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Journal articles on the topic 'Nursing Climate'

Author: Grafiati

Published: 11 March 2023

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1

Vold, Lindsey, and Megan Meszaros. "Rhizomatic Assemblages: Connecting Climate Change to Nursing Action." Witness: The Canadian Journal of Critical Nursing Discourse 3, no. 2 (December 18, 2021): 18–35. http://dx.doi.org/10.25071/2291-5796.113.

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Calls for nursing action to address climate change are resounding throughout the nursing community, yet many nurses feel ill-prepared to engage in climate action. As a collective practice discipline, we argue that nursings’ internalized a rigid view of what nursing is and, through self-disciplining practices, actively police our knowledge and practice to conform within a bounded domain that fails to view global issues, such as climate change, as being within the scope of nursing. To build nurses’ climate action capacity, we draw on Deleuze and Guarttari’s (1987) concept of rhizomatic assemblages to make an explicit connection between health and climate change, but also how climate action is a moral imperative in the scope of nursing education and practice. Using examples in the four domains of nursing - education, practice, research, and policy, we present how nurses can engage in coordinated and collaborative efforts both within and outside of ‘traditional’ nursing practice to address the connecting and complicated pathways of a changing climate.

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Harrison, Penny. "Climate-conscious GI nursing." Gastrointestinal Nursing 19, no. 10 (December 2, 2021): 66. http://dx.doi.org/10.12968/gasn.2021.19.10.66.

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Fondiller, Shirley H. "THE RIGHT NURSING CLIMATE." AJN, American Journal of Nursing 91, no. 6 (June 1991): 68. http://dx.doi.org/10.1097/00000446-199106000-00030.

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4

Shirey, Maria R. "Ethical Climate in Nursing Practice." JONA's Healthcare Law, Ethics, and Regulation 7, no. 2 (April 2005): 59–67. http://dx.doi.org/10.1097/00128488-200504000-00006.

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Nicholas, Patrice, Clara Gona, Linda Evans, and Eleonor Pusey Reid. "Intersection of Climate Change and Health: An Explication of the Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity." Witness: The Canadian Journal of Critical Nursing Discourse 3, no. 2 (December 18, 2021): 10–17. http://dx.doi.org/10.25071/2291-5796.114.

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The US National Academy of Medicine released its consensus study for the next decade entitled The Future of Nursing 2020-2030: Charting a Path To Achieve Health Equity (National Academies of Sciences, Engineering, and Medicine, 2021). This paper examines the report, its implications for nursing globally, its focus on systemic, structural, and institutional racism, and the intersection with climate change and deleterious health consequences. The National Academies of Science, Engineering, and Medicine (NASEM) has led in addressing the critical role of the nursing profession in achieving optimal population health outcomes in the US. Yet, relevance exists for nursing in other global areas. The most recent US report focuses on social determinants of health (SDoH) and explicitly addresses climate change as a looming public health threat. An analysis of the key foci of nursing’s role in climate change amidst the critical role of health equity globally is explicated.

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McDermott-Levy, Ruth, Kathryn P. Jackman-Murphy, Jeanne M. Leffers, and Lisa Jordan. "Integrating Climate Change Into Nursing Curricula." Nurse Educator 44, no. 1 (2019): 43–47. http://dx.doi.org/10.1097/nne.0000000000000525.

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7

Humphries, Anne, and Martin Woods. "A study of nurses’ ethical climate perceptions." Nursing Ethics 23, no. 3 (January 6, 2015): 265–76. http://dx.doi.org/10.1177/0969733014564101.

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Background: Acting ethically, in accordance with professional and personal moral values, lies at the heart of nursing practice. However, contextual factors, or obstacles within the work environment, can constrain nurses in their ethical practice – hence the importance of the workplace ethical climate. Interest in nurse workplace ethical climates has snowballed in recent years because the ethical climate has emerged as a key variable in the experience of nurse moral distress. Significantly, this study appears to be the first of its kind carried out in New Zealand. Aim/objective: The purpose of this study was to explore and describe how registered nurses working on a medical ward in a New Zealand hospital perceive their workplace ethical climate. Research design/participants/context: This was a small, qualitative descriptive study. Seven registered nurses were interviewed in two focus group meetings. An inductive method of thematic data analysis was used for this research. Ethical considerations: Ethics approval for this study was granted by the New Zealand Ministry of Health’s Central Regional Health and Disability Ethics Committee on 14 June 2012. Findings: The themes identified in the data centred on three dominant elements that – together – shaped the prevailing ethical climate: staffing levels, patient throughput and the attitude of some managers towards nursing staff. Discussion: While findings from this study regarding staffing levels and the power dynamics between nurses and managers support those from other ethical climate studies, of note is the impact of patient throughput on local nurses’ ethical practice. This issue has not been singled out as having a detrimental influence on ethical climates elsewhere. Conclusion: Moral distress is inevitable in an ethical climate where the organisation’s main priorities are perceived by nursing staff to be budget and patient throughput, rather than patient safety and care.

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GÜLÇEK, Emrah. "School Health Nursing." MAS Journal of Applied Sciences 6, no. 5 (December 28, 2021): 1235–42. http://dx.doi.org/10.52520/masjaps.v6i5id150.

