scholarly journals Moral neutralization: Nurses' evolution in unethical climate workplaces

2020 ◽  
Author(s):  
Hamideh Hakimi ◽  
Soodabeh Joolaee ◽  
Mansoureh Ashghali Farahani ◽  
Patricia Rodney ◽  
Hadi Ranjbar
Keyword(s):  
Clinical Skills ◽  
Main Theme ◽  
Structured Interviews ◽  
Health Organizations ◽  
Moral Performance ◽  
Unethical Behaviors ◽  
Moral Indifference ◽  
Moral Neutralization ◽  
Inductive Thematic Analysis

Abstract Introduction Good quality of care is dependent on nurses’ strong clinical skills and strong moral competencies, as well. However, the moral performance of some nurses in some organizations shows a deterioration in their moral sensitivity and actions. The aim of the study reported on in this paper was to explore the experiences of nurses regarding negative changes in their moral practice. Materials and Methods This was a qualitative study utilizing a inductive thematic analysis approach, which was conducted from February 2017 to September 2019. Twenty-five nurses participated in semi-structured interviews. Results The main theme that emerged from our analysis was one of moral neutralization in the context of an unethical moral climate. We found five sub-themes, including: (1) feeling discouraged; (2) normalization; (3) giving up; (4) becoming a justifier; and (5) moral indifference. Conclusions Unethical moral climates in health organizations can result in deterioration of morality in nurses which can harm both pateints and health syetms. Some unethical behaviors in nurses can be explaiened by this process.

scholarly journals Moral neutralization: Nurses' evolution in unethical climate workplaces

2020 ◽  
Author(s):  
Hamideh Hakimi ◽  
Soodabeh Joolaee ◽  
Mansoureh Ashghali Farahani ◽  
Patricia Rodney ◽  
Hadi Ranjbar
Keyword(s):  
Clinical Skills ◽  
Main Theme ◽  
Structured Interviews ◽  
Health Organizations ◽  
Moral Performance ◽  
Unethical Behaviors ◽  
Moral Indifference ◽  
Moral Neutralization ◽  
Inductive Thematic Analysis

Abstract Introduction Good quality of care is dependent on nurses’ strong clinical skills and strong moral competencies, as well. However, the moral performance of some nurses in some organizations shows a deterioration in their moral sensitivity and actions. The aim of the study reported on in this paper was to explore the experiences of nurses regarding negative changes in their moral practice. Materials and Methods This was a qualitative study utilizing a inductive thematic analysis approach, which was conducted from February 2017 to September 2019. Twenty-five nurses participated in semi-structured interviews. Results The main theme that emerged from our analysis was one of moral neutralization in the context of an unethical moral climate. We found five sub-themes, including: (1) feeling discouraged; (2) normalization; (3) giving up; (4) becoming a justifier; and (5) moral indifference. Conclusions Unethical moral climates in health organizations can result in deterioration of morality in nurses which can harm both pateints and health syetms. Some unethical behaviors in nurses can be explaiened by this process.

scholarly journals Moral neutralization: Nurses' evolution in unethical climate workplaces

2020 ◽  
Author(s):  
Hamideh Hakimi ◽  
Soodabeh Joolaee ◽  
Mansoureh Ashghali Farahani ◽  
Patricia Rodney ◽  
Hadi Ranjbar
Keyword(s):  
Clinical Skills ◽  
Main Theme ◽  
Structured Interviews ◽  
Health Organizations ◽  
Moral Performance ◽  
Unethical Behaviors ◽  
Moral Indifference ◽  
Moral Neutralization ◽  
Inductive Thematic Analysis

Abstract Introduction: Good quality of care is dependent on nurses’ strong clinical skills and strong moral competencies, as well. However, the moral performance of some nurses in some organizations shows a deterioration in their moral sensitivity and actions. The aim of the study reported on in this paper was to explore the experiences of nurses regarding negative changes in their moral practice. Materials and Methods: This was a qualitative study utilizing a inductive thematic analysis approach, which was conducted from February 2017 to September 2019. Twenty-five nurses participated in semi-structured interviews. Results: The main theme that emerged from our analysis was one of moral neutralization in the context of an unethical moral climate. We found five sub-themes, including: (1) feeling discouraged; (2) normalization; (3) giving up; (4) becoming a justifier; and (5) moral indifference. Conclusions: Unethical moral climates in health organizations can result in deterioration of morality in nurses which can harm both pateints and health syetms. Some unethical behaviors in nurses can be explaiened by this process.

