Nurses pain management competency and associated factors among nurses working in public hospitals, jimma zone, oromia regional state, southwest Ethiopia

Abstract

Countries around the world consider whistleblowing a reliable warning system for corruption and regulatory failure because whistleblowers are usually employees who have in-depth knowledge of complex systems and organizations often impenetrable and incomprehensible to outsiders. Why then do whistleblowers, these harbingers of wrongdoing, suffer censure and reprisals? The search for an answer to this question sparked this case study of a whistleblower’s concerns regarding the effectiveness of Health Canada’s drug approval process in 1996. It highlights the resulting impact on the whistleblower, the organization, and ultimately the implications for public safety and accountable government. The methods used were process-tracing, in-depth interviews and data and document review. The results suggested problems with culture in the main organization Health Canada, possibly exacerbated by deregulation. The conclusion is a multi-faceted approach to addressing culture is needed before whistleblower protection legislation can work and accountable organizations can flourish.