Nursing Department, School of Health Sciences, University of Thessaly, Larissa, Greece.
Department of Social and Educational Policy, University of Peloponnese, Tripoli, Greece.
Adv Exp Med Biol. 2021;1337:17-25. doi: 10.1007/978-3-030-78771-4_3.
This study aimed to examine Greek nurses' perceptions about hospital ethical climate and to investigate the possible difference of those perceptions regarding their demographic and work-related characteristics. The cross-sectional study design was employed in this study in which 286 nurses and nurse assistants participated. Data were collected by a sheet containing demographic and work-related characteristics and the Greek version of the Oslons' Hospital Ethical Climate Scale. IBM Statistical Package for Social Sciences 25 was used in data analysis. Frequencies, means, percentages, and standard deviations summarized the data. For the statistical differences, parametric tests were performed. Independent Samples t and Pearson correlation analysis were used to determine the relationship between the ethical climate of the hospital and the nurses' characteristics. The p-values 0.05 were considered statistically significant. The mean age of the nurses was 44 years (SD: 8.5 years; range 24-66 years). The majority of them were women (77.3%). A percent of 57.7% of the sample was married. Most positive perceptions were concerning managers (4.01) following by peers (3.82), patients (3.69), hospitals (3.29) while the least positive perceptions of the ethical climate were concerning the physicians (3.16). The factors associated with hospital ethical perception were: working experience and responsible position. The highest score of ethical climate reported to managers subscale, while the minimum score was related to physicians. In general, Greek nurses reported positive perceptions regarding hospital ethical climate. The positive ethical climate is associated with a better working environment, fewer nurses' experience of moral distress, fewer chances for nursing turnover, high quality of nursing care, and fewer errors in nursing practice.
本研究旨在探讨希腊护士对医院伦理氛围的看法，并调查他们对人口统计学和工作相关特征的看法是否存在差异。本研究采用横断面研究设计，共有 286 名护士和护士助理参与。通过包含人口统计学和工作相关特征以及希腊版 Oslons 医院伦理氛围量表的表格收集数据。数据分析使用 IBM 统计软件包 25。频率、平均值、百分比和标准差总结了数据。对于统计差异，进行了参数检验。独立样本 t 检验和 Pearson 相关分析用于确定医院伦理氛围与护士特征之间的关系。p 值<0.05 被认为具有统计学意义。护士的平均年龄为 44 岁（标准差：8.5 岁；范围 24-66 岁）。他们中的大多数是女性（77.3%）。57.7%的样本已婚。大多数积极的看法是关于管理者（4.01），其次是同事（3.82）、患者（3.69）、医院（3.29），而对医生的伦理氛围的看法最不积极（3.16）。与医院伦理感知相关的因素是：工作经验和负责职位。报告的伦理氛围最高得分是针对管理者的子量表，而最低得分与医生有关。总的来说，希腊护士对医院伦理氛围的看法是积极的。积极的伦理氛围与更好的工作环境、护士经历道德困境的机会减少、护士离职机会减少、护理质量提高以及护理实践中的错误减少有关。
