Ethical conflicts with hospitals: The perspective of nurses and physicians

Abstract

Nurses and physicians may experience ethical conflict when there is a difference between their own values, their professional values or the values of their organization. The distribution of limited health care resources can be a major source of ethical conflict. Relatively few studies have examined nurses' and physicians' ethical conflict with organizations. This study examined the research question 'What are the organizational ethical conflicts that hospital nurses and physicians experience in their practice?' We interviewed 34 registered nurses, 10 nurse managers, and 31 physicians as part of a larger study, and asked them to describe their ethical conflicts with organizations. Through content analysis, we identified themes of nurses' and physicians' ethical conflict with organizations and compared the themes for nurses with those for physicians.

The relationship between professional autonomy and moral distress in ICU nurses of Guilan University of Medical Sciences in 2017

“…Other reasons can be the difference in the professional competence and knowledge of participants as well as organizational culture, managerial policies in types of hospitals and different views of doctors about delegating authority to nurses in different ICUs. Other studies that confirmed this result showed that increasing the knowledge and skill and consequently, the development of critical thinking and organizational support, including job stability in nurses, enhances their autonomous function and is an important factor for their professional autonomy (20)(21)(22). Findings of this study indicate the moderate level of moral distress in ICU nurses.…”

Ethical and Legal Issues in Palliative Care

“…This obligation to the patient comes into play in the following situations: the patient and family disagree on the goals of care; the family and patient disagree on code status; the family attempts to override the patient's advance directives; the family attempts to interfere with symptom management, especially around the use of opioids; the family does not want the patient to know their diagnosis (''don't tell mama''); or the family's voice drowns out that of the patient, who's voice is lost. [9][10][11] The importance of nurses' moral sensitivity and advocacy in recognizing and addressing these issues is clear. 12,13 CASE The patient is a 76-year-old man who was diagnosed at a community hospital with neuroendocrine cancer with metastases to the liver.…”

The Mediator Role of Emotional Intelligence Which Is Effected by Transformational and Strategic Leadership on Ethical Climate

“…In addition, blinding of management could be defined as focus of executives on especially a clinical problem or a situation or have no intervention for a problem even if he/she has been aware of it. Finally, ethical conflicts have been displayed as the lack of transparency and openness within the organization (Gaudine, LeFort, Lamb, & Thorne, 2011). Executives has explain organizational ethical climate, which includes values, norms and informal symptoms, in order to define ethical issues (Ferrell, Johnston, & Ferrell, 2007).…”