Betrayal in Nursing: Recognizing the Need for Authentic and Trusting Relationships

Cleary, Michelle; Wilson, Stacey; Jackson, Debra

doi:10.1080/01612840.2018.1472960

Cited by 4 publications

(5 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Likewise, healthcare professionals who experience institutional betrayal might even consider leaving the profession altogether. 5 These issues create downstream problems for healthcare worker recruitment to response efforts and issues with retention.…”

Section: Discussionmentioning

confidence: 99%

“…Betrayal was also used to describe unsafe work environments. Cleary et al 5 describes betrayal as the inability of nurses to provide safe, quality care due to constraints of equipment or resources due to institutional constraints (e.g. policies, supply shortages, financial decision).…”

Section: Definitions and Use Of The Conceptmentioning

confidence: 99%

“…1 Nurses develop trusting psychological relationships with their institutions and assume with confidence that the expectations for respectful ethical behavior will be met. 5…”

mentioning

confidence: 99%

“…1 Nurses develop trusting psychological relationships with their institutions and assume with confidence that the expectations for respectful ethical behavior will be met. 5 Ethical relationships and the potential for institutional betrayal might be viewed as part of the theoretical basis for moral distress, moral injury, and moral resilience. 6 Moral harms are likely related to issues of professional and personal well-being.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Institutional betrayal in nursing: A concept analysis

Brewer

2021

Nurs Ethics

View full text Add to dashboard Cite

Background: Ethical relationships are important among many participants in healthcare, including the ethical relationship between nurse and employer. One aspect of organizational behavior that can impact ethical culture and moral well-being is institutional betrayal. Research aim: The purpose of this concept analysis is to develop a conceptual understanding of institutional betrayal in nursing by defining the concept and differentiating it from other forms of betrayal. Design: This analysis uses the method developed by Walker and Avant. Research context: Studies were reviewed using health literature databases with no date restrictions. Ethical considerations: Analysis was conducted using established guidelines for ethical research. Findings: Although institutional betrayal is a concept applied in the literature, there was a paucity of studies exploring the concept within nursing. Examples of the concept in the literature include violation of trust between organization (i.e. employer) and nurse, such as provision of inadequate workplace protections, ineffective or hostile management, and gaslighting of those who experience negative events. Examples of institutional betrayal have become more visible during the COVID-19 pandemic. Discussion: A conceptual definition of institutional betrayal is a deep violation of trust or confidence or violation of moral standards committed by an institution toward a nurse. This definition incorporates experiences and issues suggested by the literature. Outcomes are likely negative, including impacts on nurse psychological and workplace well-being. This concept likely fits within a framework of ethical workplaces and has conceptual relationships with moral distress and moral resilience. Further studies can help qualitatively explore and empirically measure this concept. Conclusion: In the pursuit of improving the ethical culture of healthcare workplaces, this concept can provide meaningful insight into organizational behavior and its consequences. Naming and describing the concept can promote conceptual clarity and equip researchers, nurses, and leaders to identify and mitigate the issue.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Definitions and Use Of The Conceptmentioning

confidence: 99%

“…1 Nurses develop trusting psychological relationships with their institutions and assume with confidence that the expectations for respectful ethical behavior will be met. 5…”

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Institutional betrayal in nursing: A concept analysis

Brewer

2021

Nurs Ethics

View full text Add to dashboard Cite

show abstract

“…Cleary, Wilson, & Jackson (2018) state that as nurses we encounter people who have experienced betrayal from those they have trusted in a range of different relationships, which may include experiences of domestic violence. It is possible that as healthcare professionals we may cause further trauma and betray those we are trying to help by the language we use to pathologise their experiences of trauma and by this we are associating the problem with the victim/survivor rather than with the event they have experienced (Freyd 2013, Cleary, Wilson, & Jackson 2018. Within clinical responsibiities, mental health nurses often contribute to safeguarding and MARAC (Multi Agency Risk Assessment Conferences) processes.…”

Section: Victim Experiencesmentioning

confidence: 99%

Recognising Narcissistic Abuse and the Implications for Mental Health Nursing Practice

Howard

2019

Issues in Mental Health Nursing

View full text Add to dashboard Cite

Emotional and psychological abuse are components of what are now more commonly accepted as aspects of domestic violence in addition to physical assault. Narcissistic abuse formulations of domestic violence are lesser known concepts and not recognised in UK health care in general, nor commonly in UK mental health services and by default mental health nursing. The effects on the individual who has experienced narcissistic abuse can be fatal or extremely debilitating, long lasting and individual recovery can be a complex process. This article will argue that the language and formulation of narcissistic abuse should be at the forefront of the multidisciplinary team's, and in particular mental health nurses' knowledge in order that victims can be directly supported or signposted to support to enable timely interventions and in-depth understanding.

show abstract

Institutional Courage

Brewer¹

2023

Nurse Leader

View full text Add to dashboard Cite

Betrayal in Nursing: Recognizing the Need for Authentic and Trusting Relationships

Cited by 4 publications

References 24 publications

Institutional betrayal in nursing: A concept analysis

Institutional betrayal in nursing: A concept analysis

Recognising Narcissistic Abuse and the Implications for Mental Health Nursing Practice

Institutional Courage

Contact Info

Product

Resources

About