Ethical Leadership In Nursing

Nurses are faced with ethical dilemmas related to clinical issues, and disease and treatment decisions daily (Kangasniemi,

Amidst a whirlwind of change, nurses continue their roles as competent, honorable professionals. A relatively new issue, cultural integrity, correlates with the Code regarding “treatment of the human response.” The American Nurses Association’s “Code of Ethics for Nurses with Interpretive Statements”, also called the Code, highlights nurses’ consensus on professional principles. Nursing ethics guide how practitioners treat their patients and peers. Sensitivity to individual societal, familial and cultural background plays an important role in organizational integrity.

Ahmad et al. (2021) claim that leaders must maintain open lines of communication, providing employees with clear expectations and guidelines regarding ethical conduct. This includes openly discussing the consequences of unethical behavior. Leaders should hold themselves and their teams accountable for their actions (Shuck et al., 2019). They demonstrate the importance of integrity by taking responsibility for mistakes and promptly addressing unethical behavior.

Healthcare providers, such as nurses, confront this type of situations often in an array of clinical settings. Factors such as religion, demographics, and culture can determine if an ethical dilemma could potentially

Whilst, a manager devotes to control and manage the human and material resources by applying leadership skills to accomplish the organizational goals. Hence, understanding the existing works of literature; a nurse leader and a manager work in coordination toward a common goal although, their position within the health care hierarchy is different. According to AANAC (2014) there are five major leadership styles namely, democratic, autocratic, transformational, servant and lassies-fair leadership. No leadership style can be said the best suit to be employed because it depends on the circumstances and the nature of the organization (Burn 2003). However, the author argues that an ideal style that a nurse leader can use is the transformational leadership style which is characterized by building the inter-professional relationship, motivating and encouraging the staff in decision making, being confidence in action and sharing the visions and missions (AANAC

Depending on the ANA Code of Ethics, nurses are often a lot of ethical dilemmas these days, informed consent of the patient for the right to refuse treatment, length of life versus quality of life, euthanasia passive versus active euthanasia, for use of adult stem cells compared to the use of embryonic stem cells and maintaining the treatment process versus withdrawing treatment. Patients, family members, and the successful resolution of internal multi-disciplinary skills of nurses and health care professionals to collaborate in this dilemma can affect the quality of care. Medical ethics, for example, the idea for the (moral) was the main characteristic of the good treatment results. More specifically, the moral principle of respect for autonomy

Management or leaders will need to demonstrate a priority on ethics, thoroughly communicate the expectations on ethical practice, have ethical decision making. And support the local ethical programs. Having a manager or leader that has accountability with ethical consideration has a balance of holding one true to its values and having ethical considerations on the different cultural backgrounds. This is a critical and key factor to a successful health care organization. Knowing, and understanding as a manager and influencing employees to follow standards that when something is misunderstood or unknown, owning up to its behavior on the situation can be corrected and guided to what is expected from the leader or manager and down to the employees.

Nurses have the foundational code of ethics to provide guidance for professional behavior, particularly in human dignity, emphasis nurse-patient relationship, and collaborative care with the patient and team member. However, other ethical principles –autonomy, fidelity,

What’s Required of a Professional Nurse Ashley Edwards Chamberlain College of Nursing NR351: Transition in Professional Nursing September 2017 What’s Required of a Professional Nurse Professionalism is something that is required in the nursing profession. A professional nurse needs to promote an environment full of accountability, responsibility, and ethical behaviors to promote a trusting, lasting relationship with your patients. This also aides in building long-lasting relationships with co-workers, and other health team members, through strong and reliable critical thinking skills. Ethical behavior as a professional nurse Ethical behavior is important for the professional nurse to master early in their career.

The ethical theories and principles are implemented with patients, family members, peers, colleagues and health care providers in various clinical settings. More so, the nurses face moral stress involving two ethical principles that compete in the same situation. An example is the respect of patient autonomy and provision of health care that is in the best interest of the patient. The moral decision of the nurses leads to moral distress if the nurse is unable to implement the decision due to the institutional constraints, limited patient care resources, financial issues, family disagreements in health care interventions appropriate for the patient, and health care providers-imposed limitations (Guido,2014).

Ethical leadership is related to employee job satisfaction by impacting a positive influence on employee performance (Resick et al., 2011). The ethical leadership also found to increase the intrinsic motivation and job responses (Piccolo, et al., 2010). The willingness of the employee to report any concern and problem also depends on the organization culture and leadership behavior (Brown et al., 2005). It is also studied that a leader with strong ethical traits can affect positively to task significance and autonomy of the employee job (Ruiz, Ruiz & Martinez, 2011). According to them, the followers have willingly perceived the good traits of their leaders and thus good moral, values are practiced in an organization that can shape the overall

Moreover, it might require a constant responsibility to, and reflection upon individual qualities and moral practices that impact ethical choice making. Moral courage must be produced and fortified through general application. It is noted that healthcare experts need to perceive their obligation to address unethical practices in the work environment. At the point when attendants are guided in creating moral courage, they come to learn and grab hold of new practices, for example, making a move when unethical practices are observed.

Operational definitions: Critical care nursing is defined as the field of nursing with an attention on the most extreme care of the unstable or critically ill patients following extensive surgery, injury and/or life-threatening diseases. (Australia 's Future Health Workforce - Nurses, 2014) Implications: The consistency in the reactions to moral distress experience among participants is remarkable and informative to those working in critical care units and for decision makers. Moral distress as defined by Leggett, 2013 is a state of the psychological disequilibrium that, ones experience when they know the right ethical decision to make but they cannot make it due to institutional constraints (Leggett, 2013). Additionally, Weinzimmer, et al, 2014 characterized moral distress as a phenomenon in which a healthcare professional perceives an ethically preferable or morally right course of action to take, yet internal or external constraints make it nearly impossible to pursue that course.

A nurse must keep up to date on education and new processes in health-care, so they can provide the best care. As a nurse, you have promised to give each of your patients the best care that can possibly be given. Nurses must follow a code of ethics, to act safely, provide ethical care no matter how they feel about the patient or the reason they are in your care. Following this code of ethics shows your commitment to caring for people and society, it is a guide of ethics and standards to follow to keep everyone safe. Nursing is also a wonderful opportunity to meet hundreds of people from almost every nationality and every walk of life.

Thus make being an ethical leader slightly harder than a normal ethical person. So, we must take a deep interest in this topic. Having to know the traits that describe ethical or unethical leadership will make us more careful in acting as a leader, or choosing someone as a leader. Of course we don’t want an unethical leadership or being an unethical leadership. Because the effects or consequences is not only on us, but to others, especially those who work under the