ETHICAL CLIMATE, ETHICAL BEHAVIOR AND PROFESSIONAL VALUES AS PERCEIVED BY STAFF NURSES' AT TWO DIFFERENTHOSPITALS

Authors

  • Amal Hebashy Elewa Nursing Administration Department, Faculty of Nursing Cairo University, Egypt

DOI:

https://doi.org/10.31674/mjn.2020.v12i02.017

Abstract

Background: Assessment of staff nurses' perception regarding ethical climate, ethical behavior and professional values can help nursing administrators to discover more successful strategies toward improving their well-being and decreasing work-related stress.  

Aim: The present study was conducted to investigate the relationship among ethical climate, ethical behavior and professional values as perceived by staff nurses at two different hospitals. Design: Descriptive correlation for comparative design was utilized to achieve the aim of the present study. Setting: The present study was conducted at two different health care (private and teaching) sectors. Subjects:  Convenient sample of staff nurses (n=194) who agreed to share in this study. They were divided as follows: (n=89) from private hospital and (n=105) from teaching hospital. Tools:  Data were collected using three questionnaires:  ethical climate (26 items), ethical behavior (12 items) and nurses' professional value (26 items).

Results: The study illustrated that there was no statistically significant difference among total perception of staff nurses’ regarding ethical climate, ethical behavior and professional values at private and teaching hospitals (p=0.16, p=0.34 and p=0.28) respectively. Staff nurses had high mean % regarding their perception of professional values (87.66%), ethical behavior (86.74%), and ethical climate (83.32%).  There was a strong positive statistically significant relation between total perception of ethical climate, ethical behavior and professional values (p=0.00). Finally, a strong positive statistically significant relation among total staff nurse’s perception of ethical behavior and professional values (p = 0.00).

Conclusion: There were no statistically significant deference among total perception of staff nurses toward ethical climate, ethical behavior and professional values at private and teaching hospitals. There was a strong positive statistically significant relation between total perception of ethical climate, ethical behavior and professional values.

Recommendations: Nursing administrators should support achievement of ethical climate, nurses should update their knowledge regarding professional nursing ethics, through engaging periodically in workshop and training programs and nursing educator should integrate ethical practice into nursing curricula.

Keywords:

Ethical Climate, Ethical Behavior, Staff Nurses, Professional Values, Private Hospital and Teaching Hospital

Downloads

Download data is not yet available.

References

Aly, E. & Hashish, A. (2017). Relationship between ethical work climate and nurses’ perception of organizational support, commitment, job satisfaction and turnover intent. Nursing Ethics, 24(2), pp 151-166.

Abadiga, M., Nemera, G., Hailu, E. & Mosisa, G. (2019). Relationship between nurses’ perception of ethical climates and job satisfaction in Jimma University Specialized Hospital, Oromia region, South West Ethiopia. BMC Nursing, 18(1), pp 39.

Abdullah, A., Sulong, Z. & Said, R.M. (2019). An analysis on ethical climate and ethical judgment among public sector employees in Malaysia. Journal of Applied Business and Economics, 16(2), pp 133-142.

Abdullah, K.L. & Chong, M.C. (2019). Factors influencing professional values among Indonesian undergraduate nursing students. Nurse Education in Practice, 41.

Alleyne, P., Cadogan-McClean, C. & Harper, A. (2013). Examining personal values and ethical behaviour perceptions between accounting and non-accounting students in the Caribbean. The Accounting Educators' Journal, 23, pp 47-70.

Alkaya, S.A., Yaman, Ş. & Simones, J. (2018). Professional values and career choice of nursing students. Nursing ethics, 25(2), pp 243-252.

Arries, E. J. (2020). Professional values and ethical ideology: Perceptions of nursing students. Nursing Ethics, 27(3), pp 726-740.

Asl, Z., Abdollahzadeh, F., Lotfi, M., Aghazadeh Attari, A. & Asghari, E. (2017). The relationship of ethical climate and nurses' job satisfaction in the operating room: A cross-sectional study. Nursing and Midwifery Studies, 6(3), pp 137-139.

