Ethical climate and service behaviours in nurses: The moderating role of employment type

• Published in: Journal of advanced nursing 2019-09, Vol.75 (9), p.1868-1876
• Main Authors: Zhang, Na, Gong, Zhen‐Xing, Xu, Zhen, Gilal, Faheem Gul
• Format: Article
• Language: English
• Subjects: Adult; Asian Continental Ancestry Group - psychology; Attitude of Health Personnel; Behavior; China; Confirmatory factor analysis; Economics, Nursing; Employment; employment type; ethical climate; Ethics; extra‐role service behaviour; Female; Health care; Hospitals; Humans; Job Satisfaction; Labor force; Male; Medical ethics; Middle Aged; nurse; Nurse Administrators - psychology; Nurses; Nursing; Nursing Care - psychology; Nursing Staff, Hospital - psychology; Organizational ethics; Regression analysis; role‐prescribed service behaviour; Young Adult
• ISSN: 0309-2402; 1365-2648
• DOI: 10.1111/jan.13961

Aim To explore the relationship between ethical climate (EC) and nurses' service behaviours (SB) and examine the moderating effect of nurses' employment type. Background As most public hospitals in China implement the “dual‐track system” of nurses' employment, the two different types of nurses, contract‐employed nurses and state‐employed nurses, receive the different pay for the same work, which results in they providing different SB. It has become critical for hospital administrators and nursing managers to understand better the state of two groups of nurses and to find an effective method to improve the service level of the nursing workforce. Design Stepwise multiple regression analyses of survey data collected in June and July 2017 from Chinese nurses employed in three tertiary hospitals. Methods Chinese nurses (298 of 350 [85.1%]) were interviewed using the Ethical Climate Scale and Nurses' Service Behaviour Scale. Data were analysed statistically using descriptive statistics, confirmatory factor analysis, correlation coefficients (Pearson), two‐tailed t‐test and stepwise multiple regression analyses were conducted to test the proposed hypotheses. Data were analysed using SPSS and AMOS. Results There were statistically significant correlations between EC and nurses' extra‐role service behaviour (ERSB) and overall service behaviour and nurses' employment type moderated the proposed relationships. Conclusion Healthcare institutions should pay more attention to cultivate EC and implement new incentive mechanism to better stimulate nurses to provide ERSB. 目的 探讨组织伦理氛围(EC)与护士服务行为(SB)之间的关系,评估护士雇佣类型的调节作用。 背景 随着我国大多数公立医院实行护士雇佣“双轨制”,因此两种不同类型的护士,即合同聘用护士和国家雇佣护士,在同一项工作中所获得的报酬却不同,这导致他们提供不同种类的服务行为。如何更好地了解两种雇佣类型护士的状况,找到提高护理队伍服务水平的有效方法,已成为医院管理人员和护理管理人员需考虑的重要问题。 设计 对2017年6月和7月三级医院聘用的中国护士的调查数据进行逐步多元回归分析。 方法 采用组织伦理氛围量表和护士服务行为量表对350名中国护士中的298名(85.1%)进行调查。采用描述性统计、验证性因素分析、相关系数(Pearson)、双尾t检验对数据进行统计分析,并通过逐步多元回归分析检验所提出的假设。使用SPSS和AMOS来分析数据。 结果 EC与护士的角色外服务行为(ERSB)与整体服务行为之间存在显著的统计学关联,而护士的雇佣类型可缓和以上关系。 结论 医疗机构应重视培养组织伦理氛围,实施新型激励机制,从而更好地鼓励护士提供角色外服务行为。