Ethical climate in nursing environment: A scoping review

2017 ◽  
Vol 26 (2) ◽  
pp. 327-345 ◽  
Author(s):  
Janika Koskenvuori ◽  
Olivia Numminen ◽  
Riitta Suhonen
Keyword(s):  
Scoping Review ◽  
Ethical Climate ◽  
Moral Distress ◽  
Turnover Intentions ◽  
Ethical Issues ◽  
Research Area ◽  
Related Factors ◽  
Work Related ◽  
Scoping Reviews ◽  
Quantitative Descriptive

Background: In the past two decades, interest in the concept of ethical climate and in its research has increased in healthcare. Ethical climate is viewed as a type of organizational work climate, and defined as the shared perception of ethically correct behavior, and how ethical issues should be handled in the organization. Ethical climate as an important element of nursing environment has been the focus of several studies. However, scoping reviews of ethical climate research in nursing have not been conducted to guide further research in this area. Objective: The purpose of this scoping review is to describe and analyze studies focusing on ethical climate in nursing environment to elicit an overall picture of the research in this field. Methods: A scoping review methodology guided by Arksey and O’Malley and Levac et al. was used. Studies were identified by conducting electronic searches on PubMed/MEDLINE, CINAHL, Web of Science Core Collection, PsycINFO, and Scopus and Philosophers’ Index databases. Of 1051 citations, 56 articles matched the inclusion criteria. Ethical considerations: This study was conducted according to good scientific guidelines. Findings: Ethical climate is a topical research area which has been explored with different methods and outcomes, in different environments, and has mainly been perceived positively. The focus of the studies was on finding associations between ethical climate and work-related factors such as job satisfaction, moral distress, and turnover intentions. Methodologically, research was rather homogeneous using quantitative, descriptive, and correlative research designs. Conclusion: Novel perspectives and more diverse methodological approaches paying attentions to issues affecting generalizability of the findings could expand our knowledge in this area.

Work engagement, job satisfaction, and turnover intentions

2016 ◽  
Vol 28 (4) ◽  
pp. 737-761 ◽  
Author(s):  
Lu Lu ◽  
Allan Cheng Chieh Lu ◽  
Dogan Gursoy ◽  
Nathan Robert Neale
Keyword(s):  
Job Satisfaction ◽  
Work Engagement ◽  
Turnover Intentions ◽  
Related Factors ◽  
Content Type ◽  
Work Related ◽  
Depth Analysis ◽  
Hotel Managers ◽  
Line Level ◽  
The Relationship

Purpose This study aims to investigate the influence of employee positions (supervisor vs line-level employee) on work-related variables (e.g. work engagement, job satisfaction and turnover intentions). Design/methodology/approach Data were collected from line-level employees and supervisors of 29 mid- to up-scale hotels. A series of one-way ANCOVA were performed to test the position differences in work engagement, job satisfaction and turnover intentions. Hierarchical regression analyses were conducted to examine the moderating role of employees’ positions on the relationships between those variables. Findings Supervisors have significantly higher work engagement and lower turnover intentions than line-level employees, whereas job satisfaction does not differ across positions. Employee positions significantly moderate the relationship between absorption and job satisfaction, and the relationship between dedication and turnover intentions. Practical implications This study provides an in-depth analysis for hotel managers to capture work-related factors (i.e. work engagement, job satisfaction and turnover intentions) across employee positions. Dedication is the primary barometer that significantly leads to job satisfaction and reduced turnover intentions compared to vigor and absorption. Although job satisfaction may be boosted by improving employee work engagement (i.e. vigor, dedication and absorption), increasing absorption is not an effective solution to increase supervisors’ job satisfaction. Hotel managers need to carefully monitor supervisors’ levels of dedication, given its focal impact on turnover intentions. Originality/value This study is one of the first attempts to examine the differences between line-level employees’ and supervisors’ work engagement (i.e. vigor, dedication and absorption) and its consequences (i.e. job satisfaction and turnover intentions). Findings highlight the unique influence of the individual dimension of work engagement on job satisfaction and turnover intentions. This study reveals the moderating effect of employee positions on the links between engagement dimensions and consequences.

scholarly journals Ethical climate and nurse competence – newly graduated nurses' perceptions