Bansal, A.K., Parmar, P.B., Bansal, P., Patel, R., Barai, P.H. & Thomas, E. (2019). Ethical climate and its effect in teaching hospital: A vision from 3rd eye. Journal of Indian Academy of Forensic Medicine, 41(1), pp 45-49.

Barimani A, Rejeh N, Karimooi M.H. & Tadrisi S.D. (2019). Relationship between Ethical Climate and Intent to Quit of Critical Care Nurses. Medical Ethics Journal, 12(43), pp 1-11.

Bartholdson, C., Sandeberg, M. & Lu, K. (2016). Healthcare professionals’ perceptions of the ethical climate in paediatric cancer care. Nursing Ethics, 23(8), pp 877–888.

Bijani, M., Tehranineshat, B. & Torabizadeh, C. (2019). Nurses’, nursing students’, and nursing instructors’ perceptions of professional values: A comparative study. Nursing Ethics, 26(3), pp 870–883.

Bishop, W.H. (2013). The role of ethics in 21st century organizations. Journal of Business Ethics, 118, pp 635-637.

Biswas, W. & Giri, A. (2016). Factors Affecting Ethical Behaviour of Employees in Different Higher Education Institutions in West Bengal and Its Relevance: An Empirical Study. International Journal of HIT Transaction on ECCN, 2(2A), pp 43-49.

Blais, K.K. & Hayes, J.S. (2015). Professional Nursing Practice: Concepts and Perspectives, 7th ed, New York: Pearson.

Blašková, M. & Poláčková, K. (2018). Managerial decision making in motivate as support for safe and ethical behaviour at public universities. Public Security and Public Order, 20, pp 32-42.

Butts, J.B. & Rich, K.L. (2020). Nursing Ethics: Across the Curriculum and Into Practice, 5th ed. Burlington: Jones & Bartlett.

Caldwell, H.E. & Miller, K.L. (2016). Professional Values in Baccalaureate nursing Students. Research Paper. The University of Akron, USA. Retrieved from: https://ideaexchange.uakron.edu/cgi/viewcontent.cgi?article=1263&context=honors_research_projects

Cambridge Dictionary. (2017). Value. Retrieved from: http://dictionary.cambridge.org/us/dictionary/english/value.

Cerit, B. & Özveren, H. (2019). Effect of hospital ethical climate on the nurses' moral sensitivity. The European Research Journal, 5(2), pp 282–290.

Cetinkaya-Uslusoy, E., Paslı-Gürdogan, E. & Aydınlı, A. (2017). Professional values of Turkish nurses: A descriptive study. Nursing Ethics, 24(4), pp 493-501.

Claeys, M., Faelens, A., Sabbe, B., Schrijvers, D., de Casterle, B.D. & Luyten, P. (2013). Psychometric properties of the Hospital Ethical Climate Survey: A cross-sectional study in a large sample of Belgian psychiatric nurses. European Journal for Person Centered Healthcare, 1(1), pp 202-208.

Constantina, C., Papastavrou, E. & Charalambous, A. (2019). Cancer nurses’ perceptions of ethical climate in Greece and Cyprus. Nursing Ethics, 26(6), pp 1805–1821.

Dinc, M. S. & Huric, A. (2017). The impact of ethical climate types on nurses’ behaviors in Bosnia and Herzegovina. Nursing Ethics, 24(8), pp 922-935.

Elçi, M. & Alpkan, L. (2009). The impact of perceived organizational ethical climate on work satisfaction. Journal of Business Ethics, 84(3), pp 297-311.

Elghareb, M. (2019). Assessment of Professional Ethics Practiced by Nurses Working in Primary Health Care Centers in Port Said. Journal of American Science, 8(2012), pp 1545-1003.

Emery, E. (2016). Ethical behavior, leadership, and decision making. Dissertation and Doctoral Study. Walden University, USA. Retrieved from: https://core.ac.uk/download/pdf/147834381.pdf

Erkus, G. & Dinc, L. (2018). Turkish nurses' perceptions of professional values. Journal of Professional Nursing, 34(3), pp 226-232.

