Nov 1-6, 2021

AY 2021-22 1st Sem

Ethical Leadership
in Nursing Dr. Mary Grace M. Paayas, MAN
Dean, College of Nursing
Learning objectives:
At the end of this session, the learners will be able to:

Integrate ethical principles support the value of nursing

in nursing leadership & ethics in leading and
management managing the nursing team

relate ethical principles to recognize the aplicability of

the nurses' daily situations current research evidences
in nursing ethics

suggest further areas to

study on nursing ethics
Outline
Value of nursing ethics in Leadership roles
nursing leadership and & Management
management Functions

Researches related to
Situations nurses
ethical leadership and
face daily
moral nursing practice
 Value of Nursing Ethics in Leading
and Managing the Nursing team

Ethics is concerned with doing the right thing (UNCLEAR

someitmes)

Ethical Frameworks - guide in solving ethical dilemmas;

assist the manager in clarifying personal values & beliefs

Nurse managers guiding team members in daily life

situations
 Situations Nurses face daily

Obtaining informed consent

Maintain patient confidentiality

Tell the truth

Deal with beliefs that conflict with empirical knowledge

Obtaining informed consent
Hospital setting

CHN setting
 Maintain patient confidentiality

Legal disciplinary action

Digital hacking
Tell the truth
Deal with beliefs that conflict with
empirical knowledge
Leadership Roles

Self-awareness regarding own values and basic beliefs

Accepts ambiguity and uncertainty as part of all ethical

decision making

Accepts negative outcomes in ethical decision-making

Leadership Roles continued

Risk-taker in ethical decision making

Role models ethical decision making congruent with Code of

Ethics and Interpretive Statements and professional standards

Clearly communicates expected ethical standards of behavior

Role models ethical behavior as the norm

 Management
Functions
3. Uses ethical
frameworks.

2. Identifies
outcomes.

1. systematic
approach to
problem-solving &
decision making.
Management
Functions cont

4. Applies
principles of
ethical reasoning

5. Is aware of 6. Continually
legal precedents reevaluates the quality
of personal ethical
decision-making
 Ethical Frameworks for
decision-making
Ethical frameworks do not solve ethical
problems but do assist decision-makers
in clarifying personal values and beliefs.
(Marquis and Huston p. 145)

Teleological
Deontological
Management
Functions cnt2

7. Constantly
8. Recognizes &
assesses levels of 9. Takes appropriate
rewards ethical
moral uncertainty, action addressing
conduct of
moral distress, and unethical conduct.
subordinates
moral outrage
Edmonson (2015)

moral leader's
influence is
moral leaders
demonstrate moral
Organizations & critical to courage & create
healthcare
transforming HC environments that
systems in great
need of moral and care encourage courageous
leadership systems patient-centered acts.
 Nursing implications
Smith, MA
promote patient advocacy patien
(2017) t

Ethical leaders can lead

Ethical Leadership of organizational changes
nursing is critical to the
delivery of both direct &
indirect patient care. Staff nurses MUST remember
that they are not infallible &
that EXCELLENCE exists
Gillet et Perceived ethical
al 2018 leadership is positively
associated with
caregivers' well-being.
Perceived ethical
leadership is
Well-being is a
positively
mechanism explaining
associated with
the effects of leadership
caregivers' well-
on the quality of care.
being.
 Wymer et al
(2021)
OCVID-19 crisis required nurse leaders
to make decisions in an environment
of conflicting data and directives

COCVID-19 crisis challenged nurse

leaders to develop and implement novel
care delivery plans

Authors share essential nurse leader

competencies vital to the development
and support of thriving nurse leaders.
Ethical leadership in nursing
has shifted to fulfilling the
universal ethical principles in
nursing: autonomy,
beneficence, fidelity, justice,
nonmaleficence, and veracity
Henry, 2016
THANK YOU