{"title":"伊朗西北部医院护理管理者伦理决策信心与护士伦理行为的关系研究","authors":"Mahsa Jafari, Behrouz Dadkhah, Mohammad-Ali Mohammadi","doi":"10.1155/jonm/3448243","DOIUrl":null,"url":null,"abstract":"<div>\n <p><b>Background:</b> Confidence in ethical decision-making is a critical factor for the success of nurse leaders. This confidence impacts the quality of nurse care and influences the work environment and the morality of health workers as a team.</p>\n <p><b>Aims:</b> This study aimed to determine the relationship between the ethical decision-making confidence of nursing managers and the ethical behavior of nurses.</p>\n <p><b>Methods:</b> This study used a cross-sectional and correlational design. In total, 532 nurses and 178 nursing managers from 12 hospitals affiliated with Ardabil University of Medical Sciences in Northwestern Iran participated in the study. The measuring tools used were Birkholz et al.’s Ethical Decision-making Scale and Orathai’s Ethical Behavior Scale.</p>\n <p><b>Results:</b> The mean values of ethical decision-making confidence in nurse managers and ethical behavior in nurses were 75.51 ± 7.27 and 130.56 ± 29.16, respectively. Additionally, 62.4% of nursing managers and 74.1% of nurses reported their ability to make ethical decisions and ethical behavior at a high or average level. There was a significant positive relationship between managers’ ethical decision-making confidence and nurses’ ethical behavior (<i>r</i> = 0.9, <i>p</i> = 0.001). The regression model indicated that the managers’ ethical decision-making confidence could predict 81% of nurses’ ethical behavior variance. Furthermore, female nurses and participants in an ethics workshop demonstrated higher ethical decision-making confidence and behavior (<i>p</i> < 0.001).</p>\n <p><b>Conclusion:</b> The confidence of nursing managers in their ethical decision-making significantly influences the ethical behavior of nurses on these managers’ respective units. Continuous training in ethical strategies is essential for managers, as decisions in true ethical dilemmas require a team approach. Managers should serve as role models and not make independent decisions when the choices lack clear right and wrong options.</p>\n </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/3448243","citationCount":"0","resultStr":"{\"title\":\"Investigating the Relationship Between Nursing Managers’ Ethical Decision-Making Confidence and the Ethical Behavior of Nurses in Hospitals in Northwestern Iran\",\"authors\":\"Mahsa Jafari, Behrouz Dadkhah, Mohammad-Ali Mohammadi\",\"doi\":\"10.1155/jonm/3448243\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n <p><b>Background:</b> Confidence in ethical decision-making is a critical factor for the success of nurse leaders. This confidence impacts the quality of nurse care and influences the work environment and the morality of health workers as a team.</p>\\n <p><b>Aims:</b> This study aimed to determine the relationship between the ethical decision-making confidence of nursing managers and the ethical behavior of nurses.</p>\\n <p><b>Methods:</b> This study used a cross-sectional and correlational design. In total, 532 nurses and 178 nursing managers from 12 hospitals affiliated with Ardabil University of Medical Sciences in Northwestern Iran participated in the study. The measuring tools used were Birkholz et al.’s Ethical Decision-making Scale and Orathai’s Ethical Behavior Scale.</p>\\n <p><b>Results:</b> The mean values of ethical decision-making confidence in nurse managers and ethical behavior in nurses were 75.51 ± 7.27 and 130.56 ± 29.16, respectively. Additionally, 62.4% of nursing managers and 74.1% of nurses reported their ability to make ethical decisions and ethical behavior at a high or average level. There was a significant positive relationship between managers’ ethical decision-making confidence and nurses’ ethical behavior (<i>r</i> = 0.9, <i>p</i> = 0.001). The regression model indicated that the managers’ ethical decision-making confidence could predict 81% of nurses’ ethical behavior variance. Furthermore, female nurses and participants in an ethics workshop demonstrated higher ethical decision-making confidence and behavior (<i>p</i> < 0.001).</p>\\n <p><b>Conclusion:</b> The confidence of nursing managers in their ethical decision-making significantly influences the ethical behavior of nurses on these managers’ respective units. Continuous training in ethical strategies is essential for managers, as decisions in true ethical dilemmas require a team approach. 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引用次数: 0
摘要
背景：对伦理决策的信心是护士领导成功的关键因素。这种信心影响护士护理的质量，影响工作环境和卫生工作者作为一个团队的道德。目的：本研究旨在确定护理管理者伦理决策信心与护士伦理行为之间的关系。方法：本研究采用横断面相关设计。来自伊朗西北部阿达比尔医科大学附属12家医院的532名护士和178名护理经理参与了这项研究。使用的测量工具是Birkholz等人的道德决策量表和Orathai的道德行为量表。结果：护理管理者的道德决策信心均值为75.51±7.27，护士的道德行为均值为130.56±29.16。此外，62.4%的护理经理和74.1%的护士报告他们的道德决策和道德行为能力处于较高或平均水平。管理人员伦理决策信心与护士伦理行为呈显著正相关（r = 0.9, p = 0.001）。回归模型显示，管理者伦理决策信心可以预测81%的护士伦理行为方差。此外，女护士和伦理研讨会的参与者表现出更高的道德决策信心和行为(p <；0.001)。结论：护理管理者对其伦理决策的信心显著影响其所在单位护士的伦理行为。对于管理者来说，持续的道德策略培训是必不可少的，因为在真正的道德困境中，决策需要团队的方法。管理者应该以身作则，而不是在没有明确的对与错的选择时做出独立的决定。
Investigating the Relationship Between Nursing Managers’ Ethical Decision-Making Confidence and the Ethical Behavior of Nurses in Hospitals in Northwestern Iran
Background: Confidence in ethical decision-making is a critical factor for the success of nurse leaders. This confidence impacts the quality of nurse care and influences the work environment and the morality of health workers as a team.
Aims: This study aimed to determine the relationship between the ethical decision-making confidence of nursing managers and the ethical behavior of nurses.
Methods: This study used a cross-sectional and correlational design. In total, 532 nurses and 178 nursing managers from 12 hospitals affiliated with Ardabil University of Medical Sciences in Northwestern Iran participated in the study. The measuring tools used were Birkholz et al.’s Ethical Decision-making Scale and Orathai’s Ethical Behavior Scale.
Results: The mean values of ethical decision-making confidence in nurse managers and ethical behavior in nurses were 75.51 ± 7.27 and 130.56 ± 29.16, respectively. Additionally, 62.4% of nursing managers and 74.1% of nurses reported their ability to make ethical decisions and ethical behavior at a high or average level. There was a significant positive relationship between managers’ ethical decision-making confidence and nurses’ ethical behavior (r = 0.9, p = 0.001). The regression model indicated that the managers’ ethical decision-making confidence could predict 81% of nurses’ ethical behavior variance. Furthermore, female nurses and participants in an ethics workshop demonstrated higher ethical decision-making confidence and behavior (p < 0.001).
Conclusion: The confidence of nursing managers in their ethical decision-making significantly influences the ethical behavior of nurses on these managers’ respective units. Continuous training in ethical strategies is essential for managers, as decisions in true ethical dilemmas require a team approach. Managers should serve as role models and not make independent decisions when the choices lack clear right and wrong options.
期刊介绍：
The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses.
The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide.
The Journal of Nursing Management aims to:
-Inform practitioners and researchers in nursing management and leadership
-Explore and debate current issues in nursing management and leadership
-Assess the evidence for current practice
-Develop best practice in nursing management and leadership
-Examine the impact of policy developments
-Address issues in governance, quality and safety
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