28118Federal University of Santa Maria, Santa Maria, Brazil.
28118Federal University of Santa Catarina, Florianópolis, Brazil.
Nurs Ethics. 2022 Aug;29(5):1174-1185. doi: 10.1177/09697330221075741. Epub 2022 May 11.
The ethical climate is the perception of health professionals about the work environment, meaning the reflection on care practices and ethical-related decisions. There are extensive studies in the international literature about the ethical climate, but there are still theoretical gaps about it in health services. In this reflection article, the objective was to explore conceptual components about the ethical climate, proposing new elements of analysis of the construct. The starting point was the accumulated knowledge itself, the possibilities for expansion, and the conceptual progress emerging from contributions from studies on nursing ethics. It was understandable that the ethical climate is considered in its procedural model and cyclically, being articulated with organizational elements, as established in the literature, and, expanding the concept, with the worker's health and the ethical expressiveness at work. Regarding this last contribution, the suggestion is to think about the potential for work to allow, limit, or favor professionals to express their ethical and esthetic values in the most daily decisions and relationships, in care, management, and education. The conceptual framework of this study progressed by addressing the ethical climate as a process articulating several concepts and elements regarding the organizational aspect, ethics, and the workers' well-being.
道德风气是医疗专业人员对工作环境的看法，即对护理实践和与伦理相关的决策的反思。国际文献中有大量关于道德风气的研究，但在卫生服务领域仍存在理论空白。在这篇反思性文章中，我们的目的是探讨道德风气的概念性组成部分，提出分析该构念的新要素。出发点是积累的知识本身，是从护理伦理研究中获得的扩展可能性和概念进展。可以理解的是，道德风气被认为是其程序模型，并周期性地与组织要素联系在一起，这在文献中已有规定，并且，通过扩展概念，与工人的健康和工作中的伦理表现联系在一起。关于这最后一点，建议思考工作的潜力，以允许、限制或有利于专业人员在最日常的决策和关系中表达他们的伦理和审美价值观，无论是在护理、管理还是教育中。通过将道德风气视为一个过程，将组织方面、伦理和工人福祉等几个概念和要素联系起来，本研究的概念框架得以推进。
