:: Volume 10, Issue 3 (Autumn 2021) ::
مدیریت پرستاری 2021, 10(3): 11-21 Back to browse issues page
Investigating of organizational ethical climate from the perspective of nurses in selected hospitals of Tehran University of Medical Sciences in 2020
Amir Ghobadi, Hormat Sadat Emamzadeh ghasemi *, Fatemeh Hajibabaei, Arezo Hajirajbi2, Parastoo Ariamlo
School of nursing and midwifery Tehran University of Medical Sciences , emamzade@tums.ac.ir
2- Department of Statistics‎, ‎Faculty of Basic Sciences‎, ‎Imam Khomeini International University‎, ‎Qazvin‎, ‎Iran
Abstract:   (1358 Views)
Introduction: Organizational ethical climate is typically an organizational climate, comprising interpersonal relationships amongst treatment personnel as well as personnel’s rapport with patients and their families. Nowadays, health service providers have found a lot of complexity, various advanced equipment and the many people present in these organizations have an impact on the ethical climate of organizations. Ethical climate is considered as the  personality  of  the  organization.
Method: This research is an exploratory cross-sectional study. The research environment of units of selected hospitals of Tehran University of Medical Sciences and the research population includes nurses working in intensive care units and General hospitalization. The number of samples was determined using the Morgan table, and according to the number of members of the research community, 340 were determined. Among eligible nurses in the research community, samples were selected through  relative stratified random sampling method. The tool used in the present study include Olson's Ethics Climate Questionnaire (1998). Content validity  questionnaire was confirmed by content validity method based on the view of 10 faculty members in the field of critical care nursing and nursing management. Cronbach's alpha coefficient for Olson's Ethics Climate Questionnaire(0.89) was measured. Data were analyzed using descriptive analysis and inferential tests such as Mann-Whitney U and kruskal wallis using SPSS -16 software.
Findings: The result showed; 57.1% of nurses had passed the issues of professional ethics. Mostly 5.2% had more than working hours in one or more hospitals, 62.2% had executive responsibilities, most of them with 42.4% in the role of executive staff or second nurse, and most of them had work experience. With 42.6% was between 1 and 9 years. The test showed that the overall ethical climate with mean(3.58) was relatively positive. The most favorable climate was found among the peers and manager with means 4/143 and 3/918. Patient, hospital and physicians have relativly desirable.The results of statistical tests showed that there is a significant direct relation between the ethical climate variable with hospital characteristics and demographic characteristics (P ˂ 0.05).
Conclusion: The positive and desirable ethical climate in the peers in this research is a valuable strength that should be considered by nursing managers in the hospitals. On the other hand, due to the low mean ethical climate of patients, hospital and physicians, it is necessary for the relevant authorities to find the causes and effective factors in this field and take appropriate policies to eliminate it. The results of this study can be a guide for nursing managers in all levels of management in hospitals  and by developing guidelines and strategic plans and consequently see an improvement in the level of care services.
Keywords: Ethical climate, Organizational ethics, Hospital, Nurse
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Type of Study: Research | Subject: Special
Received: 2021/03/27 | Accepted: 2021/10/25 | Published: 2021/11/1

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Volume 10, Issue 3 (Autumn 2021) Back to browse issues page