ArticleBMC nursing2021
The relationship between ethical climate and nursing service behavior in public and private hospitals: a cross-sectional study in China.
Article in BMC nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 27 citations in OpenAlex.
- Organisational ethical climate and nurses' work performance: A cross-sectional analysis of the indirect association through job crafting.Work (Reading, Mass.) · 2026Article
- Moral Courage Mediates the Relationship Between Ethical Climate and Sustainable Environmental Health Literacy Among Nurses.International journal of environmental research and public health · 2026Article
- Hospital ethical climate and nurses' cyber ethics literacy: the mediating role of compassion competence.Frontiers in medicine · 2026Article
- Knowledge, attitudes and practices levels of clinical nurses towards humanistic caring: the first nationwide multi-centre cross-sectional survey in China.BMC nursing · 2025Article
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- The difference in patient-centered medical experiences between public fertility care and private fertility care in China: a multicenter cross-sectional study.BMC public health · 2025Article
- Exploring Compassionate Care Patterns Among Nurses and Its Associations With Resilience: Multilevel Contextual Effects Modeling.Journal of nursing management · 2025Article
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- Relation between innovative work behavior and ethical climate perceptions among nursing personnel.BMC nursing · 2024Article
- The Impact of Nursing Heads Leadership on Research Innovation Behavior of Junior Nurses with Master's Degree: The Mediation of Perceived Barriers and the Moderation of Motivation.Journal of healthcare leadership · 2024Article
- Service Climate and Nurses' Collaboration with Families of Older Patients in the Care Process during Hospitalization.Healthcare (Basel, Switzerland) · 2023Article
- Ethical climate in healthcare: A systematic review and meta-analysis.Nursing ethics · 2023Review
- The effect of work setting and demographic factors on caring behaviour among nurses in the public hospitals and public health services, Sabah, Malaysia.BMC nursing · 2023Article
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundWorkplace climate is a great significant element that has an impact on nurses' behavior and practice; moreover, nurses' service behavior contributes to the patients' satisfaction and subsequently to the long-term success of hospitals. Few studies explore how different types of organizational ethical climate encourage nurses to engage in both in-role and extra-role service behaviors, especially in comparing the influencing process between public and private hospitals. This study aimed to compare the relationship between the five types of ethical climate and nurses' in-role and extra-role service behaviors in public and private hospitals.
methodsThis study conducted a cross-sectional survey on 559 nurses from China in May 2019. The questionnaire was distributed to nurses by sending a web link via the mobile phone application WeChat through snowball sampling methods. All participants were investigated using the Ethical Climate Scale and Service Behavior Questionnaire. SPSS 22.0 was used for correlation analysis, t-test, and analysis of variance test, and Mplus 7.4 was used for group comparison (p < .05).
resultsThe law and code climate has a much greater influence on nurses' in-role service behavior in private hospitals than on that in public hospitals (β = - 0.277; CI
conclusionsAs the relationship between the five types of ethical climate and nurses' in-role and extra-role service behaviors in public and private hospitals were different, the strategies used to foster and enhance the types of ethical climate are various from public to private hospitals. The caring and instrumental climate are the key to promote extra-role service behavior for nurses in private hospitals. And the independent climate has a great effect on extra-role service behaviors for nurses in public hospitals.
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