Clinical trial NCT06470984: Ethics Education to Support Nurse Leaders in HealthCare
Official title: Ethics Education Supporting Acute and Post-Acute Nurse Leaders - 2nd Cohort
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Knowledge, Attitudes, Practice
Keywords: nursing ethics
clinical ethics
ethical competence
Lead sponsor: OSF Healthcare System
Sponsor class: OTHER
First posted: 2024-06-24
Enrollment: 80
Sex: ALL
Minimum age (years): 21
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Using an exploratory study design with an educational intervention, a pre/post evaluation of ethical confidence and competence will be completed for nursing leaders working in either acute care or post-acute care with primary purpose to increase ethical competency and confidence in decision making for nursing leaders in a clinical role.

Detailed description: The purpose of this project is to implement an ethics educational program that has been developed in collaboration with subject matter experts to support patient facing nursing leaders. The intervention is an ethics education pathway, which will be used for approximately 60-80 patient-facing nurse leaders who practice in either acute care or post-acute care over a 6-week period. One Pre and two post-assessment questionnaires will be distributed, which include the "Ethical Competence Support Questionnaire" © and the "Ethical Safety Questionnaire" ©. Permission for the instrument use was obtained from the author.

Eligibility criteria: Inclusion Criteria:

* employment within an in-patient or outpatient non-profit healthcare setting as a nursing leader.
* settings include acute-care units and post-acute care facilities

Exclusion Criteria:

* nurses working direct care 100% of their time without any formal leadership responsibilities

Primary outcomes:
measure: Ethical Competence Support Questionnaire
timeFrame: change from baseline in the ethical competence measure at 6 weeks after initiation.
measure: Ethical Safety Questionnaire
timeFrame: change from baseline in the ethical safety measure at 6 weeks after initiation.
Secondary outcomes:
measure: Ethical Confidence Assessment
timeFrame: change from baseline in the ethical competence measure at 6 weeks following initiation and at 3 months.
Other outcomes:
Locations:
city: Peoria
country: United States
facility: OSF HealthCare
state: Illinois
Study officials:
affiliation: OSF HealthCare
name: Jill K Greenwood-Williamson, DNP, RN
role: PRINCIPAL_INVESTIGATOR
References:
citation: Aitamaa E, Suhonen R, Iltanen S, Puukka P, Leino-Kilpi H. Ethical problems in nursing management: Frequency and difficulty of the problems. Health Care Manage Rev. 2021 Jan/Mar;46(1):25-34. doi: 10.1097/HMR.0000000000000236.
citation: Barkhordari-Sharifabad M, Ashktorab T, Atashzadeh-Shoorideh F. Obstacles and problems of ethical leadership from the perspective of nursing leaders: a qualitative content analysis. J Med Ethics Hist Med. 2017 Feb 21;10:1. eCollection 2017.
citation: Poikkeus T, Suhonen R, Katajisto J, Leino-Kilpi H. Organisational and individual support for nurses' ethical competence: A cross-sectional survey. Nurs Ethics. 2018 May;25(3):376-392. doi: 10.1177/0969733016642627. Epub 2016 May 10.
citation: Poikkeus T, Suhonen R, Katajisto J, Leino-Kilpi H. Relationships between organizational and individual support, nurses' ethical competence, ethical safety, and work satisfaction. Health Care Manage Rev. 2020 Jan/Mar;45(1):83-93. doi: 10.1097/HMR.0000000000000195.
citation: Salmela S, Koskinen C, Eriksson K. Nurse leaders as managers of ethically sustainable caring cultures. J Adv Nurs. 2017 Apr;73(4):871-882. doi: 10.1111/jan.13184. Epub 2016 Nov 11.