Aspects of Ethical Conflicts and their Implications for Work-Related Well-Being: A Cross-Sectional Study among Health and Social Care Professionals
By: Soile Juujärvi, Olli Nummela and Timo Sinervo
References
- Airaksinen, T. (2012).
Professional ethics . In R. Chadwick (Ed.), Encyclopedia of Applied Ethics, 3, pp. 612–623. Elsevier. DOI: 10.1016/B978-0-12-373932-2.00080-6 - Aitamaa, E., Leino-Kilpi, H., Puukka, P., & Suhonen, R. (2010). Ethical problems in nursing management: the role of codes of ethics. Nursing Ethics, 17(4), 469–482. DOI: 10.1177/0969733010364896
- Anderson, N. R., & West, M. A. (1994). The Team Climate Inventory. Manual and user’s guide. NFER-Nelson.
- Austin, C. L., Saylor, R., & Finley, P. J. (2017). Moral distress in physicians and nurses: Impact on professional quality of life and turnover. Psychological Trauma: Theory, Research, Practice, and Policy, 9(4), 399–406. DOI: 10.1037/tra0000201
- Banks, S., & Williams, R. (2005). Accounting for ethical difficulties in social welfare work: Issues, problems and dilemmas. British Journal of Social Work, 35(7), 1005–1022. DOI: 10.1093/bjsw/bch199
- Burton, J., & van den Broek, D. (2009). Accountable and countable: Information management systems and the bureaucratization of social work. British Journal of Social Work, 39(7), 1326–1342. DOI: 10.1093/bjsw/bcn027
- Campbell, S. M., Ulrich, C. M., & Grady, C. (2016). A broader understanding of moral distress. American Journal of Bioethics, 16(12), 2–9. DOI: 10.1080/15265161.2016.1239782
- DeTienne, K. B., Agle, B. R., Philips, J. C., & Ingerson, M. C. (2012). The impact of moral stress compared to other stressors on employee fatigue, job satisfaction, and turnover: An empirical investigation. Journal of Business Ethics, 110(3), 377–391. DOI: 10.1007/s10551-011-1197-y
- Devik, S. A., Munkeby, H., Finnanger, M., & Moe, A. (2020). Nurse managers’ perspectives on working with everyday ethics in long-term care. Nursing Ethics, 27(8), 1669–1680. DOI: 10.1177/0969733020935958
- Doef van der, M., & Maes, S. (1999). The Job Demand-Control (-Support) Model and psychological well-being: A review of 20 years of empirical research, Work & Stress, 13(2), 87–114. DOI: 10.1080/026783799296084
- Doise, W., & Mugny, G. (1984). The social development of the intellect. Oxford: Pergamon. DOI: 10.1007/978-1-4684-4925-9_5
- Elovainio, M., Heponiemi, T., Kuusio, H., Sinervo, T., & Hintsa, T. (2010). Developing a short measure of organizational justice: A multi-sample health professionals study. Journal of Occupational and Environmental Medicine, 52(11), 1068–1074. DOI: 10.1097/JOM.0b013e3181f8447c
- Elovainio, M., Kivimäki, M., & Vahtera, J. (2002). Organizational justice: Evidence of a new psychosocial predictor of health. American Journal of Public Health, 92(1), 105–108. DOI: 10.2105/AJPH.92.1.105
- Epstein, E. G., Whitehead, P. B., Prompahakul, C., Thacker, L. R., & Hamric, A. B. (2019). Enhancing understanding of moral distress: The measure of moral distress for health care professionals. AJOB Empirical Bioethics, 10(2), 113–124. DOI: 10.1080/23294515.2019.1586008
- Gilbert-Ouimet, M., Trudel, X., Brisson, C., Milot, A., & Vézina, M. (2014). Adverse effects of psychosocial work factors on blood pressure: Systematic review of studies on demand-control-support and effort-reward imbalance models. Scandinavian Journal of Work, Environment and Health, 40(2), 109–132. DOI: 10.5271/sjweh.3390
- Gilligan, C. (1982). In a different voice: Psychological theory and women’s development. Harvard University Press.