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School nurses interact with students, parents and school personnel for health education, physical activity, physical education, nutrition and health services, psychological services, counseling, social services, physical environment, social climate, emotional climate and family engagement aspects. Effective communication, teamwork and interprofessional collaboration improve this interaction. Overweight of children and adolescents, alienation, sexual health and pregnancy, sleep pattern and mental health are some actual subjects in international articles published in the last decade related to school health nursing, which are summarised below.

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Kagan, Sarah Hope. "Treating Our Malignant Climate: Global Heating, Healthy Climate, and Cancer Nursing." Cancer Nursing 45, no. 2 (March 2022): 85–86. http://dx.doi.org/10.1097/ncc.0000000000001059.

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Nicholas, Patrice K., Suellen Breakey, Elaine Tagliareni, Inez Tuck, Leslie Neal-Boylan, Elissa Ladd, Inge B. Corless, Raquel Y. Reynolds, Katherine Simmonds, and Patricia Lussier-Duynstee. "Advancing a School of Nursing Center for Climate Change, Climate Justice, and Health." Annual Review of Nursing Research 38, no. 1 (December 23, 2019): 145–58. http://dx.doi.org/10.1891/0739-6686.38.145.

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This chapter addresses the development and advancement of the Center for Climate Change, Climate Justice, and Health (CCCCJH) in the School of Nursing at the MGH Institute of Health Professions, the first nurse-led center emerged from the overwhelming evidence of climate change and its associated deleterious health consequences. The Center steering committee developed a mission, vision, and core values as well as a logo to guide the first year of initiatives and galvanize the efforts for the future. Workshop and symposium development, implementation, and evaluation are discussed. Future directions and the importance of educational initiatives aimed at expanding nursing and interprofessional knowledge of the intersection of climate and health are discussed.

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Huffling, Katie. "Nurses Drawdown: Building a Nurse-Led, Solutions-Based Quality Improvement Project to Address Climate Change." Creative Nursing 27, no. 4 (November 1, 2021): 245–50. http://dx.doi.org/10.1891/cn-2021-0015.

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BackgroundClimate change is one of the most significant threats to public health we currently face. While the link between climate change and health is clear, many nurses have not received education on climate change, as it may not routinely be included in nursing curricula. This lack of knowledge can prevent nurses from engaging in climate solutions, incorporating climate change into their practice or research, or participating in climate advocacy within their institutions or with policymakers.MethodsNurses Drawdown is a web-based platform that builds on the work of Project Drawdown, which identifies and quantifies effective, evidence-based climate solutions. Nurses Drawdown utilizes evidence-based techniques for web design and movement building to engage a global nursing audience on five areas of action that have clear links to health: Energy, Food, Gender Equity, Mobility, and Nature-Based Solutions.ResultsSixteen nursing organizations signed on with Nurses Drawdown as official partners; within 1 month of going live, nurses from 16 countries had committed to take action. Web-based movement building can effectively engage a global nursing audience. However, new partnerships with nursing organizations may not form until there is proof of nursing engagement.

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Sanderson, Darlene, Noeman Mirza, Mona Polacca, Andrea Kennedy, and R. Lisa Bourque-Bearskin. "Nursing, Indigenous Health, Water, and Climate Change." Witness: The Canadian Journal of Critical Nursing Discourse 2, no. 1 (June 15, 2020): 66–83. http://dx.doi.org/10.25071/2291-5796.55.

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Nurses have a duty to uphold the right to health. Clean water is vital for health as an inclusive right for all people, yet access is threatened by climate change. Complex impacts of colonization on climate change has resulted in two key problems: lack of clean water access by Indigenous Peoples and marginalization of Indigenous traditional teachings that support water protection. Indigenous teachings of living in harmony with Mother Earth are important contributions to global water policy and health solutions. Indigenous traditional laws on water protection may be understood through Indigenous water declarations. Nurses have an important opportunity to respect traditional teachings noting interconnections of health, water, and climate change to advance health. Water is life.

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Neal-Boylan, Leslie, Suellen Breakey, and Patrice K. Nicholas. "Integrating Climate Change Topics Into Nursing Curricula." Journal of Nursing Education 58, no. 6 (June 1, 2019): 364–68. http://dx.doi.org/10.3928/01484834-20190521-09.

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Sullivan-Marx, Eileen, and Linda McCauley. "Climate Change, Global Health, and Nursing Scholarship." Journal of Nursing Scholarship 49, no. 6 (September 9, 2017): 593–95. http://dx.doi.org/10.1111/jnu.12342.

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McDermott-Levy, Ruth, and Donna M. Fick. "Advancing Gerontological Nursing Science in Climate Change." Research in Gerontological Nursing 13, no. 1 (January 1, 2020): 6–12. http://dx.doi.org/10.3928/19404921-20191204-02.

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16

Madsen, Nancy L., and Rosalind W. Harper. "Improving the Nursing Climate for Cost Containment." JONA: The Journal of Nursing Administration 15, no. 3 (March 1985): 11???17. http://dx.doi.org/10.1097/00005110-198503000-00004.

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17

Adlong, William, and Elaine Dietsch. "Nursing and climate change: An emerging connection." Collegian 22, no. 1 (March 2015): 19–24. http://dx.doi.org/10.1016/j.colegn.2013.10.003.

