Relationship between Ethical Climate and Intent to Quit of Critical Care Nurses

Atefeh Barimani, Nahid Rejeh, Majideh Heravi Karimooi, Seyed Davood Tadrisi

Abstract


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Background and Aim: The ethical climate is section of an organizational culture will be affect on ethical dimensions of the employees and their work efficiency. Ethical climate promotion in health care organization would be improved nurses’ behavioures to ethical tension, increase of job satisfaction and decrease of intent to quit to work. The aim of this study was to determine the correlation between nurses’ perception of ethical climate and with nurses’ intent to quit among critical care nurses in the affiliated hospitals of Mazandaran University of Medical Sciences in 2018.

Materials and Methods: This was a descriptive- correlational and cross-sectional study conducted on 495 nurses employed in critical care units of the teaching hospitals of Mazandaran University of Medical Sciences in 2018 were selected. The subjects were selected by census sampling method. Data collection was carried out using demographic data، Olson moral climate, and intent to quit of Hinshaw Questionnaires. For data analysis, descriptive statistics, Pearson correlation and regression tests were used in SPSS 20 software

Findings: The ethical climate with mean (3.78±0.08) was at the desired level, and mean of the tendency to intent to quit on the job (2.93±0.39) was the less than average level. The statistics test showed that they were different significantly ((P<0.001)). And also, linear regression test showed that there is direct and meaningful correlation between them. The ethical climate of the critical care units for decrease intention to quit of job.

Ethical Considerations: After familiarizing the participants with the objectives of the research and explaining the confidentiality of the information, participants' oral satisfaction was obtained.

Conclusion: In order to results, nurse managers could be promotion.

Keywords


Critical Care Units; Ethical Climate; Intention to Quit; Nurses

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References


Borhani F, Jalali T, Abbaszadeh A, Haghdoost AA, Amiresmaili M. Nurses’ perception of ethical climate and job satisfaction. Journal of Medical Ethics and History of Medicine 2012; 5(6): 23908759.

Guntupalli KK, Wachtel S, Mallampalli A, Surani S. Burnout in the intensive care unit professionals. Indian Journal of Critical Care Medicine: Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine 2014; 18(3): 139-143.

Mohammadi A, Sarhangi F, Ebadi A, Daneshmandi M, Reisifar A, Amiri F, et al. Relationship between psychological problems and quality of work life of Intensive Care Unit Nurses. Iranian Journal of Critical Care Nursing 2011; 4(3): 135-140.

Farasatkish R, Shokrollahi N, Zahednezhad H. Critical care nurses’ moral sensitivity in Shahid Rajaee Heart Center Hospital. Iranian Journal of Cardiovascular Nursing 2015; 4(3): 36-45.

Kadivar M, Mosayebi Z, Asghari F, Zarrini P. Ethical challenges in the neonatal intensive care units: perceptions of physicians and nurses; an Iranian experience. Journal of Medical Ethics and History of Medicine 2015; 4(8): 1.

Robaee N, Atashzadeh-Shoorideh F, Ashktorab T, Baghestani A, Barkhordari-Sharifabad M. Perceived organizational support and moral distress among nurses. BMC Nursing 2018; 17(17): 1.

Hariri G, Yaghmaei F, Shakeri N. Assessment of some factors related to leave in nurses and their demographic charater in educational hospitals of Shahid Behesthi University of Medical Sciences. Journal of Health Promotion Management 2012; 1(3): 17-27.

Ganji-Arjenaki M, Dalvi M. The Impact of ethical leadership on job stress and occupation turnover intention in nurses of hospitals affiliated to Shahrekord University of Medical Sciences. Journal of Shahrekord University of Medical Sciences 2014; 16(1): 121-128.

Asayesh H, Mosavi M, Abdi M, Masoud MP, Jodaki K. The relationship between futile care perception and moral distress among intensive care unit nurses. Journal of Medical Ethics and History of Medicine 2018; 11(2): 2.

Borhani F, Hoseini H, Zadeh AA, Abbasi M, Fazljoo E. Nurses' perceptions of ethical climate governing the teaching hospital affiliated with the University of Medical Sciences Shahid Sadughi Yazd. Medical Ethics Journal 2014; 8(29): 41-65.

Malloy D, Hadjistavropoulos T, McCarthy EF. Culture, Organisational Climate and Ontology: An International Study of Nurses. Nurs Ethics 2009; 16(6): 719-733.

Goldman A, Tabak N. Perception of ethical climate and its relationship to nurses’ demographic characteristics and job satisfaction. Nursing Ethics 2010; 17(2): 233-246.

Okpara JO, Wynn P. The impact of ethical climate on job satisfaction and commitment in Nigeria: Implications for management development. Journal of Management Development 2008; 27(9): 935-950.

