Role Ambiguity and Organizational Justice as the Predictors of Unethical Behavior Among Nurses

Abstract

Background: Unethical behavior among nurses is gradually becoming a severe problem in the health sector of Nigeria, and this calls for urgent concern. However, it may be associated with issues inside healthcare organizations. Therefore, this study aimed to investigate the relationship between role ambiguity, organizational justice, and unethical behavior among nurses. Methods: This was a cross-sectional study. In total, 300 participants were selected from Lagos State Teaching Hospital (LUTH) in Lagos metropolis using a convenience random sampling method. A structured questionnaire consisting of demographics and Unethical Behavior Scale (UBS), Role Ambiguity Scale (RAS), and Organizational Justice Scale (OJS) was used to collect the required data. Multiple regression model was used to analyze the obtained data in SPSS. Results: Among the subjects, 71.9% were females, and 28.1% were 99 males. Their age ranged from 24 to 57 years Mean±SD: 31.66±3.13. There was an independent relationship between role ambiguity and unethical behavior (β=0.229; t=3.157; P<0.05). Additionally, there was an independent relationship between organizational justice and unethical behavior (β=-0.317; t=-2.182; P<0.05). Conclusion: Role ambiguity and organizational justice predicted unethical behavior. Therefore, the authorities and hospital managers of Nigeria should design an intervention program tailored for resolving role ambiguity and improving organizational justice. This will help to reduce the menace of unethical behavior among these nurses.

Effect of Ethics Seminar on Moral Sensitivity and Ethical Behavior of Clinical Nurses

“…For example, in one study conducted in the United States, all 27 nurses who took part in the study had witnessed unethical behavior by nurses, and most had been involved in or were unsure if they had participated in unethical behavior [2]. In African countries, such as Nigeria, unethical behavior among nurses, such as lateness to work, theft, and the misappropriation of funds has recently received much disapproving attention [3]. Iranian nurses also reported witnessing destructive and unethical behavior by their fellow nurses [2,4].…”

Effect of Ethics Seminar on Moral Sensitivity and Ethical Behavior of Clinical Nurses

“…For example, in one study conducted in the United States, all 27 nurses who took part in the study had witnessed unethical behavior by nurses, and most had been involved in or were unsure if they had participated in unethical behavior [ 2 ]. In African countries, such as Nigeria, unethical behavior among nurses, such as lateness to work, theft, and the misappropriation of funds has recently received much disapproving attention [ 3 ]. Iranian nurses also reported witnessing destructive and unethical behavior by their fellow nurses [ 2 , 4 ].…”

The nurses’ perception of the factors influencing professional misconduct: A qualitative study

“…51,52 Organizational justice and unethical behavior by nurses are correlated. 53 In the studies conducted in Iran and Egypt, organizational justice perceived by nurses was reported to be lower than average, which was associated with deviance in the work environment. 54,55 Considering the effect of organizational justice on the quality of care provided to patients, nursing managers can help maintain and create a healthy and supportive work environment for nurses and improve care quality by planning to reduce discrimination and promote organizational justice.…”