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18

Pocock, Lesley. "Nursing in an Era of Climate Change." Middle East Journal of Nursing 13, no. 3 (November 2019): 18–21. http://dx.doi.org/10.5742/mejn.2019.93699.

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19

Wood, V. "The nursing instructor and the teaching climate." Nurse Education Today 7, no. 5 (October 1987): 228–34. http://dx.doi.org/10.1016/0260-6917(87)90006-2.

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Vryonides, Stavros, Evridiki Papastavrou, Andreas Charalambous, Panayiota Andreou, Christos Eleftheriou, and Anastasios Merkouris. "Ethical climate and missed nursing care in cancer care units." Nursing Ethics 25, no. 6 (September 27, 2016): 707–23. http://dx.doi.org/10.1177/0969733016664979.

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Background: Previous research has linked missed nursing care to nurses’ work environment. Ethical climate is a part of work environment, but the relationship of missed care to different types of ethical climate is unknown. Research objectives: To describe the types of ethical climate in adult in-patient cancer care settings, and their relationship to missed nursing care. Research design: A descriptive correlation design was used. Data were collected using the Ethical Climate Questionnaire and the MISSCARE survey tool, and analyzed with descriptive statistics, Pearson’s correlation and analysis of variance. Participants and research context: All nurses from relevant units in the Republic of Cyprus were invited to participate. Ethical considerations: The research protocol has been approved according to national legislation, all licenses have been obtained, and respondents participated voluntarily after they have received all necessary information. Findings: Response rate was 91.8%. Five types identified were as follows: caring (M = 3.18, standard deviation = 1.39); law and code (M = 3.18, standard deviation = 0.96); rules (M = 3.17, standard deviation = 0.73); instrumental (M = 2.88, standard deviation = 1.34); and independence (M = 2.74, standard deviation = 0.94). Reported overall missed care (range: 1–5) was M = 2.51 (standard deviation = 0.90), and this was positively (p < 0.05) related to instrumental (r = 0.612) and independence (r = 0.461) types and negatively (p < 0.05) related to caring (r = −0.695), rules (r = −0.367), and law and code (r = −0.487). Discussion: The reported levels of missed care and the types of ethical climates present similarities and differences with the relevant literature. All types of ethical climate were related to the reported missed care. Conclusion: Efforts to reduce the influence of instrumental and independence types and fostering caring, law and code, and rules types might decrease missed nursing care. However, more robust evidence is needed.

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García, I. García, RF Castillo, and ES Santa-Bárbara. "Nursing organizational climates in public and private hospitals." Nursing Ethics 21, no. 4 (October 11, 2013): 437–46. http://dx.doi.org/10.1177/0969733013503680.

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Background: Researchers study climate to gain an understanding of the psychological environment of organizations, especially in healthcare institutions. Climate is considered to be the set of recurring patterns of individual and group behaviour in an organization. There is evidence confirming a relationship between ethical climate within organizations and job satisfaction. Objectives: The aim of this study is to describe organizational climate for nursing personnel in public and private hospitals and to confirm the relationships among the climate variables of such hospitals. Materials and methods: A correlational study was carried out to measure the organizational climate of one public hospital and two private hospitals in Granada. The Work Environment Scale was used for data collection. The Work Environment Scale includes 10 scales, ranging from 0 to 9, which were used to evaluate social, demographic and organizational climate variables. In this study, 386 subjects were surveyed in three hospitals. Results: A total of 87% of the participants were female and 16% were male. Most participants were nurses (65.6%), followed by nursing aides (20%), and technicians (14.4%). The results obtained reflected different patterns of organizational climate formation, based on hospital type (i.e. public or private) within the Spanish context. Most of the dimensions were below the midpoint of the scale. Discussion and conclusions: In conclusion, in public hospitals, there is a greater specialization and the organizational climate is more salient than in the private hospitals. In addition, in the public hospitals, the characteristics of the human resources and their management can have a significant impact on the perception of the climate, which gives greater importance to the organizational climate as decisive of the ethical climate.

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Eide, Phyllis, and Tamara Odom-Maryon. "Environmental and Climate Change Initiatives in Nursing Education." Annual Review of Nursing Research 38, no. 1 (December 23, 2019): 131–44. http://dx.doi.org/10.1891/0739-6686.38.131.

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Climate change has been labeled the greatest threat to public health and to global health in the 21st century. Addressing climate change has also been reframed as the greatest opportunity for global health in the 21st century, providing a more proactive lens through which to plan and implement actions. Significant climate change impacts to human health are numerous and mounting, including the direct effects of heatwaves, thermal stress and changed frequency or intensity of other extreme weather events. Climate change has been termed a complex public health issue affecting all areas of nursing practice dealing with individuals, families, communities, and the national health arena, and is therefore deserving of inclusion into nursing curricula throughout the entirety of prelicensure coursework. Nursing education programs that include this content will better prepare future nurses to face projected environmental challenges to human health.

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Nicholas, Patrice K., and Suellen Breakey. "Climate Change, Climate Justice, and Environmental Health: Implications for the Nursing Profession." Journal of Nursing Scholarship 49, no. 6 (July 27, 2017): 606–16. http://dx.doi.org/10.1111/jnu.12326.

