Factors associated with ethical climate in a hospital environment

Authors

DOI:

https://doi.org/10.33448/rsd-v10i2.12577

Keywords:

Ethical climate; Ethic; Nursing; Hospital services.

Abstract

Introduction: Professionals have several problems related to ethics in the work environment, therefore, a positive ethical climate can promote job satisfaction and social well-being of professionals, aiming to identify in scientific productions the factors associated with ethical climate in the hospital environment.  Method: Integrative review based on the research question “What are the factors associated with the ethical climate in a hospital?” The search was carried out in the database Web Of Science, SAGE Journals Online and Nursing and Allied Health Literature, 399 articles were found and 12 were selected for analysis. Results: The ethical climate was associated with factors related to work, such as job satisfaction; rotation intent; organizational commitment; moral suffering; leadership; moral courage; professional competence; support and organizational behavior Discussion: The findings showed that there are significant and positive results in relation to the ethical climate and associated factors identified in this study. Thus, presenting positive results, there will be greater compatibility for the ethical climate to be desirable in the work environment. Conclusion: This study shows that there is a predominance of association between ethical climate and job satisfaction, intent to turnover, and organizational commitment. Emphasis is placed on the need for organizational strategies to provide an adequate work ethic in order to guarantee the predominance of care. In addition, it is of paramount importance to provide educational efforts such as ethics guidance and training programs to ensure a mastery of principles.

References

Asgari, S., et al. (2019). Relationship between moral distress and ethical climate with job satisfaction in nurses. Nursing Ethics. 26(2): 346–356. https://doi.org/10.1177/0969733017712083

Benoit, D. D., et al , (2018). Outcome in patients perceived as receiving excessive care across diferente ethical climates: a prospective study in 68 intensive care units in Europe and the USA. Intensive Care Med. 44: 1039-1049. https://doi.org/10.1007 / s00134-018-5231-8

Borhani, F., et al, (2015). Nurses’ perceptions of ethical climate governing the teaching hospital affiliated with the University of Medical Sciences Shahid Sadughi Yazd. Med Ethics. 8(29): 41–65.

Borhani, F., et al (2014). Nurses’ perception of ethical climate and organizational commitment. Nursing Ethics. 21(3): 278–288. https://doi.org/10.1177/0969733013493215

Dinc, M. S. & Huric, A., (2017). The impact of ethical climate types on nurses’ behaviors in Bosnia and Herzegovina. Nursing Ethics. 24(8): 922–935. https://doi.org/10.1177/0969733016638143

Villagran, C. A., et al, (2021). Trends in brazilian scientific productions about ethical issues and worker’s health. Research, Society and Development, 10(1): e5010111258. Doi: 10.33448/rsd-v10i1.11258.

Esmaelzadeh, F., (2017). Ethical Leadership and Organizational Climate: The Experience of Iranian Nurses. Iran Red Crescent Med J. 19(4): e43554. https://doi.org/10.5812/ircmj.43554

Fineout-overholt, E. & Melnyk, B. M., (2011). Evidence-based practice in nursing & healthcare. A guide to best practice. Philadelphia: Wolters Kluwer, Lippincott Williams & Wilkins.

Goo, N. Y. & Sook, J. M., (2016). Path analysis of the Influence of Hospital Ethical Climate Perceived by Nurses on Supervisor Trust and Organizational Effectiveness. J Korean Acad Nurs. 46(6): 824- 835. https://doi.org/10.4040/jkan.2016.46.6.824

Hashish, E. A. A., (2017). Relationship between ethical work climate and nurses’ perception of organizational support, commitment, job satisfaction and turnover intente. Nursing Ethics. 24(2): 151–166. https://doi.org/10.1177/0969733015594667

Huang, C. C., et al, (2012). A multidimensional analysis of ethical climate, job satisfaction, organizational commitment, and organizational citizenship Behaviors. Nursing Ethics. 19(4): 513–529. https://doi.org/10.1177/0969733011433923

Hwang, J. I. & Park, H. Á., (2014). Nurses’ perception of ethical climate, medical error experience and intent-to-leave. Nursing Ethics. 21(1): 28–42. https://doi.org/10.1177/0969733013486797

Ibrahim, N. K., et al, (2016).. Quality of life, job satisfaction and their related factors among nurses working in king Abdulaziz University Hospital, Jeddah, Saudi Arabia. Contemporary nurse. 52(4): 486-498. https://doi.org/ https://doi.org/10.1080/10376178.2016.1224123

