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
Ethical value conflicts in healthcare and their effects on nurses’ health, turnover intent, team effectiveness, and patient safety: a longitudinal questionnaire study
Department of Psychology, University of Gothenburg, Gothenburg (SWE).
Department of Psychology, University of Gothenburg, Gothenburg (SWE).
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
Show others and affiliations
2024 (English)In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 50, no 2, p. 113--121Article in journal (Refereed) Published
Abstract [en]

Objective: Moral distress emanating from value conflicts comprising ethical dimensions pose a threat to nurses’ health and retention, as well as to the quality of care. The aim of the present study was to investigate the relationships between the frequency of ethical value conflicts (EVC), and the perceived distress when they occur, respectively, and nurses’ work-related stress, burnout symptoms, turnover intent, team effectiveness, and patient safety.

Method: A two-wave longitudinal cohort questionnaire study was performed among registered nurses at six hospitals in two Swedish regions. Cross-sectional analyses (T1) were based on 1817 nurses in 228 care units (CU), and longitudinal analyses (T1 – T2) on 965 nurses in 190 CU. Hypothesis testing was performed using multilevel controlled regression modeling.

Result: The results indicated that nurses who were often exposed to EVC also to a higher extent tended to report these conflicts as stressful. Frequent exposure to EVC induced by insufficient resources, inapt organizational structures or interpersonal staff relations were cross-sectionally associated with work-related stress, burnout symptoms, turnover intent, and team effectiveness. The longitudinal analyses indicated that EVC induced by a lack of resources primarily had negative effects on nurses’ health and well-being. At the CU level, such conflicts also impaired team effectiveness. At the individual level, EVC induced by organizational constraints or interpersonal relations negatively affected care effectiveness.

Conclusions: EVC are related to negative consequences in healthcare, and such processes take place both on the individual and organizational levels.</p>

Place, publisher, year, edition, pages
Nordic Association of Occupational Safety and Health (NOROSH) , 2024. Vol. 50, no 2, p. 113--121
Keywords [en]
ethical dilemma; ethical value conflict; healthcare; longitudinal questionnaire; moral distress; nurse; nurses’ health; nurses’ well-being; nursing; patient safety; quality of care; team effectiveness; turnover
National Category
Nursing Work Sciences
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-21216DOI: 10.5271/sjweh.4138ISI: 001165233500001PubMedID: 38232184Scopus ID: 2-s2.0-85186566663OAI: oai:DiVA.org:hv-21216DiVA, id: diva2:1842275
Note

CC-BY 4.0

Available from: 2024-03-04 Created: 2024-03-04 Last updated: 2024-04-29

Open Access in DiVA

fulltext(368 kB)109 downloads
File information
File name FULLTEXT01.pdfFile size 368 kBChecksum SHA-512
dbc624898143535d4ff7f08107d21bf49178b8d0d4233a9cbe319d638bde116f553e6610ac326b2e3ad6ff9d20f4d7d21153e1d73a666df93f88311b3baa529c
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
Scandinavian Journal of Work, Environment and Health
NursingWork Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 109 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: 185 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