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Goldman, Anny, and Nili Tabak. "Perception of ethical climate and its relationship to nurses’ demographic characteristics and job satisfaction." Nursing Ethics 17, no. 2 (February 25, 2010): 233–46. http://dx.doi.org/10.1177/0969733009352048.

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In this study, we examined the perception of actual and ideal ethical climate type among 95 nurses working in the internal medicine wards of one central hospital in the state of Israel. We also examined whether nurses’ demographic characteristics influence that perception and if a relationship between perceptions of an actual and an ideal ethical climate type influences nurses’ job satisfaction. A questionnaire composed of three subquestionnaires was administered and the responses analyzed using multiple linear regressions, analysis of variance and Pearson’s correlation coefficient. The results demonstrated that demographic characteristics (such as: gender, job tenure and level of education) partially influence the perception of an ideal ethical climate. Incongruence in perceptions of ‘caring’ and ‘independence’ climate types indicated a decline in nurses’ job satisfaction, while perception of actual ‘caring’ and ‘service’ climates positively influenced all aspects of job satisfaction. We recommend constructing training programs emphasizing the ethics of nursing practice and also to help lead nurses to clarify an ethical framework and guide nursing staff in dealing with ethical dilemmas.

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Leffers, Jeanne, Ruth McDermott Levy, Patrice K. Nicholas, and Casey F. Sweeney. "Mandate for the Nursing Profession to Address Climate Change Through Nursing Education." Journal of Nursing Scholarship 49, no. 6 (August 14, 2017): 679–87. http://dx.doi.org/10.1111/jnu.12331.

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Bunkers, Sandra Schmidt. "A Frigid Climate." Nursing Science Quarterly 12, no. 1 (January 1999): 83–84. http://dx.doi.org/10.1177/08943189922106468.

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Sepp, Jaana, and Marina Järvis. "Relationship Between Nursing Home Safety Climate and Caregivers’ Competence." Economics and Business 33, no. 1 (January 1, 2019): 247–63. http://dx.doi.org/10.2478/eb-2019-0018.

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Abstract To provide quality healthcare, strong teamwork, safety commitment and collaboration between workers are needed. The aim of this paper is to analyse factors related to safety climate and professional competence among caregivers and to compare the results between different age groups in Estonian nursing homes. A Nordic Safety Climate Questionnaire (NOSACQ-50), measuring 7 dimensions of safety climate, was used in order to assess caregivers’ perceptions of the safety climate in Estonian nursing homes, on a sample of 233 caregivers. In order to supplement results from the safety climate study, a Caregivers’ Competence Questionnaire (CCQ) measuring 6 scales of the caregivers’ competences, their perceptions towards received education and safety-related procedures in nursing homes, was used on a sample of 241 caregivers. Results show differences between age groups of caregivers. The most experienced caregivers tended to have a better understanding of their specialty and more positive ratings of the dimensions of safety climate and safety commitment than younger age groups of caregivers. Result show that the age group with respondents born in the period of 1961–1970 gave more positive ratings of “Necessary skills, knowledge in living questions and caring activities” than did other groups of caregivers (mean = 4.46 and 4.41) and of “First aid” (mean = 4.47). The study sheds new light on the usability and applicability of the existing assessment tools NASACQ-50 and CCQ. Interventions to promote safety climate in the nursing homes should be tailored to the target group with a special focus on age and work experiences as attitudes and perceptions may differ among those groups.

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Koskenvuori, Janika, Olivia Numminen, and Riitta Suhonen. "Ethical climate in nursing environment: A scoping review." Nursing Ethics 26, no. 2 (June 29, 2017): 327–45. http://dx.doi.org/10.1177/0969733017712081.

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Background: In the past two decades, interest in the concept of ethical climate and in its research has increased in healthcare. Ethical climate is viewed as a type of organizational work climate, and defined as the shared perception of ethically correct behavior, and how ethical issues should be handled in the organization. Ethical climate as an important element of nursing environment has been the focus of several studies. However, scoping reviews of ethical climate research in nursing have not been conducted to guide further research in this area. Objective: The purpose of this scoping review is to describe and analyze studies focusing on ethical climate in nursing environment to elicit an overall picture of the research in this field. Methods: A scoping review methodology guided by Arksey and O’Malley and Levac et al. was used. Studies were identified by conducting electronic searches on PubMed/MEDLINE, CINAHL, Web of Science Core Collection, PsycINFO, and Scopus and Philosophers’ Index databases. Of 1051 citations, 56 articles matched the inclusion criteria. Ethical considerations: This study was conducted according to good scientific guidelines. Findings: Ethical climate is a topical research area which has been explored with different methods and outcomes, in different environments, and has mainly been perceived positively. The focus of the studies was on finding associations between ethical climate and work-related factors such as job satisfaction, moral distress, and turnover intentions. Methodologically, research was rather homogeneous using quantitative, descriptive, and correlative research designs. Conclusion: Novel perspectives and more diverse methodological approaches paying attentions to issues affecting generalizability of the findings could expand our knowledge in this area.

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Richardson, Janet, Daniel Clarke, Jane Grose, and Paul Warwick. "A cohort study of sustainability education in nursing." International Journal of Sustainability in Higher Education 20, no. 4 (May 7, 2019): 747–60. http://dx.doi.org/10.1108/ijshe-02-2019-0064.

