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[Ethical aspects concerning nurses' managerial activity].

Maria Auxiliadora Trevizan1, Isabel Amélia Costa Mendes, Maria Regina Lourenço

  • 1Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Centro Colaborador da OMS. iamendes@eerp.usp.br

Revista Latino-Americana De Enfermagem
|June 26, 2002
PubMed
Summary
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Nurses' managerial actions must prioritize patient rights and ethical conduct. This ensures care is respectful, consensual, and empowers patients, moving beyond naive rule internalization.

Area of Science:

  • Nursing Ethics
  • Healthcare Management
  • Sociology of Health

Context:

  • Hospitals function as organizations where patient consent is often based on internalized rules.
  • Patient adaptation to hospital norms can be influenced by the power dynamics of physicians, nurses, and the institution.
  • Many Brazilian patients lack awareness of their consent rights and tend to be obedient.

Purpose:

  • To analyze the ethical dimensions of nurses' managerial roles.
  • To critique the concept of naive consent in healthcare settings.
  • To establish a framework for ethical nursing management prioritizing patient autonomy.

Summary:

  • The study examines Etzioni's organizational theory in a hospital context, highlighting the issue of patient consent.

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  • It argues that patient internalization of rules, influenced by healthcare power structures, is often non-consensual.
  • The research emphasizes that nurses' managerial actions should align with professional values, ethical codes, and patient rights.

    • Impact:

    • Promotes a shift towards patient-centered care, respecting autonomy and informed consent.
    • Advocates for nursing management grounded in ethical principles and patient advocacy.
    • Aims to enhance the quality of care by empowering patients as active participants in their treatment.