2014 ◽  
Vol 22 (8) ◽  
pp. 845-859 ◽  
Author(s):  
Olivia Numminen ◽  
Helena Leino-Kilpi ◽  
Hannu Isoaho ◽  
Riitta Meretoja
Keyword(s):  
Job Satisfaction ◽  
Work Environment ◽  
Ethical Leadership ◽  
Ethical Climate ◽  
Turnover Intentions ◽  
Professional Competence ◽  
Future Research ◽  
Related Factors ◽  
Ethical Climates ◽  
Newly Graduated Nurses

Background: Nursing practice takes place in a social framework, in which environmental elements and interpersonal relations interact. Ethical climate of the work unit is an important element affecting nurses’ professional and ethical practice. Nevertheless, whatever the environmental circumstances, nurses are expected to be professionally competent providing high-quality care ethically and clinically. Aim: This study examined newly graduated nurses’ perception of the ethical climate of their work environment and its association with their self-assessed professional competence, turnover intentions and job satisfaction. Method: Descriptive, cross-sectional, correlational research design was applied. Participants consisted of 318 newly graduated nurses. Data were collected electronically and analysed statistically. Ethical considerations: Ethical approval and permissions to use instruments and conduct the study were obtained according to required procedures. Data were rendered anonymous to protect participant confidentiality. Completing the questionnaire was interpreted as consent to participate. Findings: Nurses’ overall perception of the ethical climate was positive. More positive perceptions related to peers, patients and physicians, and less positive to hospitals and managers. Strong associations were found between perceived ethical climate and self-assessed competence, turnover intentions in terms of changing job, and job satisfaction in terms of quality of care. Nurses at a higher competence level with positive views of job satisfaction and low turnover intentions perceived the climate significantly more positively. Conclusion: Nursing management responsible for and having the power to implement changes should understand their contribution in ethical leadership, as well as the multidimensional nature of nurses’ work environment and the interaction between work-related factors in planning developmental measures. Future research should focus on issues in nurse managers’ ethical leadership in creating ethical work environments. There is also a need for knowledge of newly graduated nurses’ views of factors which act as enhancers or barriers to positive ethical climates to develop. Interventions, continuing education courses, and discussions designed to promote positive ethical climates should be developed for managers, nurses, and multi-professional teams.

Intimate Partner Violence and Work: A Scoping Review of Published Research

2019 ◽  
pp. 152483801988174
Author(s):  
Jennifer C. D. MacGregor ◽  
Casey L. Oliver ◽  
Barbara J. MacQuarrie ◽  
C. Nadine Wathen
Keyword(s):  
Intimate Partner Violence ◽  
Scoping Review ◽  
Partner Violence ◽  
Evidence Synthesis ◽  
Intimate Partner ◽  
Policy And Practice ◽  
Related Factors ◽  
Cross Sectional ◽  
Team Members ◽  
Work Related

Increasingly, intimate partner violence (IPV) is recognized as having important impacts on work. The purpose of this scoping review is to describe the nature and extent of research on IPV and workers, the workplace, and/or employment. Using multiple search strategies, including searches conducted by a professional librarian from database inception to May 2018, 2,306 unique articles were retrieved and independently screened for eligibility by two team members. A total of 235 articles met predefined inclusion criteria, which were that articles must: (1) report findings of a research study, (2) be published in a peer-reviewed journal, and (3) be focused on IPV and the workplace, workers, and/or employment. The most common topics examined were the relationship between IPV and employment, IPV- and work-related factors, and the impacts of IPV on work. Most articles were quantitative and cross-sectional and focused on the abuse of women by men. Major research gaps include evaluations of interventions to address IPV and work and research focused on the experiences and needs of perpetrators and gender and sexual minorities. Further evidence synthesis is recommended in several areas and implications for policy and practice are discussed.

