Ch 17 professional ethical issues facing the nurse manager


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Ch 17 professional ethical issues facing the nurse manager

  1. 1. Ethics in the Life Sciences Chapter 17 Professional Ethical Issues Facing the Nurse-Manager 1
  2. 2. Learning Objectives • Explain how an absence of resources can create an ethical issue • Discuss how staffing mix can affect patient care • Identify the ethical issues that can arise as a result of the nursing shortage • Identify the management structure within the institution, and describe how managers can advocate for patients and staff and the ethical conflicts that can arise • Describe the ethical issues related to nurses’ empowerment and political activity 2
  3. 3. Professional Ethical Issues- Facing the Nurse Manager Staffing • Safe and effective care depends on adequate, competent nursing staff. • Most crucial allocation issue in healthcare is the maintenance of adequate staffing. • The ANA code of ethics states that nurses are responsible for the safety and well-being of their patients and that their primary commitment is to their patients. • Staffing issues challenge this ethical standard. • Nursing leadership, professional associations and nursing administration has an ethical responsibility to fight for the integrity and acceptable working conditions of their profession. 3
  4. 4. Professional Ethical Issues- Facing the Nurse Manager • Management Responsibilities • Top/Upper Management • CEO/President or other high level management • Responsible to the agency • Middle Management • More contact with employees • Maintain agency’s mission and values • Unit/Lower management • Line supervisors oversee daily operations • 24 hour accountability for unit • Charge Nurses • Shift responsibility 4
  5. 5. Professional Ethical Issues- Facing the Nurse Manager • Within each level of management there will be a type of management philosophy. • Leadership styles may differ from leader to leader and between leadership levels • Nurses need to be aware of possible ethical situations that can develop within the different leadership levels and styles. 5
  6. 6. Professional Ethical Issues- Facing the Nurse Manager Nursing’s Voice and Power • Nurses have opportunities to participate in decision making on a unit level and on a institutional level. • Nurses should use their voice and power to advocate for their profession and the patients they serve. • Some opportunities may occur in • Shared Governance Models • Collective bargaining • Political activity 6
  7. 7. Summary • Nurses should be aware of challenges facing the profession of nursing and how those challenges impact nursing practice. • Leadership styles, objectives and levels of leadership vary and the nurse should be cognoscente of the differences and potentials for ethical dilemmas • Nurses have a voice to advocate for their profession and their practice and they should use their voice to advocate for their patients. 7