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Record identifier : 568545
Personal Name - Primary Intelectual Responsibility : McGarvey, Betty Sue
Title and statement of responsibility : Predictors of occupational health nurses' likely ethical action regarding confidentiality of employee health records [Thesis]
Publication, Distribution,Etc. : The University of Alabama at Birmingham, 2002
Language of the Item : eng
Dissertation of thesis details and type of degree : D.S.N.
Body granting the degree : , The University of Alabama at Birmingham
Summary or Abstract : The purpose of this study was to examine which variables of perceived power, organizational ethical climate, gender, age, years of experience as an occupational health nurse, educational preparation, employing agency, type of business, and size of organization predict occupational health nurses (OHNs) choosing the "best practice" response as a likely action strategy when faced with an ethical dilemma involving confidentiality of employee health records. Greipp's Model of Ethical Decision Making (1992) was chosen to guide this investigation. A nonexperimental design was used with a convenience sample of 756 OHNs delivering on-site health care services for companies across the United States. Data were collected using an investigator-developed demographic questionnaire; the Power as Knowing Participation in Change Tool (PKPCT); the Corporate Ethical Values Scale; and an Ethical Dilemma Questionnaire that provided a scenario of an ethical dilemma involving confidentiality of employee health records. Descriptive statistics and logistic analysis were used to analyze the data. The findings revealed that perceived power (total PKPCT scores), corporate ethics, age, and gender were significant predictors in bivariate models of OHNs choosing the best practice response as a likely action strategy when faced with an ethical dilemma involving confidentiality of employee health records. Corporate ethics and perceived power (total PKPCT scores) by employing agency were found to be significant predictors in the main effects and interaction model. Corporate ethics influence the ethical decision making of occupational health nurses, regardless of whether the OHN is employed or contracted by the company. Perceived power has different effects on choosing best practice response, depending on whether the OHN is employed or contracted by the company. Both corporate ethics and perceived power are predictors of the OHN contracted by the company choosing the best practice response. For the OHN employed by the company, perceived power did not have an influence; corporate ethics alone predicted choosing the best practice response..
Topical Name Used as Subject : Nursing, Occupational health, Medical ethics, Medical records, Employees, Confidentiality
Information of biblio record : TL
 
 
 
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