Abstract:
BACKGROUND:Nurse managers are placed in a unique position within the healthcare system where they greatly impact upon the nursing work environment. Ethical dilemmas and moral distress have been reported for staff nurses but not for nurse middle managers. OBJECTIVE:To describe ethical dilemmas and moral distress among nurse middle managers arising from situations of ethical conflict. METHODS:The Ethical Dilemmas in Nursing-Middle Manager Questionnaire and a personal characteristics questionnaire were administered to a convenience sample of middle managers from four hospitals in Israel. RESULTS:Middle managers report low to moderate levels of frequency and intensity of ethical dilemmas and moral distress. Highest scores were for administrative dilemmas. CONCLUSION:Middle managers experience lower levels of ethical dilemmas and moral distress than staff nurses, which are irrespective of their personal characteristics. Interventions should be developed, studied, and then incorporated into institutional frameworks in order to improve this situation.
journal_name
Nurs Ethicsjournal_title
Nursing ethicsauthors
Ganz FD,Wagner N,Toren Odoi
10.1177/0969733013515490subject
Has Abstractpub_date
2015-02-01 00:00:00pages
43-51issue
1eissn
0969-7330issn
1477-0989pii
0969733013515490journal_volume
22pub_type
杂志文章相关文献
NURSING ETHICS文献大全abstract::Although patient education is central to the ethical practice of nursing, it can be practiced in an ethically contested or unethical way. It is sometimes used to: forward a societal goal the individual might not have chosen; assume that patients should learn to accommodate unjust treatment; exclude the views of all ex...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1177/0969733008095389
更新日期:2008-11-01 00:00:00
abstract::Philosophical counselling is an approach that aims to assist people to deal with life events in an effective manner. As such, it is of interest to nurses who are concerned with helping clients who require assistance effectively to manage life events. The approach utilizes both ancient and contemporary philosophical pr...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1177/096973309700400105
更新日期:1997-01-01 00:00:00
abstract::Given the complexity of modern health care, there exists an urgent need to discover how best to resolve complex bioethical issues. Traditionally, principle based ethics provided the benchmark for guiding ethical decision-making. More recently, however, it has become apparent that this traditional approach is often ina...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:
更新日期:1996-09-01 00:00:00
abstract:BACKGROUND:There is growing awareness that patient care suffers when nurses are not respected. Therefore, to improve outcomes for patients, it is crucial that nurses operate in a moral work environment that involves both recognition respect, a form of respect that ought to be accorded to every single person, and apprai...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733016664972
更新日期:2018-08-01 00:00:00
abstract::The Republic of the Ukraine has a huge prison population and a large prison health care system. Like all other public services in that country it is lacking in sufficient funds to operate adequately and with due respect to the human rights of the prisoners and its health care employees. This report and observations ar...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1191/0969733002ne521oa
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:Equity as a basic human right builds the foundation of all areas of primary healthcare, especially prenatal care. However, it is unclear how pregnant women and their care providers perceive the equitable prenatal care. OBJECTIVE:This study aimed to explore Iranian women's and care providers' perceptions of ...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733015573653
更新日期:2016-06-01 00:00:00
abstract::Moral imagination has been described by Murdoch as 'a way of seeing'. The focus of concern here is the influence of belief upon moral imagination and those attitudes that are needed if moral imagination is to be developed. The perspective adopted endorses a Humean recognition of the potent influence of personal experi...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1177/096973309700400304
更新日期:1997-05-01 00:00:00
abstract:BACKGROUND:Ethical conflicts in nursing have generally been studied in terms of temporal frequency and the degree of conflict. This study presents a new perspective for examining ethical conflict in terms of the degree of exposure to conflict and its typology. OBJECTIVES:The aim was to examine the level of exposure to...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733014549883
更新日期:2015-08-01 00:00:00
abstract::This article considers ethical dilemmas that nurse managers may confront and suggests an ethical decision-making model that could be used as a tool for resolving such dilemmas. The focus of the article is on the question: Can nurse managers choose the ethically right solution in conflicting situations when nurses' rig...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733009355106
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:Nursing turnover is a very serious problem, and nursing managers need to be aware of how ethical climates are associated with turnover intention. OBJECTIVES:The article explored the effects of ethical climates on nurses' turnover intention, mediated through trust in their organization. METHODS:A cross-sect...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733020964855
更新日期:2020-11-15 00:00:00
abstract:BACKGROUND:Humanistic nursing practice which is dominated by technological advancement, outcome measurement, reduced resources, and staff shortages is challenging in the present work environment. OBJECTIVE:To examine the main concern in humanistic nursing area and how the way it is solved and resolved by Iranian nurse...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733016638140
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:Despite the significant role of nurses in end-of-life care, their attitudes towards euthanasia are under-represented both in the current literature and the controversial debate that is ongoing in several countries. RESEARCH QUESTIONS:What are the attitudes towards euthanasia among Finnish nurses? Which char...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733016643861
更新日期:2017-02-01 00:00:00
abstract::Advocacy has been positioned as an ideal within the practice of nursing, with national guidelines and professional standards obliging nurses to respect patients' autonomous choices and to act as their advocates. However, the meaning of advocacy and autonomy is not well defined or understood, leading to uncertainty reg...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1177/0969733007088360
更新日期:2008-05-01 00:00:00
