The impact of clinical nurses’ perception of hospital ethical climates on their organizational citizenship behavior

Abstract

Background As the main force in the development of healthcare, nurses have the longest contact time with patients in clinical practice, their perception of the hospital ethical climates affecting nurses’ attitudes and related ethical issues. hospital ethical climates have become an essential environmental factor for nurses to make and implement ethical decisions. Objective This study aims to investigate the current status of nurses’ perception of the hospital ethical climates and the nurses’ organizational citizenship behavior, exploring the impact of the nurse's perception of the hospital ethical climates on the nurses’ organizational citizenship behavior. Methods A cross-sectional survey adopted, random sampling and cluster sampling were used to select 624 nurses from August 2019 to February 2020. The hospital ethical climate scale and organizational citizenship behavior scale were used as the questionnaire. The data was analyzed by SPSS 21.0 software. On-the-job clinical nurses who had been employed in the hospital for more than 1 year were eligible. Nurses who were administratively punished by the hospital or health administrative authorities were excluded. Results The average scores of hospital ethical climates were 4.30 (standard deviation: 0.44), with organizational citizenship behavior 4.42 (standard deviation: 0.42). The correlation coefficient between nurses’ perception of hospital ethical climates and organizational citizenship behavior was 0.359 ( P < .01). Nurses’ perception of the relationship between managers, patients and nurses could explain 23.1% of altruistic toward colleagues; Nurses’ perception of the relationship between nurses, hospital, doctors could explain 21.2% of organizational identification. Nurses’ perception of the relationship between hospital, nurses and doctors could explain 12.3% of conscientiousness; Nurses’ perception of the relationship between managers, doctors could explain 7.6% of interpersonal harmony. Nurses’ perception of the relationship between managers, nurses and doctors could explain 6.6% of protection company resources. Conclusion There is a correlation between nurses’ perceptions of hospital ethical climate and organizational citizenship behavior, nurses’ perceptions of hospital ethical climate influencing nurses’ organizational citizenship behavior in different ways. Managers should focus on the changes of nurses’ perception of hospital ethical climates, to promote the nurse to make more beneficial behavior to the organization.

Relation between innovative work behavior and ethical climate perceptions among nursing personnel

“…Contrarily, this result was in disagreement with [ 33 ] who reported that the nurses, perception in general about ethical climate was moderately high. Also, this result was inconsistent with [ 34 ] who illustrated that the ethical climate was assessed by their participants as moderate positive.…”

Mediator effects of psychological empowerment between ethical climate and innovative culture on performance and innovation in nurses

“…Individual perspective measures perceptions of management reflections and beliefs of members of psychological meaning and how the meaning should be (Hochstein et al, 2017). EC's perception is also correct in health care organizations that nurses' perception of ethical climates was positively correlated with behaviour (Wang et al, 2022).…”

The relationship between ethical leadership, conscientiousness, and moral courage from nurses’ perspective

“…Nurses form a key portion of all health care systems [1], and are known as the main guardians of the ethics of caring for a client [2,3]. Advances in medical technology, scarcity of resources, as well as uncertain and complex clinical problems are imposing stubborn problems on nurses [4].…”