Intensive care nurses' perceptions of hospital ethical climate

Abstract

Objective: This study was conducted to determine the intensive care nurses' perceptions of hospital ethical climate. Methods: The population of this descriptive and cross-sectional study included 190 nurses working in intensive care units of three university hospitals in Turkey. Among these nurses, 170 who agreed to participate in the study comprised the study sample. The demographic characteristics questionnaire and the Hospital Ethical Climate Scale HECS were used for data collection. The data were evaluated with percentage distributions, the MannWhitney U test, and Kruskal-Wallis test. Results: The nurses’ mean age was 26,60 ± 4,83 and 72,4% of them had a graduate degree. The average length of service of the participants in the intensive care units was 2,21 ± 3,62 years. The intensive care nurses’ mean score for the HECS was 100,57 ± 15,73. It was determined that while the nurses’ education levels affected their perceptions of hospital ethical climate p 0,05 . The nurses' mean scores for physicians and hospitals subscales of the HECS were 20,42 ± 4,90 and 21,77 ± 4,19 respectively. The nurses agreed to the following items in the HECS more: providing safe patient care; respect for patients’ requests; respect for managers Conclusion: It can be said that the intensive care nurses’ perceptions of the hospital ethical climate levels were high and positive, and their education level effected the perception level but their mean scores for physicians and hospitals subscales were lower

Keywords

• Ethical climate,intensive care,nursing

Yoğun bakım hemşirelerinin hastane etik iklim algısı

Abstract

Amaç: Bu çalışma, yoğun bakım hemşirelerinin “hastane etik iklim algısı”nı belirlemek amacıyla yapılmıştır. Yöntem: Tanımlayıcı ve kesitsel tipteki bu araştırmanın evrenini, Türkiye’de üç üniversite hastanesinin yoğun bakım ünitelerinde çalışan toplam 190 hemşire oluşturmuştur. Örneklemine ise araştırmaya katılmayı kabul eden 170 hemşire alınmıştır. Verilerin toplanmasında Tanıtıcı Özellikler Formu ve Hastane Etik İklim Ölçeği HEİÖ kullanılmıştır. Veriler yüzdelik dağılım, Mann-Whitney U testi, Kruskall Wallis testi ile değerlendirilmiştir. Bulgular: Hemşirelerin yaş ortalaması 26,60±4,83 olup, %72,4’ü lisans mezunudur. Katılımcıların yoğun bakımda ortalama çalışma süresi 2,21±3,62 yıldır. Yoğun bakım hemşirelerinin HEİÖ puan ortalaması 100,57±15,73’dür. Hemşirelerin eğitim durumunun hastane etik iklim algısı üzerinde etkili olduğu p0,05 . Hemşirelerin HEİÖ’de doktorlar ve hastane alt boyut puan ortalamaları sırası ile 20,42±4,90 ve 21,77±4,19’dir. Hemşireler ölçekteki güvenli hasta bakımı verilmesi, hastanın istekleri ve yöneticilere saygı duyulmasına yönelik maddelere diğer maddelere göre daha yüksek oranlarda katılım göstermişlerdir. Sonuç: Yoğun bakım hemşirelerinin hastane etik iklim algılarının yüksek düzeyde pozitif olduğu, bu algıyı eğitim düzeyinin etkilediği, doktorlar ve hastane alt boyutuna yönelik ölçekten alınan puan ortalamalarının daha düşük olduğu söylenebilir

Keywords

• Etik iklim,yoğun bakım,hemşirelik

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