Tarja Poikkeus, RN, MNSc, is PhD candidate, Department of Nursing Science, University of Turku, Finland; and Director of Nursing, Emergency Department and Prehospital Emergency Care, Kuopio University Hospital, Finland. E-mail:
Health Care Manage Rev. 2020 Jan/Mar;45(1):83-93. doi: 10.1097/HMR.0000000000000195.
Organizations and nurse leaders do not always effectively support nurses' ethical competence. More information is needed about nurses' perceptions of this support and relevant factors to improve it.
The aim of the study was to examine relationships between nurses' perceived organizational and individual support, ethical competence, ethical safety, and work satisfaction.
A cross-sectional questionnaire survey was conducted. Questionnaires were distributed to nurses (n = 298) working in specialized, primary, or private health care in Finland. Descriptive statistics, multifactor analysis of variance, and linear regression analysis were used to test the relationships.
The nurses reported low organizational and individual support for their ethical competence, whereas perceptions of their ethical competence, ethical safety, and work satisfaction were moderate. There were statistically significant positive correlations between both perceived individual and organizational support, and ethical competence, nurses' work satisfaction, and nurses' ethical safety.
Organizational and individual support for nurses' ethical competence should be strengthened, at least in Finland, by providing more ethics education and addressing ethical problems in multiprofessional discussions. Findings confirm that organizational level support for ethical competence improves nurses' work satisfaction. They also show that individual level support improves nurses' sense of ethical safety, and both organizational and individual support strengthen nurses' ethical competence.
These findings should assist nurse leaders to implement effective support practices to strengthen nurses' ethical competence, ethical safety, and work satisfaction.
组织和护士领导者并不总是有效地支持护士的道德能力。需要更多关于护士对这种支持的看法以及相关因素的信息，以改善这种支持。
本研究旨在探讨护士对组织和个人支持、道德能力、道德安全和工作满意度的感知之间的关系。
采用横断面问卷调查法，对芬兰专门、初级或私人医疗保健机构的 298 名护士进行问卷调查。采用描述性统计、多因素方差分析和线性回归分析来检验这些关系。
护士报告说，他们对自己的道德能力的组织和个人支持程度较低，而对自己的道德能力、道德安全和工作满意度的看法则处于中等水平。个人和组织对道德能力的感知与道德能力、护士工作满意度和护士道德安全之间存在显著的正相关关系。
至少在芬兰，应该加强对护士道德能力的组织和个人支持，方法是提供更多的伦理教育，并在多专业讨论中解决伦理问题。研究结果证实，组织层面支持道德能力可以提高护士的工作满意度。研究还表明，个人层面的支持可以提高护士的道德安全感，而组织和个人层面的支持都可以增强护士的道德能力。
这些发现应该有助于护理领导者实施有效的支持实践，以增强护士的道德能力、道德安全和工作满意度。
