Moral neutralization: Nurses’ evolution in unethical climate workplaces
BMC Medical Ethics 21 (1):1-10 (2020)
Abstract
Introduction Good quality of care is dependent on nurses’ strong clinical skills and moral competencies, as well. While most nurses work with high moral standards, the moral performance of some nurses in some organizations shows a deterioration in their moral sensitivity and actions. The study reported in this paper aimed to explore the experiences of nurses regarding negative changes in their moral practice. Materials and methods This was a qualitative study utilizing an inductive thematic analysis approach, which was conducted from February 2017 to September 2019. Twenty-five nurses participated in semi-structured interviews. Results The main theme that emerged from our analysis was one of moral neutralization in the context of an unethical moral climate. We found five sub-themes, including: feeling discouraged; normalization; giving up; becoming a justifier; and moral indifference. Conclusions Unethical moral climates in health organizations can result in deterioration of morality in nurses which can harm both patients and health systems. Some unethical behaviors in nurses can be explained by this process.My notes
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References found in this work
Moral sensitivity, moral distress, and moral courage among baccalaureate Filipino nursing students.Rowena L. Escolar-Chua - 2018 - Nursing Ethics 25 (4):458-469.
Moral sensitivity and moral distress in Iranian critical care nurses.Fariba Borhani, Abbas Abbaszadeh, Elham Mohamadi, Erfan Ghasemi & Mohammad Javad Hoseinabad-Farahani - 2017 - Nursing Ethics 24 (4):474-482.
Effects of ethics education on moral sensitivity of nursing students.Hye-A. Yeom, Sung-Hee Ahn & Su-Jeong Kim - 2017 - Nursing Ethics 24 (6):644-652.
Relationship between nurses’ moral sensitivity and the quality of care.Elham Amiri, Hossein Ebrahimi, Maryam Vahidi, Mohamad Asghari Jafarabadi & Hossein Namdar Areshtanab - 2019 - Nursing Ethics 26 (4):1265-1273.
Conceptualising moral resilience for nursing practice.Tiziana M. L. Sala Defilippis, Katherine Curtis & Ann Gallagher - 2019 - Nursing Inquiry 26 (3):e12291.