Nurses' reflections on good nurse traits: Implications for improving care quality.

Abstract:

BACKGROUND:Good nurses show concern for patients by caring for them effectively and attentively to foster their well-being. However, nurses cannot be taught didactically to be "good" or any trait that characterizes a good nurse. Nurses' self-awareness of their role traits warrants further study. OBJECTIVES:This study aimed (a) to develop a strategy to elicit nurses' self-exploration of the importance of good nurse traits and (b) to explore any discrepancies between such role traits perceived by nurses as ideally and actually important. RESEARCH DESIGN:For this mixed-method study, we used good nurse trait card play to trigger nurses' reflections based on clinical practice. Nurse participants appraised the ideal and actual importance of each trait using a Q-sort grid. The gap between the perceived ideal and actual importance of each trait was examined quantitatively, while trait-related clinical experiences were analyzed qualitatively. PARTICIPANTS AND RESEARCH CONTEXT:Participants were 35 in-service nurses (mean age = 31.6 years (range = 23-49 years); 10.1 years of nursing experience (range = 1.5-20 years)) recruited from a teaching hospital in Taiwan. ETHICAL CONSIDERATIONS:The study was approved by the Institutional Review Board of the study site. FINDINGS:Good nurse trait card play with a Q-sort grid served as an icebreaker to help nurse participants talk about their experiences as embodied in good quality nursing care. Nurses' perceived role-trait discrepancies were divided into three categories: over-performed, least discrepant, and under-performed. The top over-performed trait was "obedience." DISCUSSION:Patients' most valued traits ("patient," "responsible," "cautious," and "considerate") were perceived by participants as ideally important but were under-performed, perhaps due to experienced nurses' loss of idealism. CONCLUSION:Good nurse trait card play with Q-sort grid elicited nurses' self-dialogue and revealed evidence of the incongruity between nurses' perceived ideal and actual importance of traits. The top over-performed trait, "obedience," deserves more study.

journal_name

Nurs Ethics

journal_title

Nursing ethics

authors

Chen SY,Hsu HC

doi

10.1177/0969733014547973

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

790-802

issue

7

eissn

0969-7330

issn

1477-0989

pii

0969733014547973

journal_volume

22

pub_type

杂志文章
  • Safeguarding being: a bioethical principle for genetic nursing care.

    abstract::This philosophical inquiry examines the nature of the technology of genetic predisposition testing and its relation to patients as whole persons. The bioethical principles of non-maleficence, beneficence, autonomy and justice are judged insufficient to resolve issues associated with use. A new principle of 'sustained ...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审

    doi:10.1191/0969733003ne604oa

    authors: Giarelli E

    更新日期:2003-05-01 00:00:00

  • The ethical dimension of nursing care rationing: A thematic synthesis of qualitative studies.

    abstract:BACKGROUND:In the face of scarcity, nurses may inevitably delay or omit some nursing interventions and give priority to others. This increases the risk of adverse patient outcomes and threatens safety, quality, and dignity in care. However, it is not clear if there is an ethical element in nursing care rationing and ho...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审

    doi:10.1177/0969733014551377

    authors: Vryonides S,Papastavrou E,Charalambous A,Andreou P,Merkouris A

    更新日期:2015-12-01 00:00:00

  • Nurses' experience of providing ethical care following an earthquake: A phenomenological study.

    abstract:BACKGROUND:Ethical care provided by nurses to earthquake victims is one of the main subjects in nursing profession. OBJECTIVES:Given the information gap in this field, the present study is an attempt to explore the nurses' experience of ethical care provided to victims of an earthquake. RESEARCH DESIGN AND METHOD:A h...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733020907952

    authors: Moradi K,Abdi A,Valiee S,Rezaei SA

    更新日期:2020-06-01 00:00:00

  • Barriers and facilitators to consulting hospital clinical ethics committees.

    abstract::Hospitals in many countries have had clinical ethics committees for over 20 years. Despite this, there has been little research to evaluate these committees and growing evidence that they are underutilized. To address this gap, we investigated the question 'What are the barriers and facilitators nurses and physicians ...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733011403808

    authors: Gaudine A,Lamb M,LeFort SM,Thorne L

    更新日期:2011-11-01 00:00:00

  • Ethical problems in nursing management: the role of codes of ethics.

    abstract::The aim of this study was to identify the ethical problems that nurse managers encounter in their work and the role of codes of ethics in the solutions to these difficulties. The data were collected using a structured questionnaire and analysed statistically. The target sample included all nurse managers in 21 special...

    journal_title:Nursing ethics

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0969733010364896

    authors: Aitamaa E,Leino-Kilpi H,Puukka P,Suhonen R

    更新日期:2010-07-01 00:00:00

  • Comprehensive STD/HIV prevention education targeting US adolescents: review of an ethical dilemma and proposed ethical framework.

