Challenges Nurses Face in Healthcare

Ethical climate moral distress, and trust worthiness are some of the few challenges that nurses face. According to Filipova, her researched proved that there is a direct correlation between ethical standards and their climate, by stating that “ethical climate has been associated with ethical behavior, developing knowledge about ethical climate in nursing facilities takes on a critical role (Filipova, 2009, para. 574)”. Climate plays a huge role in ethics because as a society we tend to form relationship with coworkers. Filipova supported this theory by utilizing Van Maaren and Bradley in her research that provided two explanations about common perception and similar attitudes (Filipova, 2009, p. 576). “Task interdependence, reporting relationship, proximity, design of offices, and shared equipment or facilities all bring certain members of an organization into contact with one another and could be regarded as possible contributors to the formation of subcultures (Filipova, 2009, para. 576)”.

According to Pauly, Varcoe, Storch, & Newton, there is a direct correlation between ethical climate and moral distress. The research finding indicates that “ethical climate was a significant factor in nurses learning their current position, and, in some cases, the nursing profession. Further, the authors found that ethics education control over practices, and addressing workload and staffing issues contributed to nurses’ intention to stay in their current position. Examining the ethical climate can help to understand work setting influences on practices, area for organizational change, and the effectiveness of organizational interventions (Pauly, Varcoe, Storch, & Newton, 2009, para. 563)

The authors Pauly, Varcoe, Storch, and Newton resear...

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...can be minimized when nurses-patients’ rights are prioritized, moral integrity and trust is upheld, limiting the adverse effect of ethical climate and moral distress among nurses.

References

De Raeve, L. (2002). Trust and worthiness in nurse-patient relationship. Nursing Philosophy, 3, 152-162. doi: 10.1046/j.1466-769X.2002.00090.x

Filipova, A. A. (2009). Licensed nurses’ perceptions of ethical climates in skilled nursing facilities [Journal]. Nursing Ethics, 16(5), 574-588. doi: 10.1177/0969733009106650

Laabs, C. (2011). Perception of moral integrity: contractions in need of explanation. Nursing Ethics, 18(3). doi: 10.1177/0969733011398101

Pauly, B., Varcoe, C., Storch, J., & Newton, L. (2009). Registered nurses’ perceptions of moral distress and ethical climate [Journal]. Nursing Ethics, 16(5), 561-573. doi: 10.1177/0969733009106649