The Association of ethical climate and labor variables among hospital nurses

Authors

DOI:

https://doi.org/10.5902/2179769285179

Keywords:

Ethics, Nursing, Ethics, Nursing, Occupational Health, Working Conditions

Abstract

Objective: to verify the association between the ethical climate and labor variables among hospital nurses. Method: cross-sectional study with nurses from a university hospital in Rio Grande do Sul, Brazil. A labor questionnaire and the Hospital Ethical Climate Survey - Brazilian Version were used for collection. Descriptive and analytical statistics were used. Results: two hundred and sixty-nine (269) nurses participated in the study. Among the socio-labor variables, education, work sector, work shift, leadership position, satisfaction in the work sector, absence from work, intention to leave employment and intention to leave nursing were associated with one or more factors of the ethical climate scale, that is, peers, patients, managers, hospitals and physicians, and also with a variable of general ethical climate. Conclusion: the ethical climate is associated with variables of training, working conditions, satisfaction and intention to leave work, which calls attention to the need to invest in healthy work environments.

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Author Biographies

Taís Carpes Lanes, Federal University of Santa Maria

PhD student in Nursing from the Postgraduate Program in Nursing (PPGEnf) at
the Federal University of Santa Maria (UFSM)

Costa Schutz, Federal University of Santa Maria

Master in Nursing from the Postgraduate Program in Nursing (PPGEnf) of the
Federal University of Santa Maria (UFSM).

Kelen da Costa Pompeu, Federal University of Santa Maria

PhD student in Nursing of the Postgraduate Program in Nursing (PPGEnf)
at the Federal University of Santa Maria (UFSM)

Liliane Alves Pereira, Federal University of Santa Maria

Post-Doctoral Student in Nursing of the Postgraduate
Program in Nursing (PPGEnf) at the Federal University of Santa Maria (UFSM)

Felipe Santos de Morais, Federal University of Santa Maria

Graduate of the Nursing Course at the Federal University of Santa Maria (UFSM)

Graziele de Lima Dalmolin, Federal University of Santa Maria

PhD in Nursing. Adjunct Professor of the Nursing
Department at the Federal University of Santa Maria (UFSM)

References

Benoit DD, Jensen HI, Malmgren J, Metaxa V, Reyners AK, Darmon M, et al. Outcome in patients perceived as receiving excessive care across different ethical climates: a prospective study in 68 intensive care units in Europe and the USA. Intensive Care Med. 2018; 44 (7): 1039–49. doi: 10.1007/s00134-018-5231-8

Olson LL. Hospital nurses’ perceptions of the ethical climate of their work setting. Image J Nurs Sch 1998; 30: 345–9. doi: 10.1111/j.1547-5069.1998.tb01331.x

Alonso-Castillo MM., Armendáriz-García NA, de Jesús Alonso-Castillo MT, Alonso-Castillo BA., López-García KS. Clima ético, estrés de conciencia y laboral de enfermeras y médicos que laboran en cuidados intensivos neonatal. Revista Latinoamericana de Bioética. 2019; 37(2):65-76. doi: 10.18359/rlbi.4177

Minamizono S, Nomura K, Inoue Y, Hiraike H, Tsuchiya A, Okinaga H, et al. Gender division of labor, burnout, and intention to leave work among young female nurses in Japan: a cross-sectional study. Int. J. Environ. Res. Public Health. 2019; 16(12):2201. doi: 10.3390/ijerph16122201

Lanes TC, Dalmolin GL, Silva AM, Ramos FRS, Olson LL. Cross-cultural adaptation of the hospital ethical climate survey to Brazil. Journal of Nursing Measurement.2023; 31(2):148-162. doi: 10.1891/JNM-2021-0036

Kim H, Kim H, Oh Y. Impact of ethical climate, moral distress, and moral sensitivity on turnover intention among haemodialysis nurses: a cross-sectional study. BMC Nursing. 2023; 22(55). doi: 10.1186/s12912-023-01212-0

Saygili M, Özer Ö, Karakaya PÖ. Paternalistic Leadership, Ethical Climate and Performance in Health Staff. Hosp.Top. 2020; 98(1):26-35. doi: 10.1080/00185868.2020.1726848

Rivaz M, Asadi F, Mansouri P. Assessment of the Relationship between Nurses’ Perception of Ethical Climate and Job Burnout in Intensive Care Units. Invest. Educ. Enferm. 2020; 38(3):e12. doi: 10.17533/udea.iee.v38n3e12

Fradelos EC, Latsou D, Alikari V, Papathanasiou LV, Roupa A, Balang V. Greek Nurses’ Perception of Hospital Ethical Climate: A Cross-Sectional Study. GeNeDis. 2020; 1337:17-25. doi: 10.1007/978-3-030-78771-4_3

Zahra S, Norian K, Vardanjani LR. Association between Nurses' Perception of the Ethical Climate Governing in Clinical Environment and Individual Characteristics in Teaching Hospitals of Shahrekord University of Medical Sciences. Iranian Journal of Medical Ethics and History of Medicine [Internet]. 2020 [access 2023 jul 20];13:578-588. Available from: http://ijme.tums.ac.ir/article-1-6337-en.html

Callegari-Jacques, S. M (2018). Bioestatística: princípios e aplicações. Porto Alegre: Artmed.