    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

    authors: Brown EJ,Simpson EM

    更新日期:2000-07-01 00:00:00

  • Empowerment of cancer patients: from a Chinese perspective.

    abstract::The philosophy of empowerment, which is based on the premises that clients must be active, equal and collaborative participants, who are aware and committed to change, has guided research in empowerment interventions. This article reports on a small part of a research study that sought to understand Chinese cancer pat...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/096973300100800108

    authors: Mok E

    更新日期:2001-01-01 00:00:00

  • Moral injury in healthcare professionals: A scoping review and discussion.

    abstract::Moral injury emerged in the healthcare discussion quite recently because of the difficulties and challenges healthcare workers and healthcare systems face in the context of the COVID-19 pandemic. Moral injury involves a deep emotional wound and is unique to those who bear witness to intense human suffering and cruelty...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733020966776

    authors: Čartolovni A,Stolt M,Scott PA,Suhonen R

    更新日期:2021-01-11 00:00:00

  • The mediating effect of ethical climate on religious orientation and ethical behavior.

    abstract:BACKGROUND:Nurses' behavior in Educational-Medical centers is very important for improving the condition of patients. Ethical climate represents the ethical values and behavioral expectations. Attitude of people toward religion is both intrinsic and extrinsic. Different ethical climates and attitude toward religion cou...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733017738133

    authors: Hassanian ZM,Shayan A

    更新日期:2019-06-01 00:00:00

  • Suicide: a statement of suffering.

    abstract::This article is designed to focus on the provision of nursing care in general medical wards following the admission of persons who have attempted suicide or who have a previous history of attempting suicide. The authors explore, analyse and synthesize how nurses, as key players in the health care team, may begin by re...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审

    doi:10.1177/096973309800500102

    authors: Long A,Long A,Smyth A

    更新日期:1998-01-01 00:00:00

  • Theory of protective empowering for balancing patient safety and choices.

    abstract::Registered nurses in psychiatric-mental health nursing continuously balance the ethical principles of duty to do good (beneficence) and no harm (non-maleficence) with the duty to respect patient choices (autonomy). However, the problem of nurses' level of control versus patients' choices remains a challenge. The aim o...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733010386169

    authors: Chiovitti RF

    更新日期:2011-01-01 00:00:00

  • 'Healthy viewing?': experiencing life and death through a voyeuristic gaze.

    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

    authors: Kendrick KD,Costello J

    更新日期:2000-01-01 00:00:00

  • Autonomy and advocacy in perinatal nursing practice.

    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

    authors: Simmonds AH

    更新日期:2008-05-01 00:00:00

  • The development of moral sensitivity of nursing students: A scoping review.

    abstract::Moral sensitivity is known to be the starting point for moral competence and even is a core concept in the curricula for bachelor's-level nursing students in the Netherlands. While the development of moral sensitivity in nursing is commonly agreed to be important, there is no clear understanding of how to develop mora...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733020972450

    authors: Spekkink A,Jacobs G

    更新日期:2020-12-16 00:00:00

  • Philosophical counselling.

    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

    authors: Savage P

    更新日期:1997-01-01 00:00:00

  • Decision making in paediatric care: an overview with reference to nursing care.

    abstract::The purpose of this overview of published articles on decision making in paediatric care was to identify important aspects of its possible use in clinical practice and to obtain a base for future research. A literature review was undertaken utilizing snowball sampling to identify articles because of the diversity pres...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审

    doi:10.1191/0969733005ne785oa

    authors: Hallström I,Elander G

    更新日期:2005-05-01 00:00:00

  • Value conflicts in perioperative practice.

    abstract:BACKGROUND:The foundation of all nursing practice is respect for human rights, ethical value and human dignity. In perioperative practice, challenging situations appear quickly and operating theatre nurses must be able to make different ethical judgements. Sometimes they must choose against their own professional princ...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733018798169

    authors: Blomberg AC,Bisholt B,Lindwall L

    更新日期:2019-11-01 00:00:00

  • Harm in the absence of care: Towards a medical ethics that cares.

    abstract::The aim of this article is to investigate the concept of care in contemporary medical practice and medical ethics. Although care has been hailed throughout the centuries as a crucial ideal in medical practice and as an honourable virtue to be observed in codes of medical ethics, I argue that contemporary medicine and ...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733010392304

    authors: Martinsen E

    更新日期:2011-03-01 00:00:00

  • Citations for the Human Rights and Nursing Awards 2016.

