The relationship between organizational ethical climate and components of nursing error reporting in selected hospitals of Tehran University of Medical Sciences in 2020

Ghasemi, Hormat Sadat Emamzadeh; Ghobadi, Amir; Hajibabaee, Fatemeh; Hajrajabi, Arezo; Aryamloo, Parastoo

doi:10.1111/jonm.13875

Cited by 1 publication

(1 citation statement)

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“…The ethical climate of a hospital can impact midwives’ and nurses’ approach regarding ethical decision-making or ethical dilemmas in the workplace (Jiang et al, 2021) A negative ethical climate can lead to reduced motivation, job performance, and job satisfaction (Lemmenes et al, 2018; Özden et al, 2019; Saygili et al, 2020). It is related to the provision of health services and patient safety (Aly et al, 2020) An improved ethical climate helps to reduce medical errors (Hwang & Park, 2014; Ghasemi et al, 2022) and it has been found to influence job satisfaction, perceived workplace support and commitment (Abou Hashish, 2017) and intent to leave a position. (Barr, 2021) Also, a researcher shows that the perception of ethical work climate directly influences people's decision-making when faced with difficult issues (Shacklock et al, 2013) and it has also been found to be related to moral distress (Abdeen & Atia, 2020).…”

Section: Introductionmentioning

confidence: 99%

Ethical Climate in the Delivery Wards of Educational Hospitals in Southeast Iran

Khajehpour,

Keramat,

Balouchi Mahani

et al. 2023

Policy, Politics, & Nursing Practice

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Ethical climate is one of the important factors in the working climate of the hospital. Considering the difference in the Ethical climate in different departments of the hospital and the importance of the ethical climate in the delivery ward, this study aimed to assess the characteristics of hospital ethical climate in delivery ward of educational hospitals in southeast Iran. This descriptive and multi-center study was conducted from 2020 to 2021 in educational hospitals in southeast Iran. Two hundred forty midwives working in delivery wards, midwifery instructors, and midwifery students were included in the study by census method. Data collection tools included a demographic information form, Olson's Hospital Ethical Climate Survey, completed using the self-report method. The mean ethical climate in the midwifery group (3.82 ± 0.63 out of 5) was higher than in the instructors’ and students’ groups. The lowest mean score obtained from the ethical climate questionnaire of participants was associated with the inability to use their experiences in the delivery ward. The lowest mean of ethical climate from the midwives’ point of view is the Physicians’ dimension and the patient's dimension from the instructors’ point of view. The highest mean score belonged to the ethical climate of the supervisors. According to the results of the present study, it is suggested to implement protective laws to support the higher independence of midwives to improve the ethical climates by using their experiences in the delivery department.

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