Document Type : Original Article


1 Professor of Biostatistics, Department of Epidemiology and Biostatistics, School of Public Health, Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

2 Department of Health Community, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran

3 Department of Nursing, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran


BACKGROUND: The ethical guidelines and ethical atmosphere of the hospital affect the quality
of nursing care. Improving the health of patients in most cases depends on the observance of
ethical points and ethical behaviors by nurses. The aim of this study was to determine the effect of
hospital ethics and ethical training guidelines on improving the quality of nursing care and nurses’
professional ethics.
MATERIALS AND METHODS: This is a descriptive‑analytical study. This study was performed by
multi‑stage relative cluster sampling on 260 qualified nurses in 2014. Data were collected using the
Hospital Ethical Climate Questionnaire and the Judgments about Nursing Decisions Questionnaire
and analyzed using SPSS software version 19.
RESULTS: The results showed that nurses’ perceptions of the ethical climate of hospitals were
relatively positive. The ethical behavior of nurses was moderate and good. Nurses’ perception of the
ethical climate scores was not related to the ideal ethical behavior of nurses (r = 0.11, P = 0.86).The
ethical climate perceptions of nurses were related to real workplace ethical behavior score (r = 0.188,
P = 0.002). The results also showed that ethical guidelines can improve the quality of nursing care.
CONCLUSION: Considering the results of this study, it seems that holding nursing ethics training
programs can be a big step toward promoting the professional behavior of nurses and the observance
of professional ethics by nurses.


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