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Using an exploratory study design with an educational intervention, a pre/post evaluation of ethical confidence and competence will be completed for nursing leaders working in either acute care or post-acute care with primary purpose to increase ethical competency and confidence in decision making for nursing leaders in a clinical role.
The purpose of this project is to implement an ethics educational program that has been developed in collaboration with subject matter experts to support patient facing nursing leaders. The intervention is an ethics education pathway, which will be used for approximately 60-80 patient-facing nurse leaders who practice in either acute care or post-acute care over a 6-week period. One Pre and two post-assessment questionnaires will be distributed, which include the "Ethical Competence Support Questionnaire" © and the "Ethical Safety Questionnaire" ©. Permission for the instrument use was obtained from the author.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acute Care | Experimental | Nursing leaders will participate voluntarily and will report their leadership role as acute care (hospital settings). |
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| Post-Acute Care | Experimental | Nursing leaders will participate voluntarily and will report their leadership role as post-acute care (ambulatory settings) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Educational intervention | Behavioral | Professional development program provided online to small groups of professional nurse leaders via an educational platform over a 6-week period. |
| Measure | Description | Time Frame |
|---|---|---|
| Ethical Competence Support Questionnaire | The ethical competence support questionnaire contains 27 items addressing four subcategories: encouragement of ethical activity, provision of information on ethical issues, dealing with ethical issues, and conversational support. A 5-point Likert Scale is used for measurement: Strong disagree to Strongly Agree. Minimum value = 1 maximum value =5. | change from baseline in the ethical competence measure at 6 weeks after initiation. |
| Ethical Safety Questionnaire | The ethical safety questionnaire contains11 items addressing four subcategories: general ethical safety, ethical autonomy, ethical respect, and ethical competence. A 5-point Likert Scale is used for measurement: Strong disagree to Strongly Agree. Minimum value = 1 maximum value =5. | change from baseline in the ethical safety measure at 6 weeks after initiation. |
| Measure | Description | Time Frame |
|---|---|---|
| Ethical Confidence Assessment | Confidence as a nurse leader for ethical decision making is rated on a 1-10 scale. 0=not confident 10= very confident | change from baseline in the ethical competence measure at 6 weeks following initiation and at 3 months. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jill K Greenwood-Williamson, DNP, RN | OSF HealthCare | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| OSF HealthCare | Peoria | Illinois | 61602 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30724758 | Background | Aitamaa E, Suhonen R, Iltanen S, Puukka P, Leino-Kilpi H. Ethical problems in nursing management: Frequency and difficulty of the problems. Health Care Manage Rev. 2021 Jan/Mar;46(1):25-34. doi: 10.1097/HMR.0000000000000236. | |
| 28523116 | Background | Barkhordari-Sharifabad M, Ashktorab T, Atashzadeh-Shoorideh F. Obstacles and problems of ethical leadership from the perspective of nursing leaders: a qualitative content analysis. J Med Ethics Hist Med. 2017 Feb 21;10:1. eCollection 2017. |
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| ID | Term |
|---|---|
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D018479 | Early Intervention, Educational |
| ID | Term |
|---|---|
| D002662 | Child Health Services |
| D003153 | Community Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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| 27165144 | Background | Poikkeus T, Suhonen R, Katajisto J, Leino-Kilpi H. Organisational and individual support for nurses' ethical competence: A cross-sectional survey. Nurs Ethics. 2018 May;25(3):376-392. doi: 10.1177/0969733016642627. Epub 2016 May 10. |
| 29533273 | Background | Poikkeus T, Suhonen R, Katajisto J, Leino-Kilpi H. Relationships between organizational and individual support, nurses' ethical competence, ethical safety, and work satisfaction. Health Care Manage Rev. 2020 Jan/Mar;45(1):83-93. doi: 10.1097/HMR.0000000000000195. |
| 27732746 | Background | Salmela S, Koskinen C, Eriksson K. Nurse leaders as managers of ethically sustainable caring cultures. J Adv Nurs. 2017 Apr;73(4):871-882. doi: 10.1111/jan.13184. Epub 2016 Nov 11. |
| D011314 | Preventive Health Services |