REVIEW PAPER
The hospital ethical climate and its meaning in nursing work.
A review of research results
1
Department of Management in Nursing, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland
Head of the Department: Beata Dobrowolska PhD, Associate Professor
Submission date: 2021-01-28
Final revision date: 2021-02-19
Acceptance date: 2021-05-02
Publication date: 2021-06-30
Medical Studies 2021;37(2):168-174
KEYWORDS
TOPICS
ABSTRACT
The ethical climate reflects the principles and guidelines of an organisation. A positive ethical climate is characterised by a common vision of caring for work, in which the therapeutic team members inform and support each other, and which meets the needs of patients and their families. The aim of this study was to analyse nursing research on the hospital’s ethical climate conducted with the Hospital Ethical Climate Survey (HECS) and to analyse factors which correlate and are related to nurses’ work. A critical review of the literature from 1995 to 2021 was conducted with the following keywords: ethical climate, hospital ethical climate survey, HECS, and nurses. The hospital ethical climate correlates with nurses’ moral sensitivity/courage/distress, job satisfaction, job burnout, and ethical leadership. This makes it possible to monitor and assess elements of the organisation climate and how they influence nurses’ professional performance. This in turn helps nursing managers to develop strategies to promote better working conditions for nurses, improve job satisfaction, and prevent intent to change their workplace.
REFERENCES (37)
1.
Silén M, Haglund K, Hansson MG, Ramklint M. Ethics rounds do not improve the handling of ethical issues by psychiatric staff. Nord J Psychiatry 2015; 69: 1700-1707.
2.
Noh YG, Jung MS. Path analysis of the influence of hospital ethical climate perceived by nurses on supervisor trust and organizational effectiveness. J Korean Acad Nurs 2016; 46: 824-835.
3.
Joolaee S, Jalili HR, Rafii F, Hajibabaee F, Haghani H. The relationship between ethical climate at work and job satisfaction among nurses in Tehran. Indian J Med Ethics 2013; 10: 238-242.
4.
Bell SE. Ethical climate in managed care organizations. Nurs Adm Q 2003; 27: 133-139.
5.
Olson L. Hospital nurses’ perception of ethical climate of their work setting. Image J Nurs Sch 1998; 30: 345-349.
6.
Cullen JB, Parboteeah KP, Victor B. The effects of ethical climates on organizational commitment: a two-study analysis. J Bus Ethics 2003; 46: 127-141.
7.
Joolaee S, Jalili HR, Rafii F, Hajibabaee F, Haghani H. Relationship between moral distress and job satisfaction among nurses of Tehran University of Medical Sciences Hospitals. Hayat 2012; 18: 42-51.
8.
Saureland J, Marotta K, Peinemann MA, Berndt A, Robichaux C. Assesing and adressing moral distress and ethical climate, part I. Dimens Crit Care Nurs 2014; 33: 234-245.
9.
Schluter J, Winch S, Holzhauser K, Henderson A. Nurses’ moral sensitivity and hospital ethical climate. Nurs Ethics 2008; 15: 304-321.
10.
Pergert P, Bartholdsom C, Wenemark M, Lutzen K, Sandeberg M. Translating and culturally adapting the shortened version of the Hospital Ethical Climate Survey (HECS-S) – retaining or modifying validated instruments. BMC Med Ethics 2018; 19: 35.
11.
Borhani F, Jalali T, Abbaszadeh A, Haghdoost AA, Amiresmaili M. Nurses’ perception of ethical climate and job satisfaction. J Med Ethics Hist Med 2012; 5: 6.
12.
Silén M, Svantesson M, Kjellström S, Sidenvall B, Christensson L. Moral distress and ethical climate in a Swedish nursing context: perceptions and instrument usability. J Clin Nurs 2011; 20: 3483-3493.
13.
Aydan S, Kaya S. Ethical climate as a moderator between organizational trust & whistle-blowing among nurses and secretaries. Pakistan J Med Sci 2018; 34: 429-434.
14.
Munir Y, Ghafoor MM, Rasil A. Perception of ethical climate and turnover intention among nursing staff: does organizational cynicism mediate? Int J Hum Rights Healthc 2018; 11: 319-332.
15.
Ghorbani A, Hesamzadeh A, Khademloo M, Khalili S, Hesamzadeh S, Berger V. Public and private hospital nurses’ perceptions of the ethical climate in their work settings, Sari City, 2011. Nurs Midwifery Stud 2014; 3: e12867.
16.
Olson LL. Ethical climate in health care organizations. Int Nurs Rev 1995; 42: 85-90.
17.