Practical ethical theory for nurses responding to complexity in care

2010 ◽  
Vol 17 (3) ◽  
pp. 353-362 ◽  
Author(s):  
Roseanne Moody Fairchild
Keyword(s):  
Health Care ◽  
Organizational Support ◽  
Ethical Issues ◽  
Work Motivation ◽  
Ethical Reasoning ◽  
Competing Values ◽  
Health Care Administrators ◽  
Related Factors ◽  
Work Related ◽  
Reasoning Skills

In the context of health care system complexity, nurses need responsive leadership and organizational support to maintain intrinsic motivation, moral sensitivity and a caring stance in the delivery of patient care. The current complexity of nurses’ work environment promotes decreases in work motivation and moral satisfaction, thus creating motivational and ethical dissonance in practice. These and other work-related factors increase emotional stress and burnout for nurses, prompting both new and seasoned nurse professionals to leave their current position, or even the profession. This article presents a theoretical conceptual model for professional nurses to review and make sense of the ethical reasoning skills needed to maintain a caring stance in relation to the competing values that must coexist among nurses, health care administrators, patients and families in the context of the complex health care work environments in which nurses are expected to practice. A model, Nurses’ Ethical Reasoning Skills, is presented as a framework for nurses’ thinking through and problem solving ethical issues in clinical practice in the context of complexity in health care.

scholarly journals Moral Distress, Sign of Ethical Issues in the Practice of Oncology Nursing: Literature Review

Aquichan ◽  
2019 ◽  
Vol 19 (1) ◽  
pp. 1-16 ◽  
Author(s):  
Ivonne Vargas Celis ◽  
Camila Andrea Concha Méndez
Keyword(s):  
Interpersonal Relationships ◽  
Ethical Climate ◽  
Moral Distress ◽  
Ethical Issues ◽  
Organizational Factors ◽  
Oncology Nurses ◽  
Oncology Nursing ◽  
Ethical Problems ◽  
Moral Agents ◽  
Deliberation Process

Objective: To describe the factors that influence the emergence of moral distress in oncology nurses. Methodology: integrative review of the literature whose search will be performed in Web of Science databases, CINAHL (EBSCO), Scielo, Proquest, Pubmed and PsycInfo using the keywords moral distress and oncology nursing and their similes in Spanish, without restriction for years of publication until 2017. Results: The results of this review were grouped into three groups of factors each with subgroups: 1) Organizational factors: ethical climate, evasive culture and resources for ethics delivered by the organization. 2) Particular clinical situations: pain management, information delivery, futile treatment, and assistance to the patient and their family in the process of death, 3) Interpersonal relationships: poor communication, power relations, trust in the team’s competence. Conclusion: the three factors described are triggers of moral distress in oncology nurses. When there are ethical problems and the nurses do not participate in the deliberation process, these problems can be hidden and be normalized, which can diminish the moral sensitivity of the professionals, as well as the possibility of acting as moral agents.

scholarly journals The evolution of IBD perceived engagement and care needs across the life-cycle: a scoping review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
E. Volpato ◽  
C. Bosio ◽  
E. Previtali ◽  
S. Leone ◽  
A. Armuzzi ◽  
...  
Keyword(s):  
Life Cycle ◽  
Scoping Review ◽  
Psychological Needs ◽  
Social Needs ◽  
Care Process ◽  
Care Needs ◽  
Work Related ◽  
Scoping Reviews ◽  
Bowel Diseases ◽  
Social Discomfort

Abstract Background The chronic and progressive evolution of Inflammatory Bowel Diseases (IBD), with its prototypical fluctuating trend, creates a condition of psycho-social discomfort, impacting the quality of life in terms of personal, working, and interpersonal. Aims In this article, we want to identify the nature and extent of the research evidence on the life experiences, the perceived engagement, the psychological, social care and welfare needs of people affected by IBD across the lifecycle. Methods Following the approach set out by Arksey and O’Malley and the PRISMA extension for scoping reviews, we conducted a scoping review in March 2019 and closed the review with an update in October 2019. It was performed using electronic databases covering Health and Life Sciences, Social Sciences and Medical Sciences, such as PubMed, Medline, Embase, Scopus, Cochrane, Web of Science, PsycInfo. Results We identified 95 peer-reviewed articles published from 2009 to 2019, that allowed to detection the main needs in children (psychological, need to be accepted, physical activity, feeding, parent style, support, social needs), adolescents (to understand, physical and psychological needs, protection, relational, gratitude, respect, and engagement) and adults (information, medical, psychological, social, work-related, practical, future-related, engagement). Although the literature confirms that the majority of the IBD units have planned provision for the different types of transitions, the quality and appropriateness of these services have not been assessed or audited for all the kinds of challenges across the life cycle. Conclusions The literature shows the relevance of organizing a flexible, personalized health care process across all the critical phases of the life cycle, providing adequate benchmarks for comparison in a multidisciplinary perspective and ensuring continuity between hospital and territory.

