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Characteristics of the Competency Ethical Principles for the Nurse Manager: A Systematic Review
Alberto González-García1, Arrate Pinto-Carral2, Pilar Marqués-Sánchez2
1Faculty of Health Sciences, Nursing and Physiotherapy Department, Universidad de León, León 24007, Spain.
Journal of Nursing Management
|April 14, 2025
Summary
Nurse managers
Area of Science:
- Nursing Management
- Healthcare Ethics
- Organizational Behavior
Background:
- Healthcare complexity necessitates strong ethical competency in nurse managers.
- Nurse managers' ethical competence influences organizational culture, work climate, and patient outcomes.
- Ethical leadership is crucial for navigating complex healthcare environments.
Purpose of the Study:
- To identify and describe nurse managers' ethical principles competency characteristics.
- To understand the key ethical challenges faced by nurse managers.
- To explore the impact of ethical competency on healthcare settings.
Main Methods:
- Systematic literature review (2014-2024) of Web of Science, Scopus, and PubMed.
- Analysis of 22 studies using PRISMA guidelines and Joanna Briggs Institute tools.
- Frequency analysis of identified ethical competency characteristics.
Main Results:
- Fourteen distinct characteristics of ethical competency were identified.
- Ethical leadership, decision-making, and conflict resolution are most prominent.
- Common ethical issues include value conflicts, policy pressures, and resource limitations, leading to burnout and compromised care.
Conclusions:
- Developing ethical leadership and decision-making skills is vital for nurse managers.
- Fostering an ethical culture and continuous professional development are essential.
- Further research needed on cultural and organizational influences on ethical leadership.
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