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Ethical Climate in Nursing Practice: The Leader's Role

Shirey, Maria R. MS, MBA, RN, FACHE, CNAA, BC

JONA's Healthcare Law, Ethics, and Regulation: April-June 2005 - Volume 7 - Issue 2 - p 59-67

ABSTRACT Clarity in an organization's mission, vision, and values is key to effective management in today's complex healthcare work environment. To clearly articulate mission, vision, and values, employees must experience consistency between what is espoused and what is lived. The purpose of this article is to discuss the nurse leader's role in ensuring congruence between caring missions and caring practices. Ethical principles are discussed as the foundation necessary for creating an ethical climate for nursing practice. Components of ethical climate are presented and strategies to create a positive ethical climate for nursing practice are provided.

From Shirey & Associates, and Graduate Program, Nursing Administration, University of Southern Indiana, School of Nursing and Health Professions, Evansville, IN.

Corresponding author: Maria R. Shirey, MS, MBA, RN, FACHE, CNAA, BC, 10700 Coach Light Drive, Evansville, IN 47725. (e-mail:

© 2005 Lippincott Williams & Wilkins, Inc.