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Purpose The purpose of this paper is to assess the contribution of scenario-based learning aimed at raising awareness of sustainability in health-care practitioners. The Lancet Countdown on Climate Change calls for urgent action on health and climate change; this requires appropriate knowledge, skills and competencies that can be gained through undergraduate education. The International Council of Nurses calls for leadership in nursing for sustainability; however, climate change and health are given little attention in nursing and health-care curricula. Design/methodology/approach A cohort of nursing and midwifery students was introduced to sustainability and climate change in the context of health care through scenario-based learning sessions in each of their three years of undergraduate education. Questionnaires were used to collect data on participant’s attitudes toward sustainability and climate change, how useful the educational sessions were and the extent to which their clinical practice had changed. Findings Significant differences were found between scores in Years 1 and 2 suggesting greater awareness of the importance of sustainability in nursing education and practice. Comparison of Years 2 and 3 scores found participants more likely to apply sustainability principles in clinical practice and challenge unsustainable practices in the work environment. Research limitations/implications Further research is required to explore sustainability practice in postgraduate nurses/midwives. However, this study supports the need for sustainability education to be embedded within health-care professional degrees through applied and participatory pedagogical approaches. Originality/value To the best of the authors’ knowledge, this is the first study to evaluate sustainability education and its impact on nursing attitudes towards practice.

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Masoumpoor, Anahita, Fariba Borhani, Abbas Abbaszadeh, and Maryam Rassouli. "Nursing instructors’ perception of students’ uncivil behaviors: A qualitative study." Nursing Ethics 24, no. 4 (November 23, 2015): 483–92. http://dx.doi.org/10.1177/0969733015611071.

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Background: Uncivil behavior is a serious issue in nursing education around the world, and is frequently faced by instructors and students. There is no study in relation to explain the concept and dimensions of uncivil behavior in nursing education of Iran. Aim: The aim of this study was to determine the perception of nursing educators about student incivility behavior. Methods: This was a qualitative study. Data from 11 semi-structured interviews were analyzed using conventional content analysis. Participants and research context: In all, 11 nursing educators of 5 various nursing schools in Tehran, capital of Iran, participated. Ethical considerations: Organizational approval by the Universities, and informed consent were ensured before conducting the research. The principles of voluntariness, confidentiality, and anonymity were respected during the research process. Results: Three themes were found: disruptive behavior affecting communication climate, disruptive behavior affecting ethical climate, and disruptive behavior affecting learning climate. Discussion and final considerations: The results of this study demonstrated that uncivil behavior affects every ethical, communicational, and learning climate and threaten peace of the instructors, students, and the academic community. With the consideration of mutuality in incivility behaviors, the authors propose to examine students’ perceptions and identify dimensions of uncivil behavior of instructors for formulating strategies to minimize such behaviors in nursing educational society.

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Ehrhart, Mark G., Clayton J. Shuman, Elisa M. Torres, Lisa M. Kath, Andrea Prentiss, Eve Butler, and Gregory A. Aarons. "Validation of the Implementation Climate Scale in Nursing." Worldviews on Evidence-Based Nursing 18, no. 2 (March 25, 2021): 85–92. http://dx.doi.org/10.1111/wvn.12500.

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Amerson, Roxanne M., Olivia Boice, Hannah Mitchell, and Joe Bible. "Nursing Faculty’s Perceptions of Climate Change and Sustainability." Nursing Education Perspectives 43, no. 5 (May 13, 2022): 277–82. http://dx.doi.org/10.1097/01.nep.0000000000000991.

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Ashurst, Adrian, Dawn Clarke, Anne Evitts, Joan Lacey, and Tim Snashall. "Creating a climate for the development of nursing." Nursing Standard 4, no. 26 (March 27, 1990): 18–20. http://dx.doi.org/10.7748/ns.4.26.18.s63.

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Kurt, Yeter, Çiğdem Gamze Özkan, and Havva Öztürk. "Nursing students' classroom climate perceptions: A longitudinal study." Nurse Education Today 111 (April 2022): 105311. http://dx.doi.org/10.1016/j.nedt.2022.105311.

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Singer, Sara, Barrett T. Kitch, Sowmya R. Rao, Alice Bonner, Jennifer Gaudet, David W. Bates, Terry S. Field, Jerry H. Gurwitz, Carol Keohane, and Eric G. Campbell. "An Exploration of Safety Climate in Nursing Homes." Journal of Patient Safety 8, no. 3 (September 2012): 104–24. http://dx.doi.org/10.1097/pts.0b013e31824badce.

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Lemmenes, Donna, Pamela Valentine, Patricia Gwizdalski, Catherine Vincent, and Chuanhong Liao. "Nurses’ perception of ethical climate at a large academic medical center." Nursing Ethics 25, no. 6 (September 7, 2016): 724–33. http://dx.doi.org/10.1177/0969733016664980.

