logo
Volume 24, Issue 2 (Summer 2022)                   JHC 2022, 24(2): 95-107 | Back to browse issues page

Ethics code: IR.ZUMS.REC.0150


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Amini K, Khani Lehdarboni L, Hanifi N. Relationship between Ethical Climate and Missed Nursing Care from the Point of View of Patients with Cancer and Nurses Working in Oncology Wards of Zanjan and Rasht Cities. JHC 2022; 24 (2) :95-107
URL: http://hcjournal.arums.ac.ir/article-1-1380-en.html
Department of Psychiatric Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
Abstract:   (1304 Views)
Background & aim:  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.
Methods: 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.
Results: 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).
Conclusion: 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.
Full-Text [PDF 292 kb]   (441 Downloads)    
Type of Study: cross-sectional design | Subject: Nursing Ethics
Received: 2022/07/27 | Accepted: 2022/09/15 | Published: 2022/09/22

References
1. Danaei G, Farzadfar F, Kelishadi R, Rashidian A, Rouhani OM, Ahmadnia S, et al. Iran in transition. The Lancet. 2019;393(10184):1984-2005. [DOI:10.1016/S0140-6736(18)33197-0]
2. Kamangar F, Nasrollahzadeh D, Safiri S, Sepanlou SG, Fitzmaurice C, Ikuta KS, et al. The global, regional, and national burden of oesophageal cancer and its attributable risk factors in 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet Gastroenterology & Hepatology. 2020;5(6):582-97. [DOI:10.1016/S2468-1253(20)30007-8]
3. Mohammadi E, Aminorroaya A, Fattahi N, Azadnajafabad S, Rezaei N, Farzi Y, et al. Epidemiologic pattern of cancers in Iran; current knowledge and future perspective. Journal of Diabetes & Metabolic Disorders. 2021;20(1):825-29. [DOI:10.1007/s40200-020-00654-6] [PMID] [PMCID]
4. Nantsupawat A, Poghosyan L, Wichaikhum O-A, Kunaviktikul W, Fang Y, Kueakomoldej S, et al. Nurse staffing, missed care, quality of care and adverse events: a cross-sectional study. Journal of Nursing Management. 2022;30(2):447-54. [DOI:10.1111/jonm.13501] [PMID]
5. Goldman A, Tabak N. Perception of ethical climate and its relationship to nurses' demographic characteristics and job satisfaction. Nursing Ethics. 2010;17(2):233-46. [DOI:10.1177/0969733009352048] [PMID]
6. Kalisch BJ, Lee H. Nursing teamwork, staff characteristics, work schedules, and staffing. Health Care Management Review. 2009;34(4):323-33. [DOI:10.1097/HMR.0b013e3181aaa920] [PMID]
7. Srulovici E, Drach-Zahavy A. Nurses' personal and ward accountability and missed nursing care: a cross-sectional study. International Journal of Nursing Studies. 2017;75:163-71. [DOI:10.1016/j.ijnurstu.2017.08.003] [PMID]
8. Chegini Z, Jafari-Koshki T, Kheiri M, Behforoz A, Aliyari S, Mitra U, et al. Missed nursing care and related factors in Iranian hospitals: a cross-sectional survey. Journal of Nursing Management. 2020;28(8):2205-15. [DOI:10.1111/jonm.13055] [PMID]
9. Dehghan-Nayeri N, Shali M, Navabi N, Ghaffari F. Perspectives of oncology unit nurse managers on missed nursing care: a Qualitative study. Asia-Pacific Journal of Oncology Nursing. 2018;5(3):327. [DOI:10.4103/apjon.apjon_6_18] [PMID] [PMCID]
10. Farahani MA, Oskouie F, Ghaffari F. Factors affecting nurse turnover in Iran: a qualitative study. Medical Journal of the Islamic Republic of Iran. 2016;30:356.
11. Friese CR, Kalisch BJ, Lee KH. Patterns and correlates of missed nursing care in inpatient oncology units. Cancer Nursing. 2013;36(6):51-57. [DOI:10.1097/NCC.0b013e318275f552] [PMID] [PMCID]
12. Khajooee R, Bagherian B, Dehghan M, Azizzadeh Forouzi M. Missed nursing care and its related factors from the points of view of nurses affiliated to Kerman University of Medical Sciences in 2017. Hayat. 2019;25(1):11-24.
