IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0269034.html
   My bibliography  Save this article

The relationship between hospital ethical climate and continuing education in nursing ethics

Author

Listed:
  • Ayaka Okumoto
  • Satoko Yoneyama
  • Chiharu Miyata
  • Ayae Kinoshita

Abstract

Background: In recent years, there has been a growing interest in the importance of creating a healthy ethical climate. Although relationship with various factors and the ethical climate have been reported, understanding of the relationship between ethical education and ethical climate is limited. Aim: This study aims to investigate the relationship between ethical climate, personal characteristics, and continuing education for ethics. Methods: This study conducted a quantitative cross-sectional survey of 605 nurses in 3 teaching hospitals in Japan. Multiple-regression analysis was used to assess the relationship between ethical climate and demographic characteristics and continuing education. Further mean of ethical climate scores were compared between received continuing education and did not, using analysis of covariance adjusted for demographic variables. Findings: The ethical climate showed significant association with hospital, gender, specialty of the unit, experience of ethics education, in-service ethical training, and workshops/ academic conferences on nursing ethics. In multiple-regression analysis, attending in-service ethical training increased the mean of ethical climate score (p = 0.031) and workshops/ academic conferences decreased the mean score (p = 0.028). Adjusted-mean of ethical climate score of nurses who had in-service training was significantly higher than those who had not (p = 0.038), whereas adjusted-mean of it of nurses who had attended workshops/ academic conferences was significant lower (p = 0.033). Discussion: In-service training on ethics was associated with the positive ethical climate. Hospital should enhance ethical education. Conclusion: Ethical climate related to the nurses’ personal characteristics and continuing education. We propose that organizational support for ethical education may be effective in raising the ethical climate of the workplace.

Suggested Citation

  • Ayaka Okumoto & Satoko Yoneyama & Chiharu Miyata & Ayae Kinoshita, 2022. "The relationship between hospital ethical climate and continuing education in nursing ethics," PLOS ONE, Public Library of Science, vol. 17(7), pages 1-15, July.
    • Handle: RePEc:plo:pone00:0269034
    DOI: 10.1371/journal.pone.0269034
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0269034
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0269034&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0269034?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Ulrich, Connie & O'Donnell, Patricia & Taylor, Carol & Farrar, Adrienne & Danis, Marion & Grady, Christine, 2007. "Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States," Social Science & Medicine, Elsevier, vol. 65(8), pages 1708-1719, October.
    2. Marit Silén & Mia Svantesson & Sofia Kjellström & Birgitta Sidenvall & Lennart Christensson, 2011. "Moral distress and ethical climate in a Swedish nursing context: perceptions and instrument usability," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(23‐24), pages 3483-3493, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Elisaveta Sardžoska & Thomas Tang, 2012. "Work-Related Behavioral Intentions in Macedonia: Coping Strategies, Work Environment, Love of Money, Job Satisfaction, and Demographic Variables," Journal of Business Ethics, Springer, vol. 108(3), pages 373-391, July.
    2. Zailani, Suhaiza & Ali, Suhana Mohezar & Iranmanesh, Mohammad & Moghavvemi, Sedigheh & Musa, Ghazali, 2016. "Predicting Muslim medical tourists' satisfaction with Malaysian Islamic friendly hospitals," Tourism Management, Elsevier, vol. 57(C), pages 159-167.
    3. Mari Huhtala & Taru Feldt & Anna-Maija Lämsä & Saija Mauno & Ulla Kinnunen, 2011. "Does the Ethical Culture of Organisations Promote Managers’ Occupational Well-Being? Investigating Indirect Links via Ethical Strain," Journal of Business Ethics, Springer, vol. 101(2), pages 231-247, June.
    4. Åhlin, Philip & Almström, Peter & Wänström, Carl, 2022. "When patients get stuck: A systematic literature review on throughput barriers in hospital-wide patient processes," Health Policy, Elsevier, vol. 126(2), pages 87-98.
    5. Damini Saini & Sunita Singh Sengupta, 2021. "Leading the Indian Managers to Satisfaction: The Mediating Role of Ethical Climate," Global Business Review, International Management Institute, vol. 22(2), pages 485-499, April.
    6. Linda Thorne, 2010. "The Association Between Ethical Conflict and Adverse Outcomes," Journal of Business Ethics, Springer, vol. 92(2), pages 269-276, March.
    7. Georgina Morley, 2018. "What is “moral distress” in nursing? How, can and should we respond to it?," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(19-20), pages 3443-3445, October.
    8. Kristen DeTienne & Bradley Agle & James Phillips & Marc-Charles Ingerson, 2012. "The Impact of Moral Stress Compared to Other Stressors on Employee Fatigue, Job Satisfaction, and Turnover: An Empirical Investigation," Journal of Business Ethics, Springer, vol. 110(3), pages 377-391, October.
    9. Won Lee & Sungkyoung Choi & Sujeong Kim & Ari Min, 2020. "A Case-Centered Approach to Nursing Ethics Education: A Qualitative Study," IJERPH, MDPI, vol. 17(21), pages 1-10, October.
    10. Patrycja Ozdoba & Magdalena Dziurka & Anna Pilewska-Kozak & Beata Dobrowolska, 2022. "Hospital Ethical Climate and Job Satisfaction among Nurses: A Scoping Review," IJERPH, MDPI, vol. 19(8), pages 1-13, April.
    11. Maki Tei-Tominaga & Miharu Nakanishi, 2018. "The Influence of Supportive and Ethical Work Environments on Work-Related Accidents, Injuries, and Serious Psychological Distress among Hospital Nurses," IJERPH, MDPI, vol. 15(2), pages 1-13, January.
    12. Gjerberg, Elisabeth & Førde, Reidun & Pedersen, Reidar & Bollig, Georg, 2010. "Ethical challenges in the provision of end-of-life care in Norwegian nursing homes," Social Science & Medicine, Elsevier, vol. 71(4), pages 677-684, August.
    13. Al Shbail, Mohannad & Salleh, Zalailah & Mohd Nor, M. N., 2018. "Antecedents of burnout and its relationship to internal audit quality," Business and Economic Horizons (BEH), Prague Development Center, vol. 14(4), pages 789-817, August.
    14. Pawel Kot, 2022. "Technostress and counterproductive behaviours in an organisation," Technium Social Sciences Journal, Technium Science, vol. 27(1), pages 481-491, January.
    15. Sedat Celik & Bekir Bora Dedeoglu & Ali Ýnanýr, 2015. "Relationship Between Ethical Leadership, Organizational Commitment and Job Satisfaction at Hotel Organizations," Ege Academic Review, Ege University Faculty of Economics and Administrative Sciences, vol. 15(1), pages 53-63.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0269034. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.