Lanes TC, Dalmolin GL, Silva AM, Schutz TC, Magnago TSBS, Andolhe R. Nurses' assessment of the ethical climate of a university hospital in the South of Brazil. J Res Nurs. 2023;28(1):23-35. doi: 10.1177/17449871231152081

Altaker KW, Howie-Esquivel J, Cataldo JK. Relationships Among Palliative Care, Ethical Climate, Empowerment, and Moral Distress in Intensive Care Unit Nurses. Am J Crit Care. 2018; 27 (4): 295-302. doi: 10.4037/ajcc2018252

BRASIL. Ministério da Saúde. Conselho Nacional de Saúde. Resolução nº466, de 12 de dezembro de 2012. Brasília, DF: Ministério da Saúde, 2013. Disponível em: http://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf. Acesso em: 20 jul. 2020.

Okumoto A, Yoneyama S, Miyata C, Kinoshita A. The relationship between hospital ethical climate and continuing education in nursing ethics. Plos one. 2022. doi: 10.1371/journal.pone.0269034

Gilvari T, Abbaszadeh A, Borhani F, Mohamadi P, Saberi N. Relationship of the Hospital Ethical Climate with Nurses’ Attitude to Interprofessional Collaboration. Journal of Clinical & Diagnostic Research. 2019;13(11). doi: 10.7860/JCDR/2019/42752.13324

McAndrew NS, Schiffman R, Leske J. Relationships among Climate of Care, Nursing Family Care and Family Well-being in ICUs. Nursing Ethics. 2019; 26 (7-8): 2495-2510. doi: 10.1177/0969733019826396

Morgan TL, Faught E, Ross-White A, Fortier MS, Duggan M, Jain R, et al. Tools to guide clinical discussions on physical activity, sedentary behaviour, and/or sleep for health promotion between primary care providers and adults accessing care: a scoping review. BMC Primary Care. 2023; 24(140). doi: 10.1186/s12875-023-02091-9

Ghasemi HSE, Ghobadi A, Hajibabaee F, Hajrajabi A, Aryamloo P. The relationship between organizational ethical climate and components of nursing error reporting in selected hospitals of Tehran University of Medical Sciences in 2020. Journal of Nursing Management. 2022; 30(7):2291-2300. doi: 10.1111/jonm.13875

Santos TA, Nunes DO, Pereira RB, Góes MMCSR, Ferreira IQBP, Santos SD, et al. Associação entre variáveis relacionadas à precarização e afastamento do trabalho no campo da enfermagem. Ciência & Saúde Coletiva. 2020; 25 (1): 123-33. doi: 10.1590/1413-81232020251.28242019

Asgari S, Shafipour V, Taraghi Z, Charati JY. Relationship between moral distress and ethical climate with job satisfaction in nurses. Nursing Ethics. 2019; 26 (2): 346–56. doi: 10.1177/0969733017712083

Schutz TC, Lanes TC, Villagran CA, Bernardi CMS, Dalmolin GL. Fatores associados ao clima ético em ambiente hospitalar. Research, Society and Development. 2021; 10(2): e36910212577, 2021. doi: 10.33448/rsd-v10i2.12577

Taraz Z, Loghmani L,Abbaszadeh A, Ahmadi F, Safavibiat Z, Borhani B. The relationship between ethical climate of hospital and moral courage of nursing staff. Electron J Gen Med. 2019;16(2):em109. doi: 10.29333/ejgm/93472

Ozden D, Arslan GG, Ertugrul B, Karakaya S. The effect of nurses’ ethical leadership and ethical climate perceptions on job satisfaction. Nursing Ethics. 2019; 26(4): 1211-1225. doi: 10.1177/0969733017736924

Published

2023-11-30 — Updated on 2023-12-04

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How to Cite

Lanes, T. C., Schutz, T. C., Pompeu, K. da C., Pereira, L. A., Morais, F. S. de, & Dalmolin, G. de L. (2023). The Association of ethical climate and labor variables among hospital nurses. Revista De Enfermagem Da UFSM, 13, e49. https://doi.org/10.5902/2179769285179 (Original work published November 30, 2023)

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