Universidade Federal de Santa Maria (UFSM). Programa de Pós-Graduação em Enfermagem. Santa Maria, Rio Grande do Sul, Brasil.
Universidade Federal de Santa Maria (UFSM). Departamento de Enfermagem. Santa Maria, Rio Grande do Sul, Brasil.
Rev Gaucha Enferm. 2023 Oct 27;44:e20220247. doi: 10.1590/1983-1447.2023.20220247.en. eCollection 2023.
To evaluate the influence of the ethical climate on workers' health among healthcare professionals.
Systematic review and meta-analysis conducted in MEDLINE/PubMed, EMBASE, SciVerse Scopus (Elsevier), Cumulative Index to Nursing and Allied Health Literature and Web of Science. Trained reviewers performed the selection, data extraction, and assessment of methodological quality. Meta-analysis was applied for data synthesis.
Among the 2644 studies, 20 were included for analysis, in which three (15.0%) articles were classified as high quality (score ≥ 80%), while 17 (85.0%) were classified as regular (score 50-79%). There was a moderate negative correlation between the ethical climate and overall moral distress (r=-0.43; 95%CI -0.50; -0.36) and the frequency of moral distress (r=-0.36; 95%CI -0.45; -0.25), as well as the positive and strong correlation between ethical climate and job satisfaction (r=0.71; 95%CI 0.39-0.88).
The negative and positive perception of the ethical climate among healthcare professionals, respectively, influenced the increase in moral distress and job satisfaction.
评估医疗保健专业人员的伦理氛围对其健康的影响。
在 MEDLINE/PubMed、EMBASE、SciVerse Scopus（爱思唯尔）、Cumulative Index to Nursing and Allied Health Literature 和 Web of Science 中进行系统评价和荟萃分析。经过培训的评审员负责进行选择、数据提取和方法学质量评估。采用荟萃分析进行数据综合。
在 2644 项研究中，有 20 项研究被纳入分析，其中 3 项（15.0%）文章被归类为高质量（评分≥80%），而 17 项（85.0%）被归类为常规（评分 50-79%）。伦理氛围与整体道德困扰（r=-0.43；95%CI -0.50；-0.36）和道德困扰频率（r=-0.36；95%CI -0.45；-0.25）之间呈中度负相关，与工作满意度（r=0.71；95%CI 0.39-0.88）之间呈正相关和强相关。
医疗保健专业人员对伦理氛围的消极和积极感知分别影响道德困扰的增加和工作满意度的提高。
