The association between perceived hospital ethical climate and self-evaluated care quality for COVID-19 patients: the mediating role of ethical sensitivity among Chinese anti-pandemic nurses

Jiang, Wenjing; Zhao, Xinge; Jiang, Jia; Zhang, Huilin; Sun, Shujuan; Li, Xianhong

doi:10.1186/s12910-021-00713-4

Cited by 16 publications

(49 citation statements)

References 42 publications

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“…Nevertheless, nurses perceived high perception of the other dimension; efficiency, organizational rules and procedures, personal morality, and laws and professional codes as almost all nurses reported that they have trust and loyalty toward hospital, compliance with the law and professional standards. This is similar to Özden et al 41 and Taraz et al 47 However, Abdeen and Attia 46 and Jiang et al 51 revealed that nurses reported high ethical climate during COVID-19. On the other hand, Constantina et al 52 showed that nurses perceived low ethical work climate.…”

Section: Discussionsupporting

confidence: 85%

Crisis, ethical leadership and moral courage: Ethical climate during COVID-19

Awad

Ashour

2022

Nurs Ethics

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Background The global COVID-19 pandemic has challenged nurse leaders in ways that one could not imagine. Along with ongoing priorities of providing high quality, cost-effective and safe care, nurse leaders are also committed to promote an ethical climate that support nurses’ moral courage for sustaining excellence in patient and family care. Aim This study is directed to develop a structure equation model of crisis, ethical leadership and nurses’ moral courage: mediating effect of ethical climate during COVID-19. Ethical consideration Approval was obtained from Ethics Committee at Faculty of Nursing, Alexandria University, Egypt. Methods A cross-sectional design was used to conduct this study using validated scales to measure the study variables. It was conducted in all units of two isolated hospitals in Damanhur, Egypt. A convenient sample of 235 nurses was recruited to be involved in this study. Results This study revealed that nurses perceived a moderate mean percent (55.49 ± 3.46) of overall crisis leadership, high mean percent (74.69 ± 6.15) of overall ethical leadership, high mean percent (72.09 ± 7.73) of their moral courage, and moderate mean percent of overall ethical climate (65.67 ± 12.04). Additionally, this study declared a strong positive statistical significant correlation between all study variables and indicated that the independent variable (crisis and ethical leadership) can predict a 0.96, 0.6, respectively, increasing in the dependent variable (nurses’ moral courage) through the mediating impact of ethical climate. Conclusion Nursing administrators should be conscious of the importance of crisis, ethical leadership competencies and the role of ethical climate to enhance nurses’ moral courage especially during pandemic. Therefore, these findings have significant contributions that support healthcare organizations to develop strategies that provide a supportive ethical climate. Develop ethical and crisis leadership competencies in order to improve nurses' moral courage by holding meetings, workshops, and allowing open dialogue with nurses to assess their moral courage.

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Section: Discussionsupporting

confidence: 85%

Crisis, ethical leadership and moral courage: Ethical climate during COVID-19

Awad

Ashour

2022

Nurs Ethics

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“…This study aimed to investigate the relationship between the ethical work climate of an organization and the intention to leave the service among emergency medical technicians during the COVID-19 pandemic. Based on our findings, the average score of the organization's ethical work climate was at a moderate level, which is consistent with the findings of studies such as Donkers et al ( 19 ) and Jiang et al ( 20 ). Among the dimensions of the ethical work climate of the organization, only the dimension of law received a low score, and the average scores of the other dimensions were at a moderate level.…”

Section: Discussionsupporting

confidence: 92%

“…It is possible that the EMTs did not have enough opportunities to comply with the regulations and were somehow confused, which in turn has harmed the overall score of the work ethics of the organization. Like the ethical work climate score, the EMTs’ average score of the intention to leave the service was at a moderate level, similar to studies by Mirzaei et al ( 10 ) and Zandian et al ( 20 ), both conducted in the same period of time in Iran. Moreover, among the demographic variables, there was a significant relationship between EMTs’ age and employment status, and the ethical work climate and intention to leave the service scores.…”

