Evidence map›Paper›PMID 34706723›Full record

ArticleBMC medical ethics2021

The association between perceived hospital ethical climate and self-evaluated care quality for COVID-19 patients: the mediating role of ethical sensitivity among Chinese anti-pandemic nurses.

Wenjing Jiang, Xing'e Zhao, Jia Jiang, Huilin Zhang, Shujuan Sun, Xianhong Li

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC medical ethics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Wenjing JiangXiangya School of Nursing, Central South University, 172 Tong Zi Po Road, Changsha, 410013, Hunan, China.
Xing'e ZhaoDepartment of Liver Transplantation, The Second Xiangya Hospital of Central South University, Changsha, 410011, China.
Jia JiangWest China School of Pharmacy, Sichuan University, Chengdu, 610041, China.
Huilin ZhangDepartment of Nursing, The Second Xiangya Hospital of Central South University, Changsha, 410011, China.
Shujuan SunDepartment of Gynecology, The Second Xiangya Hospital of Central South University, Changsha, 410011, China.
Xianhong LiXiangya School of Nursing, Central South University, 172 Tong Zi Po Road, Changsha, 410013, Hunan, China. xianhong_li@csu.edu.cn.

Funding

Research Ethics Training and Curriculum Development Program with ChinaR25TW007700 · FIC · YALE UNIVERSITY · PI KHOSHNOOD, KAVEH · 2011 to 2021
$2.5M
FIC NIH HHS R25 TW007700NIH Fogarty grant 5R25TW007700-09
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic called for a new ethical climate in the designated hospitals and imposed challenges on care quality for anti-pandemic nurses. Less was known about whether hospital ethical climate and nurses' ethical sensitivity were associated with care quality. This study examined the association between the perceived hospital ethical climate and self-evaluated quality of care for COVID-19 patients among anti-pandemic nurses, and explored the mediating role of ethical sensitivity in this relationship.

methodsA cross-sectional study was conducted through an online survey. A total of 399 anti-pandemic nurses from ten designated hospitals in three provinces of China were recruited to fill out an online survey. Multiple linear regression analysis and a bootstrap test were used to examine the relationships between ethical climate, ethical sensitivity and care quality.

resultsNurses reported mean scores of 4.43 ± 0.577 (out of 5) for hospital ethical climate, 45.00 ± 7.085 (out of 54) for ethical sensitivity, and 5.35 ± 0.661 (out of 6) for self-evaluated care quality. After controlling for covariates, perceived hospital ethical climate was positively associated with self-evaluated care quality (direct effect = 0.710, 95% confidence interval [CI] 0.628, 0.792), and was partly mediated by ethical sensitivity (indirect effect = 0.078, 95% confidence interval [CI] 0.002, 0.145).

conclusionsChinese nurses who cared for COVID-19 patients perceived high levels of hospital ethical climate, ethical sensitivity, and self-evaluated care quality. Positive perceptions of hospital ethical climate were both directly associated with a higher level of self-evaluated care quality and indirectly associated, through the mediation effect of ethical sensitivity among anti-pandemic nurses.

Indexed as

COVID-19NursesAttitude of Health PersonnelChinaCross-Sectional StudiesHospitalsHumansJob SatisfactionPandemicsQuality of Health CareSARS-CoV-2Surveys and QuestionnairesCare qualityCOVID-19Ethical sensitivityHospital ethical climateMediation effect

Identifiers

PMID34706723
PMCPMC8549414

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.