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Background: Nurses are confronted daily with ethical issues while providing patient care. Hospital ethical climates can affect nurses’ job satisfaction, organizational commitment, retention, and physician collaboration. Purpose: At a metropolitan academic medical center, we examined nurses’ perceptions of the ethical climate and relationships among ethical climate factors and nurse characteristics. Design/participants: We used a descriptive correlational design and nurses ( N = 475) completed Olson’s Hospital Ethical Climate Survey. Data were analyzed using STATA. Ethical considerations: Approvals by the Nursing Research Council and Institutional Review Board were obtained; participants’ rights were protected. Results: Nurses reported an ethical climate total mean score of 3.22 ± 0.65 that varied across factors; significant differences were found for ethical climate scores by nurses’ age, race, and specialty area. Conclusion: These findings contribute to what is known about ethical climate and nurses’ characteristics and provides the foundation to develop strategies to improve the ethical climate in work settings.

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Xu, Lijuan, Yan Lou, Caifu Li, Xuemei Tao, and Maria Engström. "Person-Centered Climate, Garden Greenery and Well-Being among Nursing Home Residents: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 20, no. 1 (December 31, 2022): 749. http://dx.doi.org/10.3390/ijerph20010749.

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Nursing home residents’ well-being is often proxy-rated in studies, and few studies have explored the association between resident-rated person-centered climate, garden greenery, and resident-rated well-being. A cross-sectional study was conducted. Questionnaire data from a convenient sample of 470 nursing home residents in a city in Southeast China in 2021 were analyzed using multiple linear regressions, with block-wise models. The instruments used were the Person-centered Climate Questionnaire-Patient version, the Nursing Home Greenery Index, and, for well-being, the EuroQol-Visual Analogue Scale, the Life Satisfaction Questionnaire, and the 9-item Patient Health Questionnaire (depression symptoms). In the unadjusted models, the person-centered climate was positively associated with general health (β 0.29, p < 0.001), person-centered climate and greenery with life satisfaction (β 0.39, and 0.18; both p < 0.001), and negatively with depression (β −0.28, and β −0.23, both p < 0.001). After adjusting for personal and nursing home characteristics, the associations between person-centered climate, greenery, and well-being remained statistically significant. The three models explained 36%, 35%, and 21% of the variance in general health, life satisfaction, and depression, respectively. This study provides knowledge on person-centered climate in long-term care and the access to greenery.

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Sheridan, John E., Mildred Hogstel, and Thomas J. Fairchild. "ORGANIZATION CLIMATE IN NURSING HOMES: ITS IMPACT ON NURSING LEADERSHIP AND PATIENT CARE." Academy of Management Proceedings 1990, no. 1 (August 1990): 90–94. http://dx.doi.org/10.5465/ambpp.1990.4978196.

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Mitchell, Pamela H. "Nursing's mandate in climate change." International Nursing Review 68, no. 3 (September 2021): 279–80. http://dx.doi.org/10.1111/inr.12704.

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Ozdoba, Patrycja, Magdalena Dziurka, Anna Pilewska-Kozak, and Beata Dobrowolska. "Hospital Ethical Climate and Job Satisfaction among Nurses: A Scoping Review." International Journal of Environmental Research and Public Health 19, no. 8 (April 10, 2022): 4554. http://dx.doi.org/10.3390/ijerph19084554.

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The aim of this study was to map and summarize the published research findings on hospital ethical climate and its relationship with nursing staff job satisfaction as well as strategies proposed in the literature for the improvement of hospital ethical climate and job satisfaction through the actions of nursing staff in leadership positions. A scoping review has been performed in accordance with the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension scoping reviews statement (PRISMA-ScR). Three electronic bibliographic databases were searched: the SCOPUS, Medline, and CINHAL Complete using a combination of keywords with the range of years 1994–2021. A total of 15 papers out of 235 records identified were eligible for the analysis. The literature review confirmed a significant relationship between ethical climate and job satisfaction of nurses. Furthermore, the interdependence of ethical climate and job satisfaction of nursing staff affects many different aspects including patients, co-workers, an organization and research. Identifying factors that influence ethical climate and job satisfaction as well as the relationship between these variables may help to reduce the dropout concerning a change of profession among nursing staff.

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Divakaran, Bethany, Shanda Lembeck, Rachel Kerr, Hannah Calmus, and Teddie Potter. "Nurses See “The Big Picture”: Addressing Climate Change as a Social Determinant of Global Health." Creative Nursing 22, no. 4 (2016): 243–48. http://dx.doi.org/10.1891/1078-4535.22.4.243.

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Although it is well known that health is influenced by social determinants, climate change is an underrepresented determinant of health within nursing and health care literature, curriculum, and practice. There is urgent need to recognize climate change as a current and future threat to human and environmental health. This article describes the role of nursing in taking action on climate change now and in the future. The profession of nursing, with its ongoing commitment to social justice and its unique position to collaborate with patients and other health care professionals, is particularly well situated to activate change to protect and promote the health of individuals, populations, and future generations.

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Backman, Annica, karin sjögren, Hugo Lövheim, Marie Lindkvist, and David Edvardsson. "Longitudinal Changes in Leadership and Person-Centered Care Over 5 Years in Swedish Nursing Homes." Innovation in Aging 5, Supplement_1 (December 1, 2021): 372. http://dx.doi.org/10.1093/geroni/igab046.1443.

