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Exploring the Value of Dignity in the Work-Life of Nurses
Jane Lawless
Practice Development Facilitator, Waikato District Health Board; Victoria University of Wellington, New Zealand
Cheryle Moss
Associate Professor, Graduate School of Nursing, Midwifery and Health, Victoria University of Wellington, New Zealand
Abstract
In this paper the authors draw attention to the value of nurse dignity in the work-life of nurses. How does the profession currently understand this as a concept and construct? How might the valuing of worker dignity in the workplace affect the wellbeing of the workforce? A review of nursing literature and a theoretical lens on worker dignity derived from recent work by Hodson (2001) was used to explore these questions. In the context of current and international workforce issues associated with recruitment and retention, analysis of the construct of worker dignity within the profession takes on a strong imperative.
The large existing body of research into nursing workplace environments highlights concern that nurses have in understanding and improving work-life quality. Findings of this inquiry reveal that while there is a degree of coherence between the nursing research and elements of Hodson's (2001) research on worker dignity, the dignity of nurses, as a specific construct and as an intrinsic human and worker right has received little explicit attention. Reasons for this may lie partly in approaches that privilege patient dignity over nurse dignity and which rely on the altruism and self-sacrifice of nurses to sustain patient care in environments dominated by cost-control agendas.
The value of dignity in the work-life of nurses has been under-explored and there is a critical need for further theoretical work and research. This agenda goes beyond acceptance of dignity in the workplace as a human right towards the recognition that worker dignity may be a critical factor in sustaining development of healthy workplaces and healthy workforces. Directing explicit attention to nurse dignity may benefit the attainment of both nurse and organisational goals. Hodson's (2001) framework offers a new perspective on dignity in the workplace and leads to new insights and a slightly different view of a 'road well travelled' in nursing literature.
Keywords
dignity, nursing, nursing workforce, workplace culture
References
Aiken LH and Patrician PA (2000) Measuring organizational traits of hospitals: The revised Nursing Work Index, Nursing Research 49(3): 146-153.
Aiken LH, Sloane DM, Lake ET, Sochalski J and Weber AL (1999) Organization and outcomes of inpatient AIDs care, Medical Care 37(8): 760-772.
Allen D (2004) Ethnomethodological insights into insider-outsider relationships in nursing ethnographies of healthcare settings, Nursing Inquiry 11(1): 14-24.
Ash M and Seago JA (2004) The effect of Registered Nurses' unions on heart-attack Mortality, Industrial and Labor Relations Review 57(3): 422-442.
Beil-Hildebrand M (2002) Theorising culture and culture in context: Institutional excellence and control, Nursing Inquiry 9(4): 257-274.
Canadian Health Services Research Foundation (CHSRF) (2006) What's Ailing Our Nurses? A Discussion of the Major Issues Affecting Nursing Human Resources in Canada, CHSRF, Ontario.
Cheng Y, Kawachi I, Coakley E, Schwartz J and Colditz G (2000) Association between psychosocial work characteristics and health functioning in American women: Prospective study, British Medical Journal 320(7247): 1432-1436.
Cohen MR (ed) (1999) Medication Errors. Washington: American Pharmaceutical Association.
Considine G and Buchan J (1999) The hidden cost of understaffing: An analysis of contemporary nurses working conditions in Victoria, Australian Centre for Industrial Research and Training, University of Sydney, Sydney.
Corley MC, Minick P, Elswick RK and Jacobs M (2005) Nurse moral distress and ethical work environments, Nursing Ethics 12(4): 381-390.
Diers D (2004) Speaking of Nursing...narratives of practice, research, policy and the profession, Jones and Bartlett, Mississauga.
Fagermoen MS (1997) Professional identity: values embedded in meaningful nursing practice, Journal of Advanced Nursing 25(3): 434-441.
Flynn L, Carryer J and Budge C (2005) Organizational attributes valued by hospital, home care, and district nurses in the United States and New Zealand, Journal of Nursing Scholarship 37(1): 67-72.
Fox R, Henderson A and Malko-Nyhan K (2005) They survive despite the organizational culture, not because of it: A longitudinal study of new staff perceptions of what constitutes support during the transition to an acute tertiary facility, International Journal of Nursing Practice 11(5): 193-199.
Franklin LL, Ternestedt B and Nordenfelt L (2006) Views on dignity of elderly nursing home residents, Nursing Ethics 13(2): 130-146).
Friese CR (2005) Nurse practice environments and outcomes: Implications for Oncology Nursing, Oncology Nursing Forum 32(4): 765-772.
Gallagher A (2004) Dignity and respect for dignity - two key health professional values: Implications for nursing practice, Nursing Ethics 11(6): 587-599.
