ArticleScientific reports2025
Correlation of nurses' and midwives' stress of conscience with hospital ethical climate and moral sensitivity.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Perception of the Ethical Climate Among Hospital Employees in a Public Healthcare System: A Qualitative Study at the University Hospital of Split, Croatia.Healthcare (Basel, Switzerland) · 2026Article
- The role of job satisfaction on the association between perceived person-centred care and stress of conscience: a moderated mediation analysis of cross-sectional data from primary care professionals.BMC primary care · 2026Article
- The impact of transition shock on moral sensitivity among nursing interns and its mechanism: a cross-sectional study.Frontiers in medicine · 2026Article
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4 authors.
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Abstract
Stress of conscience (SC) in healthcare professionals results from conflicts with ethical beliefs due to work constraints, while moral sensitivity (MS) and a positive ethical climate (EC) are crucial for ethical decision-making and quality patient care. The aim of the study was to assess correlation of the hospital EC, MS and SC among nurses, midwives; to assess psychometric properties of the Polish version of the Stress of Conscience Questionnaire (SCQ). An cross-sectional study was conducted from March 2019 to December 2020 among 683 nurses, midwives working at the hospital. The internal consistency reliability of the SCQ was satisfactory (0.837). A two-factor solution explained 54.26% of the total variance. The intensity of SC among the nurses, midwives increased with the deterioration of selected indicators of the EC of the hospital relationships with managers, the hospital, doctors; deterioration of relationships in these areas increased the subjects' SC, while the overall indicator of the EC of the hospital remained independent of the intensity of SC. Respondents' MS were higher the more EC of the hospital in which they worked was. Supporting a culture that values ethics and positive communication among healthcare professionals can create environments that enhance professional satisfaction and prioritize patient-oriented care.
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