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  1. Article ; Online: Internal or external whistleblowing: nurses' willingness to report wrongdoing.

    Mansbach, Abraham / Bachner, Yaacov G

    Nursing ethics

    2010  Volume 17, Issue 4, Page(s) 483–490

    Abstract: In Israel, whistleblowing in the nursing profession has been largely ignored. This topic is neither part of the professional-ethical discourse nor a subject for research. Focusing on the divide between internal and external whistleblowing, this article ... ...

    Abstract In Israel, whistleblowing in the nursing profession has been largely ignored. This topic is neither part of the professional-ethical discourse nor a subject for research. Focusing on the divide between internal and external whistleblowing, this article presents a study that explores nurses' willingness to disclose an act that could jeopardize the rights or safety of patients. Internal disclosure entails reporting wrongdoing to an authority within the organization. External disclosure involves reporting the offense to an outside agency, such as a professional organization or the press. The study's findings indicate that the nurse respondents viewed both the harmful misconduct of a colleague and that of a manager as being very serious. In such dilemmas the nurses reported a desire to correct the wrongdoing and a concomitant willingness to act. They were, however, much more likely to whistleblow internally rather than externally. This study revealed a pattern of nurses' progressive retraction as the circle of disclosure widened.
    MeSH term(s) Adult ; Attitude of Health Personnel ; Community-Institutional Relations ; Ethics, Nursing ; Female ; Humans ; Israel ; Male ; Middle Aged ; Patient Advocacy/ethics ; Personnel Loyalty ; Professional Misconduct ; Whistleblowing/ethics
    Language English
    Publishing date 2010-07
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 1200467-4
    ISSN 1477-0989 ; 0969-7330
    ISSN (online) 1477-0989
    ISSN 0969-7330
    DOI 10.1177/0969733010364898
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Nursing students' willingness to blow the whistle.

    Mansbach, Abraham / Ziedenberg, Hana / Bachner, Yaacov G

    Nurse education today

    2013  Volume 33, Issue 1, Page(s) 69–72

    Abstract: Background and purpose: Whistleblowing in the nursing profession is a complex dilemma. If nurses decide to do nothing to stop a colleague's or management's harmful conduct, they may be violating their basic professional commitment to promote and protect ...

    Abstract Background and purpose: Whistleblowing in the nursing profession is a complex dilemma. If nurses decide to do nothing to stop a colleague's or management's harmful conduct, they may be violating their basic professional commitment to promote and protect patients' health. Whistleblowing is also complex given that the act might have negative consequences for the whistleblower as well as the wrong doer. This study aims to answer three questions, and suggests some lines for further research on this topic as well as ways for integrating it in the nursing curriculum: Are nursing students willing to take action to stop misconduct in order to protect a patient's interest? Are they willing to report the misconduct to authorities within an organization and/or outside of it? Are they willing to report a colleague's wrongdoing as well as that of a manager?
    Subject and methods: Eighty two nursing students in Israel were presented with a questionnaire containing two vignettes, and required to make a decision that involved whistleblowing. One vignette described a case of misconduct of a colleague, and the other a misconduct of a manager.
    Results: The findings indicate that the students considered acts that are detrimental to the patient to be very serious. The participants gave high and similar scores to their own willingness to take action to change the situation for both vignettes. The score of the internal index was found to be significantly higher than the external index.
    Discussion: The participants' desire to correct a colleague's or superior's misconduct was coupled with a progressive retraction as the circle of disclosure widened. The retraction may reflect the respondents' concerns that external exposure could have negative consequences for the wrong-doer, the healthcare organization and/or the individuals who receive its services.
    MeSH term(s) Adult ; Attitude of Health Personnel ; Female ; Humans ; Interprofessional Relations ; Israel ; Male ; Patient Advocacy/ethics ; Social Responsibility ; Students, Nursing/psychology ; Surveys and Questionnaires ; Whistleblowing/ethics ; Young Adult
    Language English
    Publishing date 2013-01
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 1062570-7
    ISSN 1532-2793 ; 0260-6917
    ISSN (online) 1532-2793
    ISSN 0260-6917
    DOI 10.1016/j.nedt.2012.01.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Internal and external whistleblowing : nurses' willingness to report wrongdoing

    Mansbach, Abraham / Bachner, Yaccov G

    Nursing ethics : an international journal for health care professionals

    2010  Volume 17, Issue 4, Page(s) 483–490

    Keywords Fehlverhalten ; Ethik ; Meldepflicht ; Pflegeberuf
    Language English
    Document type Article
    ZDB-ID 1200467-4
    ISSN 1477-0989 ; 0969-7330
    ISSN (online) 1477-0989
    ISSN 0969-7330
    Database bibnet.org

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  4. Article ; Online: Blowing the whistle to protect a patient: a comparison between physiotherapy students and physiotherapists.

    Mansbach, Abraham / Melzer, Itzik / Bachner, Yaacov G

    Physiotherapy

    2012  Volume 98, Issue 4, Page(s) 307–312

    Abstract: Objectives: To answer three questions: Are physiotherapists and physiotherapy students willing to take action to prevent misconduct in order to protect a patient's interests? Are they willing to report the misconduct to authorities within an ... ...

