Nurses’ Ethical Conflicts in Performance of Utilization Reviews

This article describes the ethical conflicts that a sample of US nurse utilization reviewers faced in their work, and also each nurse’s self-reported ethical orientation that was used to resolve the dilemmas. Data were collected from a sample of 97 registered nurses who were working at least 20 hour...

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Bibliographic Details
Main Author: Bell, Sue Ellen (Author)
Format: Electronic Article
Language:English
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Published: Sage 2003
In: Nursing ethics
Year: 2003, Volume: 10, Issue: 5, Pages: 541-554
Further subjects:B Decision Making
B Ethics
B Nursing
B managed care
Online Access: Volltext (lizenzpflichtig)
Description
Summary:This article describes the ethical conflicts that a sample of US nurse utilization reviewers faced in their work, and also each nurse’s self-reported ethical orientation that was used to resolve the dilemmas. Data were collected from a sample of 97 registered nurses who were working at least 20 hours per week as utilization reviewers. Respondents were recruited from three managed care organizations that conduct utilization reviews in a large midwestern city. A cross-sectional survey design was used to collect demographic data and to ask closed-response, short-answer and open-ended questions. Ethical conflicts reported by nurses were similar across utilization review settings and many were justice orientated. Self-reported ethical orientations were similar across organizations, with beneficence dominating. Implications of these findings are discussed.
ISSN:1477-0989
Contains:Enthalten in: Nursing ethics
Persistent identifiers:DOI: 10.1191/0969733003ne635oa