Farsaraei, A., Aghazadeh, A.M., Lotfi, M. & Sheikhalipour, Z. (2017). Patient safety culture from the perspective of emergency nurses. World Family Medicine Journal, 15(10), pp 289-295.

Goodyear-smith, M.M.F.A. (2016). Healthcare practitioners’ personal and professional values. Advances in Health Sciences Education, 21(2), pp 257–286.

Ghorbani, A.A., Hesamzadeh, A., Khademloo, M., Khalili, S., Hesamzadeh, S. & Berger, V. (2014). Public and Private Hospital Nurses’ Perceptions of the Ethical Climate in Their Work Settings, Sari City, 2011. Nursing and Midwifery Studies, 3(1).

Ismail, S. & Yuhanis, N. (2018). Determinants of ethical work behaviour of Malaysian public sector auditors. Asia-Pacific Journal of Business Administration, 10(1), pp 21–34.

Jahantigh, M., Arbabisarjou, A., Zare, S., Shahrakipour, M. & Ghoreishinia, G. (2015). Hospital’s ethical climate and nurse’s desired ethical climate in Ali-ebn-Abitaleb and Khatam-al-Anbia hospital of Zahedan (2015). Scholars Research Library, 7(12), pp 427-31.

Kaya, A. & Boz, İ. (2019). The development of the professional values model in nursing. Nursing Ethics, 26(3), pp 914-923.

Koskenvuori, J., Numminen, O. & Suhonen, R. (2019). Ethical climate in nursing environment: A scoping review. Nursing Ethics, 26(2), pp 327–345.

Laratta, R. (2010). Ethical Climate in Nonprofit and Government Sectors: The Case of Japan. Social Enterprise Journal, 6(3), pp 225-24.

Lemmenes, D., Valentine, P., Gwizdalski, P., Vincent, C. & Liao, C. (2018). Nurses’ perception of ethical climate at a large academic medical center. Nursing Ethics, 25(6), pp 724–733.

Lubbe, D., Lubbe, I.J. & Nicolaides, A. (2019). Medical practitioners’ perceptions regarding ethical behaviour of employees of the medical devices industry in South Africa. The Journal of Medical Laboratory Science and Technology of South Africa, 1(2), pp 21-30.

Lu, C.S. & Lin, C.C. (2014). The effects of ethical leadership and ethical climate on employee ethical behavior in the international port context. Journal of Business Ethics, 124(2), pp 209-223.

Miandoab, N.Y., Arbabisarjou, A., Zare, S., Shahrakipour, M. & Bradang, N. (2015). Operating room staff attitude toward the ethical climate of educational hospitals. Der Pharmacia Lettre, 7(12), pp 122-125

Mohamed, F.M. & Mohamed, H. (2018). Perception of Staff Nurses Regarding Professional Values at Ain Shams Specialized Hospital. Journal of Nursing and Health Science, 7(2), pp 60–67.

Monroe, H.A. (2019). Nurses’ Professional Values: Influences of Experience and Ethics Education. Journal of Clinical Nursing, 28(9-10) pp 2009–2019.

Nafei, W. (2015). The influence of ethical climate on job attitudes: A study on nurses in Egypt. International Business Research, 8(2), pp 1-15.

Farkhani, Z.N., Rahimnia, F., Kazemi, M. & Shirazi, A. (2017). The Components of the Ethical Behaviour of Virtuous Nurses in Medical Teams. Journal of Holistic Nursing and Midwifery, 27(2), pp 45-55.

Numminen, O. & Leino-kilpi, H. (2015). Ethical climate and nurse competence - Newly graduated nurses’ perceptions. Sage Journals, 22(8), pp 845–859.

Nwankwo, B.E., Obi, T.C. & Sydney-Agbor, N. (2013). Influence of role discretion and shift work on ethical behaviour of Nigerian nurses. Asian Journal of Social Sciences & Humanities, 2(4), pp 11-19.

Olson, L.L. (1998). Hospital nurses’ perceptions of the ethical climate of their work setting. Journal of Nursing Scholarship, 30(4), pp 345-349.

