{"title":"Characteristics of the Competency Ethical Principles for the Nurse Manager: A Systematic Review","authors":"Alberto González-García, Arrate Pinto-Carral, Pilar Marqués-Sánchez, Cristina Liebana-Presa, Rubén García-Fernández, Silvia Pérez-González","doi":"10.1155/jonm/2575609","DOIUrl":null,"url":null,"abstract":"<div>\n <p><b>Background:</b> The escalating complexity of healthcare environments underscores the importance of nurse managers’ ethical competency, which impacts organizational culture, work climate, and healthcare outcomes.</p>\n <p><b>Objective:</b> The purposes of this study were to identify and describe the characteristics of nurse managers’ competency in ethical principles in healthcare settings.</p>\n <p><b>Methods:</b> 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).</p>\n <p><b>Results:</b> 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.</p>\n <p><b>Conclusions:</b> 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.</p>\n <p><b>Implications for the Nursing Management:</b> 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.</p>\n </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/2575609","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Management","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/jonm/2575609","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MANAGEMENT","Score":null,"Total":0}
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Abstract
Background: The escalating complexity of healthcare environments underscores the importance of nurse managers’ ethical competency, which impacts organizational culture, work climate, and healthcare outcomes.
Objective: The purposes of this study were to identify and describe the characteristics of nurse managers’ competency in ethical principles in healthcare settings.
Methods: 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).
Results: 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.
Conclusions: 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.
Implications for the Nursing Management: 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.
背景：日益复杂的医疗环境强调了护士管理者道德能力的重要性，它影响着组织文化、工作氛围和医疗结果。目的：本研究的目的是识别和描述护理管理者在医疗保健环境中的道德原则能力特征。方法：系统检索Web of Science、Scopus和PubMed数据库，检索时间为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，并使用识别特征的频率分析提取和分析数据。这个系统的审查遵循PRISMA指南和乔安娜布里格斯研究所的评估工具。该审查方案已在PROSPERO注册（ID: CRD42024542594）。结果：本综述分析了22项研究，每项研究都侧重于护士管理人员及其道德能力。道德能力的14个不同特征被确定，其中道德领导、道德决策和冲突解决是最突出的。关键的伦理问题包括个人价值观与组织政策之间的冲突、伦理标准妥协的压力以及对有限资源的管理。这些问题通常会导致严重后果，如员工士气下降、压力增加和倦怠，以及患者护理质量受损。结论：培养道德领导能力和道德决策能力是护理管理者创造支持性工作环境和减少职业倦怠的基础。促进持续的专业发展和培育诚信文化，是维持高道德水准的关键。未来的研究应探讨文化、组织和环境差异如何影响伦理决策和领导。对护理管理的启示：道德领导的发展和做出道德决策的能力是道德原则能力的基本特征，因为它们有助于实现适当的工作环境，减少倦怠和情绪过载。
期刊介绍：
The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses.
The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide.
The Journal of Nursing Management aims to:
-Inform practitioners and researchers in nursing management and leadership
-Explore and debate current issues in nursing management and leadership
-Assess the evidence for current practice
-Develop best practice in nursing management and leadership
-Examine the impact of policy developments
-Address issues in governance, quality and safety
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