Section: Discussionsupporting

confidence: 82%

Ethical work climate and the intention to leave the service in emergency medical technicians during the COVID-19 pandemic

Mousavi¹,

Kamali²,

Eyvanaki³

2023

jmehm

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Emergency medical technicians (EMTs) are very likely to leave the profession due to their obligation to work in critical situations such as the COVID-19 pandemic. This study aimed to investigate the relationship between the ethical work climate and the intention to leave the service among EMTs. In this descriptive correlational study, 315 EMTs working in Zanjan province were surveyed using the census method in 2021. The research tools included the Ethical Work Climate and the Intention to Leave the Service questionnaires. Data were analyzed using SPSS software version 21. We found the mean (SD) score of the organization's ethical workclimate to be 73.93 (±12.53), and the intention to leave the service12.54 (±4.52), which are at a moderate level.A statistically significant positive correlation existed between thesevariables (r = 0.148, P = 0.017). Also, there was a statisticallysignificant relationship between age and employment status amongthe demographic variables, and the ethical work climate and the intention to leave (P < 0.05).Our findings indicate that ethical work climate is one of the influential but less noticed factors that affect the performance of EMTs. Therefore, it is suggested that managers implement measures to develop a positive ethical work climate to reduce the tendency to leave the service among EMTs.

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“… 43 Further, the present study is compatible with the literatüre. 42 – 45 Midwives working in the intensive care unit had higher scores than the midwives working in the delivery room. Since the data were collected during the Covid-19 pandemic, the midwives working here face more moral problems.…”

Section: Discussionmentioning

confidence: 99%

Compassion fatigue and moral sensitivity in midwives in COVID-19

2023

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Background The Covid-19 pandemic has impacted compassion fatigue and the mental health of health care providers, particularly midwives and nurses. Although there are studies involving health workers such as nurses and physicians affected by the pandemic’s compassion fatigue, few studies include midwives. Research objective The present study seeks to investigate the effects of compassion fatigue experienced by midwives working under intense stress during the third wave of the COVID-19 pandemic on the level of moral sensitivity. Research design This is a descriptive-correlation study. Participants The statistical population consisted of all the midwives in Türkiye hospitals in 2021. This cross-sectional study was collected through a questionnaire using convenience sampling. Three hundred and ten midwives working in different units of the country participated in the study. Ethical considerations Approval from the researcher’s university Institutional Review Board for ethical review was obtained with the code of IRB 20/510. Findings The average age of the midwives is 34.29 ± 8.39. It has been noticed that 43.5% of the midwives work in public hospitals and 38.1% in family health and community health centers. Midwives’ mean MR-CS score is 67.11 ± 25.13, secondary trauma sub-dimension average 15.77 ± 6.23, and occupational burnout sub-dimension 40.69 ± 16.35. The mean moral sensitivity questionnaire score is determined as 93.86 ± 19.51. It has been observed that the working style and working time are effective on compassion fatigue. In the linear regression model, 98% of compassion fatigue was explained. Age, secondary trauma, and occupational burnout sub-dimensions affect the model. Discussion Working year, working style, second trauma, age, and occupational burnout parameters may help explain some of the links between midwives’ symptoms of compassion fatigue. Conclusion The pandemic affects the compassion fatigue of midwives. It is crucial to provide social support to midwives and health workers to prevent compassion fatigue and examine and control groups at risk in mental health.

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The association between perceived hospital ethical climate and self-evaluated care quality for COVID-19 patients: the mediating role of ethical sensitivity among Chinese anti-pandemic nurses

Cited by 16 publications

References 42 publications

Crisis, ethical leadership and moral courage: Ethical climate during COVID-19

Crisis, ethical leadership and moral courage: Ethical climate during COVID-19

Ethical work climate and the intention to leave the service in emergency medical technicians during the COVID-19 pandemic

Compassion fatigue and moral sensitivity in midwives in COVID-19

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