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Key Ethical Issues Encountered in Healthcare Organizations: The Perceptions of Staff Nurses and Nurse Leaders

Cooper, Robert W. PhD; Frank, Garry L. PhD; Hansen, Mary Mincer PhD, RN; Gouty, Carol Ann PhD, CNA

Journal of Nursing Administration: March 2004 - Volume 34 - Issue 3 - p 149-156

The authors compare the results of a May 2002 ethics issues survey of staff nurses who are members of the American Nurses Association (ANA) with those of a February 2000 survey of American Organization of Nurse Executives (AONE) nurse leaders. The findings reveal a common set of key ethical issues that result from the ineffective management of the conflict between clinical ethics and organizational ethics. Implications for healthcare professionals and the organizations that employ them are discussed.

Authors’ affiliations: Employers Mutual Distinguished Professor of Insurance (Dr Cooper), Professor of Public Administration (Dr Frank), College of Business and Public Administration, Drake University, Des Moines, Iowa; Director (Dr Hansen), Department of Public Health, State of Iowa, Des Moines, Iowa; Vice President, Patient Care Services (Dr Gouty), Elmhurst Memorial Healthcare, Elmhurst, Ill.

Corresponding author: Dr Cooper, 2389 NW 162nd Lane, Clive, IA 50325 (

© 2004 Lippincott Williams & Wilkins, Inc.