Document Type : Original Article
Authors
1 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
2 Assistant Professor, Department of Medical Emergencies, School of Allied Medical Sciences, Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran
3 Assistant Professor, Shahrekord University of Medical Sciences, Shahrehkord, Iran
Abstract
Introduction: Decision-making according to ethical principles in clinical environments confronts nursing managers with various consequences that can have an effective role in their future decisions. Therefore, the present research was done to explain nursing managers' experiences with the consequences of moral decision-making.
Methods: The current research was conducted with the qualitative content analysis method at Shahrekord University of Medical Sciences in 2022. Eighteen nursing managers were selected in a purposeful way, and the information was gathered using semi-structured interviews and analyzed using the Graneheim and Lundman method.
Results: The results include 2 categories (moral comfort and damage from the system) and 5 sub- categories (punishment of not having a conscience from past decisions, sensitivity to respecting the rights of others in decision-making, conflict between the manager and the system, confusion of managers due to ambiguous decision-making conditions and endangering the management position).
Conclusion: Senior managers and planners of health systems should enhance the decision-making conditions of nursing managers by addressing policies and laws that conflict with the ethical principles of decision-making. Improving organizational commitment among managers can prevent damage to managers.
Keywords
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