Relationship between nurses’ ethical ideology, professional values, and clinical accountability

• Published in: Nursing ethics 2023-12, Vol.30 (7-8), p.1171-1189
• Main Authors: Hussein, Azza Hassan Mohamed, Abou Hashish, Ebtsam Aly
• Format: Article
• Language: English
• Subjects: Accountability; Clinical assessment; Clinical nursing; Confidentiality; Curricula; Ethical dilemmas; Ethics; Health care industry; Idealism; Idealistic; Ideology; Informed consent; Medical ethics; Moral dilemmas; Nurses; Privacy; Professional ethics; Questionnaires; Selfawareness; Values; Vignettes; Work environment; Workplaces
• ISSN: 0969-7330; 1477-0989
• DOI: 10.1177/09697330231172282

Background Nurses are challenged with many situations that require them to solve ethical dilemmas and make moral decisions based on professional values and a sense of accountability and responsibility. To support their decisions, it is important to know how they perceive and relate their ethical ideology, professional values, and clinical accountability in their workplace. Purpose The study’s aim was twofold: to investigate the ethical ideology and perceived importance of professional values and accountability among nurses. Further, explore the relationship between each of ethical ideology and professional values with nurses’ work accountability. Methods A correlational study was conducted in an Egyptian hospital. All nurses were invited to participate = 192, and 150 nurses (78.3%) completed the study questionnaires. The Ethical Position Questionnaire, the Professional Values Scale, and the Clinical Vignettes Assessment for Clinical Accountability were proven to be reliable study measures. Ethical considerations Ethics Committee approval, written informed consent, data privacy and confidentiality, and participants’ right to voluntary participation and withdrawal were maintained. Results Nurses showed good ethical ideology (75 ± 6.2) and are more idealistic while maintaining professional values (108 ± 10.8). Most nurses believed they were accountable for documenting errors, completing incident reports, and calling physicians to discuss or manage the situations. Ethical ideology and the idealism subscale were positively correlated with overall nurses’ professional values (r = 0.321, p < 0.004, r =0.464, p 0.000), respectively. On the other hand, work accountability showed a partial correlation in some areas with ethical ideology and professional values. Discussion Professional values and nurses' accountability appear to be influenced by ethical positions and ideology. Conclusion Healthcare organizations should provide a supportive work environment to help nurses develop self-awareness, and knowledge of their ethical ideologies, which improve professional values and clinical accountability in their practice. Ethical ideology and professional values should be emphasized more in nursing curricula.