- Goethals, S., Gastmans, C., & de Casterlé, B. D. (2010). Nurses’ ethical reasoning and behaviour: A literature review. International Journal of Nursing Studies, 47(5), 635–650. DOI: 10.1016/j.ijnurstu.2009.12.010
- Goldberg, D. (1972). The detection of psychiatric illness by questionnaire. Maudsley Monograph, No. 21. Oxford University Press.
- Gutierrez, K. M. (2005). Critical care nurses’ perceptions of and responses to moral distress. Dimensions of Critical Care Nursing, 24(5), 229–241. DOI: 10.1097/00003465-200509000-00011
- Haahr, A., Norlyk, A., Martinsen, B., & Dreyer, P. (2020). Nurses experiences of ethical dilemmas: A review. Nursing Ethics, 27(1), 256–272. DOI: 10.1177/0969733019832941
- Hackman, R. J., & Oldham, G. R. (1976). Motivation through the design of work: Test of a theory. Organizational Behavior and Human Performance, 16(2), 250–279. DOI: 10.1016/0030-5073(76)90016-7
- Hamric, A. B., Borchers, C. T., & Epstein, E. G. (2012). Development and testing of an instrument to measure moral distress in healthcare professionals. AJOB Primary Research, 3(2), 1–9. DOI: 10.1080/21507716.2011.652337
- Harris, P. (1989). The Nurse Stress Index. Work & Stress, 3(4), 335–346. DOI: 10.1080/02678378908256952
- Hopia, H., Lottes, I., & Kanne, M. (2016). Ethical concerns and dilemmas of Finnish and Dutch health professionals. Nursing Ethics, 23(6), 659–673. DOI: 10.1177/0969733015579311
- Huhtala, M., Feldt, T., Lämsä, A-M., Mauno, S., & Kinnunen, U. (2011). Does the ethical culture of organisations promote managers’ occupational wellbeing? Investigating indirect links via ethical strain. Journal of Business Ethics, 101, 231–247. DOI: 10.1007/s10551-010-0719-3
- Hyde, C. A. (2012). Ethical dilemmas in human service management: Identifying and resolving the challenges. Ethics and Social Welfare, 6(4), 351–367. DOI: 10.1080/17496535.2011.615753
- Jameton, A. (1984). Nursing Practice: The Ethical Issues. Englewood Cliffs, NJ: Prentice-Hall.
- Jameton, A. (1993). Dilemmas of moral distress: moral responsibility and nursing practice. AWHONN’s Clinical Issues in Perinatal and Women’s Health Nursing, 4(4), 542–551.
- Juujärvi, S., & Helkama, K. (2020).
Duties and responsibilities in adulthood: integrating care and justice perspectives . In E. Kallio (ed.), Development of adult thinking: Interdisciplinary perspectives on cognitive development and adult learning (pp. 63–77). London: Routledge. DOI: 10.4324/9781315187464-5 - Juujärvi, S., & Myyry, L. (2021). Care or justice? Ethical problems and solving strategies among health and social care professionals [Huolenpitoa vai oikeudenmukaisuutta? Sosiaali ja terveydenhuollon ammattilaisten eettiset ongelmat ja ratkaisukeinot]. Psykologia, 56(1), 5–19.
