Threats to nurses’ dignity and intent to leave the profession

Background: It is essential to pay attention to and respect the dignity of nurses to maintain them in their profession while they deliver skilled nursing care. Little is known, however, about how a sense of dignity influences the practitioner. Objectives: The purpose of this study is to describe nur...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Nursing ethics 2018-06, Vol.25 (4), p.520-531
Hauptverfasser: Valizadeh, Leila, Zamanzadeh, Vahid, Habibzadeh, Hosein, Alilu, Leyla, Gillespie, Mark, Shakibi, Ali
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 531
container_issue 4
container_start_page 520
container_title Nursing ethics
container_volume 25
creator Valizadeh, Leila
Zamanzadeh, Vahid
Habibzadeh, Hosein
Alilu, Leyla
Gillespie, Mark
Shakibi, Ali
description Background: It is essential to pay attention to and respect the dignity of nurses to maintain them in their profession while they deliver skilled nursing care. Little is known, however, about how a sense of dignity influences the practitioner. Objectives: The purpose of this study is to describe nurses’ experiences of threats to their dignity occurring within clinical settings, which generates an intention to leave clinical practice. Research design and method: The study was performed using qualitative content analysis. The participants were 21 clinical nurses with work experience who were employed across a range of clinical posts. Data obtained from the semi-structured interviews were analyzed and interpreted using a content analysis approach. Ethical considerations: The study was approved by the Ethics Committee of Tabriz University of Medical Sciences and was guided by the ethical principles of voluntary enrolment, anonymity, privacy, and confidentiality. Findings: Within data analysis, three main themes and nine categories were extracted as follows: (1) lack of professional pride (physician’s dominance, intangible nature of nursing, and negative attitude toward clinical nurses); (2) oppressive work environment (high workload, disrespect, discrimination, and lack of support); and (3) suppression of progressivism (lack of appreciation and attention to meritocracy). Discussion: Almost all of the participants have experienced some degree of disrespect and violation of dignity. In general, attempts made by the participants to show their objection to the threats and to support and protect their dignity have not been effective and in fact made them more inclined to leave the clinical work. Conclusion: According to the views of nurses themselves, identification of the factors threatening nurses’ dignity can be one of the appropriate solutions for the broader and deeper investigation of this phenomenon and can help promote and support nurses’ dignity and their retention within the profession.
doi_str_mv 10.1177/0969733016654318
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1826709830</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0969733016654318</sage_id><sourcerecordid>1826709830</sourcerecordid><originalsourceid>FETCH-LOGICAL-c407t-64be15bb3148607b16742a114f1f5efcdc2db57e3b7f22c2918618051683e68e3</originalsourceid><addsrcrecordid>eNp1kE9Lw0AQxRdRbK3ePUnAi5fozu5mZ3MSKf6Dgpd6Dptk0qa0Sd1NhN78Gn49P4kJrQoFT3N4v_dm5jF2DvwaAPGGxzpGKTloHSkJ5oANQSGGPDbxIRv2ctjrA3bi_YJzjsLgMRsIlFpFMhqy2-nckW180NRB1TpP_uvjM8jLWVU2m8BWeVBWDVVNry_JvlPQzClYu7og78u6OmVHhV16OtvNEXt9uJ-On8LJy-Pz-G4SZopjE2qVEkRpKkEZzTEFjUpYAFVAEVGR5ZnI0whJplgIkYkYjAbDI9BGkjYkR-xqm9utfmvJN8mq9Bktl7aiuvUJGKGxe1vyDr3cQxd166ruukRwZSRwROwovqUyV3vvqEjWrlxZt0mAJ325yX65neViF9ymK8p_DT9tdkC4Bbyd0d_WfwO_Aftxf-g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2048310777</pqid></control><display><type>article</type><title>Threats to nurses’ dignity and intent to leave the profession</title><source>MEDLINE</source><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>SAGE Complete A-Z List</source><creator>Valizadeh, Leila ; Zamanzadeh, Vahid ; Habibzadeh, Hosein ; Alilu, Leyla ; Gillespie, Mark ; Shakibi, Ali</creator><creatorcontrib>Valizadeh, Leila ; Zamanzadeh, Vahid ; Habibzadeh, Hosein ; Alilu, Leyla ; Gillespie, Mark ; Shakibi, Ali</creatorcontrib><description>Background: It is essential to pay attention to and respect the dignity of nurses to maintain them in their profession while they deliver skilled nursing care. Little is known, however, about how a sense of dignity influences the practitioner. Objectives: