Nurses and social workers are vital members of our health care workforce. Faced with challenging ethical issues in practice, nurses and social workers routinely make difficult ethical decisions. This study is a survey of practicing nurses and social workers in 4 states (Masschusetts, Maryland, California, and Ohio) representing different regions of the U.S., to describe the ethical issues they face in their practice, the amount of conflict they experience, their work environment, ethics resources and support, and job satisfaction. The survey was conducted in the spring of 2004. A total of 1215 nurses and social workers responded. Respondents were mostly Caucasian (83.3%) and female (85.3%) with nurses were more likely than social workers to be female (p < .001); the overall mean age was 45.9 years (SD 10.9) range 23 to 78 years. Most of the social workers (83.3%) and 18.3% of the nurses had a masters education or higher. Respondents had a mean of 17 years of experience; 35% had practiced less than ten years (mean, 7.4 years); 71.7% worked full time. Nurses and social workers in our sample did not differ significantly in age, sex, or ethnicity compared to the 2000 National Sample Survey of Registered Nurses and the 2004 Licensed Social Worker Survey in the U.S. Four manuscripts have been published to date. An additional two are in development. Future research is being planned to build on some of the findings from this study.

Agency
National Institute of Health (NIH)
Institute
Clinical Center (CLC)
Type
Intramural Research (Z01)
Project #
1Z01CL010523-06
Application #
7733641
Study Section
Project Start
Project End
Budget Start
Budget End
Support Year
6
Fiscal Year
2008
Total Cost
$14,000
Indirect Cost
Name
Clinical Center
Department
Type
DUNS #
City
State
Country
United States
Zip Code
O'Donnell, Patricia; Farrar, Adrienne; BrintzenhofeSzoc, Karlynn et al. (2008) Predictors of ethical stress, moral action and job satisfaction in health care social workers. Soc Work Health Care 46:29-51
Danis, Marion; Farrar, Adrienne; Grady, Christine et al. (2008) Does fear of retaliation deter requests for ethics consultation? Med Health Care Philos 11:27-34
Grady, Christine; Danis, Marion; Soeken, Karen L et al. (2008) Does ethics education influence the moral action of practicing nurses and social workers? Am J Bioeth 8:4-11
Ulrich, Connie; O'Donnell, Patricia; Taylor, Carol et al. (2007) Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States. Soc Sci Med 65:1708-19