Clinical nurse adherence to professional ethics: A grounded theory

Qingqing, Yang; Zheng, Zhihui; Pang, Shuqin; Wu, Yi‐Long; Liu, Jujuan; Zhang, Jiahui; Qiu, Xiahua; Yufeng, Huang; Xu, Jing; Xie, Liyu

doi:10.1177/09697330221130594

Cited by 3 publications

(2 citation statements)

References 42 publications

(68 reference statements)

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“…[ 2 ] A group of researchers believes that the professional nursing practice is so intertwined with ethics that it can be said that nursing is a moral philosophy. [ 3 ] Breen believe that the nature of nursing is such that they should pay more attention to ethics of care than the treatment considerations[ 4 ]…”

Section: Introductionmentioning

confidence: 99%

Explaining ethical challenges and practical solutions from a nursing managements’ perspective: A phenomenological study

Khosravani,

Taheri,

Amini

et al. 2024

Journal of Family Medicine and Primary Care

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Introduction and Objective: Ethical practice is a vital aspect of nursing interventions. Complying with the ethical aspects of the intervention procedure in a stressful nursing environment is not easy and nurse managers always face ethical challenges which are in conflict with their personal values and norms. Identifying and solving these challenges improves the efficiency and effectiveness of nursing care activities. Therefore, this research was done to explain the ethical challenges of nurse managers and practical solutions from their perspective. Material and Method: It is a qualitative study that was carried out based on the phenomenological method in 2022. The participants of this study were 20 nurse managers of Arak hospitals who were selected by purposive sampling until data saturation. The data were collected through semi-structured interviews for 30 to 90 minutes. Data collection was carried out with the participant’s consent, using a digital recording device and verbatim transcription, and then it was analyzed using Van Manen’s six-step hermeneutic phenomenological approach. Findings: The results of this study could provide a clear picture of ethical challenges and their practical solutions from the nurse managers’ perspective in the form of four themes of managerial ethical challenges which include challenges facing physicians, organizations, employees, managers, and three themes for practical solutions, including organizational solutions, interpersonal solutions, and educational solutions which were manifested. Conclusion: Nurse managers are always faced with ethical challenges in their daily activities. To deal with these challenges, they must be familiar with the rules and principles of professional ethics, practical standards, and laws related to patients’ rights. Ethical principles and awareness of the ethical decision-making process are useful and effective in having capable and ethical nurses who provide competent care. To deal with ethical challenges, it is suggested to consider self-care strategies and structural and specialized support in each center, which will ultimately lead to the improvement of service quality and the promotion of ethics in care-treatment environments.

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Section: Introductionmentioning

confidence: 99%

Explaining ethical challenges and practical solutions from a nursing managements’ perspective: A phenomenological study

Khosravani,

Taheri,

Amini

et al. 2024

Journal of Family Medicine and Primary Care

View full text Add to dashboard Cite

show abstract

“…To give patients the best treatment available during clinical choice-making, nurses should actively and consistently comply with the nursing profession's standards of ethics. (2). To choose the best choices for their patients when presented with situations demanding clinical and moral decision-making, nurses are required to operate by professional rules of ethics at work (3).…”

Section: Introductionmentioning

confidence: 99%

Assessment of Critical Care Nurses’ Adherence to Ethical Codes and Its Relation to Spiritual Well-Being and Moral Sensitivity

ADEEL,

ASGHAR,

FIAZ

et al. 2024

Pak J Intens Care Med

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Background: Adherence to ethical standards is a vital component of nursing care and is influenced by various circumstances. Identifying such aspects can improve ethical performance. Objective: This study examined critical care nurses' compliance with ethical rules and their impact on spiritual well-being (SWB) and moral sensitivity (MS). Study Design: The research was primarily descriptive and correlational. Setting: The study was conducted at Bahria Town International Hospital Lahore. Duration of Study: This study was conducted from May 1, 2023, to December 10, 2023. Methods: Data were compiled on the individuals' demographics and three essential questionnaires: the adherence to ethical norms questionnaire, the moral sensitivity questionnaire (MSQ), and the spiritual well-being scale (SWBS). The study included 51 nurses, with the bulk of participants being female (76.4%), single (64.7%), without kids (72.54%), possessing a diploma in nursing (84.3%), and graduates of public universities (66.9%). Results: The mean score of adherence to ethical codes was 64.06±7.11, indicating a satisfactory level of commitment to ethical principles. The mean SWB score was 91.67±10.54, with 74.5% (n=38) falling into the moderate category. The mean scores for existential and religious health were 44.85±6.73 and 47.72±5.53, respectively. The mean MS score was 135.63±10.53, with most subjects falling into the moderate category. Multivariate regression analysis revealed a significant correlation between SWB, MS, and ethical code adherence among nurses (P<0.05).Conclusion: Critical care nurses demonstrated a solid commitment to ethical standards. MS and SWB also improved their commitment to ethical rules. Nursing managers may use these findings to promote MS and SWB among nurses, leading to better ethical performance.

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Moral disengagement, moral identity, and counterproductive work behavior among emergency nurses

Ke,

2024

Nurs Ethics

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Background Morality is a fundamental component of nurses’ daily work. Nurses’ cognitive tendencies toward moral disengagement in high-stress work environments can easily lead them to engage in counterproductive work behaviors that are not conducive to the organization. However, there is limited research on how to mitigate the impact of moral disengagement on counterproductive work behavior. Objective The objective was to explore the impact of moral disengagement on counterproductive work behavior, as well as the reverse regulatory mechanism of moral identity on the relationship between moral disengagement and counterproductive work behavior. Research design This was a quantitative, cross-sectional study. Participants and research context From September to October 2023, nurses from emergency departments of major hospitals in Hunan Province were recruited, and 500 questionnaires were distributed and collected using the WeChat app Credamo Seeing Numbers. Ethical consideration All study procedures were approved by the Ethics Committee of Hunan Normal University (No. 2023-388). Findings Moral disengagement had a positive effect on counterproductive work behavior directed at the organization (CWB-O) as well as counterproductive work behavior directed at individuals (CWB-I). Moral identity was not significant in moderating the relationship between moral disengagement and CWB-O. Moral identity had an inverse moderating effect on the mechanism of action between moral disengagement and CWB-I. Conclusion Counterproductive work behavior guided by moral disengagement is detrimental to organizations, and moral identity can inhibit the effect of moral disengagement on CWB-I. Nursing administrators should focus on improving nurses’ moral identity and improving the healthcare workplace environment so that moral identity can better exert its inhibitory effect on counterproductive work behavior among nurses.

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Clinical nurse adherence to professional ethics: A grounded theory

Cited by 3 publications

References 42 publications

Explaining ethical challenges and practical solutions from a nursing managements’ perspective: A phenomenological study

Explaining ethical challenges and practical solutions from a nursing managements’ perspective: A phenomenological study

Assessment of Critical Care Nurses’ Adherence to Ethical Codes and Its Relation to Spiritual Well-Being and Moral Sensitivity

Moral disengagement, moral identity, and counterproductive work behavior among emergency nurses

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