Abstract
Objectives This study, to construct a model that can predict the ethical climate and nursing performance of clinical nurses, this study establishes a hypothetical model to explain the ethical climate and nursing performance of clinical nurses based on previous studies on ethical leadership and ethical sensitivity. The purpose of this study is to verify the fit of the model and the structural model that tests the hypotheses presented in the model through the collected data. Methods The subjects of the study were three general hospitals with 250 beds or more located in S and Y cities, and filled out a structured questionnaire for 239 clinical nurses as the population as a convenience sample, from September 1 to September 30, 2022. data were collected until For statistical analysis, SPSS 25.0 and AMOS 25.0 programs were used, and structural equation model analysis (SEM) was used. Results There was a statistically significant difference in the ethical climate according to the general characteristics of the study subjects, such as work department, position, and place of nursing ethics education (F=3.307, p<.05). As for the working department, internal medicine ward and other were higher than intensive care unit (F=2.298, p<.05), and the position of other was higher than that of head nurse and chief nurse (F=2.725, p<.05). However, in the places where nursing ethics education was received, the maintenance education was higher than the practical education in the hospital. Ethical climate showed a statistically significant positive (+) correlation with ethical leadership (r=.642, p<.001), and ethical climate showed a statistically significant positive (+) correlation with ethical sensitivity. showed (r=.677, p<.001). Nursing performance showed a statistically significant positive (+) correlation with ethical leadership (r=.510, p<.001), and nursing performance had a statistically significant positive (+) correlation with ethical sensitivity. (r=.667, p<.001), and ethical sensitivity showed a statistically significant positive (+) correlation with ethical leadership (r=.522, p<.001). Conclusions Efficient organizational management and ethical leadership are needed to improve clinical nurses' ethical sensitivity and improve ethical climate and nursing work performance, and various nursing intervention programs are needed to adapt to the organization.
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