Khalesi N, Arabloo J, Khosravizadeh O, Taghizadeh S, Heyrani A, Ebrahimian A. Psychometric properties of the Persian version of the “Hospital Ethical Climate Survey”. J Med Ethics Hist Med 2014; 7: 15.
18.
Claeys M, Faelens A, Sabbe, BG, Schrijvers, D, Dierckx De Casterlé, B, Luyten P. Psychometrische kwaliteiten van de Hospital Ethical Climate Survey: een cross-sectionele studie bij Belgische psychiatrische verpleegkundigen. Tijdschrift voor Psychiatrie 2014; 56: 778-787.
19.
Saureland J, Marotta K, Peinemann MA, Berndt A, Robichaux C. Assesing and adressing moral distress and ethical climate, part II. Dimens Crit Care Nurs 2015; 34: 33-46.
20.
Suhonen R, Stolt M, Gustafsson ML, Katajisto J, Charalambous A. The associations among the ethical climate, the professional practice environment and individualized care in care settings for older people. J Adv Nurs 2013; 10: 1356-1368.
21.
Altaker KW. Relationships among palliative care, ethical climate, empowerment, and moral distress in intensive care unit nurses. Am J Criti Care 2018; 27: 295-302.
22.
Asmaryadi, Pasinringi SA, Muis M, Indahwaty Sidin A, Irwandy. Mediating effect of ethical climate on the relationship between organizational justice and job satisfaction. EAS J Psychol Behav Sci 2019; 1: 114-118.
23.
Hart SE. Hospital ethical climates and registered nurses’ turnover intentions. J Nurs Scholarsh 2005; 37: 173-177.
24.
Tei-Tominaga M, Nakanishi M. The influence of supportive and ethical work environments on work-related accidents, injuries, and serious psychological distress among hospital nurses. Int J Environ Res Public Health 2018; 15: 240.
25.
Cerit B, Özveren H. Effect of hospital ethical climate on the nurses’ moral Sensitivity. Eur Res J 2019; 5: 282-290.
26.
Taraz Z, Loghmani L, Abbaszadeh A, Ahmadi F, Safavibiat Z, Borhani F. The relationship between ethical climate of hospital and moral courage of nursing staff. Electron J Gen Med 2019; 16: 109.
27.
Whitehead PB, Herbertson RK, Hamric AB, Epstein EG, Fisher JM. Moral distress among healthcare professionals: report of an institution-wide survey. J Nurs Scholarsh 2015; 47: 117-125.
28.
Bayat M, Shahriari M, Keshvari M. The relationship between moral distress in nurses and ethical climate in selected hospitals of the Iranian social security organization. J Med Ethics Hist 2019; 12: 8.
29.
Etebari-Asl Z, Abdollahzadeh F, Lotfi M. The relationship of ethical climate and nurses’ job satisfaction in the operating room: a cross-sectional study. Nurs Midwifery Stud 2017; 6: 137-139.
30.
Asgari S, Shafipour V, Taraghi Z, Yazdani-Charati J. Relationship between moral distress and ethical climate with job satisfaction in nurses. Nurs Ethics 2019; 26: 346-356.
31.
Allari R. The relationship between hospital ethical climate, job satisfaction, and intent to turnover among nurses. Merit Res J Med Med Sci 2016; 4: 392-398.
32.
Rivaz M, Asadi F, Mansouri P. Assessment of the relationship between nurses’ perception of ethical climate and job burnout in intensive care units. Invest Educ Enferm 2020; 38:e12.
33.
Aloustani S, Atashzadeh-Shoorideh F, Zagheri-Tafreshi M, Nasiri M, Barkhordari-Sharifabad M, Skerrett V. Association between ethical leadership, ethical climate and organizational citizenship behavior from nurses’ perspective: a descriptive correlational study. BMC Nursing 2020; 19: 15.
34.
Tehranineshat B, Torabizadeh C, Bijani M. A study of the relationship between professional values and ethical climate and nurses’ professional quality of life. I J Nurs Sci 2020; 7: 313-319.
35.
Pergert P, Bartholdson C, Sandeberg M. The ethical climate in paediatric oncology – a national cross-sectional survey of health-care personnel. Psychooncology 2019; 28: 735-741.
36.
Hajibabaee F, Joolaee S, Cheraghi MA, Salari P, Rodney P. Hospital/clinical ethics committees’ notion: an overview. J Med Ethics Hist Med 2016; 9: 17.
37.
Weinstein HC. Ethics Issues in Security Hospitals. Behav Sci Law 2002; 20: 443-461.
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| eISSN: | 2300-6722 |
| ISSN: | 1899-1874 |
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