Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
The role of perceived organizational support for nurses' ability to handle and resolve ethical value conflicts: A mixed methods study
University West, Department of Health Sciences, Section for nursing - graduate level. (LOVHH)ORCID iD: 0000-0003-0084-4636
University West, School of Business, Economics and IT, Division of Business Administration. (LOVHH)ORCID iD: 0000-0003-2476-4411
Department of Psychology University of Gothenburg, Gothenburg (SWE).
Department of Psychology University of Gothenburg, Gothenburg (SWE); Occupational and Environmental Medicine, School of Public Health and Community Medicine Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
Show others and affiliations
2024 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 80, no 2, p. 765-776Article in journal (Refereed) Published
Abstract [en]

Aim: To explore if and how nurses' perceived organizational support affects their ability to handle and resolve ethical value conflicts.

Design: A mixed methods design with a longitudinal questionnaire survey and focus group interviews.

Methods: A questionnaire survey in six hospitals in two Swedish regions provided data from 711 nurses responding twice (November–January 2019/2020 and November–January 2020/2021). A cross-lagged path model tested the mutual prospective influence between the organizational climate of perceived organizational support, frequency of ethical value conflicts, and resulting moral distress. Four focus group interviews were conducted with 21 strategically selected nurses (April–October 2021). Qualitative data collection and analysis were inspired by Grounded Theory.

Results: A climate of perceived organizational support was empowering, contributing to role security. It prospectively decreased the frequency of ethical value conflicts but not the moral distress when conflicts did occur.

Conclusion: It is important to facilitate the development of perceived organizational support among nurses, but also to reduce the occurrence of ethical value conflicts that the nurses cannot resolve.

Implications for the Profession: By ensuring a shared care ideology, good interprofessional relations within the entire care organization, providing clear and supportive organizational structures, and utilizing competence adequately, healthcare managers can facilitate and support the development of perceived organizational support among nurses. Nurses who are empowered by perceived organizational support are stimulated by and take pride in their work and experience the work as meaningful and joyful.

Impact: The study addressed the question of whether healthcare organizations could support nurses to resolving ethical value conflicts, and thus reduce moral distress. Perceived organizational support is related to factors such as ideological caring alignment and supportive organizational preconditions. This study contributes specific knowledge about how healthcare organizations can empower nurses to effectively resolve ethical value conflicts and thereby reduce their moral distress.

Patient or Public Contribution: No patient or public contribution.

Place, publisher, year, edition, pages
2024. Vol. 80, no 2, p. 765-776
Keywords [en]
focus group interviews, moral distress, nurse turnover, nursing, longitudinal survey, organizational healthcare development, healthcare quality
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-20826DOI: 10.1111/jan.15889ISI: 001075305100001PubMedID: 37775477Scopus ID: 2-s2.0-85173463860OAI: oai:DiVA.org:hv-20826DiVA, id: diva2:1802643
Funder
AFA Insurance, 180085
Note

CC BY 4.0

Available from: 2023-10-05 Created: 2023-10-05 Last updated: 2024-01-12Bibliographically approved

Open Access in DiVA

fulltext(503 kB)98 downloads
File information
File name FULLTEXT01.pdfFile size 503 kBChecksum SHA-512
bac4e8193be1ee25aec26484b394148c4a005e7fbb78fe92beccfc661094e8bee89e4f6ce05ab74d54cc18f7fb930ddd62ab39e4a7f7cda132f97e3f2bc33053
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Skyvell Nilsson, MariaGadolin, Christian

Search in DiVA

By author/editor
Skyvell Nilsson, MariaGadolin, Christian
By organisation
Section for nursing - graduate levelDivision of Business Administration
In the same journal
Journal of Advanced Nursing
Nursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 98 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 123 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf