Hamadan University of Medical Sciences, Iran.
Nurs Ethics. 2019 Jun;26(4):1114-1127. doi: 10.1177/0969733017738133. Epub 2017 Nov 21.
Nurses' behavior in Educational-Medical centers is very important for improving the condition of patients. Ethical climate represents the ethical values and behavioral expectations. Attitude of people toward religion is both intrinsic and extrinsic. Different ethical climates and attitude toward religion could be associated with nurses' behavior.
To study the mediating effect of ethical climate on religious orientation and ethical behaviors of nurses.
In an exploratory analysis study, the path analysis method was used to identify the effective variables on ethical behavior.
PARTICIPANTS/CONTEXT: The participants consisted of 259 Iranian nurses from Hamadan University of Medical Sciences.
This project with an ethical code and a unique ID IR.UMSHA.REC.1395.67 was approved in the Research Council of Hamadan University of Medical Sciences.
The beta coefficients obtained by regression analysis of perception of ethical climate of individual egoism (B = -0.202, p < 0.001), individual ethical principles (B = -0.184, p = 0.001), local egoism (B = -0.136, p = 0.003), and extrinsic religious orientation (B = -0.266, p = 0.007) were significant that they could act as predictors of ethical behavior. The summary of regression model indicated that 0.27% of ethical behaviors of nurses are justified by two variables: ethical climate and religious orientation.
Intrinsic religious orientation has the most direct impact and then, respectively, the variables of ethical climate of perceptions in the dimensions of individual egoism, individual ethical principles, local egoism, global ethical principle, and ethical behavior and extrinsic religious orientation follow. All the above, except global ethical principles and intrinsic orientation of religion have a negative effect on ethical behavior and can be predictors of ethical behavior. Therefore, applying strategies to promote theories of intrinsic religious orientation and global ethical principles in different situations of nursing is recommended.
护士在教育医疗中心的行为对于改善患者的状况非常重要。伦理氛围代表了伦理价值观和行为期望。人们对宗教的态度既有内在的也有外在的。不同的伦理氛围和对宗教的态度可能与护士的行为有关。
研究伦理氛围对护士宗教取向和伦理行为的中介作用。
在探索性分析研究中，采用路径分析方法确定对伦理行为有影响的有效变量。
参与者/背景：参与者包括来自哈马丹医科大学的 259 名伊朗护士。
该项目有一个伦理代码和一个独特的 ID IR.UMSHA.REC.1395.67，已在哈马丹医科大学研究委员会获得批准。
个体利己主义（B = -0.202，p < 0.001）、个体伦理原则（B = -0.184，p = 0.001）、地方利己主义（B = -0.136，p = 0.003）和外在宗教取向（B = -0.266，p = 0.007）的个体伦理氛围感知的回归分析得到的β系数显著，可作为伦理行为的预测因子。回归模型的总结表明，护士伦理行为的 0.27%可以由两个变量来解释：伦理氛围和宗教取向。
内在宗教取向的影响最大，其次是个体利己主义、个体伦理原则、地方利己主义、全球伦理原则和伦理行为感知的伦理氛围维度中的变量，以及外在宗教取向。除了全球伦理原则和内在宗教取向外，所有这些变量对伦理行为都有负面影响，可以预测伦理行为。因此，建议在不同的护理情境下，采取策略来促进内在宗教取向和全球伦理原则的理论。
