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Exploring Nurses' Personal and Professional Values and Care Quality: A Convergent Mixed-Methods Analysis
Jeanne Hlebichuk1, Rachelle Lancaster2, Wendy Tuzik Micek3
1Aurora St. Luke's Medical Center, Milwaukee, WI, USA.
Western Journal of Nursing Research
|December 17, 2024
Summary
Nurses' personal values significantly influence patient care, aligning with professional ethics. Findings offer insights into nurse satisfaction and retention strategies by understanding value convergence and divergence.
Area of Science:
- Nursing
- Healthcare Ethics
- Qualitative Research
Background:
- Professional nursing standards and Codes of Ethics guide practice and impact patient and nursing outcomes.
- Understanding the interplay between personal values and professional nursing is crucial for quality care.
Purpose of the Study:
- To explore how nurses' personal values shape their care delivery.
- To analyze the convergence of personal values with professional values and the practice environment.
- To identify factors influencing nurse satisfaction and care quality.
Main Methods:
- A mixed-methods approach combining qualitative thematic analysis of narrative responses and quantitative surveys.
- Nurses (n=408 qualitative, n=671 quantitative) from 19 sites participated.
- Validated instruments assessed personal values, professional values, and the practice environment.
Main Results:
- Six qualitative themes emerged: patient-centered care, professionalism, advocacy, dissonance, religiosity, and perseverance.
- Personal values like achievement and universalism converged with qualitative themes, while hedonism diverged.
- Professional values and work environment factors showed convergence with nurses' reported experiences.
Conclusions:
- Significant convergence and divergence exist between nurses' personal values and their professional practice.
- Insights into dissonance, perseverance, and religiosity offer novel perspectives.
- Findings can inform strategies to improve nurse recruitment and retention.
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