Parandeh, A., Khaghanizade, M., Mohammadi, E. & Nouri, J.M. (2015). Factors influencing development of professional values among nursing students and instructors: A systematic review. Global Journal of Health Science, 7(2).

Poorchangizi, B., Borhani, F., Abbaszadeh, A., Mirzaee, M. & Farokhzadian J. (2019). Professional Values of Nurses and Nursing Students: a comparative study. BMC Medical Education, 19(1).

Poorchangizi, B., Farokhzadian, J., Abbaszadeh, A., Mirzaee, M. & Borhani, F. (2017). The importance of professional values from clinical nurses' perspective in hospitals of a medical university in Iran. BMC Medical Ethics, 18(1).

Posluszny, L. & Hawley, D.A. (2017). Comparing professional values of sophomore and senior baccalaureate nursing students. Journal of Nursing Education, 56(9), pp 546-550.

Rabia, S.A., Ismaile, S. & Househ, M. (2017). Professional values among female nursing students in Saudi Arabia. Informatics Empowers Healthcare Transformation, 238, pp 231-234.

Sajari, A., Haron, H. & Ismail, I. (2019). Effectiveness of quality of chief integrity officer, ethical climate on the level of ethics and integrity in the Malaysian federal. Journal of Governance and Integrity, 3(1), pp 50-68.

Shafipour, V., Yaghobian, M., Shafipour, L. & Heidari, M.R. (2016). Nurses' perception of the ethical climate in the Iranian hospital environment. Journal of Nursing and Midwifery Sciences, 3(4), pp 37-43.

Sibandze, B.T. & Scafide, K.N. (2018). Among nurses, how does education level impact professional values? A systematic review. International Nursing Review, 65(1), pp 65-77.

Shah, N., Anwar, S. & Irani, Z. (2017). The impact of organisational justice on ethical behaviour. International Journal of Business Innovation and Research, 12(2), pp 240-258.

Tehranineshat, B, Torabizadeh C. & Bijani, M. (2020). A study of the relationship between professional values and ethical climate and nurses' professional quality of life in Iran. International Journal of Nursing Sciences, 7(3), pp 313-319.

Tanrıverdi, H. (2017). Investigation of the relationship between professional values and organizational citizenship behaviour levels of nurses. Ulakbilge Dergisi, 5(13), pp 1183-1204.

Torabizadeh, C., Darari, F. & Yektatalab, S. (2019). Operating room nurses’ perception of professional values. Nursing Ethics, 26(6), pp 1765-1776.

Tuna, R. & Sahin, S. (2020). The effect of professional values of nurses on their attitudes towards caregiving roles. International Journal of Nursing Practice, e12879.‏

Toubiana, M. & Yair, G. (2012). The solution of meaning in Peter Drucker’s oeuvre. Journal of Management History, 18, pp 178-199.

Văduva, S. (2018). Applied Ethics for Entrepreneurial Success: Recommendations for the Developing World. Springer: Germany.

Venezia, G., Venezia, C.C. & Hung, C.W. (2010). A comparative study of ethical work climates among public and private sector Asian accountants. International Business & Economics Research Journal, 9(4), pp 77-86.

Yuhanis, N. (2016). Determinants of Ethical Behaviour among Public Sector Auditors in Malaysia. Thesis. International Islamic University, Malaysia. Retrieved from: https://lib.iium.edu.my/mom/services/mom/document/getFile/vs0xnK2OmPUCGZrbn7WxBzhZXiOUPy1i20160602113428590

Weis, D. & Schank, M.J. (2009). Development and psychometric evaluation of the nurses’ professional values scale revised. Journal of Nursing Measurement, 17(3), pp 221-231.

Published

01-10-2020

How to Cite

Amal Hebashy Elewa. (2020). ETHICAL CLIMATE, ETHICAL BEHAVIOR AND PROFESSIONAL VALUES AS PERCEIVED BY STAFF NURSES’ AT TWO DIFFERENTHOSPITALS. The Malaysian Journal of Nursing (MJN), 12(2), 125-136. https://doi.org/10.31674/mjn.2020.v12i02.017

Metrics