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Advance Nursing Practice 2018
J u n e 2 1 - 2 2 , 2 0 1 8
P a r i s , F r a n c e
Page 56
Journal of Nursing and Health Studies
ISSN 2574-2825
6 t h I n t e r n a t i o n a l C o n f e r e n c e o n
Advance Nursing Practice
This study was conducted in case-control with the aim of determining the
relevance between hospital ethical climate perception and malpractice
susceptibility in manager nurses. The population of the study includes all the
nurses in a university hospital; but, its sample includes the nurses who work at
units which have beds in that hospital. The number of the nurse managers is 95;
the number of the bedside staff nurses is 550 per bed in mentioned units. Nurse
managers were not sampled and all nurse managers are included to scope of the
study (N=88, 7 nurses were excluded from the study due to maternity leave and
sickness report). Bedside nurses were selected by stratified random sampling
(sampling criterion is units) method and 223 nurses were included in the study.
The data was collected by using the nurse information form, the hospital ethical
climate survey (HECS) andmalpractice susceptibility scale (MSS). All of the nurse
managers are female (n=88, 100%), the average age is 42.76 years (SD=6.72;
minimum=25; maximum=63), 78.4% (n=69) married, 81.6% (n=72) have children,
46.6% Bachelor’s degree, the average duration of professional experience is
21.50 years (SD=6,74; minimum=2; maximum=38), the average duration of
experience at unit where they work now is 17.85 years (SD=8.36; minimum=2;
maximum=38); 92.4% of the bedside nurses are female (n=206), average age
is 34.20 years (SD=7.61; minimum=23; maximum=59), 60.5% (n=135) married,
47.1% (n=105) have children, 71.3% Bachelor’s degree, the average duration of
professional experience is 11.95 years (SD=8,32; minimum=1; maximum=39),
the average duration of experience at unit where they work now is 7,43 years
SD=6.70; minimum=1; maximum=34). This data is obtained and there were
differences in statistical significance between the case and control group. On
the other hand, the HECS and MSS total scores of the manager nurses were
statistically higher than the bedside staff nurse (respectively t=-2.047, p=0.042;
t=-1.979, p=0.049). In addition, there was no relevance between bedside staff
nurses' HECS and MSS scores (r=0.064, p=0.339); a statistically significant
positive correlation was found between HECS and MSS scores of executive
nurses (r=0.250, p=0.019). Considering the fact that the increase in the total
score from the HECS increases in the hospital ethical climate perceptions in
positive direction and the increase in the total score from the MSS shows that
the nurse's tendency to make a medical mistake is low, it can be said that the
nurse managers have more positive hospital ethical climate perceptions, but
lower malpractice tendencies than bedside staff nurses. In addition, bedside
staff nurses’ hospital ethical climate perception has not affected malpractice
tendency, whereas nurse managers’ malpractice tendency has decreased when
hospital ethical climate perception became positive.
Biography
Nurten Kaya has completed her PhD from Istanbul University.
She worked at Florence Nightingale Faculty of Nursing,
Department of Fundamentals of Nursing from 1993 to 2013
and she has worked at the Health Sciences Faculty since 2013.
She has published more than 75 papers in reputed journals and
has been serving as an Editorial Board Member of repute. Her
areas of interest are intramuscular injection, complementary
therapy, nursing informatics, nursing theories and models,
nursing process and nursing care. She has book chapters and
other publications on Fundamentals of Nursing and she is
Leader of statutory research projects. She is Member of Turkish
Nurses Society, Nursing Education Society, and Graduates
Florence Nightingale School of Nursing Society.
Hospital ethical climate perception and malpractice
susceptibility of nurse managers
Nurten Kaya, Nuray Turan, Sehrinaz Polat and Duygu Sonmez Duzkaya
Istanbul University, Turkey
Nurten Kaya et al., J Nurs Health Stud 2018, Volume: 3
DOI: 10.21767/2574-2825-C3-008