13. Aiken LH, Sermeus W, Van den Heede K, Sloane DM, Busse R, McKee M, et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ Quality & Safety. 2012;344:e1717. [DOI:10.1136/bmj.e1717] [PMID] [PMCID]
14. Mun MY, Kim MY. Influence of hospital ethical climate and nursing professionalism on patient safety management activity by nurses. Journal of Korean Academy of Nursing Administration. 2019;25(5):458-66. [DOI:10.11111/jkana.2019.25.5.458]
15. Hwang JI, Park HA. Nurses' perception of ethical climate, medical error experience and intent-to-leave. Nursing Ethics. 2014;21(1):28-42. [DOI:10.1177/0969733013486797] [PMID]
16. Abou Hashish EA. Relationship between ethical work climate and nurses' perception of organizational support, commitment, job satisfaction and turnover intent. Nursing Ethics. 2017;24(2):151-66. [DOI:10.1177/0969733015594667] [PMID]
17. Borhani F, Jalali T, Abbaszadeh A, Haghdoost A. Nurses' perception of ethical climate and organizational commitment. Nursing Ethics. 2014;21(3):278-88. [DOI:10.1177/0969733013493215] [PMID]
18. Constantina C, Papastavrou E, Charalambous A. Cancer nurses' perceptions of ethical climate in Greece and Cyprus. Nursing Ethics. 2019;26(6):1805-21. [DOI:10.1177/0969733018769358] [PMID]
19. Vryonides S, Papastavrou E, Charalambous A, Andreou P, Eleftheriou C, Merkouris A. Ethical climate and missed nursing care in cancer care units. Nursing Ethics. 2018;25(6):707-23. [DOI:10.1177/0969733016664979] [PMID]
20. Cho SH, Mark BA, Knafl G, Chang HE, Yoon HJ. Relationships between nurse staffing and patients' experiences, and the mediating effects of missed nursing care. Journal of Nursing Scholarship. 2017;49(3):347-55. [DOI:10.1111/jnu.12292] [PMID]
21. Orique SB, Patty CM, Sandidge A, Camarena E, Newsom R. Quantifying missed nursing care using the hospital consumer assessment of healthcare providers and systems (HCAHPS) survey. The Journal of Nursing Administration. 2017;47(12):616-22. [DOI:10.1097/NNA.0000000000000556] [PMID]
22. Kalisch BJ, Williams RA. Development and psychometric testing of a tool to measure missed nursing care. The Journal of Nursing Administration. 2009;39(5):211-19. [DOI:10.1097/NNA.0b013e3181a23cf5] [PMID]
23. Villamin C, Anderson J, Fellman B, Urbauer D, Brassil K. Perceptions of missed care across oncology nursing specialty units. Journal of Nursing Care Quality. 2019;34(1):47-53. [DOI:10.1097/NCQ.0000000000000324] [PMID]
24. Victor B, Cullen JB. A theory and measure of ethical climate in organizations. Research in Corporate Social Performance and Policy. 1987;9(1):51-71.
25. Lake ET, Germack HD, Viscardi MK. Missed nursing care is linked to patient satisfaction: a cross-sectional study of US hospitals. BMJ Quality & Safety. 2016;25(7):535-43. [DOI:10.1136/bmjqs-2015-003961] [PMID] [PMCID]
26. Price S, Reichert C. The importance of continuing professional development to career satisfaction and patient care: meeting the needs of novice to mid-to late-career nurses throughout their career span. Administrative Sciences. 2017;7(2):17. [DOI:10.3390/admsci7020017]
27. Patterson ES, Ebright PR, Saleem JJ. Investigating stacking: how do registered nurses prioritize their activities in real-time? International Journal of Industrial Ergonomics. 2011;41(4):389-93. [DOI:10.1016/j.ergon.2011.01.012]
28. Filipova AA. Ethical climates in for-profit, nonprofit, and government skilled nursing facilities. JONA's Healthcare Law, Ethics & Regulation. 2011;13()(4):125-31. [DOI:10.1097/NHL.0b013e31823b6835] [PMID]
29. Martin KD, Cullen JB. Continuities and extensions of ethical climate theory: a meta-analytic review. Journal of Business Ethics. 2006;69(2):175-94. [DOI:10.1007/s10551-006-9084-7]
30. Borhani F, Jalali T, Abbaszadeh A, Haghdoost AA, Amiresmaili M. Nurses' perception of ethical climate and job satisfaction. Journal of Medical Ethics and History of Medicine. 2012;5(1):6-13.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.