The Relationship between Ethical Climate and Job Satisfaction among Jordanian Nurses in Critical Care Units

Authors

  • Rawan Saad Anouz

Abstract

Critical care units’ environment considered as a highly stressful situation that requires critical decisions and accompanied by ethical dilemmas. Ethical climate had an influence on job satisfaction. There is a lack of studies regarding these factors among critical care nurses in Arab countries, including Jordan. Thus, this study aimed to examine the relationship between ethical climate and job satisfaction among Jordanian nurses in critical care units. A cross-sectional, descriptive correlational design was adopted. A convenience sampling method was adopted, and data were collected from 326 registered nurses working in critical care units from two health sectors, including government and private during the period from March to April 2024. Findings revealed that the mean scores of ethical climate and job satisfaction were as follows: 3.57 (SD= 0.65) out of 5, and 3.20 (SD=0.60) out of 6, respectively. There were positive relationships between job satisfaction and ethical climate (r = 0.61, p < 0.001). Thus, this study could help policymakers and hospitals administrators, in addition to healthcare professionals including nurses develop proper strategies and programs to promote these ethical variables in order to improve job satisfaction among critical care nurses. 

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References

Abadiga, M., Nemera, G., Hailu, E., & Mosisa, G. (2019). Relationship between nurses’ perception of ethical climates and job satisfaction in Jimma University Specialized Hospital, Oromia region, southwest Ethiopia. BMC Nursing, 18, 39.

Abou Hashish, E.A. (2017). Relationship between ethical work climate and nurses’ perception of organizational support, commitment, job satisfaction and turnover intent. Nursing Ethics, 24, 151–166.

Abu Raddaha, A.H., Alasad, J., Albikawi, Z.F., Batarseh, K.S., Realat, E.A., Saleh, A.A. & Froelicher, E.S. (2012). Jordanian nurses' job satisfaction and intention to quit. Leadership in Health Services, 25 (3), 216-231. https://doi.org/10.1108/17511871211247651

Al-Hamdan, Z., Manojlovich, M., & Tanima, B. (2017). Jordanian Nursing Work Environments, Intent to Stay, and Job Satisfaction. Journal of Nursing Scholarship, 49(1), 103-110. DOI: 10.1111/jnu.12265.

Allari, R.S. (2016). The relationship between hospital ethical climate, job satisfaction, and intent to turnover among nurses. Merit Research Journal of Medicine and Medical Sciences, 4(8), 392-398. Aloustani, S., Atashzadeh-Shoorideh, F., Zagheri-Tafreshi, M., Nasiri, M., BarkhordariSharifabad, M., & Skerrett, V. (2020). Association between ethical leadership, ethical climate and organizational citizenship behavior from nurses’ perspective: a descriptive correlational study. BMC Nursing, 19, 15. https://doi.org/10.1186/s12912-020-0408-1

American Nurses Association. (2015). Code of ethics with interpretative statements. Silver Spring, MD: Author. Retrieved from: http://www.nursingworld.org/ / html

Asgari, S., Shafipour, V., Taraghi, Z., & Yazdani-Charati, J. (2019). Relationship between moral distress and ethical climate with job satisfaction in nurses. Nursing Ethics, 26, 346–356.

Bayat, M., Shahriari, M., & Keshvari, M. (2019). The relationship between moral distress in nurses and ethical climate in selected hospitals of the Iranian social security organization. Journal of Medical Ethics and History of Medicine, 12, 8. DOI: 10.18502/jmehm.v12i8.1339

Bulman, C., & Schutz, S. (2013). Reflective Practice in Nursing, 5th edition, John Wiley & Sons, Ltd

Borhani, F., Jalali, T., Abbaszadeh, A., Haghdoost, A.A., & Amiresmaili, M. (2012). Nurses’ perception of ethical climate and job satisfaction. Journal of Medical Ethics and History of Medicine, 5, 6.

Borhani, F., Jalali, T., Abbaszadeh, A., Haghdoost, A.A., & Amiresmaili, M. (2012). Nurses’ perception of ethical climate and job satisfaction. Journal of Medical Ethics and History of Medicine, 5, 6.

Cerit, B., & Ozveren, H. (2019). Effect of hospital ethical climate on the nurses' moral sensitivity. The European Research Journal, 5(2), 282-290

Chen, S., Xu, K., & Yao, X. (2022). Empirical study of employee loyalty and satisfaction in the mining industry using structural equation modeling. Scientific Reports, 12, 1158. https://doi.org/10.1038/s41598-022-05182-2

Constantina, C., Papastavrou, E., Charalambous, A. (2019). Cancer nurses’ perceptions of ethical climate in Greece and Cyprus. Nursing Ethics, 26(6), 1805-1821.

