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  1. Latent profiles of ethical climate and nurses’ service behavior.Na Zhang, Dingxin Xu, Xing Bu & Zhen Xu - 2023 - Nursing Ethics 30 (4):626-641.
    Background Hospital ethical climate has important implications for clinical nurses’ service behavior; however, the relationships are complicated by the fact that five types of ethical climate (caring, law and code, rules, instrumental, and independence) can be combined differently according to their level and shape differences. Recent developments in person-centered methods (e.g., latent profile analysis (LPA)) have helped to address these complexities. Aim From a person-centered perspective, this study explored the distinct profiles of hospital ethical climate and then examined the relationships (...)
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  • Translating and culturally adapting the shortened version of the Hospital Ethical Climate Survey – retaining or modifying validated instruments.Pernilla Pergert, Cecilia Bartholdson, Marika Wenemark, Kim Lützén & Margareta af Sandeberg - 2018 - BMC Medical Ethics 19 (1):35.
    The Hospital Ethical Climate Survey was developed in the USA and later shortened. HECS has previously been translated into Swedish and the aim of this study was to describe a process of translating and culturally adapting HECS-S and to develop a Swedish multi-professional version, relevant for paediatrics. Another aim was to describe decisions about retaining versus modifying the questionnaire in order to keep the Swedish version as close as possible to the original while achieving a good functional level and trustworthiness. (...)
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  • Equality as an ethical concept within the context of nursing care rationing.Evridiki Papastavrou, Michael Igoumenidis & Chryssoula Lemonidou - 2020 - Nursing Philosophy 21 (1):e12284.
    The concept of equality is subject to many different interpretations, and it is closely connected to similar concepts such as equity, justice, fairness, and human rights. As an ideal, equality entails many aspects that are untenable. For instance, genetic and social inequalities may never be extinct, but they can both be ameliorated by proper distribution of society's resources. Likewise, within the context of health care, equality can be promoted by proper rationing of health resources, amongst which nursing care stands out. (...)
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  • Rationing of nursing care, a deviation from holistic nursing: A systematic review.Lata Mandal, Avudaiappan Seethalakshmi & Anitha Rajendrababu - 2020 - Nursing Philosophy 21 (1):e12257.
    BackgroundRationing of care in nursing is nurses' inability to complete all care activities for patients because of scarcity in time and resource. Literature suggests that rationing of care is closely related to patient safety and quality of care. The phenomena have been defined and studied from varied perspectives and contexts. A systematic review of studies related to the concept was aimed at identifying and synthesizing the finding.MethodsThe review followed Preferred Reporting Items for Systematic Reviews and Meta‐analysis guidelines, and literature searches (...)
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  • Moral neutralization: Nurses’ evolution in unethical climate workplaces.Hamideh Hakimi, Soodabeh Joolaee, Mansoureh Ashghali Farahani, Patricia Rodney & Hadi Ranjbar - 2020 - BMC Medical Ethics 21 (1):1-10.
    Introduction Good quality of care is dependent on nurses’ strong clinical skills and moral competencies, as well. While most nurses work with high moral standards, the moral performance of some nurses in some organizations shows a deterioration in their moral sensitivity and actions. The study reported in this paper aimed to explore the experiences of nurses regarding negative changes in their moral practice. Materials and methods This was a qualitative study utilizing an inductive thematic analysis approach, which was conducted from (...)
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  • Ethical climate in healthcare: A systematic review and meta-analysis.Ryan Essex, Trevor Thompson, Thomas Rhys Evans, Vanessa Fortune, Erika Kalocsányiová, Denise Miller, Marianne Markowski & Helen Elliott - 2023 - Nursing Ethics 30 (7-8):910-921.
    Background Ethical climate refers to the shared perception of ethical norms and sets the scope for what is ethical and acceptable behaviour within teams. Aim This paper sought to explore perceptions of ethical climate amongst healthcare workers as measured by the Ethical Climate Questionnaire (ECQ), the Hospital Ethical Climate Survey (HECS) and the Ethics Environment Questionnaire (EEQ). Methods A systematic review and meta-analysis was utilised. PSYCINFO, CINAHL, WEB OF SCIENCE, MEDLINE and EMBASE were searched, and papers were included if they (...)
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  • Conceptual framework for the ethical climate in health professionals.Graziele de Lima Dalmolin, Taís Carpes Lanes, Camila Milene Soares Bernardi & Flávia Regina Souza Ramos - 2022 - Nursing Ethics 29 (5):1174-1185.
    The ethical climate is the perception of health professionals about the work environment, meaning the reflection on care practices and ethical-related decisions. There are extensive studies in the international literature about the ethical climate, but there are still theoretical gaps about it in health services. In this reflection article, the objective was to explore conceptual components about the ethical climate, proposing new elements of analysis of the construct. The starting point was the accumulated knowledge itself, the possibilities for expansion, and (...)
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  • Cancer nurses’ perceptions of ethical climate in Greece and Cyprus.Cloconi Constantina, Evridiki Papastavrou & Andreas Charalambous - 2019 - Nursing Ethics 26 (6):1805-1821.
    Background: In recent years, the interest in ethical climate has increased in the literature. However, there is limited understanding of the phenomenon within the cancer care context as well as between countries. Aim: To evaluate cancer nurses’ perceptions of hospital ethical climate in Greece and Cyprus. Research design: This was a quantitative descriptive–correlational comparative study with cancer nurses. Data were collected with the Greek version of the Hospital Ethical Climate Survey questionnaire in addition to demographic data. Participants and research context: (...)
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  • Missed nursing care and its relationship with perceived ethical leadership.Gülşah Gürol Arslan, Dilek Özden, Gizem Göktuna & Büşra Ertuğrul - 2022 - Nursing Ethics 29 (1):35-48.
    Background: Determination of the factors affecting missed nursing care and the impact of ethical leadership is important in improving the quality of care. Aim: This study aims to determine the missed nursing care and its relationship with perceived ethical leadership. Research design: A cross-sectional study. Participants and research context: The sample consisted of 233 nurses, of whom 92.7% were staff nurses and 7.3% were charge nurses, who work in three different hospitals in Turkey. The study data were collected using a (...)
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