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.
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ABSTRACT: In this study, the mediating role of emotional intelligence in the effect of transformational leadership and strategic leadership on ethical climate was investigated. The research was executed in 4 different hospitals among 200 healthcare employees in the province of Konya, in Turkey. In the consequences of the research, strategic leadership influences the ethical climate and emotional intelligence has a mediating role in the relationship between strategic leadership and ethical climate. It is also determined that emotional intelligence has designated ethical climate. It is concluded that transformational leadership has not determined the ethical climate and emotional intelligence has no statistically significant mediating effect on the correlation between transformational leadership and ethical climate.
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ABSTRACT: To provide foundational knowledge about approaches to ethical decision-making that arise as part of palliative care of cancer patients and their families.Seminars in Oncology Nursing 11/2014; 30(4):287-95.
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ABSTRACT: Purpose/Objectives: To explore ethical conflicts in oncology practice and the nature of healthcare contexts in which ethical conflicts can be averted or mitigated.Research Approach: Ethnography.Setting: Medical centers and community hospitals with inpatient and outpatient oncology units in southern California and Minnesota.Participants: 30 oncology nurses, 6 ethicists, 4 nurse administrators, and 2 oncologists.Methodologic Approach: 30 nurses participated in six focus groups that were conducted using a semistructured interview guide. Twelve key informants were individually interviewed. Coding, sorting, and constant comparison were used to reveal themes.Findings: Most ethical conflicts pertained to complex end-of-life situations. Three factors were associated with ethical conflicts: delaying or avoiding difficult conversations, feeling torn between competing obligations, and the silencing of different moral perspectives. Moral communities were characterized by respectful team relationships, timely communication, ethics-minded leadership, readily available ethics resources, and provider awareness and willingness to use ethics resources.Conclusions: Moral disagreements are expected to occur in complex clinical practice. However, when they progress to ethical conflicts, care becomes more complicated and often places seriously ill patients at the epicenter.Interpretation: Practice environments as moral communities could foster comfortable dialogue about moral differences and prevent or mitigate ethical conflicts and the moral distress that frequently follows.Oncology Nursing Forum 03/2014; 41(2):130-40. · 1.91 Impact Factor