Related Experiment Video
Updated: Dec 21, 2025
05:04
Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
1.4K
Testing a Model of Speaking up in Nursing
Jennifer Boice Rainer1, Joanne Kraenzle Schneider
1Author Affiliations: Vice President of Quality (Dr Rainer), Medical City Arlington Hospital, Texas; and Professor of Nursing (Dr Schneider), Saint Louis University, Missouri.
The Journal of Nursing Administration
|May 20, 2020
Summary
Organizational culture strongly influences nurses speaking up. Empowering nurses to voice concerns is vital to prevent moral distress and foster healthy work environments.
Area of Science:
- Nursing
- Healthcare Management
- Organizational Behavior
Background:
- Speaking up involves using one's voice to report concerns to authorities.
- Failure to speak up can lead to moral distress, while speaking up fosters moral courage.
Purpose of the Study:
- To investigate how organizational culture, personal culture, and workforce generation impact speaking-up behaviors in Registered Nurses (RNs).
Main Methods:
- A cross-sectional electronic survey was administered to a large group of RNs.
- 303 usable surveys were collected and analyzed.
Main Results:
- Organizational culture was identified as a significant predictor of speaking-up behaviors.
- Speaking up partially mediated the link between organizational culture and moral distress.
- Workforce generation did not significantly explain speaking-up behaviors.
Conclusions:
- A supportive organizational culture is crucial for establishing healthy work environments.
- Interventions should focus on empowering nurses to speak up, as this is linked to reduced moral distress.
- Addressing barriers to speaking up is essential for nurse well-being and patient safety.
Related Concept Videos
01:30Accountability and Responsibility of a Nurse I
2.7K
Accountability in nursing is a fundamental principle that underscores the obligation of nurses to take responsibility for their actions and answer for any errors or omissions in patient care. This principle is grounded in the professional, legal, and ethical frameworks that shape nursing practice. For instance, nurses must adhere to all relevant laws, regulations, and practice standards, including guidelines set forth by nursing boards and professional bodies, to ensure their actions comply...
2.7K
01:08Obedience
35.1K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
35.1K
01:09Accountability and Responsibility of a Nurse II
1.0K
Professional accountability in nursing is a multifaceted concept that encompasses professional ethics, legal standards, and employment expectations. This framework ensures that nurses maintain and elevate the quality of care while upholding the values of their profession. It compels them to treat patients, families, and colleagues with respect, compassion, and integrity.
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
1.0K
01:15Nursing Evaluation
4.1K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
4.1K
01:27Nursing Ethical Principles II
2.0K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.0K
01:25Role of Communication in the Nursing Process I: Assessment and Diagnosis
5.1K
The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
5.1K