Ethical competence in a profession: Healthcare professionals' views

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Abstract

Aim

Ethical competence is a crucial component for enabling good quality care but there is insufficient qualitative research on healthcare professionals' views on ethical competence. The aim of this study was to investigate healthcare professionals' views on ethical competence in a student healthcare context.

Design

A qualitative design and a hermeneutical approach were used.

Methods

The material consists of texts from interviews with healthcare professionals ( N = 10) in a student healthcare context. The method was inspired by content analysis.

Results

One main theme and four subthemes emerged. The main theme was as follows: safeguarding the vulnerability of the other. The subthemes were as follows: using sensitivity to establish a trustful relationship, acting in an objective and flexible manner, using a reflective process in decision‐making, and maintaining confidentiality and honesty. Future research should focus on investigating ethical competence from various perspectives in student health care, for example the student perspective or observational studies.

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Most cited references 48

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Moral competence and character strengths among adolescents: the development and validation of the Values in Action Inventory of Strengths for Youth.

Nansook Park, Christopher Peterson (2006)

Moral competence among adolescents can be approached in terms of good character. Character is a multidimensional construct comprised of a family of positive traits manifest in an individual's thoughts, emotions and behaviours. The Values in Action Inventory for Youth (VIA-Youth) is a self-report questionnaire suitable for adolescents that measures 24 widely valued strength of character. Data from several samples bearing on the internal consistency, stability, and validity of the VIA-Youth are described, along with what is known about the prevalence and demographic correlates of the character strengths it measures. Exploratory factor analysis revealed an interpretable four-factor structure of the VIA-Youth subscales: temperance strengths (e.g., prudence, self-regulation), intellectual strengths (e.g., love of learning, curiosity), theological strengths (e.g., hope, religiousness, love), and other-directed (interpersonal) strengths (e.g., kindness, modesty). The uses of the VIA-Youth in research and practise are discussed along with directions for future research.

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Nurse moral distress: a proposed theory and research agenda.

Juan Corley (2002)

As professionals, nurses are engaged in a moral endeavour, and thus confront many challenges in making the right decision and taking the right action. When nurses cannot do what they think is right, they experience moral distress that leaves a moral residue. This article proposes a theory of moral distress and a research agenda to develop a better understanding of moral distress, how to prevent it, and, when it cannot be prevented, how to manage it.

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Developing the concept of moral sensitivity in health care practice.

Kim Lützén, Vera Dahlqvist, Sture Eriksson … (2006)

The aim of this Swedish study was to develop the concept of moral sensitivity in health care practice. This process began with an overview of relevant theories and perspectives on ethics with a focus on moral sensitivity and related concepts, in order to generate a theoretical framework. The second step was to construct a questionnaire based on this framework by generating a list of items from the theoretical framework. Nine items were finally selected as most appropriate and consistent with the research team's understanding of the concept of moral sensitivity. The items were worded as assumptions related to patient care. The questionnaire was distributed to two groups of health care personnel on two separate occasions and a total of 278 completed questionnaires were returned. A factor analysis identified three factors: sense of moral burden, moral strength and moral responsibility. These seem to be conceptually interrelated yet indicate that moral sensitivity may involve more dimensions than simply a cognitive capacity, particularly, feelings, sentiments, moral knowledge and skills.

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Author and article information

Contributors

Jessica Hemberg:

ORCID: https://orcid.org/0000-0002-0829-8249

jessica.hemberg@abo.fi

Journal

Journal ID (nlm-ta): Nurs Open

Journal ID (iso-abbrev): Nurs Open

Journal ID (doi): 10.1002/(ISSN)2054-1058

Journal ID (publisher-id): NOP2

Title: Nursing Open

Publisher: John Wiley and Sons Inc. (Hoboken )

ISSN (Electronic): 2054-1058

Publication date (Electronic): 18 May 2020

Publication date Collection: July 2020

Volume: 7

Issue: 4 ( doiID: 10.1002/nop2.v7.4 )

Pages: 1249-1259

Affiliations

[ ¹ ] Department of Caring Sciences Faculty of Education and Welfare Studies Åbo Akademi University Vaasa Finland

[ ² ] Department of Public Administration Faculty of Social Sciences, Business and Economics Åbo Akademi University Turku Finland

Author notes

[*] [* ] Correspondence

Jessica Hemberg, Department of Caring Sciences, Faculty of Education and Welfare Studies, Åbo Akademi University, PB 311, 65101 Vaasa, Finland.

Email: jessica.hemberg@ 123456abo.fi

Author information

Jessica Hemberg https://orcid.org/0000-0002-0829-8249

Håkan Hemberg https://orcid.org/0000-0003-3147-5466

Article

Publisher ID: NOP2501

DOI: 10.1002/nop2.501

PMC ID: 7308671

PubMed ID: 32587745

SO-VID: 4b5ab1a7-e47c-416d-9a48-7fc87965750d

License:

This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

History

Date received : 21 February 2020

Date revision received : 02 March 2020

Date accepted : 27 March 2020

Page count

Figures: 1, Tables: 1, Pages: 11, Words: 8381

Custom metadata

source-schema-version-number 2.0

cover-date July 2020

details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:5.8.4 mode:remove_FC converted:23.06.2020

Ethical competence in a profession: Healthcare professionals' views

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Abstract

Aim

Design

Methods

Results

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Journal of Health Sciences

Most cited references 48

Moral competence and character strengths among adolescents: the development and validation of the Values in Action Inventory of Strengths for Youth.

Nurse moral distress: a proposed theory and research agenda.

Developing the concept of moral sensitivity in health care practice.

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