Ethical Conflict in Nursing Essay

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Introduction

The article provides a comprehensive report of an empirical study conducted in Canada to examine the existence and nature of ethical conflict in the workplace, focusing mainly on the experiences of nurse managers as the study population. The researchers focused on 7 hospitals in the eastern part of the country. In their findings, the researchers report that ethical conflict at the workplace has four major themes, which were revealed and expounded. First, the study reports that “voicelessness” is a common theme that defines the problem (Gaudine & Beaton, 2002). Secondly, the theme of “where to spend money” has been revealed and discussed as a major aspect of ethical conflict experienced by nurse managers. Thirdly, the researchers reveal that the conflict between individual rights and organizational needs is a major theme that defines the ethical conflict affecting nurse managers (Gaudine & Beaton, 2002). Finally, it was revealed that the presence of senior administrators or organizational leaders with unjust practices affect the nurse managers, indicating that such practices are a major theme that defines ethical conflict at the workplace (Gaudine & Beaton, 2002).

Identifying two themes and explaining the supporting data

In this paper, the themes of voicelessness and the conflict between individual rights and organizational needs will be analyzed. In particular, the data that led to the realization that these two aspects are themes defining ethical conflict is important in explaining how the researchers make the conclusion as well as how an action plan can be developed and implemented to address the problem.

According to the study, voicelessness was identified in all the interviews conducted. The researchers suggest that the nurse managers are in constant conflict with the value of participation. To construct this theme, the researchers examined the responses of the nurse managers in terms of their experiences in dealing with the organization, the organizational culture, and the senior management. In this case, qualitative data indicated that the participants felt that they were hired because the organization wanted them to follow the norms or “toe the party line” without questioning the system, thus making them silent or voiceless. Secondly, the data shows that nurse managers are excluded in the decision-making process, even in cases where the issues affecting nurses are involved. In addition, it was found that the positions of nurse managers have been decreased deliberately, which means that the voice of nurses has been undermined, especially in the process of making decisions. The data obtained further indicated that nurses felt that their profession is not valued and not well understood. In addition, the data indicates that the organizations do not make efforts to understand the role and value of nursing. Consequently, these factors reveal that nurses are made silent or voiceless because they are not involved, their roles have been decreased and their profession is not well understood or valued.

The theme of the conflict between individual rights and organizational needs has been well defined using data obtained from the interview. In this case, the researchers identified two major elements that construct the theme. First, the qualitative data indicated that the policies used in the organizations tend to support the legal needs of the organization but pay little attention to the needs of the patients and nurses. Secondly, the data revealed that nurse managers are forced to make decisions that only serve the needs and interests of the organization but pay little or no attention to the needs of the nurses. In fact, the data also indicated that some of these decisions had negative impacts on the nurse managers and their nurses.

An action plan for nurses to potentially overcome the conflicts

ThemeAction initiativeChallengesObjectives achieved
VoicelessnessInitiate dialogue with managementBarriers to communication in organizational culture
Express and Negotiate concernsUnresponsive senior management
Individual rights versus organizational needsExpress patient rights and interestsNeed to protect organizational legal rights
Express nurse rights and interestsNeed to achieve organizational financial and performance needs

Reference

Gaudine, A. P., & Beaton, M. R. (2002). Employed to go against one’s values: Nurse managers’ account of ethical conflict with their organizations. Canadian Journal of Nursing Research, 34(2), 17-34.

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IvyPanda. (2022) 'Ethical Conflict in Nursing'. 15 April.

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IvyPanda. 2022. "Ethical Conflict in Nursing." April 15, 2022. https://ivypanda.com/essays/ethical-conflict-in-nursing/.

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