Ethical climate as Perceived by Nurses, Maharaj Nakorn Chiang Mai Hospital
Keywords:
ethical climate, nurses’ perceptionAbstract
This descriptive research aimed to study the ethical climate as perceived by nurses and enhancing the ethical climate of nurses at Maharaj Nakorn Chiang Mai Hospital. Samples consisted of 319 staff nurses. The instrument was a questionnaire which was modified from Sukanya Chomsrisawad’s questionnaire which, in turn, had been translated to Thai by back-translation method, from Olson’s Hospital Ethical Climate Survey (HECS). The Statistics used for data analysis were mean, standard deviation, and percentage.
The results revealed that the overall score of ethical climate as perceived by nurses was at the high level. As for each dimension, it was found that the mean score of the dimensions of peers, patients, managers, hospital, and physicians were at high levels. The enhancements of the ethical climate were that coworkers have to provide care using patient-centered care, have good interactions with each other, respect each other opinions, and communicate clearly with courtesy. Nurses have to confidently provide information and accurate nursing care; provide time and opportunities for patients explaining their needs and asking their doubts. Managers should adhere to the principles of a good governance in working and show an appreciation or give rewards for nurses who have good performance, suggest ethical practice guidelines according to hospital’s policy. The hospital should specify the hospital’s ethical policies which have clear standard and promote good relationships between nurses and physicians. Physicians should provide information about treatment plans to the nursing team for cooperation in patient care.
Nursing executives can use the results of this study as basic data for planning and working in a nursing organization by emphasizing on the development of ethical climate in nursing work in order to make nurses happy at work.
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