Araştırma Makalesi
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Effect of hospital ethical climate on the nurses' moral sensitivity

Yıl 2019, Cilt: 5 Sayı: 2, 282 - 290, 04.03.2019
https://doi.org/10.18621/eurj.423324

Öz

Objectives:
The study determines the effects of the hospitals ethical climate on the moral
sensitivity of nurses.

Methods: The study design is descriptive and correlational. The data was obtained from 99 nurses who voluntarily
accepted to fully participate in the surveys conducted. The data was analysed
using descriptive statistics and Pearson correlations.

Results: As a
result of the study, the ethical climate perception of nurses and their moral
sensitivity level was found to be above average. A positive, meaningful and
medium relationship was found between the moral sensitivity level of nurses and
ethical climate perceptions of nurses.







Conclusions: Our
findings support that the ethical climate perception of nurses is an important
factor in determining the moral sensitivity. Consequently, building an ethical
climate in all the hospitals that provide health care will result in a high
moral sensitivity of nurses when giving health care. 

Kaynakça

  • [1] Olson LL. Hospital nurses’ perceptions of the ethical climate of their work setting. Image J Nurs Sch 1998;30:345-9.
  • [2] Karagözoğlu Ş, Özden D, Yıldırım G. [Intensive care nurses' perceptions of hospital ethical climate]. Hemşirelikte Araştırma Geliştirme Dergisi 2014;16:34-45. [Article in Turkish]
  • [3] Victor B, Cullen JB. The organizational bases of ethical work climates. Adm Sci Q 1988;33:101-25.
  • [4] Cullen JB, Parboteeah KP, Victor B. The effects of ethical climates on organizational commitment: a two-study analysis. J Bus Ethics 2003;46:127-41.
  • [5] Baykal Ü, Altuntaş S, Öztürk H, Sökmen S, İntepeler ŞS, Kantek F. [Ethical climate in the institution of nursing education]. İ.Ü.F.N. Hem. Derg 2012;20:26-34. [Article in Turkish]
  • [6] Eroğluer K, Yılmaz Ö. The effect of ethical leadership behavior on perceived organizational climate: mediating role of work loneliness. J Bus Res-Turk 2015;7:280-308.
  • [7] Crisham P. Measuring moral judgement in nursing dilemmas. Nurs Res 1981;30:104-10.
  • [8] Corley MC. Nurse moral distress: a proposed theory and research agenda. Nurs Ethics 2002;9:636-50.
  • [9] McDaniel C. Ethical environment: reports of practicing nurses. Nurs Clin North Am 1998;33:363-72.
  • [10] Pauly B, Varcoe C, Storch J, Newton L. Registered nurses' perceptions of moral distress and ethical climate. Nurs Ethics 2009;16:561-73.
  • [11] Lützen K, Cronqvist A, Magnusson A, Andersson L. Moral Stress: synthesis of a concept. Nurs Ethics 2003;10:312-22.
  • [12] Weaver K, Morse J, Mitcham C. Ethical sensitivity in professional practice: concept analysis. J Adv Nurs 2008;62:607-18.
  • [13] Lovett BJ, Jordan AH. Levels of moralization: a new conception of moral sensitivity. J Moral Educ 2010;39:175-89.
  • [14] Ottekin-Demirbolat A, Aslan H. [An analysis of ethical sensitivity of primary and secondary schools in relation with students based on some variables (case of Sinop province)]. JESR 2014;4:187-202. [Article in Turkish]
  • [15] Dinç L. [The concept of caring and its’ moral component]. Hacettepe University Faculty of Health Sciences Nursing Journal 2010;17:74-82. [Article in Turkish]
  • [16] Gastmans C. A fundamental ethical aproach to nursing: some proposals for ethics education. Nurs Ethics 2002;9:494-507.
  • [17] Şahin B, Dündar T. [Investigation of relationship among ethical climate and mobbing behaviors in health care sector]. Ankara Üniversitesi SBF Dergisi 2001;66(1):129-59. [Article in Turkish]
