Ethical climate and nurse competence – newly graduated nurses' perceptions

Abstract

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.

Nurses’ professional values: Influences of experience and ethics education

“…Healthcare continues to grow ever more sophisticated and technologically complex; nurses need increased support to stay grounded in the profession's code of ethics, true to high standards of patient care and competent to engage in interdisciplinary ethical dialogue (Jansson et al, ; Lennon‐Dearing, Lowry, Ross, & Allen, ; Poikkeus, Numminen, Suhonen, & Leino‐Kilpi, ). Conflicts related to professional values have been associated with negative effects such as moral distress, effects upon patient safety, quality of care, persistence in the profession and legal ramifications (Jameton, ; Numminen, Leino‐Kilpi, Isoaho, & Meretoja, ; Storaker, Nåden, & Sæteren, ; Ulrich et al, ). Results from this study provide insights about factors that may help strengthen nurses’ professional values and reduce these conflicts.…”

Ethics consultation in paediatric and adult emergency departments: an assessment of clinical, ethical, learning and resource needs

“…Ethical climate is a shared perception of what ethically acceptable behaviour is and how ethical issues are addressed within an organisation 12. It reflects the organisation’s policies, procedures and practices in relation to moral issues and their influence on the ethical behaviours of the employees 12.…”

“…Ethical climate is a shared perception of what ethically acceptable behaviour is and how ethical issues are addressed within an organisation 12. It reflects the organisation’s policies, procedures and practices in relation to moral issues and their influence on the ethical behaviours of the employees 12. In addition to ethical reasoning skills, which are a core competency in emergency medicine, the climate of the work environment is an important element that affects the behaviour and practice of healthcare providers 13.…”

“…In order to provide a high level of care, ED staff are obligated to understand ethical principles and the reasoning process one must go through to resolve an ethical dilemma, which is a situation in which a person must choose between two or more alternatives, each with less than optimal moral outcomes 13 14. To deliver this standard of care, an environment supporting ethical practice should be a prerequisite 12. Reports of verbally and physically aggressive patients and their relatives, coupled with high patient turnover in the ED compared with other hospital units, have highlighted the importance of ethics education for supporting ethical practice due to complex patient interactions.…”

Impact of a summer extern program on nursing student’s awareness of interprofessional collaboration and healthy, healing environments: A level II quasi-experimental design

“…This dysfunctional culture has been reported by 95% of nurses [1,2] and 100% of medical students. [3] This impacts nursing recruitment, job satisfaction, retention, costs of healthcare and patient outcomes.…”