Decent work and ethical ideologies of nurses-A multicenter cross-sectional study.

IF 2.9 1区 哲学 Q1 ETHICS
Nursing Ethics Pub Date : 2025-03-01 Epub Date: 2024-06-23 DOI:10.1177/09697330241262471
Mohamed Ali Zoromba, Hasan Abualruz, Mohammad A Abu Sabra, Mohamed Ahmed Zoromba, Heba Emad El-Gazar
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引用次数: 0

Abstract

Background: Although research has established that the work environment significantly shapes nurses' ethical behavior, it's less clear whether decent work could influence ethical ideologies of nurses.

Aim: To investigate the decent work conditions and ethical ideologies of nurses, and to analyze whether decent work influences their ethical ideologies.

Methods: A multicenter cross-sectional survey was conducted among 203 nurses working in three tertiary governmental hospitals across two cities in Egypt. We utilized the Scale of Decent Work, which consists of 15 items distributed across five dimensions, to assess the level of decent work conditions. Additionally, the Ethics Position Questionnaire, containing 20 items divided into two categories-idealism and relativism-was used to evaluate the ethical ideologies of nurses. Pearson correlation and linear regression analyses were applied to analyze the data.

Ethical considerations: Ethical approval from the ethics committee, institutional permission, and informed consent from the participants were obtained for data collection.

Results: The findings indicated that the levels of decent work conditions were moderate, while the ethical ideologies of nurses were relatively high. Stepwise multiple linear regression analyses revealed that the idealism of nurses was significantly predicted by two dimensions of decent work-organizational values, and hours allowing for free time and rest-along with the overall decent work score. Meanwhile, the relativism of nurses was significantly predicted by the presence of physically and interpersonally safe working conditions.

Conclusions: Nurses experiencing decent work conditions characterized by high organizational values and adequate hours for free time and rest are more inclined to adopt idealistic ethical ideology. Meanwhile, those experiencing physically and interpersonally safe working conditions tend to embrace relativistic ethical ideology.

Implications for clinical practice: Identifying the relationship between decent work conditions and the ethical ideologies of nurses can assist hospital administrators in fostering work conditions that promote appropriate ethical ideologies among nurses.

护士的体面工作和道德观念--一项多中心横断面研究。
背景:尽管研究证实工作环境对护士的道德行为有重要影响,但体面的工作是否会影响护士的道德意识形态还不太清楚。目的:调查护士的体面工作条件和伦理思想,并分析体面工作是否影响护士的伦理思想。方法:多中心横断面调查:我们对在埃及两个城市的三家三级政府医院工作的 203 名护士进行了多中心横断面调查。我们使用体面工作量表来评估体面工作条件的水平,该量表由 15 个项目组成,分布在五个维度。此外,我们还使用了道德立场问卷来评估护士的道德意识形态,该问卷包含 20 个项目,分为理想主义和相对主义两类。数据分析采用了皮尔逊相关分析和线性回归分析。伦理考虑收集数据时已获得伦理委员会的伦理批准、机构许可和参与者的知情同意。结果研究结果表明,护士的体面工作条件处于中等水平,而道德意识形态则相对较高。逐步多元线性回归分析表明,护士的理想主义会受到体面工作的两个维度--组织价值观和允许自由支配时间和休息时间--以及体面工作总分的显著预测。同时,护士的相对主义在很大程度上受是否存在人身安全和人际安全的工作条件的影响。结论在体面工作条件下工作的护士具有较高的组织价值和充足的自由休息时间,更倾向于采用理想主义伦理思想。与此同时,那些经历过人身安全和人际安全工作条件的护士倾向于接受相对主义伦理思想。对临床实践的启示:确定体面的工作条件与护士道德意识形态之间的关系,有助于医院管理者营造促进护士形成适当道德意识形态的工作条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nursing Ethics
Nursing Ethics 医学-护理
CiteScore
7.80
自引率
11.90%
发文量
117
审稿时长
6-12 weeks
期刊介绍: Nursing Ethics takes a practical approach to this complex subject and relates each topic to the working environment. The articles on ethical and legal issues are written in a comprehensible style and official documents are analysed in a user-friendly way. The international Editorial Board ensures the selection of a wide range of high quality articles of global significance.
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