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Abstract Nursing home leadership has been described as crucial for person-centred care and psychosocial climate, but longitudinal data are lacking. The significance of manager educational qualifications and operational model of nursing homes for perceived leadership, person-centred care and psychosocial climate also needs further exploration. This study aimed to explore changes in nursing home managers’ leadership, person-centred care and psychosocial climate comparing matched units in a five-year follow-up. Also, to explore changes in leadership characteristics’ and the significance of manager qualifications for perceived leadership, person-centred care and climate. Repeated cross-sectional, valid and reliable, measures of leadership, person-centred care, psychosocial climate and demographic variables were collected from managers and staff n=3605 in 2014 and n=2985 staff in 2019. Descriptive and regression analyses were used. Leadership remained significantly associated to person-centred care in a five-year follow-up, but no changes in strength of associations were seen. Leadership also remained significantly associated to psychosocial climate, with stronger associations at follow-up. Also, certain leadership characteristics significantly increased over time, thus, partly confirms previous findings. It was also shown that a targeted education for managers was significantly associated to person-centred care.

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Rondeau, Kent V., and Terry H. Wagar. "Impact of Human Resource Management Practices on Nursing Home Performance." Health Services Management Research 14, no. 3 (August 2001): 192–202. http://dx.doi.org/10.1177/095148480101400306.

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Management scholars and practitioners alike have become increasingly interested in learning more about the ability of certain ‘progressive’ or ‘high-performance’ human resource management (HRM) practices to enhance organizational effectiveness. There is growing evidence to suggest that the contribution of various HRM practices to impact firm performance may be synergistic in effect yet contingent on a number of contextual factors, including workplace climate. A contingency theory perspective suggests that in order to be effective, HMR policies and practices must be consistent with other aspects of the organization, including its environment. This paper reports on empirical findings from research that examines the relationship between HRM practices, workplace climate and perceptions of organizational performance, in a large sample of Canadian nursing homes. Data from 283 nursing homes were collected by means of a mail survey that included questions on HRM practices, programmes, and policies, on human resource aspects of workplace climate, as well as a variety of indicators that include employee, customer/resident and facility measures of organizational performance. Results derived from ordered probit analysis suggest that nursing homes in our sample which had implemented more ‘progressive’ HRM practices and which reported a workplace climate that strongly values employee participation, empowerment and accountability tended to be perceived to generally perform better on a number of valued organizational outcomes. Nursing homes in our sample that performed best overall were found to be more likely to not only have implemented more of these HRM practices, but also to report having a workplace climate that reflects the seminal value that it places on its human resources. This finding is consistent with the conclusion that simply introducing HRM practices or programmes, in the absence of an appropriately supportive workplace climate, will be insufficient to attain optimal organizational performance.

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Rondeau, Kent V., and Terry H. Wager. "Impact of human resource management practices on nursing home performance." Health Services Management Research 14, no. 3 (August 1, 2001): 192–202. http://dx.doi.org/10.1258/0951484011912690.

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Management scholars and practitioners alike have become increasingly interested in learning more about the ability of certain 'progressive' or 'high-performance' human resource management (HRM) practices to enhance organizational effectiveness. There is growing evidence to suggest that the contribution of various HRM practices to impact firm performance may be synergistic in effect yet contingent on a number of contextual factors, including workplace climate. A contingency theory perspective suggests that in order to be effective, HMR policies and practices must be consistent with other aspects of the organization, including its environment. This paper reports on empirical findings from research that examines the relationship between HRM practices, workplace climate and perceptions of organizational performance, in a large sample of Canadian nursing homes. Data from 283 nursing homes were collected by means of a mail survey that included questions on HRM practices, programmes, and policies, on human resource aspects of workplace climate, as well as a variety of indicators that include employee, customer/resident and facility measures of organizational performance. Results derived from ordered probit analysis suggest that nursing homes in our sample which had implemented more 'progressive' HRM practices and which reported a workplace climate that strongly values employee participation, empowerment and accountability tended to be perceived to generally perform better on a number of valued organizational outcomes. Nursing homes in our sample that performed best overall were found to be more likely to not only have implemented more of these HRM practices, but also to report having a workplace climate that reflects the seminal value that it places on its human resources. This finding is consistent with the conclusion that simply introducing HRM practices or programmes, in the absence of an appropriately supportive workplace climate, will be insufficient to attain optimal organizational performance.

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Okumoto, Ayaka, Satoko Yoneyama, Chiharu Miyata, and Ayae Kinoshita. "The relationship between hospital ethical climate and continuing education in nursing ethics." PLOS ONE 17, no. 7 (July 21, 2022): e0269034. http://dx.doi.org/10.1371/journal.pone.0269034.

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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.

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Atabay, Gülem, Burcu Güneri Çangarli, and Şebnem Penbek. "Impact of ethical climate on moral distress revisited." Nursing Ethics 22, no. 1 (August 7, 2014): 103–16. http://dx.doi.org/10.1177/0969733014542674.

