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Ethical problems in nursing management - a cross-sectional survey about solving problems.

Elina Aitamaa1, Riitta Suhonen2,3, Pauli Puukka4

  • 1Department of Nursing Science, University of Turku, FI-20014, Turku, Finland. elina.aitamaa@utu.fi.

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Summary

Nurse managers frequently use discussions and personal values to solve ethical problems. A broader range of methods, including outside experts and ethics literature, could enhance ethical decision-making.

Keywords:
Ethical problemNursing managementSolving methodSurvey

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Area of Science:

  • Nursing Management
  • Bioethics
  • Healthcare Ethics

Background:

  • Nurse managers face diverse ethical challenges in patient care, staff management, and organizational contexts.
  • Existing knowledge on nurse managers' ethical problem-solving strategies is limited.
  • This study investigates ethical problems, solution methods, and influencing factors for nurse managers.

Purpose of the Study:

  • To identify ethical problems encountered by nurse managers.
  • To determine the frequency and usefulness of various problem-solving methods.
  • To explore background factors associated with method utilization.

Main Methods:

  • A cross-sectional survey was conducted with 214 nurse managers in Finland (November 2014-May 2015).
  • Data were collected using a questionnaire covering demographics, ethical problem frequency/difficulty, method use/usefulness, and work-related factors.
  • Participants represented strategic, middle, and ward management levels.

Main Results:

  • Discussions with nurses (94%) and personal values (74%) were the most frequently used methods for ethical problems.
  • Most methods, including discussions, ethical principles, and work arrangements, were deemed useful by over half of respondents.
  • Use of outside experts was the least utilized and least effective method.

Conclusions:

  • Nurse managers predominantly employ traditional methods for ethical problem-solving, similar to past decades.
  • Integrating diverse approaches, such as external experts, ethics literature, and codes of ethics, is recommended.
  • Enhancing ethical reasoning and decision-making requires incorporating new dimensions and external knowledge.