- Juujärvi, S., Kallunki, E., & Luostari, H. (2020). Ethical decision-making of social welfare workers in the transition of services: The ethics of care and justice perspectives. Ethics and Social Welfare, 14(1), 65-83. DOI: 10.1080/17496535.2019.1710546
- Kälvemark, S., Höglund, A. T., Hansson, M. G., Westerholm, P., & Arnetz, B. (2004). Living with conflicts-ethical dilemmas and moral distress in the health care system. Social Science & Medicine, 58(6), 1075–1084. DOI: 10.1016/S0277-9536(03)00279-X
- Kaptein, M. (2008). Developing and testing a measure for the ethical culture of organizations: The Corporate Ethical Virtues model. Journal of Organisational Behaviour, 29, 923–947. DOI: 10.1002/job.520
- Karanikola, M. N., Albarran, J. W., Drigo, E., Giannakopoulou, M., Kalafati, M., Mpouzika, M., & Papathanassoglou, E. D. (2014). Moral distress, autonomy and nurse-physician collaboration among intensive care unit nurses in Italy. Journal of Nursing Management, 22(4), 472–484. DOI: 10.1111/jonm.12046
- Karasek, R. (1979). Job demands, Job decision latitude, and mental strain: Implications for job redesign. Administrative Science Quarterly, 24(2), 285–308. DOI: 10.2307/2392498
- Karlsen, H., Lillemoen, L., Magelssen, M., Førde, R., Pedersen, R., & Gjerberg, E. (2019). How to succeed with ethics reflection groups in community healthcare? Professionals’ perceptions. Nursing Ethics, 26(4), 1243–1255. DOI: 10.1177/0969733017747957
- Keskimäki, I., Sinervo, T., & Koivisto, J. (2018). Integrating health and social services in Finland: regional and local initiatives to coordinate care. Public Health Panorama, 4(4), 679–687.
- Kivimäki, M., & Elovainio, M. (1999). A short version of the Team Climate Inventory: Development and psychometric properties. Journal of Occupational and Organizational Psychology, 72(2), 241–246. DOI: 10.1348/096317999166644
- Kohlberg, L. (1984). Essays on moral development. The psychology of moral development. The nature and validity of moral stages, 2. Harper & Row.
- Lamiani, G., Borghi, L., & Argentero, P. (2017). When healthcare professionals cannot do the right thing: A systematic review of moral distress and its correlates. Journal of Health Psychology, 22(1), 51–67. DOI: 10.1177/1359105315595120
- Lantela, M. (Director), & Maskonen, R. (Journalist) (2022, January 14).
I am yours for fifteen minutes [Viisitoista minuuttia olen sinun] . In P. Toivonen (Executive Producer), Perjantaidokkari. Yle Areena. - Laschinger, H. K. S., Finegan, J., Shamian, J., & Wilk, P. (2001). Impact of structural and psychological empowerment on job strain in nursing work settings: expanding Kanter’s model. Journal of Nursing Administration, 31(5), 260–272. DOI: 10.1097/00005110-200105000-00006
- Lev, S., & Ayalon, L. (2018). Moral distress among long-term care social workers: Questionnaire validation. Research on Social Work Practice, 28(5), 628–637. DOI: 10.1177/1049731516672070
- Lindberg, P., & Vingård, E. (2012). Indicators of healthy work environments: A systematic review. Work, 41, 3032–3038. DOI: 10.3233/WOR-2012-0560-3032
- Lyons, N. P. (1983). Two perspectives: on self, relationship and morality. Harvard Educational Review, 53(2), 125–145. DOI: 10.17763/haer.53.2.h08w5m7v217j84t1
- Mänttäri-van der Kuip, M. (2016). Moral distress among social workers: The role of insufficient resources. International Journal of Social Welfare, 25(1), 86–97. DOI: 10.1111/ijsw.12163
- Mänttäri-van der Kuip, M. (2020). Conceptualizing work-related moral suffering- exploring and refining the concept of moral distress in the context of social work. British Journal of Social Work, 50(3), 741–757. DOI: 10.1093/bjsw/bcz034
- Meltzer, L. S., & Huckabay, L. M. (2004). Critical care nurses’ perceptions of futile care and its effect on burnout. American Journal of Critical Care, 13(3), 202–208. DOI: 10.4037/ajcc2004.13.3.202
- Mengstie, M. M. (2020). Perceived organizational injustice and turnover intention among hospital healthcare workers. BMC Psychology, 8(19). DOI: 10.1186/s40359-020-0387-8
- McCarthy, J., & Gastmans, C. (2015). Moral distress: A review of the argument-based nursing ethics literature. Nursing Ethics, 22(1), 131–152. DOI: 10.1177/0969733014557139
- Moorman, R. H. (1991). Relationship between organizational justice and organizational citizenship behaviors: Do fairness perceptions influence employee citizenship? Journal of Applied Psychology, 76(6), 845–855. DOI: 10.1037/0021-9010.76.6.845
- Myyry, L., & Helkama, K. (2007). Socio-cognitive conflict, emotions and complexity of thought in real-life morality. Scandinavian Journal of Psychology, 48(3), 247–259. DOI: 10.1111/j.1467-9450.2007.00579.x
- National Advisory Board on Research Ethics. (2009). Ethical principles of research in the humanities and social and behavioural sciences and proposals for ethical review.