Cullen, J.B., Parboteeah, K.P., & Victor, B. (2003). The effects of ethical climates on organisational commitment: a two-study analysis. Journal of Bussiness Ethics, 46(2), 127–141.

Curry, J.; Wakefield, D.; Price, J. & Mueller, C. (2021). On the causal ordering of job satisfaction & organizational commitment. Academic Management Journal, 29, 846– 858.

Davoodvand, S., Abbaszadeh, A., & Ahmadi, F. (2016). Patient advocacy from the clinical nurses' viewpoint: a qualitative study. Journal of Medical Ethics and History of Medicine, 9, 5.

Dinc, M.S., & Huric, A. (2017). The impact of ethical climate types on nurses’ behaviors in Bosnia and Herzegovina. Nursing Ethics, 24, 922–935.

Faramarzpoura, J., Farokhzadianb, B., Tirgarib, P., & Mangolian, S. (2021). Nurses’ perceptions of hospital ethical climate & their job satisfaction. Ethics, Medicine, & Public Health,18(1), 54-69.

Foà, C., Guarnieri, M.C., Bastoni, G., Benini, B., Giunti, O.M., Mazzotti, M., Rossi, C., Savoia, A., Sarli, L., & Artioli, G. (2020). Job satisfaction, work engagement and stress/burnout of elderly care staff: qualitative research. Acta Biomedica, 91(12-S), e2020014. DOI: 10.23750/abm.v91i12-S.10918.

Fu, J., Long, Y., He, Q., & Liu, Y. (2020). Can Ethical Leadership Improve Employees' WellBeing at Work? Another Side of Ethical Leadership Based on Organizational Citizenship Anxiety. Frontiers in Psychology, 11,1478. DOI: 10.3389/fpsyg.2020.01478.

Ghorbani, B., Shams, S., & Amoozadeh, M. (2014). Emotional intelligence, job satisfaction & organizational commitment of personnel in banks & financial institutions of Darrehshahr city. Advances in Environmental Biology, 7(13), 3951-3956.

Gholami Fesharaki, M., Talebiyan, D., Aghamiri, Z., Mohammadian, M. (2012). Reliability and validity of “Job Satisfaction Survey” questionnaire in military health care workers. Journal of Military Medicine, 13 (4), 241-246. URL: http://militarymedj.ir/article-1- 895-en.html

Goldman, A. & Tabak, N. (2020). Perception of ethical climate & its relationship to nurse’s demographic characteristics & job satisfaction in Fenland. Nursing Ethics, 17, 233–246.

Gunawan, N. P. I. N., Hariyati, R. T. S., & Gayatri, D. (2019). Motivation as a factor affecting nurse performance in Regional General Hospitals: A factors analysis. Enfermeria Clinica, 29, 515-520. https://doi.org/10.1016/j.enfcli.2019.04.078

Haddad, L.M., & Geiger, R.A. (2021). Nursing ethical considerations. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022

Humphries, A., & Woods, M. (2015). A study of nurses’ ethical climate perceptions. Nursing Ethics, 23(3), 1-12.

Jang, Y., & Oh, Y. (2019). Impact of ethical factors on job satisfaction among Korean nurses. Nursing Ethics, 26, 1186–1198.

Joolaee, S., Jalili, H.R., Rafii, F., Hajibabaee F., & Haghani, H. (2013). The relationship between ethical climate at work and job satisfaction among nurses in Tehran. Indian Journal of Medical Ethics, 10, 238–242. DOI: 10.20529/IJME.2013.072.

Karaca, T., Ozkan, S.A., & Kucukkelepce, D. (2018). Determining the ethical climate perceptions of nurses and midwives in an obstetrics and pediatrics hospital. International Journal of Caring Science, 11, 1006–1013.

Koskenvuori, J., Numminen, O., & Suhonen, R. (2019). Ethical climate in nursing environment: A scoping review. Nursing Ethics, 26, 327–345.

Mahan, T. (2019). How to Define Ethical Behavior & Why It’s Important in the Workplace. Mc-green Press. London.

Ministry of Health. (2022). Health Net. Available at: http://apps.moh.gov.jo/MOH/En/health_net.php

Mrayyan, M. (2015). Nurses' Job Satisfaction in a Private Teaching Hospital in Jordan. AlManarah,13(6),101-125.

Mumcu, K., & Doven, W. (2015). A Study of Ethical climate and Job Satisfaction among Nurses in Hospitals. Journal of Management & Organization, 21(4), 460–470.

