Abstract
The authors compare the results of a May 2002 ethics issues survey of staff nurses who are members of the American Nurses Association (ANA) with those of a February 2000 survey of American Organization of Nurse Executives (AONE) nurse leaders. The findings reveal a common set of key ethical issues that result from the ineffective management of the conflict between clinical ethics and organizational ethics. Implications for healthcare professionals and the organizations that employ them are discussed.