The purpose of this study is to describe nurses’ experiences of threats to their dignity occurring within clinical settings, which generates an intention to leave clinical practice. Research design and method: The study was performed using qualitative content analysis. The participants were 21 clinical nurses with work experience who were employed across a range of clinical posts. Data obtained from the semi-structured interviews were analyzed and interpreted using a content analysis approach. Ethical considerations: The study was approved by the Ethics Committee of Tabriz University of Medical Sciences and was guided by the ethical principles of voluntary enrolment, anonymity, privacy, and confidentiality. Findings: Within data analysis, three main themes and nine categories were extracted as follows: (1) lack of professional pride (physician’s dominance, intangible nature of nursing, and negative attitude toward clinical nurses); (2) oppressive work environment (high workload, disrespect, discrimination, and lack of support); and (3) suppression of progressivism (lack of appreciation and attention to meritocracy). Discussion: Almost all of the participants have experienced some degree of disrespect and violation of dignity. In general, attempts made by the participants to show their objection to the threats and to support and protect their dignity have not been effective and in fact made them more inclined to leave the clinical work. Conclusion: According to the views of nurses themselves, identification of the factors threatening nurses’ dignity can be one of the appropriate solutions for the broader and deeper investigation of this phenomenon and can help promote and support nurses’ dignity and their retention within the profession.</description><identifier>ISSN: 0969-7330</identifier><identifier>EISSN: 1477-0989</identifier><identifier>DOI: 10.1177/0969733016654318</identifier><identifier>PMID: 27364535</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Attitudes ; Confidentiality ; Content analysis ; Discrimination ; Dominance ; Ethics ; Female ; Hospitals, Teaching ; Human dignity ; Humans ; Intention ; Iran ; Job satisfaction ; Male ; Middle Aged ; Nurse led services ; Nurses ; Nursing ; Nursing care ; Nursing Staff, Hospital - psychology ; Nursing Staff, Hospital - statistics &amp; numerical data ; Occupational stress ; Personhood ; Personnel Turnover ; Privacy ; Professional identity ; Professional practice ; Professional relationships ; Qualitative Research ; Self esteem ; Threats ; Work environment ; Young Adult</subject><ispartof>Nursing ethics, 2018-06, Vol.25 (4), p.520-531</ispartof><rights>The Author(s) 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c407t-64be15bb3148607b16742a114f1f5efcdc2db57e3b7f22c2918618051683e68e3</citedby><cites>FETCH-LOGICAL-c407t-64be15bb3148607b16742a114f1f5efcdc2db57e3b7f22c2918618051683e68e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0969733016654318$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0969733016654318$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,30999,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27364535$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Valizadeh, Leila</creatorcontrib><creatorcontrib>Zamanzadeh, Vahid</creatorcontrib><creatorcontrib>Habibzadeh, Hosein</creatorcontrib><creatorcontrib>Alilu, Leyla</creatorcontrib><creatorcontrib>Gillespie, Mark</creatorcontrib><creatorcontrib>Shakibi, Ali</creatorcontrib><title>Threats to nurses’ dignity and intent to leave the profession</title><title>Nursing ethics</title><addtitle>Nurs Ethics</addtitle><description>Background: It is essential to pay attention to and respect the dignity of nurses to maintain them in their profession while they deliver skilled nursing care. Little is known, however, about how a sense of dignity influences the practitioner. Objectives: The purpose of this study is to describe nurses’ experiences of threats to their dignity occurring within clinical settings, which generates an intention to leave clinical practice. Research design and method: The study was performed using qualitative content analysis. The participants were 21 clinical nurses with work experience who were employed across a range of clinical posts. Data obtained from the semi-structured interviews were analyzed and interpreted using a content analysis approach. Ethical considerations: The study was approved by the Ethics Committee of Tabriz University