Keyko Kacey
University of Alberta, Canada
Nurs Ethics. 2014 Dec;21(8):879-89. doi: 10.1177/0969733014523167. Epub 2014 Apr 8.
The concept of work engagement has existed in business and psychology literature for some time. There is a significant body of research that positively correlates work engagement with organizational outcomes. To date, the interest in the work engagement of nurses has primarily been related to these organizational outcomes. However, the value of work engagement in nursing practice is not only an issue of organizational interest, but of ethical interest. The dialogue on work engagement in nursing must expand to include the ethical importance of engagement. The relational nature of work engagement and the multiple levels of influence on nurses' work engagement make a relational ethics approach to work engagement in nursing appropriate and necessary. Within a relational ethics perspective, it is evident that work engagement enables nurses to have meaningful relationships in their work and subsequently deliver ethical care. In this article, I argue that work engagement is essential for ethical nursing practice. If engagement is essential for ethical nursing practice, the environmental and organizational factors that influence work engagement must be closely examined to pursue the creation of moral communities within healthcare environments.
工作投入的概念在商业和心理学文献中已经存在了一段时间。有大量研究表明工作投入与组织成果呈正相关。迄今为止，对护士工作投入的关注主要与这些组织成果相关。然而，工作投入在护理实践中的价值不仅是组织关注的问题，也是伦理关注的问题。关于护理工作投入的讨论必须扩大到包括投入的伦理重要性。工作投入的关系性质以及对护士工作投入的多层次影响使得采用关系伦理学方法来探讨护理工作投入既合适又必要。从关系伦理学的角度来看，很明显工作投入使护士能够在工作中建立有意义的关系，从而提供符合伦理的护理。在本文中，我认为工作投入对于符合伦理的护理实践至关重要。如果投入对于符合伦理的护理实践至关重要，那么就必须仔细研究影响工作投入的环境和组织因素，以在医疗环境中创建道德社区。
