ArticleBMC nursing2022
Hospital ethical climate survey - selected psychometric properties of the scale and results among polish nurses and midwives.
Article in BMC nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed.
- Ethical climate in the primary health care workplace: a mixed-method study.Revista latino-americana de enfermagem · 2026Article
- Construction and validation of the "labour ward job satisfaction scale for midwives (LWJSS-M)" in Spain.BMC nursing · 2025Article
- Correlation of nurses' and midwives' stress of conscience with hospital ethical climate and moral sensitivity.Scientific reports · 2025Article
- Correlation Descriptive Study on Nurses' Professional Values and Job Satisfaction and the Ethical Climate of the Hospital.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Perceptions of organizational culture among non-patient-facing health system employees.Journal of health organization and management · 2025Article
- Conscience clause in brain death care: ethical and legal perspectives of young nurses and midwives in Poland.Frontiers in medicine · 2025Article
- The Impact of Medical Explainable Artificial Intelligence on Nurses' Innovation Behaviour: A Structural Equation Modelling Approach.Journal of nursing management · 2024Article
- Analysis of influencing factors of orthopedic nurses' spiritual care competencies based on structural equation model.Frontiers in public health · 2024Article
- Professional values, ethical climate and job satisfaction of nurses and their selected sociodemographic and occupational characteristics.Frontiers in public health · 2024Observational
- Perception of the ethical climate among healthcare professionals in an emergency room from southern Brazil.Revista CuidarteArticle
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Abstract
backgroundThe hospital ethical climate affects the quality of nursing care. A positive ethical climate is likely to reduce the proportion of those who consider leaving the profession, so it is necessary to develop tools which will enable assessment and analysis of the hospital ethical climate. The aim of this study was to examine selected psychometric properties of the Polish version of the Hospital Ethical Climate Survey, assess the hospital ethical climate perceived by nurses and midwives from Polish hospitals, and to determine its correlations with job-related variables.
methodsA cross-sectional study among 558 nurses and midwives working in hospitals in Poland.
resultsThe 21-item model showed acceptable model fitness between the hypothetical model of ethical climate and the data in the study. Five items with low factor loadings were removed from the study. The internal consistency was satisfactory (0.93). The mean score for the overall hospital ethical climate was 3.62. The highest mean score of hospital ethical climate in the present study was found in the "peers" subscale and the lowest in the "physicians" subscale. A positive correlation was found between overall hospital ethical climate and respondents' satisfaction with work, salary, and working time. The hospital ethical climate was associated with problems found in nurses and midwives' work, such as: limited time for direct face-to-face care, the lack of equipment and resources to provide high-quality health care, strained relations with hospital managers and other health care professionals, limitations to one's own competences or those of other medical professionals, moral dilemmas related to patient care, the low prestige of nurses'/midwives' work, physical and mental burden, and the risk of making a mistake.
conclusionThe Polish 21-item version of the Hospital Ethical Climate Survey is a reliable tool. Correlations revealed that relationships with managers and physicians, and working conditions should be improved in order for the hospital ethical climate to improve.
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