of Medical Sciences and was guided by the ethical principles of voluntary enrolment, anonymity, privacy, and confidentiality. Findings: Within data analysis, three main themes and nine categories were extracted as follows: (1) lack of professional pride (physician’s dominance, intangible nature of nursing, and negative attitude toward clinical nurses); (2) oppressive work environment (high workload, disrespect, discrimination, and lack of support); and (3) suppression of progressivism (lack of appreciation and attention to meritocracy). Discussion: Almost all of the participants have experienced some degree of disrespect and violation of dignity. In general, attempts made by the participants to show their objection to the threats and to support and protect their dignity have not been effective and in fact made them more inclined to leave the clinical work. Conclusion: According to the views of nurses themselves, identification of the factors threatening nurses’ dignity can be one of the appropriate solutions for the broader and deeper investigation of this phenomenon and can help promote and support nurses’ dignity and their retention within the profession.</description><subject>Adult</subject><subject>Attitudes</subject><subject>Confidentiality</subject><subject>Content analysis</subject><subject>Discrimination</subject><subject>Dominance</subject><subject>Ethics</subject><subject>Female</subject><subject>Hospitals, Teaching</subject><subject>Human dignity</subject><subject>Humans</subject><subject>Intention</subject><subject>Iran</subject><subject>Job satisfaction</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nurse led services</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing care</subject><subject>Nursing Staff, Hospital - psychology</subject><subject>Nursing Staff, Hospital - statistics &amp; numerical data</subject><subject>Occupational stress</subject><subject>Personhood</subject><subject>Personnel Turnover</subject><subject>Privacy</subject><subject>Professional identity</subject><subject>Professional practice</subject><subject>Professional relationships</subject><subject>Qualitative Research</subject><subject>Self esteem</subject><subject>Threats</subject><subject>Work environment</subject><subject>Young Adult</subject><issn>0969-7330</issn><issn>1477-0989</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kE9Lw0AQxRdRbK3ePUnAi5fozu5mZ3MSKf6Dgpd6Dptk0qa0Sd1NhN78Gn49P4kJrQoFT3N4v_dm5jF2DvwaAPGGxzpGKTloHSkJ5oANQSGGPDbxIRv2ctjrA3bi_YJzjsLgMRsIlFpFMhqy2-nckW180NRB1TpP_uvjM8jLWVU2m8BWeVBWDVVNry_JvlPQzClYu7og78u6OmVHhV16OtvNEXt9uJ-On8LJy-Pz-G4SZopjE2qVEkRpKkEZzTEFjUpYAFVAEVGR5ZnI0whJplgIkYkYjAbDI9BGkjYkR-xqm9utfmvJN8mq9Bktl7aiuvUJGKGxe1vyDr3cQxd166ruukRwZSRwROwovqUyV3vvqEjWrlxZt0mAJ325yX65neViF9ymK8p_DT9tdkC4Bbyd0d_WfwO_Aftxf-g</recordid><startdate>201806</startdate><enddate>201806</enddate><creator>Valizadeh, Leila</creator><creator>Zamanzadeh, Vahid</creator><creator>Habibzadeh, Hosein</creator><creator>Alilu, Leyla</creator><creator>Gillespie, Mark</creator><creator>Shakibi, Ali</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201806</creationdate><title>Threats to nurses’ dignity and intent to leave the profession</title><author>Valizadeh, Leila ; Zamanzadeh, Vahid ; Habibzadeh, Hosein ; Alilu, Leyla ; Gillespie, Mark ; Shakibi, Ali</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c407t-64be15bb3148607b16742a114f1f5efcdc2db57e3b7f22c2918618051683e68e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Attitudes</topic><topic>Confidentiality</topic><topic>Content analysis</topic><topic>Discrimination</topic><topic>Dominance</topic><topic>Ethics</topic><topic>Female</topic><topic>Hospitals, Teaching</topic><topic>Human dignity</topic><topic>Humans</topic><topic>Intention</topic><topic>Iran</topic><topic>Job satisfaction</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nurse led services</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Nursing care</topic><topic>Nursing Staff, Hospital - psychology</topic><topic>Nursing Staff, Hospital - statistics &amp; numerical data</topic><topic>Occupational stress</topic><topic>Personhood</topic><topic>Personnel Turnover</topic><topic>Privacy</topic><topic>Professional identity</topic><topic>Professional practice</topic><topic>Professional relationships</topic><topic>Qualitative Research</topic><topic>Self esteem</topic><topic>Threats</topic><topic>Work