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护士伦理领导和伦理氛围感知对工作满意度的影响。

The effect of nurses' ethical leadership and ethical climate perceptions on job satisfaction.

机构信息

Dokuz Eylül University, Turkey.

Izmir Tepecik Education and Research Hospital, Turkey.

出版信息

Nurs Ethics. 2019 Jun;26(4):1211-1225. doi: 10.1177/0969733017736924. Epub 2017 Nov 8.

Abstract

BACKGROUND

The development of ethical leadership approaches plays an important role in achieving better patient care. Although studies that analyze the impact of ethical leadership on ethical climate and job satisfaction have gained importance in recent years, there is no study on ethical leadership and its relation to ethical climate and job satisfaction in our country.

OBJECTIVES

This descriptive and cross-sectional study aimed to determine the effect of nurses' ethical leadership and ethical climate perceptions on their job satisfaction.

METHODS

The study sample is composed of 285 nurses who agreed to participate in this research and who work at the internal, surgical, and intensive care units of a university hospital and a training and research hospital in İzmir, Turkey. Data were collected using Ethical Leadership Scale, Hospital Ethical Climate Scale, and Minnesota Satisfaction Scale. While the independent sample t-test, analysis of variance, Mann-Whitney U test, and Kruskal-Wallis test were used to analyze the data, the correlation analysis was used to determine the relationship between the scales.

ETHICAL CONSIDERATIONS

The study proposal was approved by the ethics committee of the Faculty of Medicine, Dokuz Eylül University.

FINDINGS

The nurses' mean scores were 59.05 ± 14.78 for the ethical leadership, 92.62 ± 17 for the ethical climate, and 62.15 ± 13.46 for the job satisfaction. The correlation between the nurses' ethical leadership and ethical climate mean scores was moderately positive and statistically significant (r = +0.625, p = 0.000), was weak but statistically significant between their ethical leadership and job satisfaction mean scores (r = +0.461, p = 0.000), and was moderately positive and statistically significant between their ethical climate and job satisfaction mean scores (r = +0.603, p = 0.000).

CONCLUSION

The nurses' ethical leadership, ethical climate, and job satisfaction levels are moderate, and there is a positive relationship between them. The nurses' perceptions of ethical leadership are influenced by their educational status, workplace, and length of service.

摘要

背景

伦理领导力方法的发展对于实现更好的患者护理至关重要。尽管近年来分析伦理领导力对伦理氛围和工作满意度的影响的研究变得越来越重要,但在我国,还没有关于伦理领导力及其与伦理氛围和工作满意度的关系的研究。

目的

本描述性和横断面研究旨在确定护士对伦理领导力和伦理氛围的看法对其工作满意度的影响。

方法

研究样本由 285 名同意参加这项研究的护士组成,他们在土耳其伊兹密尔的一所大学医院和一所培训和研究医院的内科、外科和重症监护病房工作。使用伦理领导力量表、医院伦理气候量表和明尼苏达满意度量表收集数据。采用独立样本 t 检验、方差分析、Mann-Whitney U 检验和 Kruskal-Wallis 检验分析数据,采用相关分析确定量表之间的关系。

伦理考虑

该研究提案已获得多东埃勒大学医学院伦理委员会的批准。

结果

护士的伦理领导力平均得分为 59.05 ± 14.78,伦理氛围平均得分为 92.62 ± 17,工作满意度平均得分为 62.15 ± 13.46。护士伦理领导力和伦理氛围平均得分之间的相关性呈中度正相关且具有统计学意义(r = +0.625,p = 0.000),伦理领导力和工作满意度平均得分之间的相关性较弱但具有统计学意义(r = +0.461,p = 0.000),伦理氛围和工作满意度平均得分之间的相关性呈中度正相关且具有统计学意义(r = +0.603,p = 0.000)。

结论

护士的伦理领导力、伦理氛围和工作满意度水平处于中等水平,且三者之间呈正相关。护士对伦理领导力的看法受到其教育程度、工作场所和服务年限的影响。

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