https://tenk.fi/sites/tenk.fi/files/ethicalprinciples.pdf - O’Donnell, P., Farrar, A., Brintzenhofeszoc, K., Conrad, A. P., Danis, M., Grady, C., Taylor, C., & Ulrich, C. M. (2008) Predictors of ethical stress, moral action and job satisfaction in health care social workers. Social Work in Health Care, 46(3), 29–51. DOI: 10.1300/J010v46n03_02
- Oh, Y., & Gastmans, C. (2015). Moral distress experienced by nurses: A quantitative literature review. Nursing Ethics, 22(1), 15–31. DOI: 10.1177/0969733013502803
- Ohnishi, K., Ohgushi, Y., & Nakano, M. (2010). Moral distress experienced by psychiatric nurses in Japan. Nursing Ethics, 17(6), 726–740. DOI: 10.1177/0969733010379178
- Olson, L. L. (1998). Hospital nurses’ perceptions of the ethical climate of their work setting. Image: Journal of Nursing Scholarship, 30, 345–349. DOI: 10.1111/j.1547-5069.1998.tb01331.x
- Papathanassoglou, E. D., Karanikola, M. N., Kalafati, M., Giannakopoulou, M., Lemonidou, C., & Albarran, J. W. (2012). Professional autonomy, collaboration with physicians, and moral distress among European intensive care nurses. American Journal of Critical Care, 21(2): e41-52. DOI: 10.4037/ajcc2012205
- Pauly, B. M., Varcoe, C., Storch, J., & Newton, L. (2009). Registered nurses’ perceptions of moral distress and ethical climate. Nursing Ethics, 16(5), 561–573. DOI: 10.1177/0969733009106649
- Pihlajasaari, P., Muotka, J., & Feldt, T. (2015). Eettisten dilemmojen yhteys työuupumukseen kaupunkiorganisaation henkilöstöllä. Sosiaalilääketieteellinen Aikakauslehti, 52(4).
https://journal.fi/sla/article/view/53591 - Power, S. J., & Lundsten, L. L. (2005). Managerial and other white-collar employees’ perceptions of ethical issues in their workplaces. Journal of Business Ethics, 60, 185–193. DOI: 10.1007/s10551-005-1177-1
- Rittenmeyer, L., & Huffman, D. M. (2009). How professional nurses working in hospital environments experience moral distress: a systematic review. JBI Library of Systematic Reviews, 7(28), 1234–1291. DOI: 10.11124/jbisrir-2009-209
- Selander, K., Nikunlaakso, R., & Laitinen, J. (2022). Association between work ability and work stressors: cross-sectional survey of elderly services and health and social care service employees. Archives of Public Health, 80(83). DOI: 10.1186/s13690-022-00841-2
- Silén, M., Svantesson, M., Kjellström, S., Sidenvall, B., & Christensson, L. (2011). Moral distress and ethical climate in s Swedish nursing context: Perceptions and instrument usability. Journal of Clinical Nursing, 20(23–24), 3483–3493. DOI: 10.1111/j.1365-2702.2011.03753.x
- Statistics Finland. [Suomen virallinen tilasto (SVT)]. (2010).
