Nurse managers' experience with ethical issues in six government hospitals in Malaysia: A cross-sectional study

Musa, Maizura binti; Harun-Or-Rashid,; Sakamoto, Junichi

doi:10.1186/1472-6939-12-23

Cited by 11 publications

(11 citation statements)

References 20 publications

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“…From the above strategies and action taken, it was clear that managers tried to manage any incident or issues internally or reported the matter to the higher nursing administration team for further action. This was similar to a study in Malaysia that stated nurse managers usually relied on three things in managing ethical issues: their skills, the management team or other nurses, or the code of ethics, but in most cases, the latter was the least preferred (19).…”

Section: Discussionsupporting

confidence: 80%

“…Such issues may create a stressful working environment for the nurses, patients, relatives, and other healthcare providers, including the nurse managers. The stressor may also be higher in nurse managers as they are involved in patient care and have supervision responsibilities to their subordinates and management responsibilities to the higher authority (19,20).…”

Section: Introductionmentioning

confidence: 99%

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Community Nurse Managers’ Views of Incompetent Nursing Practice: An Interview Study

Abdul Razak,

Zolkefli

2021

Int J Care Scholars

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Introduction: Nurses' professional competence is a key factor for the quality of nursing practice, as the competence level directly influences the patient’s safety. A lack of competence among nurses raises several concerns and thus contributes to adverse effects of patient outcomes. These concerns, particularly how nurse managers understand and address incompetent practices, have not been thoroughly explored in the local context. Objective: The purpose of the study was to explore nurse managers' views of incompetent nursing practice in a community healthcare setting. Methods: A descriptive qualitative research was conducted in one single district in Brunei Darussalam with a purposive sample of nine community nurse managers from six healthcare centres. Data collection was by audio recorded of in-depth interviews. These interviews were coded and thematically analysed. Findings: The study participants discussed their perspectives on incompetent practice, the reasons for incompetence, and nurse managers' reactions to incompetence. Conclusion: The findings show that the standard views of 'incompetent' meant were elusive and inconsistent among nurse managers. Such inconsistency resulted in poor identification and management of ethical issues. Therefore, to ensure consistency, a clear view and understanding of what constitutes incompetent nursing practice must be established.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Community Nurse Managers’ Views of Incompetent Nursing Practice: An Interview Study

Abdul Razak,

Zolkefli

2021

Int J Care Scholars

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“…In Malaysia, a study evaluated the ethical issues experienced by 417 nursing managers employed in six of the country’s hospitals The information obtained revealed that most managers, regardless of their area of practice, experienced many ethical issues and described how they handled problems. A team approach and an adequate understanding of the code of ethics as the basis for reasoning 12 is needed to deal with ethical issues.…”

Section: Discussionmentioning

confidence: 99%

Nurses performance in clinical ethics committees and commissions: An integrative review

Brito

Rosa

2017

Nurs Ethics

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This was an integrative review of articles published in national and international journals between 1994 and 2016 which described the participation of nursing professionals in ethics commissions. Participants and research context: A total of 35 articles were selected. Discussion and conclusion for this article: The thematic categories were the need for time to discuss ethical issues; ethics committee to reduce the moral suffering of professionals; competencies required for participation; and barriers/difficulties and facilitators for implementation/ performance. It was concluded that professionals recognize the need for ethics committees to foster discussions. However, barriers hamper operation and fundamental competencies for participation. Communication of committee activities to professionals and educational activities may be major allies to improve the functioning of these committees.

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“…An ethical dilemma is a problem in the decisionmaking process between two possible options, neither acceptable from an ethical perspective. According to a recent international study, nurses face a variety of ethical dilemmas (2)(3)(4)(5), including nurses in Malaysia (6,7). Numerous strategies employed by nurses to address and resolve ethical dilemmas were recognised, including the use of the ethical framework (8,9), code of professional ethics (10)(11)(12), and some underscore the ethical values alone, which have been established in the literature review (13,14).…”

Section: Introductionmentioning

confidence: 99%

The Perception of Islamic Nursing Ethics among Nurses in Pahang, Malaysia

Ismail¹,

Shahadan²,

Hashi³

et al. 2022

MJMHS

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Introduction: A recent international survey discovered that nurses face a wide variety of ethical dilemmas. The intrinsic value of human thought and reliability can still be argued in major nursing ethics theories, such as deontology and utilitarianism. A Muslim nurse must be versed in Islamic thought. The issue is the extent to which Islamic nursing ethics can be applied to nursing practice continues to be debated. This study aims to examine nurses’ perceptions in two government hospitals in Pahang, Malaysia, regarding Islamic nursing ethics. Method: Between February and March 2017, a self-administered questionnaire assessing the comprehension of Islamic nursing ethics was developed, validated, tested, and distributed to nurses at Pahang’s Tunku Ampuan Afzan Hospital and Sultan Haji Ahmad Shah Hospital (tertiary care hospitals). Convenience sampling was applied in this study.Results: The study collected complete data on 118 nurses. The frequency with which nurses encountered ethical dilemmas ranged from ‘daily’ to ‘yearly’. Only 24.6 per cent of nurses reported encountering ethical dilemmas in their work. 43.2 per cent of nurses responded that they are ‘moderately’ knowledgeable about the Islamic nursing ethics applicable to their work. Over half (69.5 per cent) of nurses scored at a moderate level, while 17.8 per cent perceived Islamic nursing ethics competently. Only 20.3 per cent of respondents believed that adherence to patients’ wishes is consistent with Islamic nursing ethics. Conclusion: Nursing and religious authorities should take more actions to develop the understanding and awareness of Islamic nursing ethics to make it understandable for all Muslim nurses.

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Nurse managers' experience with ethical issues in six government hospitals in Malaysia: A cross-sectional study

Cited by 11 publications

References 20 publications

Community Nurse Managers’ Views of Incompetent Nursing Practice: An Interview Study

Community Nurse Managers’ Views of Incompetent Nursing Practice: An Interview Study

Nurses performance in clinical ethics committees and commissions: An integrative review

The Perception of Islamic Nursing Ethics among Nurses in Pahang, Malaysia

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