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      A study of the relationship between professional values and ethical climate and nurses’ professional quality of life in Iran

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          Abstract

          Objective

          To explore the relationship between nursing professional values and ethical climate and nurses’ professional quality of life.

          Methods

          The present study is a descriptive, cross-sectional work in which 400 nurses from various wards of hospitals in the south-east of Iran were studied. Data were collected using a questionnaire consisting of four sections: demographics, Nurses’ Professional Values Scale-Revised (NPVS-R), the Hospital Ethical Climate Survey (HECS), and the Professional Quality of Life Scale (ProQOL).

          Results

          The total mean scores for professional values were 105.29 ± 15.60. The total mean score for the ethical climate was 100.09 ± 17.11. The mean scores for the indexes of compassion satisfaction, burnout, and secondary traumatic stress were 45.29 ± 8.93, 34.38 ± 6.84, and 32.15 ± 7.02 respectively. The relationships between professional values and the indexes of compassion satisfaction ( r = 0.56), burnout ( r = 0.26), and secondary traumatic stress ( r = 0.18) were found to be positive and significant ( P < 0.001). Also, the relationships between ethical climate and the items of compassion satisfaction ( r = 0.60, P < 0.001), burnout ( r = 0.15, P = 0.002) were found to be positive and significant.

          Conclusion

          An understanding of nurses’ perception of professional values and improving the ethical climate at work can help nursing administrators identify more effective strategies toward increasing compassion satisfaction and lessening burnout and work-related stress.

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          Most cited references49

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          Determinants and prevalence of burnout in emergency nurses: a systematic review of 25 years of research.

          Burnout is an important problem in health care professionals and is associated with a decrease in occupational well-being and an increase in absenteeism, turnover and illness. Nurses are found to be vulnerable to burnout, but emergency nurses are even more so, since emergency nursing is characterized by unpredictability, overcrowding and continuous confrontation with a broad range of diseases, injuries and traumatic events.
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            Nurses' widespread job dissatisfaction, burnout, and frustration with health benefits signal problems for patient care.

            Job dissatisfaction among nurses contributes to costly labor disputes, turnover, and risk to patients. Examining survey data from 95,499 nurses, we found much higher job dissatisfaction and burnout among nurses who were directly caring for patients in hospitals and nursing homes than among nurses working in other jobs or settings, such as the pharmaceutical industry. Strikingly, nurses are particularly dissatisfied with their health benefits, which highlights the need for a benefits review to make nurses' benefits more comparable to those of other white-collar employees. Patient satisfaction levels are lower in hospitals with more nurses who are dissatisfied or burned out-a finding that signals problems with quality of care. Improving nurses' working conditions may improve both nurses' and patients' satisfaction as well as the quality of care.
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              Factors Associated with Compassion Satisfaction, Burnout, and Secondary Traumatic Stress Among Chinese Nurses in Tertiary Hospitals: A Cross-Sectional Study

              Compassion fatigue is a work-related professional hazard acquired when providing healthcare for patients. This hazard can lead to physical and mental health problems for nurses and may also affect the nursing care quality for patients. However, studies on Chinese nurses' compassion fatigue are scarce, especially large sampled, multi-center empirical research.
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                Author and article information

                Contributors
                Journal
                Int J Nurs Sci
                Int J Nurs Sci
                International Journal of Nursing Sciences
                Chinese Nursing Association
                2096-6296
                2352-0132
                05 June 2020
                10 July 2020
                05 June 2020
                : 7
                : 3
                : 313-319
                Affiliations
                [a ]Department of Nursing and Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
                [b ]Department of Medical Surgical Nursing, Fasa University of Medical Sciences, Fasa, Iran
                Author notes
                []Corresponding author. Bizhani_mostafa@ 123456yahoo.com
                Article
                S2352-0132(20)30082-X
                10.1016/j.ijnss.2020.06.001
                7424154
                32817854
                94a6581f-7fba-4fa0-83ed-604e4dd132a3
                © 2020 The authors. Published by Elsevier B.V. on behalf of the Chinese Nursing Association.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 7 October 2019
                : 17 March 2020
                : 4 June 2020
                Categories
                Original Article

                hospital nursing staff,professional role,nursing ethics,professional quality of life,iran

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