Jang. Y. & Oh, Y. (2017). Impact of ethical factors on job satisfaction among Korean nurses. Nursing Ethics. 1(13). https://doi.org/10.1177/0969733017742959

Koys, D. J. & Decotiis, T. A. (1991). Inductive measures of psychological climate. Human Relations. 44(3): 265-285. https://doi.org/10.1177/001872679104400304

Lacerda, R. M. & Costenaro, R. G. S. (2016). Metodologia da pesquisas para a enfermagem e saúde: da teoria à prática. 1. ed. Porto Alegre: Moriá.

Nafei, W. A. (2015). Ethical climate as a moderator of the relationship between job satisfaction and organizational commitment: evidence from industrial companies in Egypt. Int J Invest Manag Financ Innov. 1(1): 1–15.

Numminen, O., et al, (2015). Ethical climate and nurse competence - newly graduated nurses perceptions. Nursing Ethics. 22(8): 845-859. https://doi.org/10.1177/0969733014557137" t "_blank

Numminen, O. (2015). Ethical climate and nurse competence - newly graduated nurses' perceptions. Nursing Ethics. 22(8): 845-859. https://doi.org/10.1177/0969733014557137

Olson, L. L. (1998). Hospital nurses’ perceptions of the ethical climate of their work setting. Image J Nurs Sch. 30: 345-9. https://doi.org/10.1111 / j.1547-5069.1998.tb01331.x

Ozden, D., et al, (2019). The effect of nurses’ ethical leadership and ethical climate perceptions on job satisfaction. Nursing Ethics, 26(4): 1211–1225. https://doi.org/10.1177/0969733017736924

Pauly, B., et al, (2009). Registered Nurses’ Perceptions of Moral Distress and Ethical Climate. Nursing Ethics. 16(5): 561-573. https://doi.org/10.1177/0969733009106649

Sajjad, M. O. S. Q. R. (2015). Emotional exhaustion and its correlation with job performance and job satisfaction in the Kingdom of Saudi Arabia. Mediterr J Soc Sci. 6(3): 51–62. https://doi.org/10.5901 /mjss.2015.v6n3s1p51

Santos, C. M. C., et al (2007). Estratégia PICO para construção da pergunta de pesquisa e busca de evidências. Rev. Latino-am Enfermagem. 2007; 15(3). https://doi.org/10.1590/S0104-11692007000300023

Schneider, B., et al, (2013). Organizational climate and culture. Annu Rev Psychol. 64:.361-88. https://doi.org/10.1146/annurev-psych-113011-143809

Shafipour, V., et al (2016). Nurses’ perception of the ethical climate in the Iranian hospital environment. Iran J Nurs Midwifery Res, 3(4): 37–43. https://doi.org/10.18869 /acadpub.jnms.3.4.37

Silén, M., et al, (2011). Moral distress and ethical climate in a Swedish nursing context: perceptions and instrument usability. Journal of Clinical Nursing. 20: 3483–3493. https://doi.org/10.1111/j.1365-2702.2011.03753.x

Taraz, Z., et al, (2019). The relationship between ethical climate of hospital and moral courage of nursing staff. Electron J Gen Med. 16(2). https://doi.org/10.29333/ejgm/93472

Tsai, M. T., & Huang, C. C. (2008). The Relationship among Ethical Climate Types, Facets of Job Satisfaction, and the Three Components of Organizational Commitment: A Study of Nurses in Taiwan. Journal of Business Ethics. 80:565–581. https://doi.org/10.1007/s10551-007-9455-8

Walker, A., & Campbell, K. (2013).Work readiness of graduate nurses and the impact on job satisfaction, work engagement and intention to remain. Nurs Educ Today. 33: 1490–1495. https://doi.org/10.1016/j.nedt.2013.05.008

Published

18/02/2021

How to Cite

SCHUTZ, T. C.; LANES, T. C.; VILLAGRAN, C. A.; BERNARDI, C. M. S.; DALMOLIN, G. de L. Factors associated with ethical climate in a hospital environment. Research, Society and Development, [S. l.], v. 10, n. 2, p. e36910212577, 2021. DOI: 10.33448/rsd-v10i2.12577. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/12577. Acesso em: 22 nov. 2024.

Issue

Section

Review Article