Goodman H (2003) A fragmented patient safety concept: The structure and culture of safety management in healthcare, Nursing Economic$ 22(1): 44-46.
Gordon S (2005) Nursing Against the Odds, Cornell University Press, New York.
Griffin-Heslin VL (2005) An analysis of the concept dignity, Accident and Emergency Nursing 13(4): 251-257.
Harulow S (2000) Underfunding: Are nurses paying the price? Australian Nursing Journal 8(2): 228-232.
Hodson R (2001) Dignity at Work, Cambridge University Press, Cambridge.
Hodson R and Roscigno VJ (2004) Organizational success and worker dignity: Complimentary or contradictory?, American Journal of Sociology 110(3): 672-708.
Hofmeyer A (2003) A moral imperative to improve the quality of work-life for nurses: Building inclusive social capital, Contemporary Nurse 15(1): 9-19.
Hughes RG and Clancy CM (2005) Working conditions that support patient safety, Journal of Nursing Care Quality 20(4): 289-292.
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) (2002) Healthcare at the Crossroads: Strategies for Addressing the Evolving Nurse Crisis, JCAHO, Washington.
Katz-Navon T, Naveh E and Stern Z (2005) Safety climate in health care organizations: A multidimensional approach, Academy of Management Journal 48(6): 1075-1089.
Kelly B (1998) Preserving moral integrity: A follow-up study with new graduate nurses, Journal of Advanced Nursing 28(5): 1134-1145.
Kramer M and Hafner LP (1989) Shared values: Impact on staff nurse job satisfaction and perceived productivity, Nursing Research 38(3): 172-177.
Kramer M and Schmalenberg CE (2003) Magnet hospital nurses describe control over nursing practice, Western Journal of Nursing Research 25(4): 434-452.
Laschinger HK (2001) Promoting nurses' health: Effect of empowerment on job strain and work satisfaction, Nursing Economic$ 19(2): 42-53.
Laschinger HK, Shamian J and Thomson D(2001) Impact of magnet hospital characteristics on nurses' perceptions of trust, burnout, quality of care, and work satisfaction, Nursing Economic$ 19(5): 209-220.
Lutzen K, Cronqvist A, Magnusson A and Andersson L (2003) Moral stress: Synthesis of a concept, Nursing Ethics 10(3): 312-22.
Mairis ED (1993) Concept clarification in professional practice - dignity, Journal of Advanced Nursing 19(5): 947-953.
McCloskey BA and Diers DK (2005) Effects of New Zealand's health reengineering on nursing and patient outcomes, Medical Care 43(11): 1140-1146.
McGillis-Hall L (2003) Indicators of nurse staffing and quality nursing work environments: A critical synthesis of the literature, University of Toronto, Toronto.
McKenna BG, Smith NA, Poole SJ and Coverdale JH (2002) Horizontal violence: Experiences of Registered Nurses in their first year of practice, Journal of Advanced Nursing 42(1): 90-96.
Miller JF (2006) Opportunities and obstacles for good work in nursing, Nursing Ethics 13(5): 471-487.
Needleman J, Buerhaus P, Mattke S, Stewart M and Zelevinsky K (2002) Nurse staffing and quality of care in hospitals in the United States, New England Journal of Medicine 346(22): 306-308.
O'Brien-Pallas L, Shamian J, Thomson, D, Alksnis C, Koehoorn M, Kerr M and Bruce, S (2004) work-related disability in Canadian nurses, Journal of Nursing Scholarship 36(4): 352-357.
Page A (ed) (2004) Keeping Patients Safe: Transforming the work environments of nurses, Institute of Medicine (IOM), Washington DC.
Peter EH, MacFarlane AV and O'Brien-Pallas (2004) Analysis of the moral habitability of the nursing work environment, Journal of Advanced Nursing 47(4): 356-367.
Safe Staffing/Healthy Workplaces Committee (2006) Report of the Safe Staffing/Healthy Workplaces Committee of Inquiry, SSCOI, Wellington.
Texas Nursing (2002) Spotlight on nursing: A focus on lasting workplace solutions, Texas Nursing 76(7): 8-10.
The Kansas Nurse (2003) Code of ethics for nurses with interpretive statements. Provision 5, The Kansas Nurse 78(6): 9-9.
Sweet M (2005) Beating bullying, Australian Nursing Journal 12(9): 16-19.
Walsh, K and Kowanko I (2002) Nurses' and patients' perceptions of dignity, International Journal of Nursing Practice 8(3): 143-151.
Wolf ZR, Serembus JF, Smetzer J, Cohen H and Cohen M (2000) Responses and concerns of healthcare providers to medication errors, Clinical Nurse Specialist 14(6): 278-290.
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