2023, Cilt 10, Sayı 2, Sayfa(lar) 179-185
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Effects of Hospital Ethical Climate on Voice Behavior among Oncology Nurses: Mediating Role of Courage
Şenay SARMASOĞLU KILIKÇIER1, Gül Hatice TARAKÇIOĞLU ÇELİK2, Şenay GÜL3, Eda KARAİSMAİLOĞLU4
1Assoc. Prof., Fundamentals of Nursing, Hacettepe University Faculty of Nursing, Ankara, Turkey
2Research Assistant, Fundamentals of Nursing, Hacettepe University Faculty of Nursing, Ankara, Turkey
3Assoc. Prof., Fundamentals of Nursing, Hacettepe University Faculty of Nursing, Ankara, Turkey
4Assoc. Prof., Department of Medical Informatics, University of Health Sciences Gulhane Faculty of Medicine, Ankara, Turkey
Keywords: Courage, ethical climate, mediating, oncology nurse, voice behavior
Aim: Ethical climate is an important organizational characteristic that affects employees' thoughts, attitudes, and behaviors. The voice of the nurses, one of the fundamental employees of the hospitals, is very valuable both in terms of the organizations they work in and the safety of their patients. However, the relationship between hospital ethical climate and voice behavior remains unclear. The aim of this study was to investigate the effects of the ethical climate on oncology nurses’ voice behaviors, considering courage as a mediator.

Material and Methods: This study was designed as a predictive cross-sectional study. The sample of this study consisted of 71 registered nurses who were employed as staff nurses in inpatient care services in Hacettepe University Oncology Hospital between October and December 2018.

Results: There is a positive and significant relation between the hospital’s ethical climate and oncology nurses’ voice behaviors, and that courage has a positive partial mediating effect.

Conclusion: Since the relationship between a hospital’s ethical climate and nurses’ voice behavior contains many different variables, courage can be deemed a mediator in this relationship, but courage is not may directly be effective on its own.
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