Bold Voices - June 2014 - (Page 8)

AT THE BEDSIDE Nip Ethical Violations in the Bud B uilding an organizational culture that encourages speaking up about minor ethical violations can help prevent major ones, suggests Joseph Grenny, co-founder of VitalSmarts, Provo, Utah, and co-author of "Crucial Conversations." In "Research: We Should Speak Up About Ethical Violations More Often," posted on Harvard Business Review Blog Network, Grenny cites a survey of 926 employees from around the world that indicates when minor ethical lapses go unchecked, an organization unwittingly creates a culture that invites silence on even the largest concerns - and not due to fear of reprisal. "The difference between the silent and the vocal was whether they previously confronted minor infractions in an effective way," he writes. Organizations win twice when they establish an ethical culture. "In fact, the primary predictor of corporate rectitude," Grenny continues, "is creating a culture where employees regularly feel both motivated and able to hold people accountable for garden variety complaints - when they do, our study shows they are six times more likely to blow the whistle on major corporate ethics violations." Grenny offers best practices for whistleblowing. Before confronting a potential offender, individuals seeking to report a problem should: * Gather as much persuasive data as possible * Avoid anything conspiratorial by reporting what they are obliged to and confronting someone only if they feel safe * Express their intention to focus on stopping a problem in its tracks * Share data based on facts, not accusations * Use terms that approach suspicions tentatively, not judgmentally * Obtain the potential offender's point of view as part of the fact-finding * Contact their manager or Human Resources if necessary AACN Resources for Establishing an Ethical Culture * AACN's Healthy Work Environments Initiative - * Silent Treatment: How Silence Still Kills - * "Critical Care Nurses as Coworkers: Are Our Interactions Nice or Nasty?" Critical Care Nurse, June 2007 8 Clinical Practice Specialist The American Association of Critical-Care Nurses seeks a full-time Clinical Practice Specialist to lead development, review and validation of acute and critical care nursing content for AACN's e-learning products and services. S/he ensures effective delivery systems and provides leadership for content integrity and quality. The specialist will be based at the AACN national office in Aliso Viejo, Calif. Applications to telecommute will be considered. A bachelor's degree in nursing is required with a master's degree preferred. Please visit for qualifications and more information.

Table of Contents for the Digital Edition of Bold Voices - June 2014

Another Angle
Pres Note Teaser
‘Take a Chance to Make a Change in Your Patients’ Lives’
New Mobile App Launched: AACN Bedside
AACN Research Grants Continue to Drive Evidence-Based Care
AACN Scholarships to Develop Training Skills and Professional Growth
Institutional Racism Can Damage Healthcare
Culture of Violence Becoming Normal
Nip Ethical Violations in the Bud
Up to Half of Prescribed Antibiotics Unnecessary, Inappropriate
Minimal Sedation, Early Mobilization May Reduce Delirium
Care Transition Programs Reduce Readmissions, Penalties
Unclear Relationship Between Hypothyroidism and Mild Cognitive Impairment
Women Have Unique Stroke Risks
Costs Increase Because of More Inpatient Constipation
Nursing-Supportive Work Environments Linked to Better Care
Smile, You’re on ReadyCam!
Automated EHR-Linked Checklist Greatly Reduces CLABSIs
Online Game Helps Students Identify, Manage Sepsis
Sepsis Detection System More Effective in Patient Diagnosis
In Our Journals
Test Can Predict Breast Cancer Outcomes
Spice It Up With Cinnamon
IHEs: Significant Cause of Preventable ED Visits
Certification Capsules
With Deep Appreciation for Your Generosity
Save the Dates for Progressive Care, Nurse Manager Fall Conferences
AACN Chapters Model Excellence
‘I Am a Critical Care Nurse’
President’s Note

Bold Voices - June 2014