González-García Alberto, Pinto-Carral Arrate, Marqués-Sánchez Pilar, Liebana-Presa Cristina, García-Fernández Rubén, Pérez-González Silvia
Faculty of Health Sciences, Nursing and Physiotherapy Department, Universidad de León, León 24007, Spain.
Faculty of Health Sciences, Nursing and Physiotherapy Department, SALBIS Research Group, Campus de Ponferrada, Universidad de León, León 24402, Spain.
J Nurs Manag. 2025 Feb 26;2025:2575609. doi: 10.1155/jonm/2575609. eCollection 2025.
The escalating complexity of healthcare environments underscores the importance of nurse managers' ethical competency, which impacts organizational culture, work climate, and healthcare outcomes. The purposes of this study were to identify and describe the characteristics of nurse managers' competency in ethical principles in healthcare settings. A systematic search was conducted across the Web of Science, Scopus, and PubMed databases, covering the literature from January 1, 2014, to April 1, 2024. Articles were selected based on specific inclusion criteria, and data were extracted and analyzed using a frequency analysis of the identified characteristics. This systematic review adhered to the PRISMA guidelines and the Joanna Briggs Institute assessment tools. The review protocol was registered in PROSPERO (ID: CRD42024542594). The review analyzed 22 studies, each focusing on nurse managers and their ethical competencies. Fourteen distinct characteristics of ethical competency were identified, with ethical leadership, ethical decision-making, and conflict resolution being the most prominent. Key ethical problems included conflicts between personal values and organizational policies, pressures to compromise ethical standards, and management of limited resources. These problems often led to significant consequences such as decreased staff morale, increased stress and burnout, and compromised patient care quality. The development of ethical leadership and the ability to make ethical decisions are fundamental for nurse managers to create supportive work environments and reduce burnout. Promoting continuous professional development and fostering an ethical culture is essential for maintaining high ethical standards. Future research should explore how cultural, organizational, and environmental differences influence ethical decision making and leadership. The development of ethical leadership and the ability to make ethical decisions are fundamental characteristics of ethical principles competency, as they facilitate the achievement of an adequate work environment and reduce burnout and emotional overload.
医疗环境日益复杂，凸显了护士长道德能力的重要性，这会影响组织文化、工作氛围和医疗结果。本研究的目的是识别和描述医疗环境中护士长在道德原则方面的能力特征。我们在科学网、Scopus和PubMed数据库中进行了系统检索，涵盖2014年1月1日至2024年4月1日的文献。根据特定的纳入标准选择文章，并使用对已识别特征的频率分析来提取和分析数据。本系统评价遵循PRISMA指南和乔安娜·布里格斯研究所评估工具。评价方案已在PROSPERO（标识符：CRD42024542594）中注册。该评价分析了22项研究，每项研究都聚焦于护士长及其道德能力。确定了道德能力的14个不同特征，其中道德领导、道德决策和冲突解决最为突出。关键的道德问题包括个人价值观与组织政策之间的冲突、违背道德标准的压力以及有限资源的管理。这些问题往往导致严重后果，如员工士气低落、压力和倦怠增加以及患者护理质量受损。培养道德领导能力和做出道德决策的能力是护士长营造支持性工作环境和减少倦怠现象的基础。促进持续专业发展和培育道德文化对于维持高道德标准至关重要。未来的研究应探讨文化、组织和环境差异如何影响道德决策和领导能力。培养道德领导能力和做出道德决策的能力是道德原则能力的基本特征，因为它们有助于营造适宜的工作环境，减少倦怠和情感负担。
