Relationships between organizational and individual support, nurses’ ethical competence, ethical safety, and work satisfaction

Poikkeus, Tarja; Suhonen, Riitta; Katajisto, Jouko; Leino‐Kilpi, Helena

doi:10.1097/hmr.0000000000000195

Cited by 38 publications

(34 citation statements)

References 38 publications

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“…This is supported by previous findings (Jackson et al., ). Other studies also suggest whistleblowing requiring moral courage (Numminen, Repo, & Leino‐Kilpi, ) and ethical sensitivity, (Poikkeus, Suhonen, Katajisto, & Leino‐Kilpi, ) to act when wrongdoing and ethical problems are observed. In contrast, findings about individual characteristics not contributing to whistleblowing were presented by Alinaghian, Isfahani, and Safari ().…”

Section: Discussionmentioning

confidence: 96%

Wrongdoing and whistleblowing in health care

Pohjanoksa

Stolt

Suhonen

et al. 2019

Journal of Advanced Nursing

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Aim(s) To describe healthcare professionals’ experiences of observed wrongdoing and potential whistleblowing acts regarding it. The main goal is to strengthen the whistleblowing process described based on the existing literature and to make it more visible for future research. Design A descriptive cross‐sectional survey. Methods Data were collected between 26 June 2015–17 July 2015 from the Finnish trade union's membership register, electronically using one open question. A total of 226 healthcare professionals participated providing written narratives, which were analysed using inductive content analysis. Findings The whistleblowing process in health care was strengthened, identifying the content of observed wrongdoings and whistleblowing acts regarding them. Three themes were identified: wrongdoing related to patients, healthcare professionals, and healthcare managers. Whistleblowing acts were performed internally, externally, or left undone. Three main paths: internal, external, and no whistleblowing, between an observation of wrongdoing and whistleblowing act were identified. Conclusion The whistleblowing process should be further developed and ethically effective programmes and interventions should be developed for increasing whistleblowing and preventing wrongdoing in health care.

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Section: Discussionmentioning

confidence: 96%

Wrongdoing and whistleblowing in health care

Pohjanoksa

Stolt

Suhonen

et al. 2019

Journal of Advanced Nursing

Self Cite

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“…As is the case with learning professional techniques, nurses' moral performance is affected by their work environment. To examine why these changes happen, we searched the relevant literature, and we found that changes in moral competencies were the topic of several studies [ 14 – 19 ].…”

Section: Introductionmentioning

confidence: 99%

Moral neutralization: Nurses’ evolution in unethical climate workplaces

et al. 2020

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Introduction Good quality of care is dependent on nurses’ strong clinical skills and moral competencies, as well. While most nurses work with high moral standards, the moral performance of some nurses in some organizations shows a deterioration in their moral sensitivity and actions. The study reported in this paper aimed to explore the experiences of nurses regarding negative changes in their moral practice. Materials and methods This was a qualitative study utilizing an inductive thematic analysis approach, which was conducted from February 2017 to September 2019. Twenty-five nurses participated in semi-structured interviews. Results The main theme that emerged from our analysis was one of moral neutralization in the context of an unethical moral climate. We found five sub-themes, including: (1) feeling discouraged; (2) normalization; (3) giving up; (4) becoming a justifier; and (5) moral indifference. Conclusions Unethical moral climates in health organizations can result in deterioration of morality in nurses which can harm both patients and health systems. Some unethical behaviors in nurses can be explained by this process.

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“…As is the case with learning professional techniques, nurses' moral performance is affected by their work environment. In order to examine why these changes happen, we searched the relevant literature, and we found that changes in moral competencies were the topic of several studies (14)(15)(16)(17)(18)(19).…”

Section: Introductionmentioning

confidence: 99%

Moral neutralization: Nurses' evolution in unethical climate workplaces

Hakimi

Joolaee

Farahani

et al. 2020

Preprint

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Introduction Good quality of care is dependent on nurses’ strong clinical skills and strong moral competencies, as well. However, the moral performance of some nurses in some organizations shows a deterioration in their moral sensitivity and actions. The aim of the study reported on in this paper was to explore the experiences of nurses regarding negative changes in their moral practice. Materials and Methods This was a qualitative study utilizing a inductive thematic analysis approach, which was conducted from February 2017 to September 2019. Twenty-five nurses participated in semi-structured interviews. Results The main theme that emerged from our analysis was one of moral neutralization in the context of an unethical moral climate. We found five sub-themes, including: (1) feeling discouraged; (2) normalization; (3) giving up; (4) becoming a justifier; and (5) moral indifference. Conclusions Unethical moral climates in health organizations can result in deterioration of morality in nurses which can harm both pateints and health syetms. Some unethical behaviors in nurses can be explaiened by this process.

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Relationships between organizational and individual support, nurses’ ethical competence, ethical safety, and work satisfaction

Abstract: These findings should assist nurse leaders to implement effective support practices to strengthen nurses' ethical competence, ethical safety, and work satisfaction.

Cited by 38 publications

References 38 publications

Wrongdoing and whistleblowing in health care

Wrongdoing and whistleblowing in health care

Moral neutralization: Nurses’ evolution in unethical climate workplaces

Moral neutralization: Nurses' evolution in unethical climate workplaces

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