scholarly journals Moral neutralization: Nurses’ evolution in unethical climate workplaces

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Hamideh Hakimi ◽  
Soodabeh Joolaee ◽  
Mansoureh Ashghali Farahani ◽  
Patricia Rodney ◽  
Hadi Ranjbar
Keyword(s):  
Clinical Skills ◽  
Main Theme ◽  
Structured Interviews ◽  
Health Organizations ◽  
Moral Standards ◽  
Moral Performance ◽  
Unethical Behaviors ◽  
Moral Neutralization ◽  
Inductive Thematic Analysis

Abstract Introduction Good quality of care is dependent on nurses’ strong clinical skills and moral competencies, as well. While most nurses work with high moral standards, the moral performance of some nurses in some organizations shows a deterioration in their moral sensitivity and actions. The study reported in this paper aimed to explore the experiences of nurses regarding negative changes in their moral practice. Materials and methods This was a qualitative study utilizing an inductive thematic analysis approach, which was conducted from February 2017 to September 2019. Twenty-five nurses participated in semi-structured interviews. Results The main theme that emerged from our analysis was one of moral neutralization in the context of an unethical moral climate. We found five sub-themes, including: (1) feeling discouraged; (2) normalization; (3) giving up; (4) becoming a justifier; and (5) moral indifference. Conclusions Unethical moral climates in health organizations can result in deterioration of morality in nurses which can harm both patients and health systems. Some unethical behaviors in nurses can be explained by this process.

scholarly journals Moral neutralization: Nurses' evolution in unethical climate workplaces

2020 ◽  
Author(s):  
Hamideh Hakimi ◽  
Soodabeh Joolaee ◽  
Mansoureh Ashghali Farahani ◽  
Patricia Rodney ◽  
Hadi Ranjbar
Keyword(s):  
Clinical Skills ◽  
Main Theme ◽  
Structured Interviews ◽  
Health Organizations ◽  
Moral Standards ◽  
Moral Performance ◽  
Unethical Behaviors ◽  
Moral Neutralization ◽  
Inductive Thematic Analysis

Abstract Introduction: Good quality of care is dependent on nurses’ strong clinical skills and moral competencies, as well. While most nurses work with high moral standards, the moral performance of some nurses in some organizations shows a deterioration in their moral sensitivity and actions. The study reported in this paper aimed to explore the experiences of nurses regarding negative changes in their moral practice.Materials and Methods: This was a qualitative study utilizing an inductive thematic analysis approach, which was conducted from February 2017 to September 2019. Twenty-five nurses participated in semi-structured interviews. Results: The main theme that emerged from our analysis was one of moral neutralization in the context of an unethical moral climate. We found five sub-themes, including: (1) feeling discouraged; (2) normalization; (3) giving up; (4) becoming a justifier; and (5) moral indifference.Conclusions: Unethical moral climates in health organizations can result in deterioration of morality in nurses which can harm both patients and health systems. Some unethical behaviors in nurses can be explained by this process.

scholarly journals Moral neutralization: Nurses' evolution in unethical climate workplaces

2020 ◽  
Author(s):  
Hamideh Hakimi ◽  
Soodabeh Joolaee ◽  
Mansoureh Ashghali Farahani ◽  
Patricia Rodney ◽  
Hadi Ranjbar
Keyword(s):  
Clinical Skills ◽  
Main Theme ◽  
Structured Interviews ◽  
Health Organizations ◽  
Moral Standards ◽  
Moral Performance ◽  
Unethical Behaviors ◽  
Moral Neutralization ◽  
Inductive Thematic Analysis

Abstract Introduction: Good quality of care is dependent on nurses’ strong clinical skills and moral competencies, as well. While most nurses work with high moral standards, the moral performance of some nurses in some organizations shows a deterioration in their moral sensitivity and actions. The study reported in this paper aimed to explore the experiences of nurses regarding negative changes in their moral practice.Materials and Methods: This was a qualitative study utilizing an inductive thematic analysis approach, which was conducted from February 2017 to September 2019. Twenty-five nurses participated in semi-structured interviews. Results: The main theme that emerged from our analysis was one of moral neutralization in the context of an unethical moral climate. We found five sub-themes, including: (1) feeling discouraged; (2) normalization; (3) giving up; (4) becoming a justifier; and (5) moral indifference.Conclusions: Unethical moral climates in health organizations can result in deterioration of morality in nurses which can harm both patients and health systems. Some unethical behaviors in nurses can be explained by this process.