  • [18] Tosun H. Determining sensitivity of the nurses and the physicians against the ethical dilemmas which experienced at the health care practises. PhD Thesis, University of Istanbul, Istanbul, 2005.
  • [19] Kim YS, Kang SW, Ahn JA. Moral sensitivity relating to the application of the code of ethics. Nurs Ethics 2012;20: 470-8.
  • [20] Başak T, Uzun Ş, Arslan F. [Investigation of the moral sensibility of intensive care nurses]. Gülhane Med J 2010;52:76-81. [Article in Turkish]
  • [21] Han SS, Kim J, Kim YS, Ahn S. Validation of a Korean version of the Moral Sensitivity Questionnaire. Nurs Ethics 2010;17:99-105.
  • [22] Olson L. Ethical climate in health care organizations. Int Nurs Rev 1995;42:85-90.
  • [23] Bahçecik N, Öztürk H. Hospital ethical climate survey in Turkey. JONAS Healthc Law Ethics Regul 2003;5:94-9.
  • [24] Hwang JI, Park HA. Nurses' perception of ethical climate, medical error experience and intent-to-leave. Nurs Ethics 2014;21:28-42.
  • [25] Ghorbani AA, Hesamzadeh A, Khademloo M, Khalili S, Hesamzadeh S, Berger V. Public and private hospital nurses’ perceptions of the ethical climate in their work settings, Sari City, 2011. Nurs Midwifery Stud 2014;3:1-7.
  • [26] Khalesi N, Arabloo J, Khosravizadeh O, Taghizadeh S, Heyrani A, Abbasali E. Psychometric properties of the Persian version of the "Hospital Ethical Climate Survey". J Med Ethics Hist Med 2014;7:1-7.
  • [27] Silen M, Kjellström, Christensson L, Sidenvall B, Svantesson M. What actions promote a positive ethical climate? A critical incident study of nurses' perceptions. Nurs Ethics 2012;19:501-12.
  • [28] Fazljoo E, Borhani F, Abbaszadeh A, Razban F. The ralitionship betwen nurses' perceptions of moral distress and ethical climate in Shahid Sadoughi University of Medical Sciences of Yazd. J Med Ethics Hist Med 2014;7:80-90.
  • [29] Allari R, Moghli FA. Moral distress among Jordian critical care nurse and their perception of hospital ethical climate. JNSR 2013;3: 144-53.
  • [30] Ulrich C, O'Donnell 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;65:1708-19.
  • [31] Hart SE. Hospital ethical climates and registered nurses’turnover intentions. J Nurs Scholarsh 2005;37:173-7.
  • [32] Corley MC, Minick P, Elswick RK, Jacobs M. Nurse moral distress and ethical work environment. Nurs Ethics 2005;12:381-90.
  • [33] Öztürk H, Hintistan S, Kasım S, Candaş B. [Ethical sensitivity of physicians and nurses in intensive care units]. Yoğun Bakım Hemşireliği Dergisi 2009;13:77-84. [Article in Turkish]
  • [34] Aksu T, Akyol A. [Investigation of the moral sensibility of nurses in İzmir]. Türkiye Klinikleri J Med Ethics 2011;19:16-24. [Article in Turkish]
  • [35] Dikmen Y. [An observation on the moral sensibility of intensive care nurses]. Cumhuriyet Nurs J 2013;2:1-7. [Article in Turkish]
  • [36] Schluter J, Winch S, Holzhauser K, Henderson A. Nurses' moral sensitivity and hospital ethical climate: a literature review. Nurs Ethics 2008;15:304-21.
  • [37] Lützén K, Blom T, Ewalds-Kvist B, Winch S. Moral stress, moral climate and moral sensitivity among psychiatric professionals. Nurs Ethics 2010;17:213-24.
  • [38] Epstein EG, Hamric AB. Moral distres, moral residue, and the crescendo effect. J Clin Ethics 2009;20:330-42.
  • [39] Grundstem-Amado R. Differences in ethical decision-making processes among nurses and doctors. J Adv Nurs 1992;17:129-37.
  • [40] Jaeger SM. Teaching health care ethics: the importance of moral sensitivity for moral reasoning. Nurs Philos 2001;2:131-42.
Yıl 2019, Cilt: 5 Sayı: 2, 282 - 290, 04.03.2019
https://doi.org/10.18621/eurj.423324

