):  
Julie M. Robillard ◽  
Emily Wight
Keyword(s):  
Brain Health ◽  
Ethical Considerations ◽  
Participatory Communication ◽  
Health Decision Making ◽  
Digital Era ◽  
Health Decision ◽  
Dissemination Of Research ◽  
Research Findings ◽  
Science Community

Neuroscience communication is at a turning point, with tremendous opportunity for growth and democratization. The rise of the web and social media as platforms for dissemination of research findings and stakeholder engagement presents both unique opportunities and critical ethical considerations. Online- and mobile-based information and services for brain health may enhance the autonomy of users in health decision-making. However, nonadherence to ethical norms, such as informed consent and conflict of interest by digital content creators, may lead to harm. The challenges of communicating neuroscience in the digital era will require the rejection of the traditional top-down dissemination of research findings by the science community. Communicators must embrace participatory communication models, frame science in non-sensationalized, lay-friendly terms, improve the ethics of online resources and web users’ ability to assess the quality of information and source material, and educate scientists in the importance of transparency and public engagement.

scholarly journals Psychological resilience during COVID-19: a meta-review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e051417
Author(s):  
Katie Seaborn ◽  
Mark Chignell ◽  
Jacek Gwizdka
Keyword(s):  
Systematic Reviews ◽  
Well Being ◽  
Measurement Tool ◽  
Psychological Resilience ◽  
Key Points ◽  
Meta Review ◽  
Ethical Approval ◽  
Registration Number ◽  
Review Protocol

IntroductionThe global COVID-19 pandemic continues to have wide-ranging implications for health, including psychological well-being. A growing corpus of research reviews has emerged on the topic of psychological resilience in the context of the pandemic. However, this body of work has not been systematically reviewed for its quality, nor with respect to findings on the effectiveness of tools and strategies for psychological resilience. To this end, a meta-review protocol is proposed with the following objectives: (1) identify review work on the topic of psychological resilience during COVID-19; (2) assess the quality of this review work using A MeaSurement Tool to Assess systematic Reviews; (3) assess the risk of bias in this work; (4) generate a narrative summary of the key points, strengths and weaknesses; (5) identify the psychological resilience strategies that have been reviewed; (6) identify how these strategies have been evaluated for their effectiveness; (7) identify what outcomes were measured and (8) summarise the findings on strategies for psychological resilience so far, providing recommendations, if possible.Methods and analysisA systematic meta-review will be conducted in accordance with the Preferred Reporting Items for Systematic Reviews for Protocols and Joanna Briggs Institute umbrella review guidelines. Electronic searches of general databases, especially Web of Science, Scopus and PubMed, will be conducted. Only results from January 2020 onwards will be considered, coinciding with the COVID-19 pandemic. Only results in English will be included. Descriptive statistics, thematic analysis and narrative summaries describing the nature of the reviewed work and evaluation of psychological resilience strategies will be carried out.Ethics and disseminationEthical approval is not needed for systematic review protocols. The results of the meta-review will be published in an international peer-reviewed journal. The raw and summarised data will be shared in the journal or other open venues.PROSPERO registration numberCRD42021235288.

A Novel Method of Detecting Measurement Uncertainty of Voltage Deviation

2013 ◽  
Vol 805-806 ◽  
pp. 688-692
Author(s):  
Xin Fang ◽  
Xue Liang Huang ◽  
Yan Zhu
Keyword(s):  
Measurement Uncertainty ◽  
Power Quality ◽  
National Standards ◽  
Measurement Time ◽  
Time Interval ◽  
Basic Measurement ◽  
Voltage Deviation ◽  
Novel Method ◽  
Simulation Results

Nowadays, there are various devices to detect the power quality of AC grid, where uncertainty of voltage deviation is an important parameter to investigate the power quality. National standards specify several sinusoidal waveforms to detect it, usually implemented into the detecting devices. But these waveforms are not enough and a novel method of detecting measurement uncertainty of voltage deviation is proposed in this paper. A series of detection waveforms are designed using this method. The simulation results verify that the method is available to measure uncertainty of voltage deviation more accurately. Moreover, it can be used to justify whether the basic measurement time interval of voltage deviation meets IEC standard requirements.

Sign in / Sign up

Export Citation Format

Share Document