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

Rev Gaucha Enferm

Universidade Estadual de Campinas (Unicamp). Faculdade de Ciências Farmacêuticas. Campinas, São Paulo, Brasil.

Published: November 2023

AI Article Synopsis

  • This study examined how the ethical climate in healthcare affects the health of workers, focusing on moral distress and job satisfaction.
  • A systematic review analyzed 2644 studies but ultimately included only 20 for evaluation, with a majority rated as regular quality.
  • Results showed a moderate negative correlation between a poor ethical climate and increased moral distress, while a better ethical environment was linked to higher job satisfaction among healthcare professionals.

Article 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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Source
http://dx.doi.org/10.1590/1983-1447.2023.20220247.enDOI Listing

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