Ethical Climate in Nursing Practice

Shirey, Maria R.

doi:10.1097/00128488-200504000-00006

Cited by 44 publications

(43 citation statements)

References 31 publications

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“…The leaders of the organization play a key role in building, maintaining, and encouraging an ethical environment and climate. It is the main responsibility of the leadership in the organization to create and sustain an ethical environment and climate, because these not only stand for what ought to be done but also encourage good practice [15]. Therefore, the leaders should devote all their efforts to fostering an ethical environment and climate in the organization [16].…”

Section: Introductionmentioning

confidence: 99%

Building an ethical environment improves patient privacy and satisfaction in the crowded emergency department: a quasi-experimental study

et al. 2013

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BackgroundTo evaluate the effectiveness of a multifaceted intervention in improving emergency department (ED) patient privacy and satisfaction in the crowded ED setting.MethodsA pre- and post-intervention study was conducted. A multifaceted intervention was implemented in a university-affiliated hospital ED. The intervention developed strategies to improve ED patient privacy and satisfaction, including redesigning the ED environment, process management, access control, and staff education and training, and encouraging ethics consultation. The effectiveness of the intervention was evaluated using patient surveys. Eligibility data were collected after the intervention and compared to data collected before the intervention. Differences in patient satisfaction and patient perception of privacy were adjusted for predefined covariates using multivariable ordinal logistic regression.ResultsStructured questionnaires were collected with 313 ED patients before the intervention and 341 ED patients after the intervention. There were no important covariate differences, except for treatment area, between the two groups. Significant improvements were observed in patient perception of “personal information overheard by others”, being “seen by irrelevant persons”, having “unintentionally heard inappropriate conversations from healthcare providers”, and experiencing “providers’ respect for my privacy”. There was significant improvement in patient overall perception of privacy and satisfaction. There were statistically significant correlations between the intervention and patient overall perception of privacy and satisfaction on multivariable analysis.ConclusionsSignificant improvements were achieved with an intervention. Patients perceived significantly more privacy and satisfaction in ED care after the intervention. We believe that these improvements were the result of major philosophical, administrative, and operational changes aimed at respecting both patient privacy and satisfaction.

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Section: Introductionmentioning

confidence: 99%

Building an ethical environment improves patient privacy and satisfaction in the crowded emergency department: a quasi-experimental study

et al. 2013

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“…Although the impact of organisational ethical climate has been demonstrated in the business literature to infl uence behaviour and decision making of participants within that environment, it is underdeveloped in the nursing literature. Ethical climate is increasingly being linked to negative outcomes such as reduced job satisfaction and turnover (Hart, 2005;Shirey, 2005;Ulrich et al, 2007), however the impact of nurses' workplaces on nurses' understanding of responsibility, behaviour and decision making remains unsubstantiated. Some authors have suggested that nurses are working 'in between' the values of the organisation and their own values (Varcoe et al, 2004) but more understanding of how nurses successfully negotiate this is imperative since nurses are central to the delivery of care.…”

Section: Limitations Of the Reviewmentioning

confidence: 99%

Understanding moral habitability: A framework to enhance the quality of the clinical environment as a workplace

2013

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There is compelling evidence in the nursing literature that the workplace is experienced as morally uninhabitable for many nurses and yet the concept of moral habitability remains underdeveloped. An integrative review on moral habitability in nursing was undertaken. The findings reveal that the primary concepts by which nurses write and research aspects of moral habitability are moral climate, moral agency, moral sensitivity and moral distress. It is revealed that nurses in their clinical work experience adversity and moral distress through relational challenges and contextual difficulties that can challenge habitability and inhibit nurses' capacity to provide morally sensitive patient care. The primary concepts identified provide a framework for further development of the concept of moral habitability within nursing practice. The related data within the integrative review also highlights the need for further research into enhancing and sustaining morally habitable workplaces for nurses.

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“…When managers make decisions, they must respect the stakeholders' right, think over different influence of decisions on stakeholders, and weigh profit distribution between enterprises and stakeholders. Decisions still remain on integrity level and couldn't reach fair level if managers couldn't completely meet with abovementioned requirements (Shirey, 2005). Otherwise, decisions could realize fair and justice, which is great ethical improvement to the enterprise.…”

Section: Fair Levelmentioning

confidence: 99%

The four-level valuation model of ethical decision-making

Zhang

Huang

Hao

2010

2010 2nd IEEE International Conference on Information and Financial Engineering

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With the evolution of social ethic and decision valuation, ethical decisions are more and more paid attention to by enterprises' managers. On the basis of previous researches, the article puts forward a Valuation model of ethical decision making. The model involves four ethical levels: conduct level, fair level, integrity level and avoidable harm level. At the same time, the article elaborates the contents of each level and the relationship between different levels at length, which provides an analytical framework of ethical decision making for enterprises' managers, and contributes to enhancing the ethical level of decisions.

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Ethical Climate in Nursing Practice

Cited by 44 publications

References 31 publications

Building an ethical environment improves patient privacy and satisfaction in the crowded emergency department: a quasi-experimental study

Building an ethical environment improves patient privacy and satisfaction in the crowded emergency department: a quasi-experimental study

Understanding moral habitability: A framework to enhance the quality of the clinical environment as a workplace

The four-level valuation model of ethical decision-making

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