期刊
NURSING ETHICS
卷 16, 期 6, 页码 719-733出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/0969733009342636
关键词
ethical climate; ethical decision making; ontology; organizational climate
资金
- Social Science & Humanities Research Council of Canada
Within any organization (e.g. a hospital or clinic) the perception of the way things operate may vary dramatically as a function of one's location in the organizational hierarchy as well as one's professional discipline. Interorganizational variability depends on organizational coherence, safety, and stability. In this four-nation (Canada, Ireland, Australia, and Korea) qualitative study of 42 nurses, we explored their perception of how ethical decisions are made, the nurses' hospital role, and the extent to which their voices were heard. These nurses suggested that their voices were silenced (often voluntarily) or were not expressed in terms of ethical decision making. Finally, they perceived that their approach to ethical decision making differed from physicians.
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