2012 Study N = 283

2000 Study N = 334

Issue

Mean

Rank

Mean

Rank

6. Failure to provide service of the highest quality due to economic constraints determined by the organization

3.32^*

1

3.62

1

5. Failure to provide service of the highest quality consistent with the standards of the nursing profession

2.83^*

2

3.37

2

1. Failure to provide service of the highest quality in the eyes of the consumer regardless of social or economic status, personal attributes or the nature of health problems

2.73^*

3

3.18

4

10. Showing partiality toward providers perceived as influential

2.72

4

2.76

9

3. Failure to provide service of the highest quality in the eyes of the purchasers of care (e.g., insurance companies)

2.71

5

2.74

12

4. Failure to provide service of the highest quality in the eyes of the health care providers employed by the organization

2.64^*

6

3.31

3

9. Showing partiality toward clients perceived as influential

2.58^*

7

2.89

8

34. Department closings and layoffs

2.55^*

8

2.98

6

13. Failure to identify the consumer’s needs and provide services that meet those needs (e.g., referrals)

2.52

9

2.55

16

23. Failure to be objective with others in discharging one’s professional responsibilities

2.51

10

2.43

21

2. Failure to provide service of the highest quality in the eyes of the health care providers not employed by the organization

2.48^*

11

2.92

7

27. Making disparaging remarks about competitors

2.45

12

2.34

25

40. Conflict between organizational and professional philosophy and standards

2.42^*

13

3.00

5

7. Failure to provide service of the highest quality consistent with the ANA Code of Ethics

2.41^*

14

2.76

9

11. Lack of knowledge or skills to competently perform one’s duties

2.40^*

15

2.60

14

36. Drug and alcohol abuse in the workplace

2.38^*

16

2.69

13

8. Failure to provide honest information regarding resources, employee competence or service

2.35

17

2.52

18

39. Relationships with other health care providers

2.33^*

18

2.57

15

24. Conflicts of interest involving consulting, marketing, business, or financial relationships that influence, or appear to influence, one’s ability to carry out his or her responsibility

2.23^*

19

2.52

18

35. Discrimination in the work place

2.23^*

19

2.55

16

37. Employee theft

2.20^*

21

2.76

9

12. Misrepresenting or concealing limitations in one's abilities to perform the assigned task

2.15^*

22

2.40

22

28. Making disparaging remarks about vendors

2.13

23

2.11

30

38. Relationships with local communities

2.10^*

24

2.44

20

29. Misuse of the organization’s assets or property

2.07

25

2.25

26

31. Offering or soliciting payments or contributions for the purpose of influencing legislation, regulations or accreditation

1.88^*

26

2.22

27

26. Misuse of sensitive information related to consumers and employees

1.87^*

27

2.35

23

32. Exaggerating the seriousness of a problem to obtain price or other concessions

1.87^*

27

2.18

28

33. Abuse of expense accounts

1.81^*

29

2.09

31

25. Misuse of proprietary information

1.78^*

30

2.26

25

30. Giving gifts or entertainment in an effort to influence decisions

1.74^*

31

2.15

29