Nurse leaders as managers of ethically sustainable caring cultures

A1 Journal article (refereed)

Internal Authors/Editors

Publication Details

List of Authors: Susanne Salmela, Camilla Koskinen, Katie Eriksson
Publisher: Wiley-Blackwell
Publication year: 2017
Journal: Journal of Advanced Nursing
Volume number: 73
Issue number: 4
Start page: 871
End page: 882
eISSN: 1365-2648


Aims. The aim of this study was to identify the distinctive foundations of the
care culture and how nurse leaders (NL) can manage and strengthen these in a
quest for ethically sustainable caring cultures.

Background. Sustainability presupposes an ethical leadership, a management of
the good care and a well-educated staff, but research on NLs as managers of
ethically sustainable caring cultures is not available.

Design. The study has a quantitative design with elements of a qualitative
research approach.

Method. Data were collected through a web-based questionnaire sent to staff at
eight selected units at a hospital in western Finland during September 2013; the
reply rate was 32%. The data material was comprised of opinion questions, the
ranking of values and two open-ended questions on lodestars in care and ethical
principles in care work.

Results. NLs manage a care culture that rests on a solid foundation, where staff
are co-creators of an ethically sustainable caring culture that includes good
traditions for the praxis of care. NLs as managers are therefore responsible for
realizing and passing on ethically sustainable caring cultures and creating
prerequisites for staff’s growth and development.

Conclusion. The basis of good care, patient safety and sustainability is comprised
of ethics with a respectful and dignified care that is evidence-based and
economically stable. Through their management NLs have a responsibility to
nurture and protect the core of caring and create contextual, professional and
cultural prerequisites to maintain the core and art of caring as well as care staff’s
ethical and professional competence.

Last updated on 2020-22-02 at 07:10