Factors influencing audiologists’ perception of moral climate in the workplace

Simpson, Andrea; Phillips, Kendall R.; Wong, Danny Tze-Ken; Clarke, Sandy; Thornton, Michelle

doi:10.1080/14992027.2018.1426892

Cited by 14 publications

(36 citation statements)

References 31 publications

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“…Specifically, increased moral distress was associated with poor scores on the managerial and peer support subscales. These findings are of relevance to Simpson et al's earlier study in moral distress 18 in which the 'performance pressure' associated with device sales for audiologists working in adult rehabilitation was linked with reduced job satisfaction. Kendall et al 37 describes how in order to maintain and enhance productivity, workers can find work practices scrutinised by others on the team.…”

Section: Discussionsupporting

confidence: 58%

“…8 The concept of moral distress originally rose to prominence in the nursing field, [9][10][11][12] although has more recently been investigated in other health professions, such as occupational therapy, 13 sports medicine, 14 pharmacy, 15 speech therapy 16,17 and audiology. 18 Moral distress has been linked to negative consequences for both clinician and client. 17,19 It has been found to have a negative impact on the mental and physical wellbeing of practitioners, their provision of care, and overall job satisfaction.…”

Section: Introductionmentioning

confidence: 99%

“…17,19 It has been found to have a negative impact on the mental and physical wellbeing of practitioners, their provision of care, and overall job satisfaction. 19 Simpson et al 18 explored moral distress in a group of Australian audiologists. Of the 300 participants who responded, those who worked in roles outside of hearing devices sales reported a healthy ethical workplace climate.…”

Section: Introductionmentioning

confidence: 99%

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Moral distress and occupational wellbeing in audiologists: an Australian case study

et al. 2020

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Objective The purpose of this study was to assess if a relationship existed between (i) audiologists’ perceptions of moral distress, (ii) occupational wellbeing, and (iii) patient-practitioner orientation. Design The Moral Distress Thermometer, Health and Safety Executive (HSE) Management Standards Indicator Tool and Patient-Practitioner Orientation Scale (PPOS) was sent out to all audiologists registered with the professional body Audiology Australia. Study sample: A total of 43 audiologists completed the questionnaires. Results Using a multiple linear regression model there was no evidence of a relationship between patient-practitioner orientation and either moral distress or occupational wellbeing. However, an association between higher moral distress and lower occupational wellbeing was demonstrated. The occupational wellbeing subscales of ‘managerial support’, ‘peer support’, ‘relationships’, ‘role’, and ‘change’ were strongly associated with poorer scores on moral distress. Conclusion For our sample of audiologists, ethical conflict appeared to be linked to reduced job satisfaction. There is a need to consider ways of providing supportive organisational structures in which ethical conflicts can be openly discussed and negotiated in order to improve occupational wellbeing in the profession.

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Section: Discussionsupporting

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Moral distress and occupational wellbeing in audiologists: an Australian case study

et al. 2020

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“…This will not always be an option for clinicians and systemic mechanisms to support clinicians to uphold their ethical and professional values may be needed. While this discussion focussed on audiology education and on individual change, it must also mention a need for systems to play their part (Simpson et al 2018).…”

Section: Education Approaches For Ethical Clinical Practicementioning

confidence: 99%

“…Over a prolonged period of time, negotiating ethical tensions can manifest as emotional distress, physiological stress, compassion fatigue and burnout, disengagement from patients and attrition (Pauly, Varcoe, and Storch 2012). This is especially concerning at present as workforce shortages are looming in audiology (Windmill and Freeman 2013) and working conditions may lead to a deteriorating moral climate (Simpson et al 2018). Audiology is certainly not alone in its experience of ethical tensions (Bushby et al 2015;Durocher et al 2016;Jameton 1985;Kinsella, Bossers, and Ferreira 2008;Opacich 1997;Storch and Rodney 2009).…”

Section: Introductionmentioning

confidence: 99%

Clinician, student and faculty perspectives on the audiology-industry interface: implications for ethics education

Crukley

Kangasjarvi

et al. 2019

International Journal of Audiology

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Objective: Supporting audiologists to work ethically with industry requires theory-building research. This study sought to answer: How do audiologists view their relationship with industry in terms of ethical implications? What do audiologists do when faced with ethical tensions? How do social and systemic structures influence these views and actions? Design: A constructivist grounded theory study was conducted using semi-structured interviews of clinicians, students and faculty. Study sample: A purposive sample of 19 Canadian and American audiologists was recruited with representation across clinical, academic, educational and industry work settings. Theoretical sampling of grey literature occurred alongside audiologist sampling. Interpretations were informed by the concepts of ethical tensions as ethical uncertainty, dilemmas and distress. Results: Findings identified the audiology-industry relationship as symbiotic but not wholly positive. A range of responses included denying ethical tensions to avoiding any industry interactions altogether. Several of our participants who had experienced ethical distress quit their jobs to resolve the distress. Systemic influences included the economy, professional autonomy and the hidden curriculum. Conclusions: In direct response to our findings, the authors suggest a move to include virtues-based practice, an explicit curriculum for learning ethical industry relations, theoretically-aligned ethics education approaches and systemic and structural change.

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The cost of privatisation to the profession: Media representation of audiology in Australia

Šarkić

Simpson

Heine

2022

Health Prom J of Aust

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Purpose To investigate how the profession of audiology was represented in the media in Australia and how the increased privatisation of the profession may have shaped this representation. Methods A systematic search of English language media records was conducted from 1 January 2000 to 17 July 2020 using ANZ News Stream, TV News, Google News and INFORMIT. Twenty‐four of 1056 originally identified articles were retained. The findings were extracted and synthesised. Results Context and content analyses were preformed, revealing a predominantly negative portrayal of Audiology as a profession in 21 (87.5%) of 24 articles. Predominant themes included: sales driven by incentives; predatory strategies and malpractice; non‐regulation and privatisation of the hearing care industry; and conflict of interest. Conclusions The media was found to highlight consumer mistrust in the profession in recent years. Increased regulation of the profession of audiology is recommended to protect the population against exploitative practices and to renew faith in the profession by the public.

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Factors influencing audiologists’ perception of moral climate in the workplace

Cited by 14 publications

References 31 publications

Moral distress and occupational wellbeing in audiologists: an Australian case study

Moral distress and occupational wellbeing in audiologists: an Australian case study

Clinician, student and faculty perspectives on the audiology-industry interface: implications for ethics education

The cost of privatisation to the profession: Media representation of audiology in Australia

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