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The status of ethical behaviour in clinical nursing in three Chinese hospitals: A qualitative interview study.
J Nurs Manag. 2022 Oct; 30(7):2424-2433.JN

Abstract

AIM

We aim to explore the status of nurses' ethical behaviours in clinical practice and what contributes to nurses' unethical behaviours.

BACKGROUND

Nurses' ethical behaviours strongly impact the nurse-patient relationship and the quality of nursing services. Therefore, we must understand the status of clinical nurses' ethical behaviours and the causes of nurses' unethical behaviours.

METHODS

Focus group and in-depth semistructured interviews were conducted with 21 head nurses and nine nurses, respectively. The data were analysed by content analysis.

RESULTS

The analysis revealed seven themes: lack of awareness of the protection of patients' privacy; violation of patients' autonomy; improper communication; failure to protect the patient's best interests; lack of moral emotion; lack of psychological care for special patients; and causes of unethical behaviour.

CONCLUSIONS

The present situation of ethical nursing behaviour is not optimistic, and there are still many unethical nursing behaviours in clinical work. There are many reasons for unethical behaviours. Efforts should be made related to nurses, patients, workload, the ethical climate and rules and regulations to improve the situation.

IMPLICATIONS FOR NURSING MANAGEMENT

Nursing managers can improve ethical behaviour by strengthening nurses' ethics studies, enhancing nurses' professional identity and social status, optimizing the allocation of nursing human resources, creating a good ethical climate and improving relevant rules and regulations.

Authors+Show Affiliations

Faculty of Nursing, Bengbu Medical College, Bengbu, Anhui, China.Faculty of Nursing, Bengbu Medical College, Bengbu, Anhui, China.Faculty of Nursing, Bengbu Medical College, Bengbu, Anhui, China.Faculty of Nursing, Bengbu Medical College, Bengbu, Anhui, China.Faculty of Nursing, Bengbu Medical College, Bengbu, Anhui, China.Faculty of Nursing, Bengbu Medical College, Bengbu, Anhui, China.Nursing Department, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China.Faculty of Nursing, Bengbu Medical College, Bengbu, Anhui, China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

36121743

Citation

Wang, Shengnan, et al. "The Status of Ethical Behaviour in Clinical Nursing in Three Chinese Hospitals: a Qualitative Interview Study." Journal of Nursing Management, vol. 30, no. 7, 2022, pp. 2424-2433.
Wang S, Jiang Z, Zhang Z, et al. The status of ethical behaviour in clinical nursing in three Chinese hospitals: A qualitative interview study. J Nurs Manag. 2022;30(7):2424-2433.
Wang, S., Jiang, Z., Zhang, Z., Chen, L., Zhao, X., Wang, F., Chen, Y., & Yang, X. (2022). The status of ethical behaviour in clinical nursing in three Chinese hospitals: A qualitative interview study. Journal of Nursing Management, 30(7), 2424-2433. https://doi.org/10.1111/jonm.13810
Wang S, et al. The Status of Ethical Behaviour in Clinical Nursing in Three Chinese Hospitals: a Qualitative Interview Study. J Nurs Manag. 2022;30(7):2424-2433. PubMed PMID: 36121743.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The status of ethical behaviour in clinical nursing in three Chinese hospitals: A qualitative interview study. AU - Wang,Shengnan, AU - Jiang,Zhaobin, AU - Zhang,Zeyu, AU - Chen,Lingling, AU - Zhao,Xiaoyan, AU - Wang,Fei, AU - Chen,Yongxia, AU - Yang,Xiumu, Y1 - 2022/10/12/ PY - 2022/08/09/revised PY - 2022/05/11/received PY - 2022/09/14/accepted PY - 2022/9/20/pubmed PY - 2022/9/20/medline PY - 2022/9/19/entrez KW - ethics KW - moral KW - nurses KW - qualitative research SP - 2424 EP - 2433 JF - Journal of nursing management JO - J Nurs Manag VL - 30 IS - 7 N2 - AIM: We aim to explore the status of nurses' ethical behaviours in clinical practice and what contributes to nurses' unethical behaviours. BACKGROUND: Nurses' ethical behaviours strongly impact the nurse-patient relationship and the quality of nursing services. Therefore, we must understand the status of clinical nurses' ethical behaviours and the causes of nurses' unethical behaviours. METHODS: Focus group and in-depth semistructured interviews were conducted with 21 head nurses and nine nurses, respectively. The data were analysed by content analysis. RESULTS: The analysis revealed seven themes: lack of awareness of the protection of patients' privacy; violation of patients' autonomy; improper communication; failure to protect the patient's best interests; lack of moral emotion; lack of psychological care for special patients; and causes of unethical behaviour. CONCLUSIONS: The present situation of ethical nursing behaviour is not optimistic, and there are still many unethical nursing behaviours in clinical work. There are many reasons for unethical behaviours. Efforts should be made related to nurses, patients, workload, the ethical climate and rules and regulations to improve the situation. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing managers can improve ethical behaviour by strengthening nurses' ethics studies, enhancing nurses' professional identity and social status, optimizing the allocation of nursing human resources, creating a good ethical climate and improving relevant rules and regulations. SN - 1365-2834 UR - https://www.unboundmedicine.com/medline/citation/36121743/The_status_of_ethical_behaviour_in_clinical_nursing_in_three_Chinese_hospitals:_A_qualitative_interview_study_ DB - PRIME DP - Unbound Medicine ER -