This study explored the perceptions of ethics among long-term care employees (N275) in order to test two hypotheses. A cohort cross-sectional survey examined employees' perceptions of an ethics environment, racial-ethnic, and position disparities (HO1; ANOVA), and, secondarily, ethics in relationship to select, research-grounded work features measured as manage disagreements, effectiveness, work satisfaction, and opinions of care, the latter including intention to remain (HO2; Pearson Correlations). Established questionnaires with robust psychometrics were employed. Response rate was 51%. Non-significant differences between sample and population on key variables supported extrapolation of results. Statistically significant differences between racial-ethnic (p < 0.03; F 2.42) and work positions (p <0.0001; F 6.24) were revealed on ethics (3.16; HO1). Statistically significant relationships (p <0.0001; r = 0.26-0.68; HO2) between ethics and employees' work features also were found, confirming both hypotheses. Perceptions of ethics based on racial-ethnic and position disparities, as well as the robust links with employee work features, offered potential avenues for decreasing disparities at work and improving the quality of long-term care. Noted further on ethics item scoring were relatively low scores indicating less involvement in, and access to, ethics discussions and decisions. In contrast, the literature review substantiated the importance of empowerment and retention, which were enhanced by employee involvement in work, notably, discussions and decisions. Thus, implications of ethics committees in long-term care sites as ways to potentially enhance employees' work and quality of care, especially work satisfaction and retention, were explored; relevant concerns raised by the Covid pandemic were, briefly, discussed.

Charlotte McDaniel

Emir Veledar

HEC Forum

HEC 论坛是一份经过同行评审的国际刊物，收录了执业医师、护士、社会工作者、风险管理人员、律师、伦理学家和其他 HEC 委员会成员感兴趣的原创贡献。欢迎来自任何相关来源的投稿，但应编写文本以供 HEC 成员和非专业读者欣赏。 HEC 论坛发表论文、研究论文，并包含以下部分： 关于实质性生物伦理/健康法问题的论文 程序或运营委员会问题的分析 文件交流 专题文章 国际视角 MT./ST.匿名：案例和机构政策 点/对位论证 案例审查、分析和决议 主席的“难点”部分 关键注释 卫生法警报 网络新闻 致编辑的信

HEC Forum is a peer-reviewed international journal that publishes original contributions of interest to practitioners such as physicians, nurses, social workers, risk managers, lawyers, ethicists, and other members of HEC committees. We welcome submissions from any relevant source, provided that the text is written in a manner accessible to HEC members and non-specialist readers. HEC Forum publishes papers, research articles, and includes the following sections: papers on substantive bioethics/health law issues, analyses of procedural or operational committee matters, document exchanges, thematic articles, international perspectives, anonymous discussions of cases and institutional policies, point/counterpoint arguments, case reviews, analyses and resolutions, the Chair's 

HEC Forum 是一本经过同行评审的国际期刊，专注于执业医师、护士、社会工作者、风险管理人员、律师、伦理学家及其他 HEC 委员会成员感兴趣的原创研究。我们欢迎来自任何相关领域的投稿，文章应以 HEC 成员和非专业读者能够理解的方式撰写。HEC Forum 发表各种类型的论文和研究，包括：关于重要生物伦理和健康法律问题的论文、程序或运营委员会问题的分析、文件交流、专题文章、国际视角、案例和机构政策的匿名讨论、对立论证、案例审查、分析和决议、主席的“难点”部分、关键注释、卫生法律警报、网络新闻及致编辑的信件。

Category	Quartile
哲学	4
哲学, 伦理学	4

Employee Perceptions on Ethics, Racial-Ethnic and Work Disparities in Long-Term Care: Implications for Ethics Committees

ivySCI AI Smartly Parses PDF, Answers Researchers' Questions, and Helps You Understand Papers in Seconds

Journal Info