Öz

Kaynakça

  • [1] Olson LL. Hospital nurses’ perceptions of the ethical climate of their work setting. Image J Nurs Sch 1998;30:345-9.
  • [2] Karagözoğlu Ş, Özden D, Yıldırım G. [Intensive care nurses' perceptions of hospital ethical climate]. Hemşirelikte Araştırma Geliştirme Dergisi 2014;16:34-45. [Article in Turkish]
  • [3] Victor B, Cullen JB. The organizational bases of ethical work climates. Adm Sci Q 1988;33:101-25.
  • [4] Cullen JB, Parboteeah KP, Victor B. The effects of ethical climates on organizational commitment: a two-study analysis. J Bus Ethics 2003;46:127-41.
  • [5] Baykal Ü, Altuntaş S, Öztürk H, Sökmen S, İntepeler ŞS, Kantek F. [Ethical climate in the institution of nursing education]. İ.Ü.F.N. Hem. Derg 2012;20:26-34. [Article in Turkish]
  • [6] Eroğluer K, Yılmaz Ö. The effect of ethical leadership behavior on perceived organizational climate: mediating role of work loneliness. J Bus Res-Turk 2015;7:280-308.
  • [7] Crisham P. Measuring moral judgement in nursing dilemmas. Nurs Res 1981;30:104-10.
  • [8] Corley MC. Nurse moral distress: a proposed theory and research agenda. Nurs Ethics 2002;9:636-50.
  • [9] McDaniel C. Ethical environment: reports of practicing nurses. Nurs Clin North Am 1998;33:363-72.
  • [10] Pauly B, Varcoe C, Storch J, Newton L. Registered nurses' perceptions of moral distress and ethical climate. Nurs Ethics 2009;16:561-73.
  • [11] Lützen K, Cronqvist A, Magnusson A, Andersson L. Moral Stress: synthesis of a concept. Nurs Ethics 2003;10:312-22.
  • [12] Weaver K, Morse J, Mitcham C. Ethical sensitivity in professional practice: concept analysis. J Adv Nurs 2008;62:607-18.
  • [13] Lovett BJ, Jordan AH. Levels of moralization: a new conception of moral sensitivity. J Moral Educ 2010;39:175-89.
  • [14] Ottekin-Demirbolat A, Aslan H. [An analysis of ethical sensitivity of primary and secondary schools in relation with students based on some variables (case of Sinop province)]. JESR 2014;4:187-202. [Article in Turkish]
  • [15] Dinç L. [The concept of caring and its’ moral component]. Hacettepe University Faculty of Health Sciences Nursing Journal 2010;17:74-82. [Article in Turkish]
  • [16] Gastmans C. A fundamental ethical aproach to nursing: some proposals for ethics education. Nurs Ethics 2002;9:494-507.
  • [17] Şahin B, Dündar T. [Investigation of relationship among ethical climate and mobbing behaviors in health care sector]. Ankara Üniversitesi SBF Dergisi 2001;66(1):129-59. [Article in Turkish]
  • [18] Tosun H. Determining sensitivity of the nurses and the physicians against the ethical dilemmas which experienced at the health care practises. PhD Thesis, University of Istanbul, Istanbul, 2005.
  • [19] Kim YS, Kang SW, Ahn JA. Moral sensitivity relating to the application of the code of ethics. Nurs Ethics 2012;20: 470-8.
  • [20] Başak T, Uzun Ş, Arslan F. [Investigation of the moral sensibility of intensive care nurses]. Gülhane Med J 2010;52:76-81. [Article in Turkish]
  • [21] Han SS, Kim J, Kim YS, Ahn S. Validation of a Korean version of the Moral Sensitivity Questionnaire. Nurs Ethics 2010;17:99-105.
  • [22] Olson L. Ethical climate in health care organizations. Int Nurs Rev 1995;42:85-90.
