Hospital ethical climate survey - selected psychometric properties of the scale and results among polish nurses and midwives
Abstract Background: The hospital ethical climate affects the quality of nursing care. A positive ethical climate is likely to reduce the proportion of those who consider leaving the profession, so it is necessary to develop tools which will enable assessment and analysis of the hospital ethical cli...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-11-01
|
| Series: | BMC Nursing |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12912-022-01067-x |
| _version_ | 1828309316372791296 |
|---|---|
| author | Magdalena Dziurka Patrycja Ozdoba Linda Olson Anna Jedynak Dorota Ozga Krzysztof Jurek Beata Dobrowolska |
| author_facet | Magdalena Dziurka Patrycja Ozdoba Linda Olson Anna Jedynak Dorota Ozga Krzysztof Jurek Beata Dobrowolska |
| author_sort | Magdalena Dziurka |
| collection | DOAJ |
| description | Abstract Background: The hospital ethical climate affects the quality of nursing care. A positive ethical climate is likely to reduce the proportion of those who consider leaving the profession, so it is necessary to develop tools which will enable assessment and analysis of the hospital ethical climate. The aim of this study was to examine selected psychometric properties of the Polish version of the Hospital Ethical Climate Survey, assess the hospital ethical climate perceived by nurses and midwives from Polish hospitals, and to determine its correlations with job-related variables. Methods: A cross-sectional study among 558 nurses and midwives working in hospitals in Poland. Results: The 21-item model showed acceptable model fitness between the hypothetical model of ethical climate and the data in the study. Five items with low factor loadings were removed from the study. The internal consistency was satisfactory (0.93). The mean score for the overall hospital ethical climate was 3.62. The highest mean score of hospital ethical climate in the present study was found in the ”peers” subscale and the lowest in the ”physicians” subscale. A positive correlation was found between overall hospital ethical climate and respondents’ satisfaction with work, salary, and working time. The hospital ethical climate was associated with problems found in nurses and midwives’ work, such as: limited time for direct face-to-face care, the lack of equipment and resources to provide high-quality health care, strained relations with hospital managers and other health care professionals, limitations to one’s own competences or those of other medical professionals, moral dilemmas related to patient care, the low prestige of nurses’/midwives‘ work, physical and mental burden, and the risk of making a mistake. Conclusion: The Polish 21-item version of the Hospital Ethical Climate Survey is a reliable tool. Correlations revealed that relationships with managers and physicians, and working conditions should be improved in order for the hospital ethical climate to improve. |
| first_indexed | 2024-04-13T15:27:41Z |
| format | Article |
| id | doaj.art-5c3e8d5a5e47440aa8ab2ac95e9a67aa |
| institution | Directory Open Access Journal |
| issn | 1472-6955 |
| language | English |
| last_indexed | 2024-04-13T15:27:41Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj.art-5c3e8d5a5e47440aa8ab2ac95e9a67aa2022-12-22T02:41:28ZengBMCBMC Nursing1472-69552022-11-0121111010.1186/s12912-022-01067-xHospital ethical climate survey - selected psychometric properties of the scale and results among polish nurses and midwivesMagdalena Dziurka0Patrycja Ozdoba1Linda Olson2Anna Jedynak3Dorota Ozga4Krzysztof Jurek5Beata Dobrowolska6Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of LublinDepartment of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of LublinConsultants and previous Professor and Dean at North Park UniversityProvincial Polyclinical HospitalDepartment of Emergency Medicine, Faculty of Medicine, University of RzeszówInstitute of Sociology, Faculty of Social Sciences, John Paul II Catholic University of LublinDepartment of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of LublinAbstract Background: The hospital ethical climate affects the quality of nursing care. A positive ethical climate is likely to reduce the proportion of those who consider leaving the profession, so it is necessary to develop tools which will enable assessment and analysis of the hospital ethical climate. The aim of this study was to examine selected psychometric properties of the Polish version of the Hospital Ethical Climate Survey, assess the hospital ethical climate perceived by nurses and midwives from Polish hospitals, and to determine its correlations with job-related variables. Methods: A cross-sectional study among 558 nurses and midwives working in hospitals in Poland. Results: The 21-item model showed acceptable model fitness between the hypothetical model of ethical climate and the data in the study. Five items with low factor loadings were removed from the study. The internal consistency was satisfactory (0.93). The mean score for the overall hospital ethical climate was 3.62. The highest mean score of hospital ethical climate in the present study was found in the ”peers” subscale and the lowest in the ”physicians” subscale. A positive correlation was found between overall hospital ethical climate and respondents’ satisfaction with work, salary, and working time. The hospital ethical climate was associated with problems found in nurses and midwives’ work, such as: limited time for direct face-to-face care, the lack of equipment and resources to provide high-quality health care, strained relations with hospital managers and other health care professionals, limitations to one’s own competences or those of other medical professionals, moral dilemmas related to patient care, the low prestige of nurses’/midwives‘ work, physical and mental burden, and the risk of making a mistake. Conclusion: The Polish 21-item version of the Hospital Ethical Climate Survey is a reliable tool. Correlations revealed that relationships with managers and physicians, and working conditions should be improved in order for the hospital ethical climate to improve.https://doi.org/10.1186/s12912-022-01067-xHospital ethical climateNursesMidwivesEthicsPsychometric properties |
| spellingShingle | Magdalena Dziurka Patrycja Ozdoba Linda Olson Anna Jedynak Dorota Ozga Krzysztof Jurek Beata Dobrowolska Hospital ethical climate survey - selected psychometric properties of the scale and results among polish nurses and midwives BMC Nursing Hospital ethical climate Nurses Midwives Ethics Psychometric properties |
| title | Hospital ethical climate survey - selected psychometric properties of the scale and results among polish nurses and midwives |
| title_full | Hospital ethical climate survey - selected psychometric properties of the scale and results among polish nurses and midwives |
| title_fullStr | Hospital ethical climate survey - selected psychometric properties of the scale and results among polish nurses and midwives |
| title_full_unstemmed | Hospital ethical climate survey - selected psychometric properties of the scale and results among polish nurses and midwives |
| title_short | Hospital ethical climate survey - selected psychometric properties of the scale and results among polish nurses and midwives |
| title_sort | hospital ethical climate survey selected psychometric properties of the scale and results among polish nurses and midwives |
| topic | Hospital ethical climate Nurses Midwives Ethics Psychometric properties |
| url | https://doi.org/10.1186/s12912-022-01067-x |
| work_keys_str_mv | AT magdalenadziurka hospitalethicalclimatesurveyselectedpsychometricpropertiesofthescaleandresultsamongpolishnursesandmidwives AT patrycjaozdoba hospitalethicalclimatesurveyselectedpsychometricpropertiesofthescaleandresultsamongpolishnursesandmidwives AT lindaolson hospitalethicalclimatesurveyselectedpsychometricpropertiesofthescaleandresultsamongpolishnursesandmidwives AT annajedynak hospitalethicalclimatesurveyselectedpsychometricpropertiesofthescaleandresultsamongpolishnursesandmidwives AT dorotaozga hospitalethicalclimatesurveyselectedpsychometricpropertiesofthescaleandresultsamongpolishnursesandmidwives AT krzysztofjurek hospitalethicalclimatesurveyselectedpsychometricpropertiesofthescaleandresultsamongpolishnursesandmidwives AT beatadobrowolska hospitalethicalclimatesurveyselectedpsychometricpropertiesofthescaleandresultsamongpolishnursesandmidwives |