OpenLB
Open Library of Bioscience
Advanced Search
BMC nursing
Nov 02, 2022;21 (1): 295.

Hospital ethical climate survey - selected psychometric properties of the scale and results among polish nurses and midwives.

Magdalena Dziurka, Patrycja Ozdoba, Linda Olson, Anna Jedynak, Dorota Ozga, Krzysztof Jurek, Beata Dobrowolska
Author Information
  1. Magdalena Dziurka: Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland.
  2. Patrycja Ozdoba: Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland.
  3. Linda Olson: Consultants and previous Professor and Dean at North Park University, Chicago, IL, USA.
  4. Anna Jedynak: Provincial Polyclinical Hospital, Skierniewice, Poland.
  5. Dorota Ozga: Department of Emergency Medicine, Faculty of Medicine, University of Rzeszów, Rzeszów, Poland.
  6. Krzysztof Jurek: Institute of Sociology, Faculty of Social Sciences, John Paul II Catholic University of Lublin, Lublin, Poland.
  7. Beata Dobrowolska: Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland. beatadobrowolska@umlub.pl.
PMID: 36324181 DOI: 10.1186/s12912-022-01067-x

Abstract

BACKGROUND: The 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.
METHODS: A cross-sectional study among 558 nurses and midwives working in hospitals in Poland.
RESULTS: The 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.
CONCLUSION: The 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.

Keywords

Ethics Hospital ethical climate Midwives Nurses Psychometric properties

References

  1. Nurs Ethics. 2019 Nov-Dec;26(7-8):2482-2493 [PMID: 30665340]
  2. J Med Ethics Hist Med. 2014 Sep 11;7:15 [PMID: 25512834]
  3. Int J Med Educ. 2011 Jun 27;2:53-55 [PMID: 28029643]
  4. Nurs Ethics. 2019 Jun;26(4):1211-1225 [PMID: 29117776]
  5. Nurs Ethics. 2019 Sep;26(6):1805-1821 [PMID: 29734886]
  6. BMC Med Ethics. 2021 Oct 27;22(1):144 [PMID: 34706723]
  7. Cancer Nurs. 2015 Mar-Apr;38(2):125-32 [PMID: 24945260]
  8. J Clin Epidemiol. 2008 Apr;61(4):344-9 [PMID: 18313558]
  9. Nurs Ethics. 2017 Mar;24(2):151-166 [PMID: 26260440]
  10. Nurs Ethics. 2010 Mar;17(2):233-46 [PMID: 20185447]
  11. J Nurs Manag. 2014 Sep;22(6):792-802 [PMID: 23465074]
  12. Nurs Ethics. 2018 Sep;25(6):707-723 [PMID: 27679538]
  13. Adv Exp Med Biol. 2021;1337:17-25 [PMID: 34972887]
  14. Image J Nurs Sch. 1998;30(4):345-9 [PMID: 9866295]
  15. Nurs Ethics. 2015 Aug;22(5):517-32 [PMID: 25316460]
  16. J Nurs Meas. 2018 Aug;26(2):237-248 [PMID: 30567942]
  17. Nurs Ethics. 2015 Dec;22(8):845-59 [PMID: 25488760]
  18. Dimens Crit Care Nurs. 2014 Jul-Aug;33(4):234-45 [PMID: 24895954]
  19. BMC Nurs. 2019 Aug 29;18:39 [PMID: 31485197]
  20. Nurs Ethics. 2019 Jun;26(4):1186-1198 [PMID: 29268659]
  21. J Nurs Manag. 2021 Mar;29(2):286-293 [PMID: 32893914]
  22. Intensive Care Med. 2020 Jan;46(1):46-56 [PMID: 31690968]
  23. Nord J Psychiatry. 2015 Aug;69(6):418-25 [PMID: 25592287]
  24. Nurs Ethics. 2014 Feb;21(1):28-42 [PMID: 23793070]
  25. Nurs Midwifery Stud. 2014 Apr;3(1):e12867 [PMID: 25414890]
  26. Nurs Ethics. 2019 Mar;26(2):346-356 [PMID: 28718349]
  27. Int Nurs Rev. 1995 May-Jun;42(3):85-90 [PMID: 7649724]
  28. Front Psychol. 2019 Jun 19;10:1356 [PMID: 31275196]
  29. Dimens Crit Care Nurs. 2015 Jan-Feb;34(1):33-46 [PMID: 25470266]
  30. Nurs Ethics. 2010 Mar;17(2):213-24 [PMID: 20185445]
  31. Int J Older People Nurs. 2010 Jun;5(2):93-107 [PMID: 20925711]
  32. Invest Educ Enferm. 2020 Oct;38(3): [PMID: 33306902]
Journal Article

Word Cloud

Created with Highcharts 10.0.0ethicalclimatehospitalcarestudyHospitalnursespropertiesPolishmidwivesworkingmodelfoundworkpositiveselectedpsychometricversionEthicalClimateSurveyhospitalsamong21-itemlowmeanscoreoverallsubscaletimehealthmanagersprofessionalsBACKGROUND:affectsqualitynursinglikelyreduceproportionconsiderleavingprofessionnecessarydeveloptoolswillenableassessmentanalysisaimexamineassessperceiveddeterminecorrelationsjob-relatedvariablesMETHODS:cross-sectional558PolandRESULTS:showedacceptablefitnesshypotheticaldataFiveitemsfactorloadingsremovedinternalconsistencysatisfactory093362highestpresent"peers"lowest"physicians"correlationrespondents'satisfactionsalaryassociatedproblemsmidwives'as:limiteddirectface-to-facelackequipmentresourcesprovidehigh-qualitystrainedrelationslimitationsone'scompetencesmedicalmoraldilemmasrelatedpatientprestigenurses'/midwives'physicalmentalburdenriskmakingmistakeCONCLUSION:reliabletoolCorrelationsrevealedrelationshipsphysiciansconditionsimprovedorderimprovesurvey-scaleresultspolishEthicsMidwivesNursesPsychometric

Similar Articles

Cited By