Schluter J, Winch S, Holzhauser K, Henderson A. Nurses' moral sensitivity and hospital ethical climate: A literature review. Nursing Ethics 2008; 15(3): 304-321.

Kalhor R, Khosravizadeh O, Moosavi S, Heidari M, Habibi H. Role of Organizational Climate in Job Involvement: A Way to Develop the Organizational Commitment of Nursing Staff. Journal of Evidence-Based Integrative Medicine 2018; 23: 1-5.

Nadi MA, Hazeghy F. Structural Equation Modeling of the Relationship between the Intention to Quit And Ethical Climate, Job Satisfaction and Organizational Commitment Among the Staff of Shiraz Private Hospitals. Health Information Management 2011; 8(5): 699-708.

Rahimnia F, Nikkhah Farkhani Z. The impact of ethical climate on organization identity and sellers of turnover. Iranian Association for Ethics in Science and Technology 2011; 6(4): 1-11.

Ulrich C, O’Donnell P, Taylor C, Farrar A, Danis M, Grady C. Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States. Social Science & Medicine 2007; 65(8): 1708-1719.

Hart SE. Hospital ethical climates and registered nurses' turnover intentions. Journal of Nursing Scholarship 2005; 37(2): 173-177.

Hwang JI, Park HA. Nurses’ perception of ethical climate, medical error experience and intent-to-leave. Nursing Ethics 2014; 21(1): 28-42.

Atashzadeh Shorideh F, Ashktorab T, Yaghmaei F, Alavimajd H. Association of ICU nurses’ demographic characteristics and moral distress. Iranian Journal of Medical Ethics and History of Medicine 2013; 5(7): 66-78.

Mirzabeigi G, Salemi S, Sanjari M, Shirazi F, Heidari S, Maleki S. Job Satisfaction among Iranian Nurses. Hayat 2009; 15(1): 49-59.

Jones CB. Revisiting nurse turnover costs: adjusting for inflation. Journal of Nursing Administration 2008; 38(1): 11-18.

Khalesi N, Arabloo J, Khosravizadeh O, Taghizadeh S, Heyrani A, Ebrahimian A. Psychometric properties of the Persian version of the "Hospital Ethical Climate Survey". Journal of Medical Ethics and History of Medicine 2014; 7(15): 1.

Mobasher M, Nkhaee N, Garoosi S. Assessing the ethical climate of Kerman teaching hospitals. Iranian Journal of Medical Ethics and History of Medicine 2008; 1(1): 45-52.

Olson LL. Hospital nurses' perceptions of the ethical climate of their work setting. Image: the Journal of Nursing Scholarship 1998; 30(4): 345-349.

Liou SR. The relationships between collectivist orientation, perception of practice environment, organizational commitment and intention to leave current job among Asian nurses working in the US. Texas: University of Texas at Austin; 2007.

Ajoodaniyan N, Sorushan V, Rahmani A, Ghaderi B. Ethical climate governed on hospital environments from the perspective of nurses employed in intensive care units. Medical Ethics Journal 2010; 4(13): 39-59.

Pauly B, Varcoe C, Storch J, Newton L. Registered nurses’ perceptions of moral distress and ethical climate. Nursing Ethics 2009; 16(5): 561-573.

Alam MM, Fakir Mohammad J. Level of Job Satisfaction and Intent to Leave Among Malaysian Nurses. Business Intelligence Journal 2010; 3(1): 123-136.

Hesam M, Asayesh H, Roohi G, Shariati A, Nasiry H. Assessing the relationship between nurses' quality of work life and their intention to leave the nursing profession. Quarterly Journal of Nursing Management 2012; 1(3): 28-36.

Almalki MJ, FitzGerald G, Clark M. The relationship between quality of work life and turnover intention of primary health care nurses in Saudi Arabia. BMC Health Services Research 2012; 12(12): 314.

Jalali T, Kalantari S, Afshar MH, Joubary LM. The nurse's perception from the hospital ethical climate. Jentashapir Journal of Health Research 2013; 4(1): 65-73.

Hojati H, Azma F. Relationship between ethical climate and the intention to remain in clinical nurses. Quarterly Journal of Nersing Management 2014; 3(1): 19-26.

Fry ST, Harvey RM, Hurley AC, Foley BJ. Development of a model of moral distress in military nursing. Nursing Ethics 2002; 9(4): 373-387.

Stone PW, Mooney‐Kane C, Larson EL, Pastor DK, Zwanziger J, Dick AW. Nurse working conditions, organizational climate, and intent to leave in ICUs: an instrumental variable approach. Health Services Research 2007; 42(3p1): 1085-1104.


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