‘We struggle and muddle.’ A qualitative study exploring community ABI therapists’ experiences of using, training in and implementing behaviour interventions

2020 ◽  
pp. 1-16
Author(s):  
Jai Jason Carmichael ◽  
Amelia J. Hicks ◽  
Kate Rachel Gould ◽  
Timothy J. Feeney ◽  
Penelope Analytis ◽  
...  
Keyword(s):  
Content Analysis ◽  
Thematic Analysis ◽  
Community Integration ◽  
Community Practice ◽  
Structured Interviews ◽  
Clinician Training ◽  
Australian Community ◽  
Challenging Behaviours ◽  
Inductive Thematic Analysis

Abstract Objectives: Individuals with acquired brain injury (ABI) may present with challenging behaviours (CB) that place themselves and others at risk of harm and impact their community integration. It is crucial for community ABI therapists to successfully train in and implement behaviour interventions. The current study aimed to investigate community ABI therapists’ experiences of using, training in and implementing behaviour interventions. An additional aim was to determine these therapists’ understanding of Positive Behaviour Support (PBS), one approach to addressing CB with a focus on improving quality of life. Methods: Semi-structured interviews were conducted with 24 Australian community ABI therapists about their experiences of using, training in and implementing behaviour interventions and understanding of PBS. Inductive thematic analysis and content analysis were performed on interview transcripts. Findings: The thematic analysis resulted in the generation of six themes which described the difficulties participants faced in training in and delivering behaviour interventions and identified their training and implementation needs. The content analysis resulted in 10 categories that characterised participants’ understanding of PBS, which centred around the absence of consequences, a focus on antecedents, person-centred practice and encouraging prosocial alternatives to CB. Conclusions: The findings highlight a need and desire for more practical and interactive clinician training in behaviour interventions for individuals with ABI. Moreover, the findings suggest a limited understanding of PBS amongst community ABI therapists. Important considerations for the development of clinician training in ABI behaviour interventions and subsequent implementation into community practice are discussed.

Reflections on the Supervision of Postgraduate Research: The Students’ Voices in an Open Distance Learning (ODL) Context

2018 ◽  
Vol 39 (1) ◽  
pp. 109-125
Author(s):  
Mncedisi Christian Maphalala ◽  
Nhlanhla Mpofu
Keyword(s):  
Drop Out ◽  
Research Experience ◽  
Structured Interviews ◽  
Postgraduate Students ◽  
The Social ◽  
Mixed Method Design ◽  
Postgraduate Studies ◽  
Research Questions ◽  
Inductive Thematic Analysis

Since the dawn of democracy in 1994 there has been a proliferation of postgraduate programmes aimed at responding to the social, economic and political needs of the country. This has led to an increase in the number of students enrolling for postgraduate programmes in South Africa. Some students successfully complete their studies, while others eventually drop out without attaining their chosen qualifications owing to various factors they encounter on their research journey. This study sought to determine postgraduate students’ experiences in terms of the educational and research experience at Unisa; the support services and funding; quality of access to facilities; and initiation into the community of researchers. Theoretically, the study was underpinned by ergonomics theory. To answer the research questions, the study followed a concurrent mixed method design. The study’s participants were 78 postgraduate students at Unisa who had volunteered to be part of the study. A self-constructed questionnaire and semi-structured interviews were used to collect data. Quantitative data were analysed using descriptive statistics while qualitative data used inductive thematic analysis. The findings indicate that students have a variety of experiences, both negative and positive, in their postgraduate studies.

scholarly journals Unsafe nursing documentation: A qualitative content analysis

2019 ◽  
Vol 27 (5) ◽  
pp. 1213-1224 ◽  
Author(s):  
Ali Tajabadi ◽  
Fazlollah Ahmadi ◽  
Afsaneh Sadooghi Asl ◽  
Mojtaba Vaismoradi
Keyword(s):  
Content Analysis ◽  
Interpersonal Relationships ◽  
Urban Areas ◽  
Qualitative Content Analysis ◽  
Healthcare Management ◽  
Main Theme ◽  
Structured Interviews ◽  
Nursing Documentation ◽  
Factors Influencing

