Effect of hospital ethical climate on the nurses' moral sensitivity

Abstract

Objectives:The study determines the effects of the hospitals ethical climate on the moral sensitivity of nurses. Methods: The study design is descriptive and correlational. The data was obtained from 99 nurses who voluntarily accepted to fully participate in the surveys conducted. The data was analysed using descriptive statistics and Pearson correlations. Results: As a result of the study, the ethical climate perception of nurses and their moral sensitivity level was found to be above average. A positive, meaningful and medium relationship was found between the moral sensitivity level of nurses and ethical climate perceptions of nurses. Conclusions: Our findings support that the ethical climate perception of nurses is an important factor in determining the moral sensitivity. Consequently, building an ethical climate in all the hospitals that provide health care will result in a high moral sensitivity of nurses when giving health care.

Assessment of the Relationship between Nurses’ Perception of Ethical Climate and Job Burnout in Intensive Care Units

“…In line with our study, Barimani et al concluded that ethical climate was favorable. ( 16 ) In other studies, nurses also believed that ethical climate in their hospital was above average ( 11 ) and moderate. ( 17 ).…”

“…(26) However, Elçi et al (2015) found out that ethical climate had no effect on job burnout in financial services workers. (27) Mulki et al (10) and Minamizono et al (28) found out that ethical climate affects the intention to leave, and a positive significant relationship was found between nurse's hospital climate perception and their moral sensitivity (11) and performance. (29) Unfavorable ethical climate seems to increase job dissatisfaction, stress, burnout, and intentions to leave the job followed by reduced quality of caring services and prolonged hospitalization.…”

“…Positive climate in hospitals may decrease feelings of loneliness and it has a positive impact on productivity and patient satisfaction. ( 11 ) Therefore, unfavorable ethical climate might affect how nurses undertake their tasks in ICUs, undermine their performance, alter their behavior and beliefs, and force them to quit their jobs. ( 10 ) A positive ethical climate improves the job satisfaction, decreasing turnover and nursing shortages.…”

Yoğun Bakım Hemşirelerinin Ahlaki Duyarlılığı ile Etik Karar Verebilme Düzeyi Arasındaki İlişkinin Belirlenmesi

“…Araştırmada ahlaki duyarlılık alt boyutlarından sadece bütüncül yaklaşım ve toplam ADA ile hemşirelerin İD düzeyi arasında pozitif, anlamlı ve çok zayıf bir ilişki olduğu belirlenmiştir. Etik karar verebilme becerisini kullanmada ahlaki duyarlılık önemli bir etkiye sahiptir (41). Ahlaki duyarlılık hastanın gereksinimini saptamak için bakım verenin farkındalığını, sözel ve sözel olmayan belirtileri ve davranışları anlama becerisini gerektirir (42).…”

The Relationship Between Moral Courage and the Perception of Ethical Climate in Hospital Nurses

“…Ethical climate is a component of organizational climate and as a part of organization character, represents ethics in the organization [24,25].Ethical standards in organization promote respect and honesty among personnel and increase job satisfaction and organizational success [23].…”