Nurses' perception of the ethical climate in the Iranian hospital environment

Shafipour, Vida; Yaghobian, Mahbobeh; Leila, Shafipour; Heidari, Mohammad Reza

doi:10.18869/acadpub.jnms.3.4.37

Cited by 19 publications

(29 citation statements)

References 15 publications

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“…Perhaps the reason for this difference in working conditions and organizational culture in Iran hospitals with other countries. According to Shafipour et al (2016) findings, in Iran, the average score of ethical climate was 3.5 (8) which is largely consistent with the results of the present study. Accordingly, the above average of ethical climate in Iran can be promising and similar results in Iranian studies indicate that the factors affecting the ethical climate of nurses working environment in Iran are similar.…”

Section: Discussionsupporting

confidence: 92%

“…Considering the fact that the services provided in the health system require interdisciplinary collaboration, this finding is alarming and it seems that nursing and medical services are provided in separate packages. The results of Shafipour et al (2016) and Jolaee et al (2013) in Iran suggest the appropriateness of the relationship between doctors and nurses (8 and 11). In such situation, not only the quality of care affected, the probability of complications such as the moral distress increases in doctors and nurses (12).…”

Section: Discussionmentioning

confidence: 91%

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The relationship between ethical climate of hospital and moral courage of nursing staff

et al. 2019

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Introduction:Courage is the ethical virtues that has special place in the nursing profession, whose role in patient support is highlighted. Courage virtues seems to grow with environmental reinforcement and social support. Hospital as a dynamic social institution has different forms of ethical climates. The purpose of this study was to determine the correlation between the ethical climate of the hospital and the moral courage of the nurses in one of the medical universities of Iran medical science's selected hospitals. Method: This study is a descriptive-correlational study. The sample included 156 nurses who were selected by available method. A translated questionnaire of Olson's ethical climate and Sekerka's et al moral courage was used to collect data, in addition to demographic questions. The data were analyzed by SPSS software version 21 using descriptive and inferential statistics. Findings: Nurses' perception of the ethical climates of the hospital was average (mean= 3.79, SD = 0.56) and their courage was moderate (mean 3.87, SD=0.86). There was a significant positive correlation between nurses' ethical climates and their moral courage (r = 0.90, p <0.001). Conclusion: According to the findings of this study, the moral courage virtue of nurses in ethical climates of support and care grows well. Therefore, to improve the role of protecting patients' rights and promote moral courage, attention should be paid to improving the ethical climates of the hospital. In addition, planners and nursing managers should consider arrangements for developing the ethical climates of the workplace.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 91%

The relationship between ethical climate of hospital and moral courage of nursing staff

et al. 2019

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“…Even though studies conducted over several years in diverse areas of nursing practice have shown that nurses face serious ethical challenges, researchers and policy-makers who study the work environment use an ethics lens to look at workplace problems (44). Previous research has shown that the moral climates of Iranian hospitals are not encouraging, and the reward and punishment systems did not support moral practice (42,(45)(46)(47). In this situation, nurses cannot recognize and solve moral issues (48,49).…”

Section: Discussionmentioning

confidence: 98%

Moral neutralization: Nurses' evolution in unethical climate workplaces

Hakimi

Joolaee

Farahani

et al. 2020

Preprint

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Introduction: Good quality of care is dependent on nurses’ strong clinical skills and moral competencies, as well. While most nurses work with high moral standards, the moral performance of some nurses in some organizations shows a deterioration in their moral sensitivity and actions. The study reported in this paper aimed to explore the experiences of nurses regarding negative changes in their moral practice.Materials and Methods: This was a qualitative study utilizing an inductive thematic analysis approach, which was conducted from February 2017 to September 2019. Twenty-five nurses participated in semi-structured interviews. Results: The main theme that emerged from our analysis was one of moral neutralization in the context of an unethical moral climate. We found five sub-themes, including: (1) feeling discouraged; (2) normalization; (3) giving up; (4) becoming a justifier; and (5) moral indifference.Conclusions: Unethical moral climates in health organizations can result in deterioration of morality in nurses which can harm both patients and health systems. Some unethical behaviors in nurses can be explained by this process.

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“…Previous research has shown that the moral climates of Iranian hospitals are not encouraging, and the reward and punishment systems did not support moral practice (40,(43)(44)(45). In this situation, nurses cannot recognize and solve moral issues (46,47).…”

Section: Discussionmentioning

confidence: 98%

Moral neutralization: Nurses' evolution in unethical climate workplaces

Hakimi

Joolaee

Farahani

et al. 2020

Preprint

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Introduction Good quality of care is dependent on nurses’ strong clinical skills and strong moral competencies, as well. However, the moral performance of some nurses in some organizations shows a deterioration in their moral sensitivity and actions. The aim of the study reported on in this paper was to explore the experiences of nurses regarding negative changes in their moral practice. Materials and Methods This was a qualitative study utilizing a inductive thematic analysis approach, which was conducted from February 2017 to September 2019. Twenty-five nurses participated in semi-structured interviews. Results The main theme that emerged from our analysis was one of moral neutralization in the context of an unethical moral climate. We found five sub-themes, including: (1) feeling discouraged; (2) normalization; (3) giving up; (4) becoming a justifier; and (5) moral indifference. Conclusions Unethical moral climates in health organizations can result in deterioration of morality in nurses which can harm both pateints and health syetms. Some unethical behaviors in nurses can be explaiened by this process.

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Nurses' perception of the ethical climate in the Iranian hospital environment

Cited by 19 publications

References 15 publications

The relationship between ethical climate of hospital and moral courage of nursing staff

The relationship between ethical climate of hospital and moral courage of nursing staff

Moral neutralization: Nurses' evolution in unethical climate workplaces

Moral neutralization: Nurses' evolution in unethical climate workplaces

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