TY - JOUR
T1 - An ethical framework for developing and sustaining a healthy workplace
AU - Robichaux, Catherine
AU - Parsons, Mickey L.
PY - 2009/1/1
Y1 - 2009/1/1
N2 - Acute and critical care nurses provide care that is intellectually challenging and physically demanding in environments that are often characterized by ethical concerns and dilemmas. As complex adaptive systems, these environments include nurses, physicians, social workers, chaplains, case managers, and administrators who interact together in situations of tremendous uncertainty and frequently in the face of professional or social disagreement about patient/family care, processes, and outcomes. Nurses' ability to identify and resolve concerns in such situations as part of a collaborative ethical climate is a significant retention factor and a hallmark of a healthy workplace. The purpose of this article is to describe a pluralist ethical framework that evolved from the formation of a healthy workplace and that may be integrated to sustain an ethical climate. Discussion of development of a healthy workplace employing participatory action research will be followed by a description of ethical theories supporting the framework and their relevance to creating and sustaining a healthy workplace and ethical practice environment. Finally, specific application examples of the ethical framework from nursing units' staff participatory action research studies will be presented.
AB - Acute and critical care nurses provide care that is intellectually challenging and physically demanding in environments that are often characterized by ethical concerns and dilemmas. As complex adaptive systems, these environments include nurses, physicians, social workers, chaplains, case managers, and administrators who interact together in situations of tremendous uncertainty and frequently in the face of professional or social disagreement about patient/family care, processes, and outcomes. Nurses' ability to identify and resolve concerns in such situations as part of a collaborative ethical climate is a significant retention factor and a hallmark of a healthy workplace. The purpose of this article is to describe a pluralist ethical framework that evolved from the formation of a healthy workplace and that may be integrated to sustain an ethical climate. Discussion of development of a healthy workplace employing participatory action research will be followed by a description of ethical theories supporting the framework and their relevance to creating and sustaining a healthy workplace and ethical practice environment. Finally, specific application examples of the ethical framework from nursing units' staff participatory action research studies will be presented.
KW - Action research
KW - Ethics
KW - Healthy workplace
UR - http://www.scopus.com/inward/record.url?scp=67651011854&partnerID=8YFLogxK
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U2 - 10.1097/CNQ.0b013e3181ab91ff
DO - 10.1097/CNQ.0b013e3181ab91ff
M3 - Review article
C2 - 19542971
AN - SCOPUS:67651011854
VL - 32
SP - 199
EP - 207
JO - Critical Care Nursing Quarterly
JF - Critical Care Nursing Quarterly
SN - 0887-9303
IS - 3
ER -