Document Detail

Public and Private Hospital Nurses' Perceptions of the Ethical Climate in Their Work Settings, Sari City, 2011.
MedLine Citation:
PMID:  25414890     Owner:  NLM     Status:  Publisher    
BACKGROUND: Nurses' perceptions of ethical climate patterns have certain undeniable effects on hospitals. There is little evidence of possible differences in this element between public and private hospitals and contributing factors.
OBJECTIVES: This study investigated whether the perceptions of the ethical climate in nurses' working in public hospitals differ from that of nurses in private hospitals, and which factors may affect nurses' perceptions.
MATERIALS AND METHODS: A cross-sectional study of randomly selected registered nurses (n = 235), working in four public hospitals affiliated to Mazandaran University of Medical Sciences, and three private hospitals, was conducted in Sari City, Iran. A self-administered questionnaire, containing demographic characteristics and the Hospital Ethical Climate Survey (HECS), were used to assess registered nurses' perceptions of public and private hospitals ethical climate. An independent t-test and one-way ANOVA were used to analyze the data.
RESULTS: Across the five factors of HECS, the highest and lowest mean scores pertained to managers and physicians, respectively, in both public and private hospitals. Nurses who had a conditional employment situation and those working in pediatric intensive care units showed significantly more positive perceptions of the ethical work climate when compared to their peers (P < 0.05). Although the mean score of ethical work climate in private hospitals (3.82 ± 0.61) was higher than that in public hospitals (3.76 ± 0.54), no significant difference was found (P = 0.44).
CONCLUSIONS: Hospital managers need to discover better ways to promote safety and health programs for their staff according to nurses' area of work and their type of units. They should also encourage greater levels of participation in safety-enhancing initiatives in the hospital's ethical climate, especially in the areas of nurses' perceptions of their physician colleagues, and for nurses with a conditional employment situation.
Ali Asghar Ghorbani; Ali Hesamzadeh; Mohammad Khademloo; Salimeh Khalili; Shamim Hesamzadeh; Valerie Berger
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-4-17
Journal Detail:
Title:  Nursing and midwifery studies     Volume:  3     ISSN:  2322-1488     ISO Abbreviation:  Nurs Midwifery Stud     Publication Date:  2014 Apr 
Date Detail:
Created Date:  2014-11-21     Completed Date:  -     Revised Date:  2014-11-21    
Medline Journal Info:
Nlm Unique ID:  101606711     Medline TA:  Nurs Midwifery Stud     Country:  -    
Other Details:
Languages:  ENG     Pagination:  e12867     Citation Subset:  -    
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