DOI: 10.1177/09697330261498334 ISSN: 0969-7330

Navigating organizational injustice: An analysis of nurse managers’ ethical trajectories

Camelia López-Deflory, Amélie Perron

Background

Nurse managers play a pivotal role in fostering organizational justice. Empirical understanding of their lived experiences when enacting this role amid organizational injustice affecting bedside nurses remains scarce.

Research aim

To analyze the ethical trajectories of nurse managers navigating organizational injustice.

Research design

A secondary data analysis was conducted on nurse managers’ narratives drawn from a primary dataset that explored healthcare managers’ perspectives on, and experiences with, managing whistleblowing disclosures undertaken by care providers in healthcare settings.

Participants and research context

The study involved the secondary analysis of 18 narratives from nurse managers working within the Canadian healthcare system.

Ethical considerations

The study obtained ethical approval from the University of Ottawa Research Ethics Board.

Findings

When navigating organizational injustice, nurse managers experience ethical trajectories marked by managerial courage, systemic moral erosion, and self-preservation agency. These trajectories highlight the complexities and tensions embedded in performing their role to promote organizational justice.

Conclusions

Nurse managers cannot sustain organizational justice through individual moral endurance alone; systemic structural transformations are imperative. Advancing toward an organizational ethics framework is essential to safeguard nurse managers’ moral agency and render nursing leadership ethically sustainable.

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