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Saudi Journal of Nursing and Health Care (SJNHC)
Volume-8 | Issue-12 | 308-313
Original Research Article
Impact of Ethical Climate and Moral Courage among Nurses Caring for the Corona Patients in Public Tertiary Care Hospitals, Faisalabad, Pakistan
Fatima Latif, Sana Sehar, Dimple Mustufa, Hafiza Fareena latif
Published : Dec. 17, 2025
DOI : https://doi.org/10.36348/sjnhc.2025.v08i12.004
Abstract
Background: Major studies in this basis have addressed the ethical climate and ethical courage separately. Additionally in this pandemic era upto the best knowledge pf researcher there is no such study which is conducted on the moral courage and ethical climate present in the hospitals providing care to the corona patients. Hence, the purpose of this study is to assess the impact of ethical climate and moral courage among nurses caring for the corona patients in the public tertiary care hospitals in Faisalabad, Pakistan. Methodology: This is a cross-sectional study conducted in March to May 2021, on the nurses working in a public hospital and private tertiary care hospitals in Faisalabad. Sample size was 300 nurses. Written consent was taken from the participants. The data-collecting tool was a three-part questionnaire. The first part contains demographic information, second part consists of a questionnaire “Ethical climate of the hospital” by Olson in 1995, the third part included a moral courage questionnaire, which was designed by Sekerka et al. in 2009. All required permissions were taken from the authority and principle of confidentiality, beneficence, non- maleficence were observed. Results: Table 4 displayed the mean score of ethical climate and moral courage among nurses. The average score of the ethical climate among nurses was 2.3 which is between sometimes to often and moral courage mean score was 2.7 which mean that nurses got often chance to perform according to their moral value. Table 5 shows the ANOVA Test scores between the demographics and ethical climate and moral courage. Participants with higher educational levels and with more years of experience reported good ethical climate and shared more moral courage. The finding were insignificant with the marital status of the participant. Table 6 shared the correlation between ethical climate and moral courage. The relationship between ethical climate and moral courage is significant. This means that participants perceive that if there is more ethical climate in their practicing areas then they have more moral courage to practice good nursing values independently. Discussion: The results of this study also showed that the higher ethical climate score of the hospital lead to the more ethical virtue of courage in nurses. This will ultimately lead patients to better care and reduce the risk of physical, mental and mental harm to both patients and the health care provider. Therefore, nursing managers can use the operational features to improve ethical climate and ethical courage of nurses to get synergy between these two variables in order to achieve satisfaction, trust and confidence of patients in the nursing profession and health services organizations.
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