Determining the effects of nurses’ hospital ethical climate perceptions on job satisfaction

Year 2022, , 184 - 193, 24.05.2022

Mukadder Gün , Gülay Yıldırım , Safiye Ağapınar Şahin

https://doi.org/10.21673/anadoluklin.1034792

Abstract

Aim: The study was conducted to determine the effect of the hospital ethical climate perceptions of nurses in the hospitals on job satisfaction.

Methods: Data were collected from 273 nurses working in university and state hospitals, who agreed to participate by using personnel information form, Hospital Ethical Climate Scale (HECS), and Job Satisfaction Scale in the study Pearson Product-Moment correlation analysis, Durbin Watson test, Linear Regression analysis, t-Test, One-Way Analysis of Variance (ANOVA), Dunnet T3 Post Hoc test, Kurskal Wallis H test, Mann Whitney U test were used to evaluate the data.

Results: %96 of the nurses who participated are women, 53,8% are married, 46,5% are nursing graduates, and 7% are nursing graduates. The total mean score of the HECS applied to the participants was 92.44±18.05, and the total mean of the Job Satisfaction Scale was 3.38±67, and there was a positive correlation between them (p<0.05, r=.539). There is a statistically significant difference between the total Hospital Ethical Climate and Job Satisfaction scores of the participants who enjoy their profession and receive in-service training (p<0.05).

Conclusion: It was determined that nurses’ hospital ethical climate perceptions and job satisfaction general score averages were high, and as the ethical climate perception increased, their job satisfaction levels increased.

Keywords

ethics;, ethical climate, hospital ethical climate, job satisfaction, nursing

Hemşirelerin hastane etik iklim algılamalarının iş doyumu üzerine etkisinin belirlenmesi

Abstract

Amaç: Kamu hastanelerindeki hemşirelerin çalıştıkları hastanelerdeki hastane etik iklimi algılamalarının iş doyumu üzerine etkisinin belirlenmesi amacıyla planlanmıştır.

Yöntemler: Üniversite ve devlet hastanelerinde çalışan ve araştırmaya katılmayı kabul eden 273 hemşireden tanıtıcı bilgi formu, Hastane Etik İklim Ölçeği (HEİÖ) ve İş Doyumu Ölçeği ile veriler toplanmıştır. Verilerin değerlendirilmesinde Pearson Momentler Çarpımı korelasyon analizi, Durbin Watson testi, Lineer Regresyon analizi, t Testi, Tek Yönlü Varyans analizi (ANOVA), Dunnet T3 Post Hoc testi, Kurskal Wallis H testi, Mann Whitney U testi kullanılmıştır.

Bulgular: Hemşirelerin %96’sı kadın, %53,8’ i evli, %46,5’ i hemşirelik lisans mezunu, %7’si hemşirelik yüksek lisans mezunudur. Katılımcılara uygulanan HEİÖ’inin toplam puan ortalaması 92,44±18,05, ve İş Doyumu Ölçeğinin toplam ortalaması ise 3,38±67 olup aralarında pozitif bir ilişki bulunmaktadır (p<0.05, r=0.539). Katılımcılardan mesleğini severek yapan ve hizmet içi eğitim alanların toplam Hastane Etik İklimi ve İş Doyumu puanları arasında istatistiki açıdan anlamlı fark vardır (p<0,05).

Sonuç: Hemşirelerin hastane etik ikim algılarının ve iş doyumu genel puan ortalamalarının yüksek olduğu, etik iklim algısının arttıkça iş doyumu düzeylerinin arttığı saptanmıştır.

