Influence of the ethical climate on workers' health among healthcare professionals: a systematic review.

Q3 Nursing Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2023-10-27 eCollection Date: 2023-01-01 DOI:10.1590/1983-1447.2023.20220247.en

Taís Carpes Lanes, Graziele de Lima Dalmolin, Augusto Maciel da Silva, Camila Milene Soares Bernardi, Thaís Costa Schutz, Gustavo Magno Baldin Tiguman

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Abstract

Objective: To evaluate the influence of the ethical climate on workers' health among healthcare professionals.

Method: Systematic review and meta-analysis conducted in MEDLINE/PubMed, EMBASE, SciVerse Scopus (Elsevier), Cumulative Index to Nursing and Allied Health Literature and Web of Science. Trained reviewers performed the selection, data extraction, and assessment of methodological quality. Meta-analysis was applied for data synthesis.

Results: Among the 2644 studies, 20 were included for analysis, in which three (15.0%) articles were classified as high quality (score ≥ 80%), while 17 (85.0%) were classified as regular (score 50-79%). There was a moderate negative correlation between the ethical climate and overall moral distress (r=-0.43; 95%CI -0.50; -0.36) and the frequency of moral distress (r=-0.36; 95%CI -0.45; -0.25), as well as the positive and strong correlation between ethical climate and job satisfaction (r=0.71; 95%CI 0.39-0.88).

Conclusion: The negative and positive perception of the ethical climate among healthcare professionals, respectively, influenced the increase in moral distress and job satisfaction.

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伦理氛围对医护人员健康的影响：一项系统综述。

目的：评估医疗保健专业人员的道德氛围对工作人员健康的影响。方法：在MEDLINE/PubMed、EMBASE、SciVerse Scopus（Elsevier）、护理与联合健康文献累积指数和科学网进行系统综述和荟萃分析。经过培训的评审员进行了方法学质量的选择、数据提取和评估。将荟萃分析应用于数据综合。结果：在2644项研究中，20项被纳入分析，其中3篇（15.0%）文章被归类为高质量（得分≥80%），17篇（85.0%）被归类为常规（得分50-79%）。道德氛围与整体道德困扰（r=-0.43；95%CI-0.50；-0.36）和道德困扰频率（r=-0.36；95%CI-0.45；-0.25）之间存在中度负相关，以及道德氛围与工作满意度之间的正相关和强相关（r=0.71；95%CI 0.39-0.88）。结论：医疗保健专业人员对道德氛围的负面感知和正面感知分别影响了道德困境和工作满意度的增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista gaucha de enfermagem / EENFUFRGS Medicine-Medicine (all)

CiteScore

1.70

自引率

0.00%

发文量

118

审稿时长

16 weeks

期刊介绍： A Escola de Enfermagem da Universidade Federal do Rio Grande do Sul edita e publica a Revista Gaúcha de Enfermagem para divulgar a produção científica da Enfermagem e áreas afins. Foi criada em 1976 e atualmente tem periodicidade trimestral.