  • [23] Bahçecik N, Öztürk H. Hospital ethical climate survey in Turkey. JONAS Healthc Law Ethics Regul 2003;5:94-9.
  • [24] Hwang JI, Park HA. Nurses' perception of ethical climate, medical error experience and intent-to-leave. Nurs Ethics 2014;21:28-42.
  • [25] Ghorbani AA, Hesamzadeh A, Khademloo M, Khalili S, Hesamzadeh S, Berger V. Public and private hospital nurses’ perceptions of the ethical climate in their work settings, Sari City, 2011. Nurs Midwifery Stud 2014;3:1-7.
  • [26] Khalesi N, Arabloo J, Khosravizadeh O, Taghizadeh S, Heyrani A, Abbasali E. Psychometric properties of the Persian version of the "Hospital Ethical Climate Survey". J Med Ethics Hist Med 2014;7:1-7.
  • [27] Silen M, Kjellström, Christensson L, Sidenvall B, Svantesson M. What actions promote a positive ethical climate? A critical incident study of nurses' perceptions. Nurs Ethics 2012;19:501-12.
  • [28] Fazljoo E, Borhani F, Abbaszadeh A, Razban F. The ralitionship betwen nurses' perceptions of moral distress and ethical climate in Shahid Sadoughi University of Medical Sciences of Yazd. J Med Ethics Hist Med 2014;7:80-90.
  • [29] Allari R, Moghli FA. Moral distress among Jordian critical care nurse and their perception of hospital ethical climate. JNSR 2013;3: 144-53.
  • [30] Ulrich C, O'Donnell 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;65:1708-19.
  • [31] Hart SE. Hospital ethical climates and registered nurses’turnover intentions. J Nurs Scholarsh 2005;37:173-7.
  • [32] Corley MC, Minick P, Elswick RK, Jacobs M. Nurse moral distress and ethical work environment. Nurs Ethics 2005;12:381-90.
  • [33] Öztürk H, Hintistan S, Kasım S, Candaş B. [Ethical sensitivity of physicians and nurses in intensive care units]. Yoğun Bakım Hemşireliği Dergisi 2009;13:77-84. [Article in Turkish]
  • [34] Aksu T, Akyol A. [Investigation of the moral sensibility of nurses in İzmir]. Türkiye Klinikleri J Med Ethics 2011;19:16-24. [Article in Turkish]
  • [35] Dikmen Y. [An observation on the moral sensibility of intensive care nurses]. Cumhuriyet Nurs J 2013;2:1-7. [Article in Turkish]
  • [36] Schluter J, Winch S, Holzhauser K, Henderson A. Nurses' moral sensitivity and hospital ethical climate: a literature review. Nurs Ethics 2008;15:304-21.
  • [37] Lützén K, Blom T, Ewalds-Kvist B, Winch S. Moral stress, moral climate and moral sensitivity among psychiatric professionals. Nurs Ethics 2010;17:213-24.
  • [38] Epstein EG, Hamric AB. Moral distres, moral residue, and the crescendo effect. J Clin Ethics 2009;20:330-42.
  • [39] Grundstem-Amado R. Differences in ethical decision-making processes among nurses and doctors. J Adv Nurs 1992;17:129-37.
  • [40] Jaeger SM. Teaching health care ethics: the importance of moral sensitivity for moral reasoning. Nurs Philos 2001;2:131-42.
Toplam 40 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Original Article
Yazarlar

Birgül Cerit 0000-0003-0007-4205

Hüsna Özveren 0000-0002-2724-5580

Yayımlanma Tarihi 4 Mart 2019
Gönderilme Tarihi 14 Mayıs 2018
Kabul Tarihi 5 Temmuz 2018
Yayımlandığı Sayı Yıl 2019 Cilt: 5 Sayı: 2

Kaynak Göster

AMA Cerit B, Özveren H. Effect of hospital ethical climate on the nurses’ moral sensitivity. Eur Res J. Mart 2019;5(2):282-290. doi:10.18621/eurj.423324

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