A vision of ethics in efficient occupational healthcare

• Published in: Nursing ethics 2019-02, Vol.26 (1), p.161-171
• Main Authors: Hemberg, Jessica, Nyman, Helena, Hemberg, Håkan
• Format: Article
• Language: English
• Subjects: Caregiving; Efficiency; Ethics; Health care; Honesty; Informed consent; Leadership; Medical ethics; Medical research; Nurses; Nursing; Occupational health; Openness; Values
• ISSN: 0969-7330; 1477-0989
• DOI: 10.1177/0969733016689817

Background: Occupational healthcare is nowadays more and more regulated by economic demands of gain and efficiency. Aim and research questions: The aim of this study is to reach a new understanding of ethics in occupational healthcare by uncovering this from occupational healthcare nurses’ own views. The research questions are as follows: (1) What is the core of an ethical value base in occupational healthcare? (2) What does it mean for occupational healthcare nurses to fulfill their ethical value base in occupational healthcare? Research design, participants, and research context: The study uses a hermeneutical approach. The context of the study is occupational healthcare. The material was collected through interviews with four occupational healthcare nurses in Finland. The texts were interpreted through hermeneutical reading. Ethical considerations: The data storage, study participation, and data handling for research purposes were approved by the participants when they provided their informed consent. Findings: The study revealed that the core of ethical values in occupational healthcare is something universal that concerns justice, honesty, and faithfulness. To fulfill the ethical value base means to continuously strive toward the inner core of love and bravely choose to listen to the this core in the name of the client and the universal good even if it involves a struggle or a sacrifice. Discussion: The ethical value base is not primarily tied to profession but is something that is general and universal. Nor do ethics and the implementation of ethical values stand in opposition to, for example, external values such as demands for efficiency and economic gain. However, ethics may promote efficiency. Conclusion: The fulfillment of nurses’ ethical value base in occupational healthcare requires that ethics first and foremost is allowed to enter the leadership and is prioritized on a leadership level. Creating caring cultures that encourage openness and support ethical discussions is fundamental.