Keywords

etik;, etik iklim;, hastane etik iklimi, hemşirelik;, iş doyumu

References

• Wang YD, Hsieh HH. Toward a better understanding of the link between ethical climate and job satisfaction: A multilevel analysis. J Bus Ethics. 2012;105:535–45.
• Ruggerio J. The bridge between an ethical climate and job satisfaction. Journal of US-China Public Administration. 2011;8(5): 571-6.
• Victor B, Cullen JB. The organizational bases of ethical work climates. Adm Sci Q . 1988;33(1):101-25.
• Parboteeah KP, Cullen JB, Victor B, Sakano T. National culture and ethical climates: A comparison of US and Japanese accounting firms. MIR Management International Review. 2005;23(4):459-81.
• Karagözoğlu Ş, Özden D, Yıldırım G. Yoğun bakım hemşirelerinin hastane etik iklim algısı. Hemşirelikte Araştırma Geliştirme Dergisi 2014;16(1):34-45.
• Lanes TC, Magnago AC, Schutz TC , Carneiro AS Morais BX, Dalmolin GL. Evaluation of ethical climate in health services: a systematic review. Revista Bioética. 2020;28(4):718-29.
• Türe Yılmaz A, Yıldırım A. Bir üniversite hastanesinde çalışan hemşirelerin etik iklim algısı. Elektron sos bilim derg. 2019;18(69):162-76.
• Huang CC, You CS, Tsai MT. A multidimensional analysis of ethical climate, job satisfaction, organizational commitment, and organizational citizenship behaviors. Nurs Ethics. 2012;19(4):513-29.
• Özgönül ML, Bademli K, Kırca N, Alimoğlu MK. Bir Üniversite Hastanesinde Çalışan Hemşirelerin Tükenmişlik ve Etik İklim Algıları Arasındaki İlişki. Türkiye Biyoetik Dergisi, 2020;7(1):2-11.
• Büte M. Etik iklim, örgütsel güven ve bireysel performans arasındaki ilişki. Atatürk Üniversitesi İktisadi ve İdari Bilimler Dergisi. 2011;25(1):171-92.
• Yener, M., Yaldıran, M., & Ergun, S. The effect of ethical climate on work engagement. Procedia Soc Behav Sci. 2012;58:724-33.
• Salyers MP, Bonfils KA, Luther L, Firmin RL, White DA, Adams EL, Rollins AL. The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis. J Gen Intern Med. 2017;32(4):475-82.
• Öztürk M, Bedük A, Eryeşil K. Çalışanların etik iklim algılamalarının iş tatmini üzerindeki etkisi: tükenmişliğin aracılık rolü. Turkish Studies - Economics, Finance, Politics. 2019;14(3): 935-47.
• Hwang JI, Park HA. Nurses’ perception of ethical climate, medical error experience and intent-to-leave. Nurs Ethics. 2014; 21(1):28-42.
• Bahçecik N, Öztürk H. The hospital ethical climate survey in Turkey. JONAS Healthc Law Ethics Regul. 2003;5(4):94-9.
• Yüksel ÖF, Düşükcan M. Etik İklim algısının iş görenlerin iş tatmini düzeyleri ve örgütsel bağlılık düzeyleri üzerine etkisi: Arçelik A.Ş. Adana ve Elazığ Bölge Yöneticiliklerinde Uygulama. Selçuk Üniversitesi Sosyal Bilimler Meslek Yüksekokulu Dergisi. 2019;22(1):53-65.
• Özden D, Arslan GG, Ertuğrul B, Karakaya S. The effect of nurses' ethical leadership and ethical climate perceptions on job satisfaction. Nurs Ethics. 2019;26(4):1211-25.
• Asgari S, Shafipour V, Taraghi Z, Yazdani-Charati J. Relationship between moral distress and ethical climate with job satisfaction in nurses. Nurs Ethics. 2019;26(2):346-56.
• Borhani F, Jalali T, Abbaszadeh A, Haghdoost AA, Amiresmaili M. Nurses' perception of ethical climate and job satisfaction. J Med Ethics Hist Med. 2012;5:6.
• Arslan S, Türer Öztik S, Kuzu Kurban N. Do moral development levels of the nurses affect their ethical decision making? A descriptive correlational study. Clin Ethics. 2021;16(1):9-16.
• Zhang N, Li J, Bu X, Gong ZX. The relationship between ethical climate and nursing service behavior in public and private hospitals: a cross-sectional study in China. BMC Nurs. 2021;20(1):136.
• Faramarzpour M, Farokhzadian J, Tirgari B, Shahrbabaki PM, Borhani F. Rafati F. Nurses Perceptions of hospital ethical climate and their job satisfaction. Ethics Med Public Health. 2021;18:1-8.
• Joolaee S, Jalili HR, Rafii F, Hajibabaee F, Haghani H. The relationship between ethical climate at work and job satisfaction among nurses in Tehran. Indian J Med Ethics. 2013;10(4):238-42.
• Abadiga M, Nemera G, Hailu E, Mosisa G. Relationship between nurses' perception of ethical climates and job satisfaction in Jimma University Specialized Hospital, Oromia region, south west Ethiopia. BMC Nurs. 2019;18:39.
• Joolaee S, Jalili HR, Rafii F, Hajibabaee F, Haghani H. The relationship between the work moral climate with Iranian nurses’ job satisfaction. Medical Ethics. 2011;5(15):11-24.
• Shafipour, V, Yagdobian M, Shafipour L,Heidari MR. Nurses' perception of the ethical climate in the Iranian hospital environment. J Nurs Midwifery Sci 2016;3(4):37-43.
• Corley MC, Minicik P, Elswick RK, Jacobs M. Nurse moral distress and ethical work environment. Nursing Ethics. 2005;12(4):381-90.
• Ulrich C, O’Donnel P, Taylor C, Farrar, A. Danis M, Grady C. Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States. Soc Sci Med. 2007;65(8):1708-19.
• Asl EZ, Abbaszadeh F. Lotfi M. Attari AAM, Asghari E. The relationship of ethical climate and Nurses’s job satisfaction in the operating room: A cross-sectional study. Nurs Midwifery Stud . 2017;6(3):137-9.
• Taraz Z, Loghmani L, Abbaszadeh A, Ahmedi F, Safavibiat Z, Borhani F. The relationship between ethical climate of hospital and moral courage of nursing staff. Elec. J. Gen. Med. 2019;16(2):1-6.