Enhancing ethical climates in nursing work environments.
In the current era of providing health care under pressure, considerable strain has been placed on nurses workplaces. Underneath the economic and organizational challenges prevalent in health-care delivery today are important values that shape the ethical climate in workplaces and affect the well-being of nurses, managers, patients and families. In this article, the authors report on the outcomes of Leadership for Ethical Policy and Practice, a three-year participatory action research study involving nurses, managers and other health-care team members in organizations throughout British Columbia. By using an ethics lens to look at problems, participants brought ethical concerns out into the open and were able to gain new insights and identify strategies for action to improve the ethical climate. Nurse leader support was essential for initiating and sustaining projects at six practice sites.
Storch
Janet
J
University of Victoria, School of Nursing, Victoria, British Columbia.
Rodney
Patricia
P
Pauly
Bernadette
B
Fulton
Thomas Reilly
TR
Stevenson
Lynn
L
Newton
Lorelei
L
Makaroff
Kara Schick
KS
D001291:Attitude of Health Personnel; D001955:British Columbia; D006272:Health Facility Environment / Q000941:ethics / Q000458:organization & administration; D006302:Health Services Research; D006801:Humans; D007857:Leadership; D020380:Needs Assessment; D009718:Nurse Administrators / Q000941:ethics / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000941:ethics / Q000458:organization & administration / Q000523:psychology; D015279:Organizational Culture; D017410:Practice Guidelines as Topic; D012956:Societies, Nursing / Q000941:ethics / Q000458:organization & administration; D017132:Workplace / Q000458:organization & administration / Q000523:psychology