Nafei, W. (2015). The Influence of Ethical Climate on Job Attitudes: A Study on Nurses in Egypt. International Business Research, 8(2), 54-69. DOI:10.5539/ibr.v8n2p83

Newman, A., Round, H., Bhattacharya, S., & Roy, A. (2017). Ethical climates in organizations: a review and research agenda. Business Ethics Quarterly, 27, 475–512. DOI: 10.1017/beq.2017.23

Numminen, O., Leino-Kilpi, H., Isoaho, H., & Meretoja, R. (2015). Ethical climate and nurse competence—Newly graduated nurses’ perceptions. Nursing Ethics, 22, 845–859.

Özden, D., Arslan, G.G., Ertugrul, B., & Karakaya, S. (2019). The effect of nurses’ ethical leadership and ethical climate perceptions on job satisfaction. Nursing Ethics, 26, 1211– 1225.

Ozdoba, P., Dziurka, M., Pilewska-Kozak, A., & Dobrowolska, B. (2022). Hospital Ethical Climate and Job Satisfaction among Nurses: A Scoping Review. International Journal of Environmental Research and Public Health, 19, 4554. https:// doi.org/10.3390/ijerph19084554

Paais, M., & Pattiruhu, J. R. (2020). Effect of Motivation, Leadership, and Organizational Culture on Satisfaction and Employee Performance. The Journal of Asian Finance, Economics and Business, 7(8), 577–588. https://doi.org/10.13106/JAFEB.

Raeissi, P., Rajabi, M.R., Ahmadizadeh, E., Rajabkhah, K., & Kakemam, E. (2019). Quality of work life and factors associated with it among nurses in public hospitals, Iran. Journal of the Egyptian Public Health Association, 94(1), 25. DOI: 10.1186/s42506-019-0029- 2.

Rivaz, M., Asadi, F. & Mansouri, P. (2020). Assessment of the relationship between nurses’ perception of ethical climate & job burnout in intensive care units. Investigación y educación en enfermería, 38, 12 - 20.

Scholtz, S., Nel, E.W., Poggenpoel, M., & Myburgh, C.P.H. (2016). The Culture of Nurses in a Critical Care Unit. Global Qualitative Nursing Research, 3, 2333393615625996. DOI: 10.1177/2333393615625996

Semachew, A., Belachew, T., Tesfaye, T., & Adinew, Y.M. (2017). Predictors of job satisfaction among nurses working in Ethiopian public hospitals, 2014: institution-based cross-sectional study. Human Resources for Health, 15, 31. https://doi.org/10.1186/s12960-017-0204-5.

Shahriari, M., Mohammadi, E., Abbaszadeh, A. & Bahrami, M. Nursing ethical values and definitions: A literature review. Iranian Journal of Nursing Midwifery Research, 18(1),1-8

Spector, P. E. (2014). Job Satisfaction Survey, JSS Translations. Retrieved from http://shell.cas. usf.edu/~pspector/scales/jsstranslate.html

Spector, P.E. (1985). Measurement of human service staff satisfaction: Development of the Job Satisfaction Survey. American Journal of Community Psychology, 13(6), 693-713.

Taherdoost, H. (2016). Validity and Reliability of the Research Instrument; How to Test the Validation of a Questionnaire/Survey in a Research. International Journal of Academic Research in Management, 5. ffhal-02546799f

Trus, M., Razbadauskas, A., Doran, D., & Suominen, T. (2012). Work-related empowerment of nurse managers: A systematic review. Nursing & Health Sciences, 14(3), 412–20.

Ventovaara, P., Sandeberg, M.A., Räsänen, J., & Pergert, P. (2021). Ethical climate and moral distress in paediatric oncology nursing. Nursing Ethics, 28(6), 1061-1072. DOI: 10.1177/0969733021994169.

Victor, B., & Cullen, J. (1988). The Organizational Bases of Ethical Work Climates. Administration Science Quarterly, 33, 101–125.

Wyrwa, J., & Kaźmierczyk, J. (2020). Conceptualizing Job Satisfaction and Its Determinants: A Systematic Literature Review. Journal of Economic Sociology, 21(5), 138-167.

Zahaj, M., Saliaj, A., Metani, L., Nika, S., & Alushi, E. (2016). Factors Related to Job Satisfaction Among Nurses. European Scientific Journal, 12(5), 100. https://doi.org/10.19044/esj.2016.v12n5p100

Zhang, N., Li, J., Bu, X., & Gong, Z. (2021). The relationship between ethical climate and nursing service behavior in public and private hospitals: a cross-sectional study in China. BMC Nursing, 20, 136. https://doi.org/10.1186/s12912-021-00655-7

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Published

2025-05-13

How to Cite

1.
Anouz RS. The Relationship between Ethical Climate and Job Satisfaction among Jordanian Nurses in Critical Care Units. J Neonatal Surg [Internet]. 2025May13 [cited 2025Sep.21];14(23S). Available from: https://jneonatalsurg.com/index.php/jns/article/view/5073