ArticleJournal of Korean gerontological nursing2026
Effects of nursing professionalism, ethical issues experience, and hospital ethical climate on ethical nursing competence of nurses in long-term care hospitals: A cross-sectional study.
Article in Journal of Korean gerontological nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study examined factors associated with ethical nursing competence among nurses working in long-term care hospitals (LTCHs), focusing on nursing professionalism, experiences with ethical issues, and the hospital ethical climate.
methodsUsing a descriptive cross-sectional design, we recruited nurses via convenience sampling who had at least 6 months of LTCHs inpatient-care experience in J Province and G City. Data were collected with a structured, self-administered questionnaire from February 24 to March 14, 2025. Analyses included descriptive statistics, independent t-tests, one-way ANOVA with Scheffé post-hoc tests, Pearson's correlation coefficients, and multiple linear regression.
resultsThe mean ethical nursing competence score was 3.18 out of 4, with ethical behavior being the highest-scoring subdomain and ethical reflection the lowest. Ethical nursing competence was positively correlated with nursing professionalism (r=.33, p<.001) and the hospital ethical climate (r=.37, p<.001), and negatively correlated with experiences of ethical issues (r=-.27, p<.001). In multiple regression, significant predictors of ethical nursing competence were the hospital ethical climate (β=.35, p<.001) and completion of ethics education (β=.20, p=.006).
conclusionStrategies to enhance ethical nursing competence through hospital ethical climate are needed, particularly those that prioritize facilitating an ethical climate of nursing organizations. In-service programs that consider the content and methods of ethics education appropriate to the characteristics of nursing practice in LTCHs are also needed.
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