Wilson D M
Nurs Ethics. 1998 Jul;5(4):319-29. doi: 10.1177/096973309800500405.
In October 1993, a survey of health care agency administrators was undertaken shortly after they had experienced two sudden reductions in public funding. The purpose of this investigation was to gain insight into the role of ethics in health administrator decision making. A mail questionnaire was designed for this purpose. Descriptive statistics and content analysis were used to summarize the data. Staff reductions and bed closures were the two most frequently reported mechanisms for addressing the funding reductions. Most administrators did not believe that these changes would have a negative public impact. In contrast, the majority indicated that future changes in reaction to additional funding reductions would have a negative public impact. Approximately one-third of the administrators reported ethics to be an element of recent administrative decision making, and one-half could foresee that ethics would be important in the future if reductions continued. These findings are discussed in relation to ethics. Issues for additional research are outlined.
1993年10月，在医疗保健机构管理人员经历了两次公共资金突然削减后不久，开展了一项针对他们的调查。本次调查的目的是深入了解伦理道德在卫生管理人员决策中的作用。为此设计了一份邮寄调查问卷。描述性统计和内容分析被用于汇总数据。裁员和关闭床位是应对资金削减最常报告的两种方式。大多数管理人员认为这些变化不会对公众产生负面影响。相比之下，大多数人表示，未来因进一步资金削减而做出的变化将对公众产生负面影响。约三分之一的管理人员报告称伦理道德是近期行政决策的一个要素，并且有一半的管理人员能够预见，如果资金继续削减，伦理道德在未来将变得重要。本文结合伦理道德对这些发现进行了讨论。概述了进一步研究的问题。