    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

    authors: Tschudin V

    更新日期:2016-09-01 00:00:00

  • Demographic factors associated with moral sensitivity among nursing students.

    abstract:BACKGROUND:Today's healthcare environment is often characterized by an ethically demanding work situation, and nursing students need to prepare to meet ethical challenges in their future role. Moral sensitivity is an important aspect of the ethical decision-making process, but little is known regarding nursing students...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733015626602

    authors: Tuvesson H,Lützén K

    更新日期:2017-11-01 00:00:00

  • Ethics in health care management: developing an instrument to assess humane caring.

    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

    authors: Töyry E,Herve R,Mutka R,Savolainen P,Seppänen M

    更新日期:1998-05-01 00:00:00

  • The relationship of ethics education to moral sensitivity and moral reasoning skills of nursing students.

    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

    authors: Park M,Kjervik D,Crandell J,Oermann MH

    更新日期:2012-07-01 00:00:00

  • Lessons learned from nurses' requests for ethics consultation: Why did they call and what did they value?

    abstract:BACKGROUND:An ongoing challenge for clinical ethics consultation is learning how colleagues in other healthcare professions understand, make use of, and evaluate clinical ethics consultation services. AIM:In pursuing such knowledge as part of clinical ethics consultation service quality assessment, clinical ethics con...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733016660879

    authors: Bartlett VL,Finder SG

    更新日期:2018-08-01 00:00:00

  • Ethics in nursing: A systematic review of the framework of evidence perspective.

    abstract:AIM:To determine the current state of knowledge on nursing and ethics and to assess the knowledge and experience based on the evidence in this regard. BACKGROUND:Although ethics is at the center of the nursing profession and the ethical issues affecting nurses are given much importance, few studies have focused on pro...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733017734412

    authors: Yıldız E

    更新日期:2019-06-01 00:00:00

  • Ethical challenges for school nurses in documenting schoolchildren's health.

    abstract::This study explored Swedish school nurses' experiences of school health record documentation. Fifty per cent of a representative sample of Swedish school nurses (n = 129) reported difficulties with documenting mental and social health problems in family relationships, schoolchildren's behaviour, and school situations....

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733007083933

    authors: Clausson EK,Köhler L,Berg A

    更新日期:2008-01-01 00:00:00

  • Factors related to privacy of Somali refugees in health care.

    abstract:BACKGROUND:Privacy is one of the key principles in health care and requires understanding of the cultural aspects of patients' privacy. In Western cultures privacy is focused on the individual, however, in some non-Western cultures, privacy is linked to the collectivism of the community or religion. OBJECTIVES:The obj...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733019855748

    authors: Eklöf N,Hupli M,Leino-Kilpi H

    更新日期:2020-03-01 00:00:00

  • The development of ethical guidelines for nurses' collegiality using the Delphi method.

    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

    authors: Kangasniemi M,Arala K,Becker E,Suutarla A,Haapa T,Korhonen A

    更新日期:2017-08-01 00:00:00

  • Relationship between ethical ideology and moral judgment: Academic nurse educators' perception.

    abstract:BACKGROUND:Ascertaining the relationship between ethical ideology, moral judgment, and ethical decision among academic nurse educators at work appears to be a challenge particularly in situations when they are faced with a need to solve an ethical problem and make a moral decision. PURPOSE:This study aims to investiga...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733017722825

    authors: Abou Hashish EA,Ali Awad NH

    更新日期:2019-05-01 00:00:00

  • Invisibility, moral knowledge and nursing work in the writings of Joan Liaschenko and Patricia Rodney.

    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

    authors: Bjorklund P

    更新日期:2004-03-01 00:00:00

  • Information disclosure: the moral experience of nurses in China.

    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

    authors: Pang MC

    更新日期:1998-07-01 00:00:00