Leadership styles in ethical dilemmas when head nurses make decisions

Online discussions among healthcare providers give them an opportunity to relate ethical principles to real ethical dilemmas and problems in their work as well as to critically analyze ethical issues. We found that discussions with descriptions of ethical dilemmas and concerns by health professionals provide important information and recommendations not only for education and practice but also for health policy.

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“…Other studies have examined ethical problems and dilemmas from the perspectives of nurse managers or head nurses. 1,4,11 –13…”

Section: Introductionmentioning

confidence: 99%

Ethical concerns and dilemmas of Finnish and Dutch health professionals

2016

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“…These may have been true considering that, in all probability, attention to Indonesian nursing development is more focused on practice than on leadership. A similar concern was reflected in a study conducted amongst Lithuanian nurses in which the researchers concluded that leadership in nursing is typically assumed to be a less important aspect than skills/practice improvement (Zydziunaite, Lepaite, & Suominen, ).…”

Section: Discussionmentioning

confidence: 85%

Barriers to nurse leadership in an Indonesian hospital setting

Wardani

Ryan

2019

J Nurs Manag

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Background Given the prominent role of nursing within modern health care environments, it is essential that leadership is viewed as a key capability. However, little is known on how leadership evolves amongst the nurses in Indonesia and the barriers that exist to nurses gaining access to leadership roles. Limited attention is given to address the improvement of nurse leadership for the benefit of the nurses in the country. Aim To identify organizational and individual practices and how these contribute to barriers to the development of nursing leadership in the hospital setting. Methods A qualitative study employing semi‐structured face‐to‐face interviews and a thematic approach to data analysis. Results Four key themes are derived as follows: (a) hierarchical leadership and the importance of organizational structure and gender, (b) restricted perspectives, both conceptual and spatial, (c) contractual barriers, and (d) professional barriers. Conclusion Achieving the desired nurses’ leadership skills required persistence support and education. Acknowledgement on nurses as professional entity by minimizing aforementioned challenges would elevate nurses’ ability to engage further both in organization and leadership improvement. Implications for Nursing Management The findings of this study strengthen nursing leadership and management practice in hospital and beyond as they have helped to elucidate the nurses’ viewpoints on barriers they have on leadership. This research highlighted evidence for decision‐makers to bridge the gaps amongst nursing entities by, for example, encouraging regular nursing lectures for practice improvement, conducting research together/establishing research teams, or arranging interchange teaching between experienced nurses from the hospital and campus. Further, developing nursing professionals is one of the priorities for improving the Indonesian health profile, as nurses constitute the largest portion of Indonesian health workers.

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“…It is well known that nurse leaders experience difficult ethical dilemmas, which in turn can be experienced as personally burdensome and cause stress. (Birkholz et al , 2022; Cooper et al , 2004; Zydziunaite et al , 2013).…”

Section: Discussionmentioning

confidence: 99%

I became a leader by coincidence: specialised nurses as leaders in the field of mental health and substance abuse

Lysfjord,

Skarstein

2023

LHS

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Purpose This study aims to examine nurses’ motivation for leadership and explore important challenges nurses face in leadership positions. Design/methodology/approach Semi-structured interviews were conducted with 20 nurses in leading positions. Thematic analysis was used to analyse the data. Findings Nurse leaders are recruited from clinical settings, and the transition process from clinical nurse to leader is demanding. Their motivation for leadership seems to be in human values and caring for others. Lack of strategic focus might be a challenge. Nurses in leadership positions emphasize the importance of good relationships with the staff and require an increased focus on strategic leadership. Research limitations/implications Studies have revealed the frustration associated with the role of a nursing leader. According to an evaluation of a clinical leadership development programme, nurses were found to be inadequately prepared for their roles. They had not experienced positive role models, they felt overwhelmed and they regarded colleagues and nursing management structures as unsupportive. There is a need for further research into effective measures to strengthen nurse managers. Practical implications The role of leaders has changed over time. There are now increasing requirements and objectives with regard to laws, action plans, improvement projects and cost-effectiveness. A nurse leader has both many tasks and great responsibility. Good leadership relies on skilled nurse leaders meeting statutory requirements in patient care and delivering good quality and patient-safe services. Engaging in process-oriented guidance, such as mentoring, is one way to become more aware of oneself as a professional leader (Mathena, 2002). Originality/value By identifying and understanding the specific challenges that nurse leaders face, this study can contribute to the development of interventions and strategies to improve leadership practices, thereby enhancing organizational effectiveness.

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Leadership styles in ethical dilemmas when head nurses make decisions

Abstract: The results highlight the need for head nurses to reflect on their practices and to find new ways of learning from practice, colleagues and patients. Head nurses' managerial decisions due to their 'executive power' can turn into a new state-of-the-art leadership in nursing.

Cited by 10 publications

References 28 publications

Ethical concerns and dilemmas of Finnish and Dutch health professionals

Ethical concerns and dilemmas of Finnish and Dutch health professionals

Barriers to nurse leadership in an Indonesian hospital setting

I became a leader by coincidence: specialised nurses as leaders in the field of mental health and substance abuse

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