Financial Management




Nurse managershave encountered various challenges due to widespread cost-cuttingmeasures in many hospitals. Subsequent budget-allocating decisionshave led to ethical conflicts between nurse managers and theirorganizations. Alice P. Gaudine and Marilyn R. Beaton conducted astudy to highlight themes of conflict between nurse managers andhospital organizations.

The first ethicalissue of conflict is voicelessness. Nurse managers are increasinglyexcluded from decision-making sessions. They are also hired primarilybecause the organization undermines their capacity to questiondecisions. The field of nursing is not only misunderstood but alsoundervalued by hospital administrators. Interviews conducted by 15nurse managers in Canada provided the responses used to generatethemes of conflict (Gaudine &amp Beaton, 2002). Another theme ofconflict concerns unjust practices by senior administration governingthe organization. The nurse managers cited unfair policies used intheir promotion, termination, and job description. Senioradministrative personnel were negligent and harsh in setting punitivemeasures for absenteeism and medication-error (Gaudine &amp Beaton,2002). The 15 nurse managers used in the exercise came from sevendifferent hospitals. Their range of responsibilities varied as muchas their age brackets. The themes of conflict reflect the mostpertinent issues in their estimation.


The nursemanagers can adopt certain measures so as to overcome theaforementioned ethical conflicts. Concerning voicelessness, nursemanagers can petition senior administration for consideration duringdecision-making. It would be prudent for nurse managers to helpsenior administration understand the fundamentals and significance ofnursing in a hospital. To combat unjust practices, nurse managersshould argue for better terms at the outset of their employment.Their contracts should stipulate the full range of their duties,bonuses, and fines. The salaries earned by nurse managers should becommensurate with industry standards.


Ethical conflictsare bound to arise in the interactions between nurse managers andhospital organizations. Semi-structured interviews conducted with 15nurse managers highlighted several themes of conflicts. Nevertheless,nurse managers can adopt various measures to mitigate against suchethical conflicts.


Gaudine, A. P. &ampBeaton, M. R. (2002). Employed to go against one’s values: NurseManagers’ accounts of ethical conflicts with their organizations.CJNR, 34(2), 17-34.