Tel Aviv University, Israel.
Nurs Ethics. 2010 Mar;17(2):233-46. doi: 10.1177/0969733009352048.
In this study, we examined the perception of actual and ideal ethical climate type among 95 nurses working in the internal medicine wards of one central hospital in the state of Israel. We also examined whether nurses' demographic characteristics influence that perception and if a relationship between perceptions of an actual and an ideal ethical climate type influences nurses' job satisfaction. A questionnaire composed of three subquestionnaires was administered and the responses analyzed using multiple linear regressions, analysis of variance and Pearson's correlation coefficient. The results demonstrated that demographic characteristics (such as: gender, job tenure and level of education) partially influence the perception of an ideal ethical climate. Incongruence in perceptions of 'caring' and 'independence' climate types indicated a decline in nurses' job satisfaction, while perception of actual 'caring' and 'service' climates positively influenced all aspects of job satisfaction. We recommend constructing training programs emphasizing the ethics of nursing practice and also to help lead nurses to clarify an ethical framework and guide nursing staff in dealing with ethical dilemmas.
在这项研究中，我们调查了 95 名在以色列一家中心医院内科病房工作的护士对实际和理想伦理气候类型的看法。我们还调查了护士的人口统计学特征是否会影响这种看法，以及对实际和理想伦理气候类型的看法之间的关系是否会影响护士的工作满意度。我们采用了一个由三个子问卷组成的问卷，并使用多元线性回归、方差分析和皮尔逊相关系数对结果进行了分析。结果表明，人口统计学特征（如性别、工作年限和教育水平）部分影响了对理想伦理气候的看法。对“关怀”和“独立”气候类型的看法不一致表明护士的工作满意度下降，而对实际的“关怀”和“服务”气候的看法则积极影响工作满意度的各个方面。我们建议构建强调护理实践伦理的培训计划，并帮助引导护士澄清伦理框架，指导护理人员处理伦理困境。
