{"title":"预测护士工作投入感知和伦理氛围对护理行为的影响：工作投入的中介与调节作用——一项横断面研究。","authors":"Samira Rohaninasab, Nilofar Pasyar, Masoume Rambod","doi":"10.1186/s12912-025-03267-7","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Nurses' perceptions of the ethical climate in their workplace and their level of job involvement are crucial factors that may influence their professional behaviors. This study aimed to explore how these factors -the nurses' perspectives on the ethical climate and their job involvement-affect their caring behaviors. Additionally, the mediating and moderating effects of job involvement on the relationship between ethical climate and caring behaviors were examined.</p><p><strong>Methods: </strong>This cross-sectional study enrolled 280 nurses through stratified random sampling. Job Involvement Scale, Hospital Ethical Climate Survey, and Caring Behaviors Inventory were used for data collection. SPSS and Macro PROCESS SPSS were used for hierarchical regression and moderation/mediation analysis.</p><p><strong>Results: </strong>This study found that nurses demonstrated high levels of caring behavior and a moderate perception of the hospital's ethical climate, with 80% reporting moderate job involvement. Nurses' views on the hospital and patient-related ethical climate predicted caring behaviors (p < 0.05). A relationship existed between job involvement and caring behaviors (r = 0.17, p = 0.004). Additionally, nurses with a more positive view of the hospital's ethical climate exhibited higher levels of job involvement (r = 0.43, p < 0.001). However, job involvement did not moderate or mediate the relationship between ethical climate and caring behaviors.</p><p><strong>Conclusions: </strong>Our findings indicate that a positive ethical climate enhances nurses' job involvement and caring behavior. Job involvement, in turn, improves caring behavior. It emphasizes the need for a supportive work environment to improve nursing practice. It is recommended that healthcare institutions should strengthen the ethical climate to enhance job involvement and caring behaviors.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"597"},"PeriodicalIF":3.1000,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107954/pdf/","citationCount":"0","resultStr":"{\"title\":\"Predicting the impact of nurses' perception of job involvement and ethical climate on caring behaviors: the mediating and moderating effect of job involvement-a cross-sectional study.\",\"authors\":\"Samira Rohaninasab, Nilofar Pasyar, Masoume Rambod\",\"doi\":\"10.1186/s12912-025-03267-7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Nurses' perceptions of the ethical climate in their workplace and their level of job involvement are crucial factors that may influence their professional behaviors. This study aimed to explore how these factors -the nurses' perspectives on the ethical climate and their job involvement-affect their caring behaviors. Additionally, the mediating and moderating effects of job involvement on the relationship between ethical climate and caring behaviors were examined.</p><p><strong>Methods: </strong>This cross-sectional study enrolled 280 nurses through stratified random sampling. Job Involvement Scale, Hospital Ethical Climate Survey, and Caring Behaviors Inventory were used for data collection. SPSS and Macro PROCESS SPSS were used for hierarchical regression and moderation/mediation analysis.</p><p><strong>Results: </strong>This study found that nurses demonstrated high levels of caring behavior and a moderate perception of the hospital's ethical climate, with 80% reporting moderate job involvement. Nurses' views on the hospital and patient-related ethical climate predicted caring behaviors (p < 0.05). A relationship existed between job involvement and caring behaviors (r = 0.17, p = 0.004). Additionally, nurses with a more positive view of the hospital's ethical climate exhibited higher levels of job involvement (r = 0.43, p < 0.001). However, job involvement did not moderate or mediate the relationship between ethical climate and caring behaviors.</p><p><strong>Conclusions: </strong>Our findings indicate that a positive ethical climate enhances nurses' job involvement and caring behavior. Job involvement, in turn, improves caring behavior. It emphasizes the need for a supportive work environment to improve nursing practice. It is recommended that healthcare institutions should strengthen the ethical climate to enhance job involvement and caring behaviors.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>\",\"PeriodicalId\":48580,\"journal\":{\"name\":\"BMC Nursing\",\"volume\":\"24 1\",\"pages\":\"597\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-05-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107954/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12912-025-03267-7\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12912-025-03267-7","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
背景：护士对工作场所道德氛围的感知和工作投入水平是影响其职业行为的关键因素。本研究旨在探讨护士的道德氛围和工作投入对护理行为的影响。此外，研究了工作投入在伦理氛围与关怀行为之间的中介和调节作用。方法：采用分层随机抽样的方法，对280名护士进行横断面研究。采用工作投入量表、医院伦理氛围调查和关怀行为问卷进行数据收集。采用SPSS和Macro PROCESS SPSS进行层次回归和调节/中介分析。结果：本研究发现护士表现出高水平的关怀行为和对医院道德氛围的中等感知，80%的护士报告中等的工作投入。结论：积极的护士伦理氛围能提高护士的工作投入和护理行为。工作投入，反过来，提高关怀行为。它强调需要一个支持性的工作环境来改善护理实践。建议医疗机构应加强道德氛围，以提高工作投入和关怀行为。临床试验号：不适用。
Predicting the impact of nurses' perception of job involvement and ethical climate on caring behaviors: the mediating and moderating effect of job involvement-a cross-sectional study.
Background: Nurses' perceptions of the ethical climate in their workplace and their level of job involvement are crucial factors that may influence their professional behaviors. This study aimed to explore how these factors -the nurses' perspectives on the ethical climate and their job involvement-affect their caring behaviors. Additionally, the mediating and moderating effects of job involvement on the relationship between ethical climate and caring behaviors were examined.
Methods: This cross-sectional study enrolled 280 nurses through stratified random sampling. Job Involvement Scale, Hospital Ethical Climate Survey, and Caring Behaviors Inventory were used for data collection. SPSS and Macro PROCESS SPSS were used for hierarchical regression and moderation/mediation analysis.
Results: This study found that nurses demonstrated high levels of caring behavior and a moderate perception of the hospital's ethical climate, with 80% reporting moderate job involvement. Nurses' views on the hospital and patient-related ethical climate predicted caring behaviors (p < 0.05). A relationship existed between job involvement and caring behaviors (r = 0.17, p = 0.004). Additionally, nurses with a more positive view of the hospital's ethical climate exhibited higher levels of job involvement (r = 0.43, p < 0.001). However, job involvement did not moderate or mediate the relationship between ethical climate and caring behaviors.
Conclusions: Our findings indicate that a positive ethical climate enhances nurses' job involvement and caring behavior. Job involvement, in turn, improves caring behavior. It emphasizes the need for a supportive work environment to improve nursing practice. It is recommended that healthcare institutions should strengthen the ethical climate to enhance job involvement and caring behaviors.
期刊介绍：
BMC Nursing is an open access, peer-reviewed journal that considers articles on all aspects of nursing research, training, education and practice.
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