Document Detail

The process of whistleblowing in a Japanese psychiatric hospital.
MedLine Citation:
PMID:  18687817     Owner:  NLM     Status:  MEDLINE    
This study aims to unveil the process of whistleblowing. Two nursing staff members who worked in a psychiatric hospital convicted of large-scale wrongdoing were interviewed. Data were analyzed using a modified grounded theory approach. Analysis of the interviews demonstrated that they did not decide to whistleblow when they were suspicious or had an awareness of wrongdoing. They continued to work, driven by appreciation, affection, and a sense of duty. Their decision to whistleblow was ultimately motivated by firm conviction. Shortly after whistleblowing, wavering emotions were observed, consisting of a guilty conscience, fear of retribution, and pride, which subsequently transformed to stable emotions containing a sense of relief and regret for delayed action. It is necessary for nurses to recognize that their professional responsibility is primarily to patients, not to organizations. Nurses should also have professional judgment about appropriate allegiance and actions.
Kayoko Ohnishi; Yumiko Hayama; Atsushi Asai; Shinji Kosugi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nursing ethics     Volume:  15     ISSN:  0969-7330     ISO Abbreviation:  Nurs Ethics     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-08     Completed Date:  2008-12-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433357     Medline TA:  Nurs Ethics     Country:  England    
Other Details:
Languages:  eng     Pagination:  631-42     Citation Subset:  N    
School of Nursing, Faculty of Medicine, Mie University, Tsu City, Mie, Japan.
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MeSH Terms
Conflict (Psychology)*
Decision Making / ethics*
Ethics, Institutional
Ethics, Nursing
Hospitals, Psychiatric
Mental Disorders / nursing*
Middle Aged
Nursing Staff, Hospital / ethics*,  psychology
Whistleblowing / ethics*,  psychology

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