environment</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Valizadeh, Leila</creatorcontrib><creatorcontrib>Zamanzadeh, Vahid</creatorcontrib><creatorcontrib>Habibzadeh, Hosein</creatorcontrib><creatorcontrib>Alilu, Leyla</creatorcontrib><creatorcontrib>Gillespie, Mark</creatorcontrib><creatorcontrib>Shakibi, Ali</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Nursing ethics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Valizadeh, Leila</au><au>Zamanzadeh, Vahid</au><au>Habibzadeh, Hosein</au><au>Alilu, Leyla</au><au>Gillespie, Mark</au><au>Shakibi, Ali</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Threats to nurses’ dignity and intent to leave the profession</atitle><jtitle>Nursing ethics</jtitle><addtitle>Nurs Ethics</addtitle><date>2018-06</date><risdate>2018</risdate><volume>25</volume><issue>4</issue><spage>520</spage><epage>531</epage><pages>520-531</pages><issn>0969-7330</issn><eissn>1477-0989</eissn><abstract>Background: It is essential to pay attention to and respect the dignity of nurses to maintain them in their profession while they deliver skilled nursing care. Little is known, however, about how a sense of dignity influences the practitioner. Objectives: The purpose of this study is to describe nurses’ experiences of threats to their dignity occurring within clinical settings, which generates an intention to leave clinical practice. Research design and method: The study was performed using qualitative content analysis. The participants were 21 clinical nurses with work experience who were employed across a range of clinical posts. Data obtained from the semi-structured interviews were analyzed and interpreted using a content analysis approach. Ethical considerations: The study was approved by the Ethics Committee of Tabriz University of Medical Sciences and was guided by the ethical principles of voluntary enrolment, anonymity, privacy, and confidentiality. Findings: Within data analysis, three main themes and nine categories were extracted as follows: (1) lack of professional pride (physician’s dominance, intangible nature of nursing, and negative attitude toward clinical nurses); (2) oppressive work environment (high workload, disrespect, discrimination, and lack of support); and (3) suppression of progressivism (lack of appreciation and attention to meritocracy). Discussion: Almost all of the participants have experienced some degree of disrespect and violation of dignity. In general, attempts made by the participants to show their objection to the threats and to support and protect their dignity have not been effective and in fact made them more inclined to leave the clinical work. Conclusion: According to the views of nurses themselves, identification of the factors threatening nurses’ dignity can be one of the appropriate solutions for the broader and deeper investigation of this phenomenon and can help promote and support nurses’ dignity and their retention within the profession.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>27364535</pmid><doi>10.1177/0969733016654318</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0969-7330
ispartof Nursing ethics, 2018-06, Vol.25 (4), p.520-531
issn 0969-7330
1477-0989
language eng
recordid cdi_proquest_miscellaneous_1826709830
source MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List
subjects Adult
Attitudes
Confidentiality
Content analysis
Discrimination
Dominance
Ethics
Female
Hospitals, Teaching
Human dignity
Humans
Intention
Iran
Job satisfaction
Male
Middle Aged
Nurse led services
Nurses
Nursing
Nursing care
Nursing Staff, Hospital - psychology
Nursing Staff, Hospital - statistics & numerical data
Occupational stress
Personhood
Personnel Turnover
Privacy
Professional identity
Professional practice
Professional relationships
Qualitative Research
Self esteem
Threats
Work environment
Young Adult
title Threats to nurses’ dignity and intent to leave the profession
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T06%3A17%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Threats%20to%20nurses%E2%80%99%20dignity%20and%20intent%20to%20leave%20the%20profession&rft.jtitle=Nursing%20ethics&rft.au=Valizadeh,%20Leila&rft.date=2018-06&rft.volume=25&rft.issue=4&rft.spage=520&rft.epage=531&rft.pages=520-531&rft.issn=0969-7330&rft.eissn=1477-0989&rft_id=info:doi/10.1177/0969733016654318&rft_dat=%3Cproquest_cross%3E1826709830%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2048310777&rft_id=info:pmid/27364535&rft_sage_id=10.1177_0969733016654318&rfr_iscdi=true