Exploring the Impact of Psychological Reaction Theory on Nursing Professional Ethics

Head nurses, facing frequent ethical dilemmas in Saudi Arabia's King Abdul Aziz Hospital, participated in a study exploring how Psychological Reactance Theory (PRT) influences their decisions. Interviews with 50 nurses revealed common ethical issues like confidentiality, end-of-life care, and emotional responses like stress and anxiety. Interestingly, nurses reported feeling restricted by policies, highlighting a need for greater autonomy and involvement in policy development. While personal values like integrity guided choices, conflicts with hospital policies arose. The study identified a lack of ethics training and a strong desire for programs focused on navigating these dilemmas through open communication. By acknowledging nurses' need for autonomy, incorporating PRT principles, and fostering open dialogue, healthcare institutions can create comprehensive ethics training that strengthens ethical decision-making, ultimately leading to a more supportive work environment and improved patient care.