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Abstract

Background:

Nurses are confronted daily with ethical issues while providing patient care. Hospital ethical climates can affect nurses’ job satisfaction, organizational commitment, retention, and physician collaboration.

Purpose:

At a metropolitan academic medical center, we examined nurses’ perceptions of the ethical climate and relationships among ethical climate factors and nurse characteristics.

Design/participants:

We used a descriptive correlational design and nurses (N = 475) completed Olson’s Hospital Ethical Climate Survey. Data were analyzed using STATA.

Ethical considerations:

Approvals by the Nursing Research Council and Institutional Review Board were obtained; participants’ rights were protected.

Results:

Nurses reported an ethical climate total mean score of 3.22 ± 0.65 that varied across factors; significant differences were found for ethical climate scores by nurses’ age, race, and specialty area.

Conclusion:

These findings contribute to what is known about ethical climate and nurses’ characteristics and provides the foundation to develop strategies to improve the ethical climate in work settings.

Keywords

Ethical climate ethical climate factors Hospital Ethical Climate Survey nurse characteristics nurses’ perceptions

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References

DeKeyser Ganz

Berkovitz

. Surgical nurses’ perceptions of ethical dilemmas, moral distress and quality of care. J Adv Nurs 2011; 68: 1516–1525.

Victor

Cullen

. The organizational bases of ethical work climates. Adm Sci Q 1988; 33: 101–125.

Olson

. Hospital nurses’ perceptions of the ethical climate of their work setting. Image J Nurs Sch 1998; 30: 345–349.

Borhani

Jalali

Abbaszadeh

. Nurse perception of ethical climate and organizational commitment. Nurs Ethics 2014; 21: 278–288.

Borhani

Jalali

Abbaszadeh

. Nurses’ perception of ethical climate and job satisfaction. J Med Ethics Hist Med 2012; 5: 1–6.

Ulrich

O’Donnell

Taylor

. Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States. Soc Sci Med 2007; 65: 1708–1719.

Goldman

Tabak

. Perception of ethical climate and its relationship to nurses’ demographic characteristics and job satisfaction. Nurs Ethics 2011; 17: 233–246.

Tsai

M-T

Huang

C-C

. The relationship among ethical climate types, facets of job satisfaction, and the three components of organizational commitment: a study of nurses in Taiwan. J Bus Ethics 2008; 80: 565–581.

Hart

. Hospital ethical climates and registered nurses’ turnover intentions. J Nurs Scholarsh 2005; 37: 173–177.

10.

Pauly

Varcoe

Storch

. Registered nurses’ perceptions of moral distress and ethical climate. Nurs Ethics 2009; 16: 561–573.

11.

Bahcecik

Oztürk

. The hospital ethical climate survey in Turkey. JONAS Healthc Law Ethics Regul 2003; 5: 94–99.

12.

Victor

Cullen

. A theory and measure of ethical climate in organizations. Res Corp Soc Perform Policy 1987; 9: 51–71.

13.

Filipova

. Relationships among ethical climates, perceived organizational support, and intent-to-leave for licensed nurses inskilled nursing facilities. J Appl Gerontol 2011; 30: 44–66.

14.

Filipova

. Licensed nurses’perceptions of ethical climates in skilled nursing facilities. Nurs Ethics 2009; 16: 574–588.

15.

Hamric

Blackhall

. Nurse-physician perspectives on the care of dying patients in intensive care units: collaboration, moral distress, and ethical climate. Crit Care Med 2007; 35: 422–429.

16.

Grove

Burns

Gray

. The practice of nursing research. 7th ed. St. Louis, MO: Elsevier, 2013.

17.

Sauerland

Marotta

Peinemann

. Assessing and addressing moral distress and ethical climate part II. Dimens Crit Care Nurs 2015; 34(1): 33–46.

18.

Sauerland

Marotta

Peinemann

. Assessing and addressing moral distress and ethical climate, part 1. Dimens Crit Care Nurs 2014; 33: 234–245.

19.

Illinois Department of Financial and Professional Regulation (IDFPR). Registered nurse workforce survey 2014. Chicago, IL: IDFPR, 2014.

20.

Health Resources and Services Administration (HRSA). The US nursing workforce: trends in supply and education. Rockville, MD: HRSA, 2013.

21.

Robinson

. Telling the story of role conflict among black nurses and black nursing students: a literature review. J Nurs Educ 2013; 52: 517–24.