scholarly journals Ethical climate and moral distress in paediatric oncology nursing

2021 ◽  
pp. 096973302199416
Author(s):  
Päivi Ventovaara ◽  
Margareta af Sandeberg ◽  
Janne Räsänen ◽  
Pernilla Pergert
Keyword(s):  
Ethical Climate ◽  
Moral Distress ◽  
Ethical Issues ◽  
Paediatric Oncology ◽  
Study Data ◽  
Ethical Review ◽  
Oncology Nursing ◽  
Ethical Behaviour ◽  
Cross Sectional ◽  
Distress Scale

Background: Ethical climate and moral distress have been shown to affect nurses’ ethical behaviour. Despite the many ethical issues in paediatric oncology nursing, research is still lacking in the field. Research aim: To investigate paediatric oncology nurses’ perceptions of ethical climate and moral distress. Research design: In this cross-sectional study, data were collected using Finnish translations of the Swedish Hospital Ethical Climate Survey–Shortened and the Swedish Moral Distress Scale–Revised. Data analysis includes descriptive statistics and non-parametric analyses. Respondents and research context: Ninety-three nurses, working at paediatric oncology centres in Finland, completed the survey. Ethical considerations: According to Finnish legislation, no ethical review was needed for this type of questionnaire study. Formal research approvals were obtained from all five hospitals. Return of the questionnaire was interpreted as consent to participate. Results: Ethical climate was perceived as positive. Although morally distressing situations were assessed as highly disturbing, in general they occurred quite rarely. The situations that did appear often reflected performing procedures on school-aged children who resist such treatment, inadequate staffing and lack of time. Perceptions of ethical climate and frequencies of morally distressing situations were inversely correlated. Discussion: Although the results echo the recurrent testimonies of busy work shifts, nurses could most often practise nursing the way they perceived as right. One possible explanation could be the competent and supportive co-workers, as peer support has been described as helpful in mitigating moral distress. Conclusion: Nurturing good collegial relationships and developing manageable workloads could reduce moral distress among nurses.

scholarly journals Loneliness in pregnant and postpartum women and parents of children aged five years or younger: a scoping review protocol

2020 ◽  
Author(s):  
Jacqueline Kent-Marvick ◽  
Sara Simonsen ◽  
Ryoko Pentecost ◽  
Mary M. McFarland
Keyword(s):  
Scoping Review ◽  
Infant Development ◽  
Research Question ◽  
Well Being ◽  
Extensive Study ◽  
Narrative Form ◽  
Related Factors ◽  
Scoping Reviews ◽  
Review Protocol ◽  
In Pregnancy

Abstract Background Researchers have only recently begun to conduct studies on the concept of loneliness during pregnancy and the transition into parenthood. Extensive study of loneliness in older adults has connected loneliness with mental and physical well-being, and with depressive symptoms, impaired sleep, increased vascular resistance, increased systolic blood pressure, etc. New parents’ experience of loneliness, however, has not been a specific focus of study. Research indicates that although loneliness is common across the lifespan, its highest incidence is in those aged 16 to 24, and risk of loneliness and related factors rises during transitional periods. The few studies targeting maternal loneliness indicate it may be predominantly situational. Transition-to-motherhood studies illustrate the importance of social support, which in turn is seen as predicting postpartum depression. Scarcity of parenthood-loneliness inquiries leaves a gap in our understanding of new parenthood. Further inquiry is needed to identify effects of loneliness on the health and well-being of parents and their children. Methods The scoping review to be conducted is designed to answer the question, “What is the research or evidence about loneliness in pregnancy and the new-parent population?” Secondary questions include, “What are the targeted populations of the research done to date on the topic of loneliness during pregnancy and in new parents?”, “What methodologies have been used to research the topic, and how has loneliness been measured and defined in this population?” and, “What, if any, questions that help to define the nature of maternal loneliness have already been answered (e.g., how common is loneliness within this group? are there differences between stratified groups within this population? what are the associated factors? what factors are protective? how does loneliness affect bonding? does it affect infant development? etc.)?” In accordance with scoping-review procedure, we will follow Arksey’s outline, as expanded by Peters and The Joanna Briggs Institute, using Arksey’s five stages: 1) identifying the research question, 2) identifying relevant studies, 3) selecting studies, 4) charting the data and 5) collating and reporting the results. We will follow PRISMA reporting guidelines for scoping reviews to ensure transparency and reproducibility. Multiple databases were searched. EndNote (Clarivate Analytics) will be used to manage citations and remove duplicates. Covidence (Veritas Health Innovation), an online systematic reviewing platform, will be used to screen and review search results. Two reviewers (JK, RP), working independently of each other, will screen the titles and abstracts of the articles returned by the searches, then screen the selected full-text articles, and extract data into REDCap. A third reviewer (SS) will be available to cast the deciding vote in case no consensus is reached between the two reviewers. Results will be given in narrative form, and will be mapped and illustrated. Discussion This scoping review aims to capture the state of the current literature on loneliness in pregnancy and new parenthood in order to identify gaps and make recommendations for future areas of study and related interventions.

