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Nurses' Professional Values: Influences of Experience and Ethics Education.
Journal of Clinical Nursing 2019 January 32
AIMS AND OBJECTIVES: To measure the professional values of registered nurses and determine if these values are significantly related to post-licensure ethics education and years of experience.
BACKGROUND: Nursing guilds in many countries reference the American Nurses Association's code of ethics to define expected professional nursing values. Strong professional values contribute to high quality patient care and are influenced by complex practice environments.
DESIGN: Causal-comparative design.
METHODS: A convenience sample of actively licensed registered nurses in Washington State, United States of America, participated in an electronically administered survey (N = 2,439). Analyses were conducted using descriptive statistics, analysis of variance, and correlation. Reporting utilized the STROBE checklist.
RESULTS: Results suggested values of highest and lowest importance to nurses. Scores varied significantly based on years of nursing experience; a higher score indicated stronger orientation toward professional nursing values. Nurses with experience of 10 years or more had the highest scores. There was a modest, positive relationship between professional values and amount of time spent in post-licensure ethics education.
CONCLUSIONS: Professional values of Washington State nurses are similar to other nurses in national and global workforces. Results suggest key areas of strength in nurses' professional values and areas needing additional focus and support. Professional values are highest among nurses with longer practice experience, and among nurses who have had increased ethics education.
RELEVANCE TO CLINICAL PRACTICE: Knowledge of nurses' priority values can assist leaders and educators to identify areas of needed support among nursing staff members. Organizational commitment to support of nurses' professional values through investment in ethics education may produce positive enduring consequences, such as workplace retention and high quality patient care. Health care leaders and clinical educators who promote ethics education may help to mitigate negative effects of morally challenging situations, such as moral distress and work leaving. This article is protected by copyright. All rights reserved.
BACKGROUND: Nursing guilds in many countries reference the American Nurses Association's code of ethics to define expected professional nursing values. Strong professional values contribute to high quality patient care and are influenced by complex practice environments.
DESIGN: Causal-comparative design.
METHODS: A convenience sample of actively licensed registered nurses in Washington State, United States of America, participated in an electronically administered survey (N = 2,439). Analyses were conducted using descriptive statistics, analysis of variance, and correlation. Reporting utilized the STROBE checklist.
RESULTS: Results suggested values of highest and lowest importance to nurses. Scores varied significantly based on years of nursing experience; a higher score indicated stronger orientation toward professional nursing values. Nurses with experience of 10 years or more had the highest scores. There was a modest, positive relationship between professional values and amount of time spent in post-licensure ethics education.
CONCLUSIONS: Professional values of Washington State nurses are similar to other nurses in national and global workforces. Results suggest key areas of strength in nurses' professional values and areas needing additional focus and support. Professional values are highest among nurses with longer practice experience, and among nurses who have had increased ethics education.
RELEVANCE TO CLINICAL PRACTICE: Knowledge of nurses' priority values can assist leaders and educators to identify areas of needed support among nursing staff members. Organizational commitment to support of nurses' professional values through investment in ethics education may produce positive enduring consequences, such as workplace retention and high quality patient care. Health care leaders and clinical educators who promote ethics education may help to mitigate negative effects of morally challenging situations, such as moral distress and work leaving. This article is protected by copyright. All rights reserved.
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