Challenges Nurses Face in Healthcare

833 WordsJun 17, 20184 Pages
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…show more content…
Her research shows a relationship in the amount of moral codes an individual has, and their ability to handle environmental pressures to conform to the expectations of others (Laabs, 2009, p. 431). Laabs quotes that “it is a process in that the person recognizes that there will be challenges to their moral integrity, for which they must be prepared, and expects to grow in their ability to manage challenges (Laabs, 2009, p. 433)”. In Laabs research strategies, she found that moral distress was decreased when “the individual employed avoidance, utilize self-protective measures, communication, building relationship with others, as well as advocating for patients and themselves (Laabs, 2009, para. 435)”. However, Laabs research also noted that the “pressure to conform and horizontal hostility as Bartholomew calls the reputation among nurses of eating their young and each other’, has been shown to contribute to moral distress. Research has found that ‘discounting self is an actual strategy employed by nurses in ethical decision making, one that includes fear of retaliation or being labeled as disruptive, reacting to moral problems rather than reflecting on them, distancing oneself due to lack of knowledge and uncertainty, and conforming to the dictates of others, all results in ‘lateral violence’ (Laabs, 2009, para. 437)”. “Despite the professions stance of openness and tolerance, research by Rather contends that nurses are product of an educational socialization that
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