Rohaninasab Samira, Pasyar Nilofar, Rambod Masoume
Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.
Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC Nurs. 2025 May 26;24(1):597. doi: 10.1186/s12912-025-03267-7.
Nurses' perceptions of the ethical climate in their workplace and their level of job involvement are crucial factors that may influence their professional behaviors. This study aimed to explore how these factors -the nurses' perspectives on the ethical climate and their job involvement-affect their caring behaviors. Additionally, the mediating and moderating effects of job involvement on the relationship between ethical climate and caring behaviors were examined.
This cross-sectional study enrolled 280 nurses through stratified random sampling. Job Involvement Scale, Hospital Ethical Climate Survey, and Caring Behaviors Inventory were used for data collection. SPSS and Macro PROCESS SPSS were used for hierarchical regression and moderation/mediation analysis.
This study found that nurses demonstrated high levels of caring behavior and a moderate perception of the hospital's ethical climate, with 80% reporting moderate job involvement. Nurses' views on the hospital and patient-related ethical climate predicted caring behaviors (p < 0.05). A relationship existed between job involvement and caring behaviors (r = 0.17, p = 0.004). Additionally, nurses with a more positive view of the hospital's ethical climate exhibited higher levels of job involvement (r = 0.43, p < 0.001). However, job involvement did not moderate or mediate the relationship between ethical climate and caring behaviors.
Our findings indicate that a positive ethical climate enhances nurses' job involvement and caring behavior. Job involvement, in turn, improves caring behavior. It emphasizes the need for a supportive work environment to improve nursing practice. It is recommended that healthcare institutions should strengthen the ethical climate to enhance job involvement and caring behaviors.
Not applicable.
护士对其工作场所道德氛围的认知以及他们的工作投入程度是可能影响其职业行为的关键因素。本研究旨在探讨这些因素——护士对道德氛围的看法及其工作投入程度——如何影响他们的关怀行为。此外，还考察了工作投入在道德氛围与关怀行为之间关系中的中介和调节作用。
本横断面研究通过分层随机抽样招募了280名护士。使用工作投入量表、医院道德氛围调查问卷和关怀行为量表进行数据收集。采用SPSS和宏程序PROCESS SPSS进行分层回归以及调节/中介分析。
本研究发现，护士表现出较高水平的关怀行为，对医院道德氛围的认知中等，80%的护士报告工作投入程度中等。护士对医院及与患者相关的道德氛围的看法可预测关怀行为（p < 0.05）。工作投入与关怀行为之间存在关联（r = 0.17，p = 0.004）。此外，对医院道德氛围看法更积极的护士工作投入程度更高（r = 0.43，p < 0.001）。然而，工作投入并未调节或中介道德氛围与关怀行为之间的关系。
我们的研究结果表明，积极的道德氛围可提高护士的工作投入和关怀行为。反过来，工作投入又能改善关怀行为。这强调了营造支持性工作环境以改善护理实践的必要性。建议医疗机构应加强道德氛围，以提高工作投入和关怀行为。
不适用。