Classification of occupations ISSN=1798-5528 . Helsinki: Statistics Finland. Retrieved December 6, 2021, fromhttps://www.stat.fi/fi/luokitukset/ammatti/ - Stein-Parbury, J., & Liaschenko, J. (2007). Understanding collaboration between nurses and physicians as knowledge at work. American Journal of Critical Care, 16(5), 470–477. DOI: 10.4037/ajcc2007.16.5.470
- Tevameri, T. (2022). Workforce and enterprises in social and healthcare services [Sosiaali- ja terveyspalvelualan työvoima ja yrityskenttä]. Helsinki: Ministry of Economic Affairs and Employment of Finland.
https://urn.fi/URN:ISBN:978-952-327-626-0 - Torjuul, K., & Sorlie, V. (2006). Nursing is different than medicine: ethical difficulties in the process of care in surgical units. Journal of Advanced Nursing, 56(4), 404–413. DOI: 10.1111/j.1365-2648.2006.04013.x
- Treviño, L. K. (1986). Ethical decision making in organizations: A person-situation interactionist model. Academy of Management Review, 11(3), 601–617. DOI: 10.2307/258313
- Tronto, J. (1993). Moral boundaries: A political argument for an ethic of care. Routledge.
- Ulrich, C., O’Donnell, P., & Taylor, C. (2007). Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States. Social Science & Medicine, 65(8), 1708–1719. DOI: 10.1016/j.socscimed.2007.05.050
- Ulrich, C. M., Taylor, C., Soeken, K., O’Donnell, P., Farrar, A., Danis, M., & Grady, C. (2010). Everyday ethics: Ethical issues and stress in nursing practice. Journal of Advanced Nursing, 66(11), 2510–2519. DOI: 10.1111/j.1365-2648.2010.05425.x
- Varcoe, C., Doeane, G., Pauly, B., Rodney, P., Storch, J. L., Mahoney, K., McPerson, G., Brown, H., & Starzomski, R. (2004). Ethical practice in nursing: working the in-betweens. Journal of Advanced Nursing, 45(3), 316–325. DOI: 10.1046/j.1365-2648.2003.02892.x
- Virtanen, M., & Elovainio, M. (2018). Justice at the workplace: a review. Cambridge Quarterly of Healthcare Ethics, 27(2), 306–315. DOI: 10.1017/S0963180117000639
- Wark, G. R., & Krebs, D. L. (1996). Gender and dilemma differences in real-life moral judgment. Developmental Psychology, 32(2), 220–230. DOI: 10.1037/0012-1649.32.2.220
- Wark, G. R., & Krebs, D. L. (1997). Sources of variation in moral judgment: Toward a model of real-life morality. Journal of Adult Development 4(1), 163–178. DOI: 10.1007/BF02510595
- Webster, G., & Baylis, F. (2000).
Moral residue . In S. B. Rubin, L. Zoloth (Eds.), Margin of error: the ethics of mistakes in the practice of medicine (pp. 217–230). University Publishing Group. - Woods, M. (2011). An ethic of care in nursing: Past, present and future considerations. Ethics and Social Welfare, 5(2), 266–276. DOI: 10.1080/17496535.2011.563427
DOI: https://doi.org/10.16993/sjwop.176 | Journal eISSN: 2002-2867
Language: English
Page range: 1 - 1
Submitted on: Feb 2, 2022
Accepted on: Oct 3, 2022
Published on: Jan 2, 2023
Published by: Stockholm University Press
In partnership with: Paradigm Publishing Services
Keywords:
© 2023 Soile Juujärvi, Olli Nummela, Timo Sinervo, published by Stockholm University Press
This work is licensed under the Creative Commons Attribution 4.0 License.