scholarly journals The Evolution of IBD Perceived Engagement and Care Needs Across the Life-Cycle: A Scoping Review

2020 ◽  
Author(s):  
Eleonora Volpato ◽  
Caterina Bosio ◽  
Enrica Previtali ◽  
Salvatore Leone ◽  
Alessandro Armuzzi ◽  
...  
Keyword(s):  
Life Cycle ◽  
Scoping Review ◽  
Psychological Needs ◽  
Social Needs ◽  
Care Process ◽  
Care Needs ◽  
Work Related ◽  
Medical Needs ◽  
Scoping Reviews ◽  
Social Discomfort

Abstract Background: The chronic and progressive evolution of Inflammatory Bowel Diseases (IBD), with its prototypical fluctuating trend, creates a condition of psycho-social discomfort, impacting the quality of life in terms of personal, working and interpersonal.Aims: In this article, we want to identify the nature and extent of the research evidence on the life experiences, the perceived engagement and the psychosocial and medical needs of people affected by IBD across the lifecycle. Methods: Following the approach set out by Arksey and O’Malley and the PRISMA extension for scoping reviews, we conducted a scoping review in March 2019 and closed the review with an update in October 2019. It was performed using electronic databases covering Health and Life Sciences, Social Sciences and Medical Sciences, such as PubMed, Medline, Embase, Scopus, Cochrane, Web of Science, PsycInfo.Results: We identified 95 peer-reviewed articles published from 2009 to 2019, that allowed to detect the main needs in children (psychological, need to be accepted, physical activity, feeding, parent style and support, social needs), adolescents (to understand, physical and psychological needs, protection, relational, gratitude, respect and engagement) and adults (information, medical, psychological, social, work-related, practical, future-related, engagement). Although the literature confirms that the majority of the IBD units have planned provision for the different types of transitions, the quality and appropriateness of these services have not been assessed or audited for all the kind of challenges across the life cycle. Conclusions: The literature shows the relevance of organising a flexible, personalised health care process across all the critical phases of the life cycle, providing adequate benchmarks for comparison in a multidisciplinary perspective and ensuring continuity between hospital and territory.

Not All Leaving Is Created Equal

2019 ◽  
Vol 18 (1) ◽  
pp. 10-22 ◽  
Author(s):  
Huisi (Jessica) Li ◽  
Kun Yu ◽  
Youhuang Huang ◽  
Xiaotong Jin
Keyword(s):  
Occupational Choice ◽  
Social Cognitive ◽  
Turnover Intentions ◽  
Rural China ◽  
Negative Relationship ◽  
Related Factors ◽  
Work Related ◽  
Leader Support ◽  
Negative Relationships ◽  
Social Cognitive Career

Abstract. Drawing on social cognitive career theory (SCCT) and the focus–congruence approach, this study examines how organizational and occupational turnover is differently influenced by work-related factors. Using a sample of 2,353 teachers in rural China, results first showed that negative relationships between organization-focused predictors (i.e., leader support, colleague support, and physical resources for work) and organizational turnover intentions were significant. Similarly, the negative relationship between occupation-focused predictors (i.e., occupational satisfaction, salary satisfaction, and occupational choice motivations) and occupational turnover intentions was also significant. Moreover, occupation-focused predictors have a stronger relationship with occupational turnover intentions than organizational turnover intentions, and vice versa. Implications for research and practice are discussed.

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