. Previous knowledge of this perspective is fragmented. In this
discussion, the main drivers are identified and formulated in ‘the ethical imperative’ of patient safety.
Underlying values and principles are considered, with the aim of increasing their visibility for nurse
managers’ decision-making. The contradictory nature of individual and utilitarian safety is identified as a challenge
in nurse management practice, together with the context of shared responsibility and identification of
future challenges. As a conclusion, nurse managers play a strategic role in patient safety. Their role is to
incorporate ethical values of patient safety into decision-making at all levels in an organization, and also to
encourage clinical nurses to consider values in the provision of care to patients. Patient safety that is sensitive
to ethics provides sustainable practice where the humanity and dignity of all stakeholders are respected.