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Background: Moral distress is a major problem in nursing profession. Researchers identified that the stronger the ethical basis of the organization, the less moral distress is reported. However, different ethical climates may have different impacts on moral distress. Moreover, conceptualization of moral distress and ethical climate as well as their relationship may change according to the cultural context. Objectives: The main aim of the study is to investigate the relationship between different types of ethical climate as described in Victor and Cullen’s framework, and moral distress intensity among nurses in Turkish healthcare settings. Research design: An online survey was administrated to collect data. Questionnaires included moral distress and ethical climate scales in addition to demographic questions. Participants and research context: Data were collected from registered nurses in Turkey. In all, 201 of 279 nurses completed questionnaires, resulting in a response rate of 72%. Ethical considerations: Ethical approval was obtained from the university to which the authors were affiliated, after a detailed investigation of the content and data collection method. Findings: Factor analyses showed that moral distress had three dimensions, namely, organizational constraints, misinformed and over-treated patients, and lack of time and resources, while ethical climate had four types, namely, rules, well-being of stakeholders, individualism, and organizational interests. Positive correlations were identified between certain types of ethical climate (rules, individualism, or organizational interests) and moral distress intensity. Discussion: Factor distribution of the scales shows some commonalities with the findings of previous research. However, context-specific dimensions and types were also detected. No particular ethical climate type was found to have a negative correlation with moral distress. Conclusion: Recommendations were made for reducing the negative impact of ethical climate on moral distress. These include solving the nursing-shortage problem, increasing autonomy, and improving physical conditions.

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Ewers, Tola, Marlon P. Mundt, and Christopher Crnich. "2052. Characterizing Nursing and Provider Social Networks to Develop an Instrument to Improve Antibiotic Stewardship Efforts in Nursing Homes." Open Forum Infectious Diseases 6, Supplement_2 (October 2019): S691—S692. http://dx.doi.org/10.1093/ofid/ofz360.1732.

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Abstract Background Inappropriate antibiotic use is a common problem in nursing homes (NHs). Antibiotic decision-making in NHs is complex. Characterizing the patterns and nature of social interactions between providers and nursing staff may offer insights into the factors influencing antibiotic decisions and opportunities to improve their quality in NHs. Methods Chart reviews and interviews with key informants were used to identify social interactions between nursing staff and providers associated with antibiotic prescribing decisions in three NHs. Data collection was restricted to provider-nurse exchanges following a resident change in condition recognition up to receipt of an order for an antibiotic. A survey administered to nursing staff was used to collect information on employment tenure and their perceptions about facility team climate. UCINET software was used to describe network characteristics, including density and centrality. Results Urinary tract infections (UTIs) accounted for nearly 40% of antibiotic events across all sites. The number of contacts between nursing staff and providers was approximately two-times greater for treated UTI events when compared with treated soft-tissue infections and were four-times as great as for treated pneumonia events. Network structures were different at each study NH with varying numbers of core team members and network density (Figure 1). Team climate survey responses across SNFs demonstrate generally positive climates (4.1 on a scale of 1 to 5, 5 reflects positive). Conclusion NHs have unique network structures; however, more complex social interactions associated with UTI events were common across all sites. Future studies should examine influences of different social network structures on antibiotic decision-making in NHs and whether modification of network structures or their characteristics is amenable to change. Disclosures All authors: No reported disclosures.

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Schenk, Elizabeth C., Cara Cook, Shanda Demorest, and Ekaterina Burduli. "Climate, Health, and Nursing Tool (CHANT): Initial survey results." Public Health Nursing 38, no. 2 (January 11, 2021): 152–59. http://dx.doi.org/10.1111/phn.12864.

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Ventovaara, Päivi, Margareta af Sandeberg, Janne Räsänen, and Pernilla Pergert. "Ethical climate and moral distress in paediatric oncology nursing." Nursing Ethics 28, no. 6 (March 11, 2021): 1061–72. http://dx.doi.org/10.1177/0969733021994169.

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Background: Ethical climate and moral distress have been shown to affect nurses’ ethical behaviour. Despite the many ethical issues in paediatric oncology nursing, research is still lacking in the field. Research aim: To investigate paediatric oncology nurses’ perceptions of ethical climate and moral distress. Research design: In this cross-sectional study, data were collected using Finnish translations of the Swedish Hospital Ethical Climate Survey–Shortened and the Swedish Moral Distress Scale–Revised. Data analysis includes descriptive statistics and non-parametric analyses. Respondents and research context: Ninety-three nurses, working at paediatric oncology centres in Finland, completed the survey. Ethical considerations: According to Finnish legislation, no ethical review was needed for this type of questionnaire study. Formal research approvals were obtained from all five hospitals. Return of the questionnaire was interpreted as consent to participate. Results: Ethical climate was perceived as positive. Although morally distressing situations were assessed as highly disturbing, in general they occurred quite rarely. The situations that did appear often reflected performing procedures on school-aged children who resist such treatment, inadequate staffing and lack of time. Perceptions of ethical climate and frequencies of morally distressing situations were inversely correlated. Discussion: Although the results echo the recurrent testimonies of busy work shifts, nurses could most often practise nursing the way they perceived as right. One possible explanation could be the competent and supportive co-workers, as peer support has been described as helpful in mitigating moral distress. Conclusion: Nurturing good collegial relationships and developing manageable workloads could reduce moral distress among nurses.

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Quinn Griffin, Mary T., Celeste M. Alfes, Freida Chavez, Emerson E. Ea, Kelly A. Lynn, Margaret A. Rafferty, and Joyce J. Fitzpatrick. "Incorporating climate change into Doctor of Nursing Practice curricula." Journal of Professional Nursing 42 (September 2022): 156–61. http://dx.doi.org/10.1016/j.profnurs.2022.06.008.

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