The ethical climate of and its relation to the nurses' moral reasoning and courage

Every Iranian nurse during clinical service with at least one of the conflicts, including: job dissatisfaction, poor economic and social status, lack of medical staff, long-term commitment to work in care organizations and ethical environment Faced with inappropriate care or moral climate. Determines the ethical atmosphere of an organization; To what extent ethical standards are observed in that organization and also how much decisions are made according to ethical standards. The ethical atmosphere of an organization can be examined through the level of employees' perception of the organizational climate, how employees make decisions when faced with ethical problems and the degree of employee participation in solving ethical problems. So it can be said in what ethical atmosphere nurses are working; It affects their attitudes toward moral issues and their moral decisions. The ethical climate leads the nurse to strengthen her moral reasoning by sharing in the decision-making and responsibility for the consequences of the action she has taken. Also, the moral atmosphere creates opportunities for collective participation in problem solving, which leads to higher levels of moral reasoning. Although it is important to have an ethical approach to issues and the ability to make decisions based on ethical reasoning, responding correctly to situations and overcoming fear requires moral courage as well as the encouragement and support of the organization's managers. ; There was no study in the field of measuring the relationship between moral atmosphere and moral courage and moral reasoning in Iran, so the present study was conducted to investigate the moral atmosphere prevailing at work and its relationship with nurses' moral reasoning and courage.

This descriptive-analytical study and census sampling was performed on 87 nurses in Meybod and Ardakan in 1398. Olson Hospital Ethical Climate Survey (HECS), Nursing Ethical Dilemmas Test and Ethics Courage Questionnaire designed by Bagozz and Sekerka were used to collect data. 18 were analyzed and appropriate tests including descriptive and analytical (Pearson, independent t test, ANOVA) were used.

The age range of participants was 24 to 50 years. The results showed that no significant relationship was found between moral atmosphere and moral reasoning and courage (P≥0.05). The mean score of ethics (3.22 67 0.67), moral reasoning (45.00 91 6.91), moral courage (45.55 6 6.04) was obtained. There was a significant relationship between gender and perception of moral atmosphere (P = 0.03). None of the individual characteristics of nurses had a significant relationship with the studied variables (P≥0.05).

According to the results of this study, nurses' perception of the ethical atmosphere has no significant relationship with ethical reasoning and moral courage of nurses. Having a positive moral atmosphere in the treatment environment and the nursing profession is necessary and inevitable and leads to the promotion of moral values ​​such as moral courage and moral reasoning in the clinical environment. Although having a moral attitude towards issues and also overcoming fear in moral decisions and having moral courage have a great impact on creating a positive moral atmosphere, but the ability to make decisions based on moral reasoning is also very important.The present study showed that nurses' understanding of the moral climate is favorable. Research has concluded that the climate of the organization has a great impact on the emergence and spread of ethical behaviors. Managers of organizations should be a role model and supporter for employees and support them in the field of ethics and professionalism so that they can without fear and worry and with courageous decision in the nurse in the clinical environment according to the ethical values of work. Do your homework; The nurse, the patient, and the clinical environment themselves benefit from that ethical practice. The present study showed that nurses' understanding of the moral climate is favorable. Research has concluded that the climate of the organization has a great impact on the emergence and spread of ethical behaviors. Managers of organizations should be a role model and supporter for employees and support them in the field of ethics and professionalism so that they can without fear and worry and with courageous decision in the nurse in the clinical environment according to the ethical values of work. Do your homework; The nurse, the patient, and the clinical environment themselves benefit from that ethical practice n the present study, nurses' moral courage was reported to be above average. Altman acknowledges that a lack of moral courage is common in the present age, and that we must ultimately increase moral courage in nurses by increasing their courage and adherence to ethical principles. There is a significant relationship between demographic characteristics and moral reasoning and moral courage. not found . In general, increasing work experience is expected to increase the ability of nurses to face ethical challenges and thus their moral reasoning and courage, but there may be factors such as organizational interests, differences in management and the hospitality of the hospital. and has taken the necessary ground to upgrade these capabilities from them. One of the limitations of this study is the low sample size, which can affect the results. It also affects the generalizability of the results. Another limitation of the present study is the sampling method available.