Psychometric properties of the Persian version of the "Hospital Ethical Climate Survey".
In order to improve the ethical climate in health care organizations, it is important to apply a valid measure. This study aimed to investigate the psychometric properties of the Persian version of the Hospital Ethical Climate Survey (HECS) and to assess nurses' perceptions of the ethical clima...
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Tehran University of Medical Sciences
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doaj-ce2950c01da04037a0ebc316f2043b5d2020-11-25T02:11:37ZengTehran University of Medical SciencesJournal of Medical Ethics and History of Medicine2008-03872015-10-0171Psychometric properties of the Persian version of the "Hospital Ethical Climate Survey".Nader Khalesi0Jalal Arabloo1Omid Khosravizadeh2Sanaz Taghizadeh3Ali Heyrani4Abbasali Ebrahimian5Associate Professor, Health Information Management Research Center, Tehran University of Medical Sciences, Tehran, Iran.PhD Candidate, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.PhD Candidate, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.Department of Health Services Management, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran.Assistant Professor, Research Center for Social Determinants in Health Promotion, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.PhD Candidate, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.In order to improve the ethical climate in health care organizations, it is important to apply a valid measure. This study aimed to investigate the psychometric properties of the Persian version of the Hospital Ethical Climate Survey (HECS) and to assess nurses' perceptions of the ethical climate in teaching hospitals of Iran. A cross-sectional study of randomly selected nurses (n = 187) was conducted in three teaching general hospitals of Tehran, capital of Iran. Olson's Hospital Ethical Climate Survey (HECS), a self-administered questionnaire, was used to assess the nurses' perceptions of the hospital ethical climate. Descriptive statistics, confirmatory factor analysis (CFA), internal consistency, and correlation were used to analyze the data. CFA showed acceptable model fit: an standardized root mean square residual (SRMR) of 0.064, an non-normalized fit index (NNFI) of 0.96, a comparative fit index (CFI) of 0.96, and an root mean square error of approximation (RMSEA) of 0.075. The Cronbach's alpha values were acceptable and ranging from 0.69 to 0.85. The overall Cronbach's alpha coefficient was 0.94. The factor loadings for all ethical climate items were between 0.50 and 0.80, which revealed good structure of the Persian version of the HECS. Survey findings showed that the "managers" subscale had the highest score and the subscale of "doctors" had the lowest score. This study shows that the Persian version of the HECS is a valid and reliable instrument for measuring nurses' perceptions of the ethical climate in hospitals of Iran.https://jmehm.tums.ac.ir/index.php/jmehm/article/view/105ethical climateethicsorganizational ethics |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nader Khalesi Jalal Arabloo Omid Khosravizadeh Sanaz Taghizadeh Ali Heyrani Abbasali Ebrahimian |
spellingShingle |
Nader Khalesi Jalal Arabloo Omid Khosravizadeh Sanaz Taghizadeh Ali Heyrani Abbasali Ebrahimian Psychometric properties of the Persian version of the "Hospital Ethical Climate Survey". Journal of Medical Ethics and History of Medicine ethical climate ethics organizational ethics |
author_facet |
Nader Khalesi Jalal Arabloo Omid Khosravizadeh Sanaz Taghizadeh Ali Heyrani Abbasali Ebrahimian |
author_sort |
Nader Khalesi |
title |
Psychometric properties of the Persian version of the "Hospital Ethical Climate Survey". |
title_short |
Psychometric properties of the Persian version of the "Hospital Ethical Climate Survey". |
title_full |
Psychometric properties of the Persian version of the "Hospital Ethical Climate Survey". |
title_fullStr |
Psychometric properties of the Persian version of the "Hospital Ethical Climate Survey". |
title_full_unstemmed |
Psychometric properties of the Persian version of the "Hospital Ethical Climate Survey". |
title_sort |
psychometric properties of the persian version of the "hospital ethical climate survey". |
publisher |
Tehran University of Medical Sciences |
series |
Journal of Medical Ethics and History of Medicine |
issn |
2008-0387 |
publishDate |
2015-10-01 |
description |
In order to improve the ethical climate in health care organizations, it is important to apply a valid measure. This study aimed to investigate the psychometric properties of the Persian version of the Hospital Ethical Climate Survey (HECS) and to assess nurses' perceptions of the ethical climate in teaching hospitals of Iran. A cross-sectional study of randomly selected nurses (n = 187) was conducted in three teaching general hospitals of Tehran, capital of Iran. Olson's Hospital Ethical Climate Survey (HECS), a self-administered questionnaire, was used to assess the nurses' perceptions of the hospital ethical climate. Descriptive statistics, confirmatory factor analysis (CFA), internal consistency, and correlation were used to analyze the data. CFA showed acceptable model fit: an standardized root mean square residual (SRMR) of 0.064, an non-normalized fit index (NNFI) of 0.96, a comparative fit index (CFI) of 0.96, and an root mean square error of approximation (RMSEA) of 0.075. The Cronbach's alpha values were acceptable and ranging from 0.69 to 0.85. The overall Cronbach's alpha coefficient was 0.94. The factor loadings for all ethical climate items were between 0.50 and 0.80, which revealed good structure of the Persian version of the HECS. Survey findings showed that the "managers" subscale had the highest score and the subscale of "doctors" had the lowest score. This study shows that the Persian version of the HECS is a valid and reliable instrument for measuring nurses' perceptions of the ethical climate in hospitals of Iran. |
topic |
ethical climate ethics organizational ethics |
url |
https://jmehm.tums.ac.ir/index.php/jmehm/article/view/105 |
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