جستجوی مقالات مرتبط با کلیدواژه « جواخلاقی » در نشریات گروه « پزشکی »

 The high quality of nursing care for cancer patients is a shared priority for health policymakers. Two important influencing variables on the quality of nursing care are the ethics climate governing hospitals and missed nursing care. This study aimed to determine the relationship between ethical climates and missed nursing care in centers providing services to cancer patients in Rasht and Zanjan.

This cross-sectional study was conducted in 2019. The participants were 360 patients with cancer and 84 nurses working in the oncology wards of Rasht and Zanjan, who were included in the study using the Poisson distribution sampling method. The data collection tools were two standard scales; the Miss Care survey and Ethical Climate Questionnaire, and two demographic forms specific to patients and nurses. SPSS version 16 statistical software and independent t-tests, and Pearson's correlation were used to analyze the data.

The results showed that the dominant ethical climate in the mentioned care units was professional and law-oriented, and the independent ethical climate was at the bottom. The mean score of missed nursing care is 1.95±0.40 out of 5. According to the Pearson correlation test, there was a significant negative relationship between ethical climate and missed nursing care in cancer care units (r=-0.422, p<0.001).

A negative and significant relationship between the ethical climate and missed nursing care showed that nurses' correct perception of the ethical climate reduces missed nursing care. It seems that the nursing care quality can be improved by preparing and setting up care guidelines, rules and clear care instructions.

Sensitivity of the work of nurses in the intensive care units and the provision of quality care to patients, are reason to determine of the factors affecting in nurses' work environments and their relevance to the importance of the subject. The purpose of this study was to determine the relationship between ethical climet and organizational citizenship behaviors among nurses working in intensive care units. This research was a descriptive and correlational study. The research population was nurses  who work in intensive care units in selected hospitals of Tehran University of Medical Sciences. The number of samples was determined using the Morgan table, and according to the number of members of the research community, 210 were determined through available sampling. The tools used were Olson's Ethics Climate Questionnaire (1998) and Organizational Citizenship Behavior (Podesakoff 1990). Content validity of both questionnaires was confirmed by content validity method and Cronbach's alpha coefficient for the Olson Morphological Questionnaire (89/0) and Cronbach's alpha coefficient for the Podesakov organizational citizenship behavior questionnaire (0.77) were measured. Data were analyzed using descriptive analysis and using SPSS-16 software. The correlation test showed that there is a significant direct relationship between ethical climate variable and organizational citizenship behavior (P <0.01). Also, there is a significant direct relation between the ethical climate variable with the dimensions of organizational citizenship behavior variable as well as between the variable of organizational citizenship behavior and dimensions of the ethical climate variable (p <0.01). According to the findings, it is imperative that nurse managers using eligible strategies for managing. Such as; effective staff development program and performance appraisal of personnel to promoting the ethical atmosphere and organizational citizenship behavior, and finally get improvement in quality of nursing performance.

The core of the nursing care is caring behavior. So, recognizing and determining impact factors on nurses’ caring behavior in hospitals as a services organization is very important.
Aim: This study was done for assessing moderating role of ethical climate and organizational loyalty in impact managers’ ethical behaviors on careing behaviors of nurses in 2016.
This study was descriptive, correlation based on causal model. The sample included all nurses of private hospitalities in Shiraz, and they were selected by simple random sampling; 245 females and 77 males. The instruments for data gathering were 4 questionnaires; ethical behavior questionar’s Beheshti Far (2010), caring behavior questionar’s Wolf, & etal., (1994), ethical environment questionar’s Victor & Coln (1998) and organizational loyalty questionar’s Elnomier (1990) that their validity and reliability were caculated. Inferential statistic (Pearson correlation coefficient, Path analysis and Confirmatory factor analysis) was used to analyze data using SPSS and LISERAL.
Results showed that the ethical behavior components have indirect relationship with nurses’ caring behavior by moderating role of ethical climate and organizational loyalty. None of ethical behavior components’ managers as exogenous variables (responsibility, fairness behavior, trust, dedication) have direct effect on nurses’ caring behavior. But responsibility as an ethical behavior components’ managers has the most effect on nurses’ caring behavior.
Hospital managers would be applying ethical behavior components in nursing department. By this they impact on ethical climate of hospital and in resulted to increase nurses’ caring behaviors and organizational loyalty.