Background Nursing documentation as a pivotal part of nursing care has many implications for patient care in terms of safety and ethics. Objectives To explore factors influencing nursing documentation from nurses’ perspectives in the Iranian nursing context. Methods This qualitative study was carried out using a qualitative content analysis of data collected from 2018 to 2019 in two urban areas of Iran. Semi-structured interviews (n = 15), observations, and reviews of patients’ medical files were used for data collection. Ethical considerations This study was conducted in accordance with the ethical principles of research and regulations in terms of confidentiality of data, anonymity, and provision of informed consent. Findings The main theme of this study was “unsafe documentation.” Two categories, “types of errors in reporting” and “reasons of errors in reporting,” and 12 subcategories were developed indicating factors influencing nursing documentation in the Iranian nursing context. Conclusion In general, individual, organizational, and national factors affected nursing documentation in Iran. In this respect, hiring more nurses, application of reforms in the healthcare management structure, devising appropriate regulations regarding division of labor, constant education of healthcare staff, establishment of clinical governance, improvement of interpersonal relationships, development of hardware and software techniques for documentation, and provision of support should be done to improve the quality of nursing documentation. The above-mentioned suggestions can help nurses with a safe, ethical, lawful, and reliable documentation in nursing practice.

The significance of communication and care in one’s mother tongue: Patients’ views

2019 ◽  
pp. 205715851987779
Author(s):  
Jessica Hemberg ◽  
Emelie Sved
Keyword(s):  
Quality Of Care ◽  
Mother Tongue ◽  
Language Skills ◽  
Language Barriers ◽  
Minority Language ◽  
Healthcare Sector ◽  
Main Theme ◽  
Structured Interviews ◽  
Hermeneutic Approach

Language barriers in the healthcare sector, for example as a result of failure to use a patient’s mother tongue, can lead to misunderstandings and/or care errors, especially when circumstances require that nursing staff or patients speak a language other than their own mother tongue. The aim of this study was to explore the importance of patients receiving care in their mother tongue. A hermeneutic approach was used and the method was inspired by content analysis. The data material was collected through semi-structured interviews with nine adult patients. One main theme and four subthemes were seen. The main theme was that care in a patient’s mother tongue can enhance quality of care. To reduce suffering in care caused by language barriers, nurses’ language skills should be supported and encouraged. Further research should focus on nurses’ perspectives on the significance of minority-language patients using their mother tongue in a nursing context.

scholarly journals Centralisation of acute obstetric care in the Netherlands: a qualitative study to explore the experiences of stakeholders with adaptations in organisation of care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lauri M.M. van den Berg ◽  
Bernardus Benjamin Maria Gordon ◽  
Sophia M. Kleefstra ◽  
Lucie Martijn ◽  
Jeroen van Dillen ◽  
...  
Keyword(s):  
Qualitative Study ◽  
The Netherlands ◽  
Maternity Care ◽  
Obstetric Care ◽  
Structured Interviews ◽  
Collaborative Process ◽  
Organisation Of Care ◽  
The Past ◽  
Inductive Thematic Analysis

Abstract Background In the past decade, acute obstetric care (AOC) has become centralised in many high-income countries. In this qualitative study, we explored how stakeholders in maternity care perceived and experienced adaptations in the organisation of maternity care in areas in the Netherlands where AOC was centralised. Methods A heterogenic group of fifteen maternity care stakeholders, including patients, were purposively selected for semi-structured interviews. An inductive thematic analysis was used. Results Three main themes were identified: (1) lack of involvement. (2) the process of making adaptations in the organisation of maternity care. (3) maintaining quality of care. Stakeholders in this study were highly motivated to maintain a high quality of maternity care and therefore made adaptations at several organisational levels. However, they felt a lack of involvement during the planning of centralisation of AOC and highlighted the importance of a collaborative process when making adaptations after centralisation of AOC. Conclusions Regions with AOC centralisation plans should invest time and money in change management, encourage early involvement of all maternity care stakeholders and acknowledge centralisation of AOC as a professional life event with associated emotions, including a feeling of unsafety.

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