ReviewNursing ethics2023
Middle managers' ethos as an inner motive in developing a caring culture.
Review in Nursing ethics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed, 7 citations in OpenAlex.
- The Impact of Caring Leadership on Nurse Caring Behaviours: A Moderated Mediation Model.Nursing open · 2026Article
- Nursing home contrasts: A critical discussion on harnessing reflection for dignified change.Nursing ethics · 2026Article
- Value-conscious leadership actions in developing a health-promoting work environment.Nursing ethics · 2026Article
- Nurses' and nurse leaders' perspectives on a health-promoting work environment: a meta-ethnographic study.International journal of qualitative studies on health and well-being · 2025Review
- How to Promote the Development of Nurses' Moral Competence According to Patient Representatives: A European Qualitative Study.Journal of nursing management · 2025Article
- Nurse Leaders' Motivational Forces in Developing a Health-Promoting Work Environment: A Hermeneutic Study.Journal of nursing management · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMiddle managers play a key role in promoting a caring culture in nursing homes. However, there is limited knowledge about middle managers' inner motives and their experiences of their responsibility in developing a caring culture. RESEARCH
aimThe aim of the study is to get a deeper understanding of middle managers' motives and their experiences of their responsibility to develop a caring culture in nursing homes. RESEARCH
designA qualitative design with a hermeneutic approach inspired by Gadamer was chosen which guided the interpretation of data. Qualitative semi-structured interviews were conducted. PARTICIPANTS AND RESEARCH CONTEXT: Data were collected from thirteen middle managers in nursing homes, in six municipalities in northern Norway in September and October 2021. ETHICAL CONSIDERATIONS: The study was approved by the Norwegian Centre for Research Data. Oral and written informed consent was obtained from participants.
findingsThe findings show that the middle managers had non- egoistic motives to promote a caring culture as expressed in their attitudes and actions. They felt responsible to promote a caring culture where both patients and staff experienced care and were respected and recognized as unique individuals. Middle managers as good role models are responsible for being present and raising awareness of the importance of care in the nursing home culture by systematically reflecting on care values. However, a strong focus on the financial and administrative demands limits the middle managers' possibilities to promote a caring culture and prevented them from always acting as they wanted to act, which often causes moral distress.
conclusionBeing in contact with inner motives, enables the leader to promote a homelike and caring culture where both patients and staff feels respected and recognized as unique individuals. This study highlights the importance of systematic reflection on caring values in nursing homes which leads to value awareness among all actors.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.