The aim of this study was to identify the ethical problems that nurse managers encounter in their work and the role of codes of ethics in the solutions to these difficulties. The data were collected using a structured questionnaire and analyzed statistically. The target sample included all nurse managers in 21 specialized health care or primary health care organizations in two hospital districts in Finland (N ¼ 501; response rate 41%). The most common ethical problems concerned resource allocation as well as providing and developing high quality care. This was the case in different managerial positions as well as in types of organization. Professional codes of ethics were used more often for problems related to patients' care compared with issues of resource allocation. Nurse Managers at middle or strategic management levels used codes of ethics more often than those in charge of a ward. More research is required to investigate ethical decision making in nursing management, especially with regard to problem solving. In addition, new guidelines and continuing education in ethics are important for management personnel.
Nursing Management
Introduction
The management of nursing services becomes increasingly difficult under the speed of transformations, outdated technology, service delivery processes, and the institutional and managerial dimensions. Nursing management is a social process that involves the responsibility of the best use of resources to an end, i.e., manages to lead human beings to predetermined targets, with the nurses in any health facility or service responsible for the proper integration of human, material, economic and financial, and to achieve a goal of optimal care.
This thinking explains why the nurses' health services need to have current knowledge management and its goals. The reason is that, so they can more effectively fulfill their responsibilities of leaders of health care as service managers responsible.Nursing intention is to enable the responsibilities, in the management of health services, through a methodology that aims to explore experiment, seek information, communicate the results of his activity, raising and resolving problems. In this way, they can better face the challenges of daily practice.
Research Article
Rosenstein Alan, (2002) Original Research: Nurse-Physician Relationships: Impact on Nurse Satisfaction and Retention, the American Journal of Nursing, Vol. 102, No. 6, pp. 26-34
Research Design
The research employs qualtiave design in the form of survey. It's often recognized that the primary role of Nursing Management or Manager is to plan, organize, direct and control financial resources, human and material with the intent to effectively fulfill the goals of the institution. The nurse who performs the role of manager should guide their activities from the knowledge that provides administrative sciences, economics and politics. The theories and principles of these disciplines are necessary for the administrative practice of nursing care. However, the nurse in charge of management should consider the values, attitudes and knowledge of the discipline that give a different care management. So it should have a comprehensive leadership that encourages internal users (nurses) to improve care.
Rosenstein (2002) says that the management of care is exercised not only with resources that give management theories, but also with relationships and conceptions of the discipline of nursing are caring for the person, the center of nursing service. Kerouac Susan (1996) defines, the management of nursing care as a heuristic process, aimed to mobilize human resources and the environment with the intention of maintaining and promoting the care of the person, interacting with environment, and health living experiences. "
The role of the nurse responsible for care management ...