abstract::The International Care Ethics Observatory is pleased to announce that on 14 September 2016 the Human Rights and Nursing Awards will be given at a short ceremony at the University of São Paulo at Ribeirão Preto, Brazil. The awards will be presented at the 17th annual Nursing Ethics and 2nd Ethics in Care conference, or...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733016669010
更新日期:2016-09-01 00:00:00
abstract::In this article I would like to express my personal ideas and points of view about strike action, which I think many colleagues will share. I am a qualified paediatric nurse, currently working in the central operating theatre of a university hospital in Germany. At the same time, I am also finishing my studies in heal...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/096973309700400410
更新日期:1997-07-01 00:00:00
abstract::Recent times have witnessed a groundswell in the number of British television programmes that deal with the 'real life' experiences of people in various health care settings. Such programmes tend to focus upon the two interrelated strands of the experience of those who deliver professional care and those who are at th...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1177/096973300000700104
更新日期:2000-01-01 00:00:00
abstract::The care of patients should be professional, human and humane. This is an ethical issue. The words human (inhimillinen) and humane (ihmisläheinen) have different meanings in the Finnish language. At Kuopio University Hospital (1200 beds), in Finland, it was decided to provide patients with professional and humane cari...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/096973309800500306
更新日期:1998-05-01 00:00:00
abstract::Fertility treatments raise a range of social and ethical issues regarding self-identity for family, sexual intimacy, and the interests and welfare of potential children. Eggs and sperm are combined to produce fertilized eggs. These eggs are then implanted as embryos and grow into viable fetuses, which are carried by t...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1177/096973300100800208
更新日期:2001-03-01 00:00:00
abstract::The ethical 'eye' of nursing, that is, the particular moral vision and values inherent in nursing work, is constrained by the preoccupations and practices of the superordinate biomedical structure in which nursing as a practice discipline is embedded. The intimate, situated knowledge of particular persons who construc...
journal_title:Nursing ethics
pub_type: 传,历史文章,杂志文章
doi:10.1191/0969733004ne677oa
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND:Nurses' perceived organizational justice is one of the factors influencing their social responsibility and conscientiousness. Social responsibility and conscience are major requirements for providing high-quality and standardized care. OBJECTIVE:The aim of the present study is to investigate the relationshi...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733019897768
更新日期:2020-05-01 00:00:00
abstract::In seeking for an understanding of ethical practices in health care situations, our challenge is always both to recognize and respond to the call of individuals in need. In attuning ourselves to the call of the vulnerable other an ethical moment arises. Asking 'how are you?' in health care practice is our very first p...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1191/0969733004ne666oa
更新日期:2004-01-01 00:00:00
abstract::The Perceptions of Conscience Questionnaire (PCQ) and the Stress of Conscience Questionnaire (SCQ) have previously been developed and validated within the 'Stress of Conscience Study'. The aim was to revalidate these two questionnaires, including two additional, theoretically and empirically significant items, on a sa...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733011419241
更新日期:2012-03-01 00:00:00
abstract::This study described the relationships between academic class and student moral sensitivity and reasoning and between curriculum design components for ethics education and student moral sensitivity and reasoning. The data were collected from freshman (n = 506) and senior students (n = 440) in eight baccalaureate nursi...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733011433922
更新日期:2012-07-01 00:00:00
abstract::Adolescents are increasingly at risk for sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV) infection. The prolonged latency period, sometimes in excess of five years, and the incubation period of up to 10 years before the manifestation of symptoms, may foster adolescents' false sense o...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/096973300000700407
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:Organ donation and transplantation have made it possible to both save life and to improve the quality of life for a large number of patients. In the last years there has been an increasing gap between the number of patients who need organs and organs available for transplantation, and the focus worldwide has...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733014523170
更新日期:2015-03-01 00:00:00
abstract::Although there has been a vast amount of research about suicide, very few studies focus on the inner world of the suicidal patient. A secondary analysis of two exemplar narrative interviews with Norwegian patients reveals a glimpse of the inner world of suicidal patients' longing for consolation. The results of a phen...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1191/0969733003ne651oa
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND:Nurses' collegiality is topical because patient care is complicated, requiring shared knowledge and working methods. Nurses' collaboration has been supported by a number of different working models, but there has been less focus on ethics. AIM:This study aimed to develop nurses' collegiality guidelines usin...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733015617342
更新日期:2017-08-01 00:00:00
abstract::While the movement to ensure patient's rights to information and informed consent spreads throughout the world, patient rights of this kind have yet to be introduced in mainland China. Nonetheless, China is no different from other parts of the world in that nurses are expected to shoulder the responsibility of safegua...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/096973309800500407
更新日期:1998-07-01 00:00:00
abstract::Theoretical debates about the nature of grief and bereavement draw attention to the sensitivity of carrying out research with bereaved people, the possible threats that this may pose and the ethical considerations required to ameliorate potentially damaging outcomes. The authors of this article present a framework for...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733014521097
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:To analyze the empathic profile and the empathy scores of freshmen of the nursing course. DESIGN AND PARTICIPANTS:Descriptive study involving 399 freshmen students of two modalities of nursing courses: Bachelor and Bachelor and Teaching Diploma, in the period from 2012 to 2015. A sociodemographic questionnai...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733018780532
更新日期:2019-11-01 00:00:00