Expanding Nurses’ Participation in Ethics: an empirical examination of ethical activism and ethical assertiveness
Abstract
This research project investigated the extent to which nurses engage in two important kinds of ethical behaviours: ethical activism (where they try to make hospitals more receptive to nurses' participation in ethics deliberations) and ethical assertiveness (where they participate in ethics deliberations even when not formally invited). This research probed not only the extent to which nurses engage in these ethical behaviours but also whether this is influenced by professional, training and organizational factors. A random sample of 165 nurses from three major hospitals in Los Angeles provided the data. Regression analyses indicate that both ethical activism and ethical assertiveness are strongly influenced by nurses' perceptions of the receptivity of hospitals to their inclusion in ethics deliberations. In addition, nurses' education in ethics is a significant predictor of ethical activism. The findings have important implications for the content of nurses' ethics training as well as for expanding the boundaries of nurses' participation in ethics deliberations. The authors define ethics deliberations as specific meetings of a number of people to discuss an ethical issue, such as one regarding the care of a patient.
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Literature suggests that health professionals are more likely to engage in policy advocacy if they possess specific skills related to it.
“Literature suggests that health professionals are more likely to engage in policy advocacy if they possess specific skills related to it (Dodd et al., 2004; Hanks, 2010; Itzhaky, Gerber, & Dekel, 2004; Jansson, 2011; Stafford, Sedlak, Fok, & Wong, 2010).”
From Predicting Levels of Policy Advocacy Engagement Among Acute-Care Health Professionals (2016) · cites this paper as Dodd et al., 2004
Research findings suggest a mixed picture regarding the extent to which nurses, physicians, and social workers engage in policy advocacy.
“Research findings suggest a mixed picture regarding the extent to which nurses, physicians, and social workers engage in policy advocacy.”
From Predicting Levels of Policy Advocacy Engagement Among Acute-Care Health Professionals (2016) · cites this paper as Dodd, Jansson, Brown-Saltzman, Shirk, and Wunch (2004)
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References 28 · Cited by 29
- Authors
- Dodd, S.-J., Jansson, B. S., Brown-Saltzman, K., Shirk, M., & Wunch, K.
- Affiliations
- City University of New York, USA,
- University of Southern California (US)
- University of California Los Angeles Medical Center, CA, USA
- Cedars-Sinai Medical Center (US)
- Rancho Los Amigos National Rehabilitation Center (US)
- Venue
- Nursing Ethics
- Publisher
- SAGE Publications
- Published
- 2004-01
- Volume
- 11
- Issue
- 1
- Pages
- 15-27
- ISSN
- 0969-7330 (ISSN-L)
- 1477-0989
- OpenAlex
- W2096688990
- Cited by
- 29
- References
- 28
- Citations by year
- 2024: 1 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 3 · 2013: 3 · 2012: 3
- FWCI
- 3.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nursing Ethics (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Ethics in medical practice
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Social Sciences › Decision Sciences › Information Systems and Management › Ethics in Business and Education
- Keywords
- hospital ethics committees, professional ethics
- MeSH terms
- Adult, Aged, Aged, 80 and over, Assertiveness, Data Collection, Ethics, Nursing, Female, Humans, Male, Middle Aged, Nursing Care, Patient Participation, Perception, Surveys and Questionnaires, Random Allocation, Regression, Psychology, Teaching, United States, Nurse's Role
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