    Abstract Objectives: To answer three questions: Are physiotherapists and physiotherapy students willing to take action to prevent misconduct in order to protect a patient's interests? Are they willing to report the misconduct to authorities within an organisation and/or outside of it? Are they willing to report a colleague's wrongdoing as well as that of a manager?
    Design: Observational questionnaire study.
    Participants: Two hundred and twenty-seven participants divided into two groups: 126 undergraduate students at the Department of Physical Therapy at Ben Gurion University, and 101 certified physiotherapists working in hospitals and rehabilitation centres in south and central regions of Israel.
    Outcome measures: Participants were presented with two vignettes - one describing a colleague's misconduct and the other describing a manager's misconduct - and asked to make a decision about whistleblowing.
    Results: Both groups rated their own willingness to take action to change the harmful situations very highly. The physiotherapists perceived a colleague's misconduct as being more serious than the students, and were more willing to intervene internally. The students were more prepared than the physiotherapists to take such action externally. The students perceived the manager's misconduct as being more serious than the physiotherapists, and also reported a greater readiness to intervene externally.
    Conclusions: Physiotherapists consider acts that are detrimental to a patient to be very serious, and are more willing to take action when the offending individual is a colleague. Students are more willing to blow the whistle externally. This article suggests tools for handling similar situations.
    MeSH term(s) Adult ; Attitude of Health Personnel ; Female ; Humans ; Interprofessional Relations ; Israel ; Male ; Middle Aged ; Patient Advocacy/psychology ; Physical Therapists/education ; Physical Therapists/psychology ; Professional Autonomy ; Professional Misconduct/psychology ; Students/psychology ; Surveys and Questionnaires ; Universities ; Whistleblowing/psychology ; Young Adult
    Language English
    Publishing date 2012-12
    Publishing country England
    Document type Comparative Study ; Journal Article
    ZDB-ID 391109-3
    ISSN 1873-1465 ; 0031-9406
    ISSN (online) 1873-1465
    ISSN 0031-9406
    DOI 10.1016/j.physio.2011.06.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Reporting misconduct of a coworker to protect a patient: a comparison between experienced nurses and nursing students.

    Mansbach, Abraham / Kushnir, Talma / Ziedenberg, Hana / Bachner, Yaacov G

    TheScientificWorldJournal

    2014  Volume 2014, Page(s) 413926

    Abstract: Purpose: Whistleblowing is the reporting of illegal, immoral, or illegitimate practices to persons or organizations that may affect the action. The current study compares experienced nurses to nursing students regarding their willingness to blow the ... ...

    Abstract Purpose: Whistleblowing is the reporting of illegal, immoral, or illegitimate practices to persons or organizations that may affect the action. The current study compares experienced nurses to nursing students regarding their willingness to blow the whistle to protect a patient's interests.
    Methods: 165 participants were divided into two groups: 82 undergraduate nursing students and 83 experienced nurses. Participants responded to two vignettes that described a colleague's and a manager's misconduct at work.
    Results: The nursing students perceived the severity of the misconduct significantly lower compared to the experienced nurses. The nursing students also ranked the internal and external whistleblowing indices higher than the nurses, but the differences did not reach statistical significance. For each of the examined internal and external indices, professional experience was found to be significant in multivariate regression analyses.
    Conclusions: Even though nursing students perceived the severity of the misconduct significantly lower than the experienced nurses, the students demonstrated a greater readiness to blow the whistle, both internally and externally. Recommendations for handling comparable situations are offered.
    MeSH term(s) Adult ; Attitude of Health Personnel ; Female ; Humans ; Israel ; Male ; Nurses/psychology ; Patient Rights ; Professional Misconduct/ethics ; Regression Analysis ; Students, Nursing/psychology ; Surveys and Questionnaires ; Whistleblowing/psychology
    Language English
    Publishing date 2014
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ISSN 1537-744X
    ISSN (online) 1537-744X
    DOI 10.1155/2014/413926
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Physical therapy students' willingness to report misconduct to protect the patient's interests.

    Mansbach, Abraham / Bachner, Yaacov G / Melzer, Itzik

    Journal of medical ethics

    2010  Volume 36, Issue 12, Page(s) 802–805

    Abstract: This article presents a study on the ethical dilemma of whistleblowing in physical therapy, and suggests some lines for further research on this topic as well as ways for integrating it in the physical therapy curriculum. The study examines the self- ... ...

    Abstract This article presents a study on the ethical dilemma of whistleblowing in physical therapy, and suggests some lines for further research on this topic as well as ways for integrating it in the physical therapy curriculum. The study examines the self-reported willingness of physical therapy students to report misconduct, whether internally or externally, to protect the patient's interests. Internal disclosure entails reporting the wrongdoing to an authority within the organisation. External disclosure entails reporting the offence to an outside agency, such as the police, professional organisation, or press. The findings indicate that the students view the acts that are detrimental or cause injustice to the patient in a very serious light. In dilemma situations such as these, the students reported a willingness to act. The students also report considerably greater likelihood of whistleblowing internally than externally. The pattern reveals a desire to correct the misconduct coupled with a marked decline in the willingness to blow the whistle as this act moved from the workplace to an external authority.
    MeSH term(s) Adult ; Attitude of Health Personnel ; Female ; Humans ; Interpersonal Relations ; Male ; Patient Rights ; Physical Therapy Modalities/ethics ; Professional Misconduct ; Students, Medical/psychology ; Surveys and Questionnaires ; Whistleblowing/ethics ; Workplace ; Young Adult
    Language English
    Publishing date 2010-12
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 194927-5
    ISSN 1473-4257 ; 0306-6800
    ISSN (online) 1473-4257
    ISSN 0306-6800
    DOI 10.1136/jme.2010.036046
    Database MEDical Literature Analysis and Retrieval System OnLINE

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