Cilt 14 Sayı 2 (2026): Business & Management Studies: An International Journal
Makaleler

Hemşirelerde etik iklim algısı ve sürdürülebilirlik tutumu arasındaki ilişkide mesleki öz yeterliliğin aracı rolü

PDF (İngilizce)
  • Melek Yağcı Özen
Melek Yağcı Özen
Dr. Öğretim Üyesi, Osmaniye Korkut Ata Üniversitesi, Osmaniye, Türkiye

Yayınlanmış 25.06.2026

Anahtar Kelimeler

  • Nursing, Ethical Climate, Professional Self-Efficacy, Sustainability Attitude
  • Hemşire, Etik İklim, Mesleki Özyeterlilik, Sürdürülebilirlik Tutumu

Nasıl Atıf Yapılır

Hemşirelerde etik iklim algısı ve sürdürülebilirlik tutumu arasındaki ilişkide mesleki öz yeterliliğin aracı rolü. (2026). Business & Management Studies: An International Journal, 14(2), 830-842. https://doi.org/10.15295/bmij.v14i2.2760

Telif Hakkı (c) 2026 Melek Yağcı Özen

Creative Commons License

Bu çalışma Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License ile lisanslanmıştır.

Nasıl Atıf Yapılır

Hemşirelerde etik iklim algısı ve sürdürülebilirlik tutumu arasındaki ilişkide mesleki öz yeterliliğin aracı rolü. (2026). Business & Management Studies: An International Journal, 14(2), 830-842. https://doi.org/10.15295/bmij.v14i2.2760

Öz

Bu çalışma, hemşirelerde etik iklim algısı, mesleki öz-yeterlilik ve sürdürülebilirlik tutumu arasındaki ilişkileri incelemeyi ve mesleki öz-yeterliliğin aracı rolünü araştırmayı amaçlamıştır. Araştırma, bir kamu hastanesinde çalışan 257 hemşire ile yürütülen kesitsel bir çalışmadır. Veriler Etik İklim Ölçeği, Mesleki Öz-Yeterlilik Ölçeği ve Sürdürülebilirlik Tutum Ölçeği kullanılarak toplanmış; analizlerde tanımlayıcı istatistikler, korelasyon, regresyon ve Hayes PROCESS Model 4 aracılığıyla aracılık analizi uygulanmıştır. Bulgular, etik iklim algısı, mesleki öz-yeterlilik ve sürdürülebilirlik tutumu arasında pozitif yönde anlamlı ilişkiler bulunduğunu göstermiştir (p < 0,01). Mesleki öz-yeterlilik sürdürülebilirlik tutumunu anlamlı düzeyde yordarken, etik iklim algısının sürdürülebilirlik tutumu üzerindeki doğrudan etkisi anlamlı bulunmamıştır. Aracılık analizi sonuçları, mesleki öz-yeterliliğin etik iklim algısı ile sürdürülebilirlik tutumu arasındaki ilişkide anlamlı bir aracı role sahip olduğunu ortaya koymuştur (%95 Bootstrap Güven Aralığı: 0,096–0,267). Sonuç olarak, etik iklimin hemşirelerin sürdürülebilirlik tutumlarını doğrudan değil, mesleki öz-yeterlilik aracılığıyla dolaylı olarak güçlendirdiği belirlenmiştir. Bu bulgu, sağlık kurumlarında etik çalışma ortamlarının desteklenmesi ve hemşirelerin mesleki öz-yeterliliklerinin artırılmasının sürdürülebilir sağlık hizmetlerinin geliştirilmesine katkı sağlayabileceğini göstermektedir.

PDF (İngilizce)

Referanslar

  1. Aloustani, S., Atashzadeh-Shoorideh, F., Zagheri-Tafreshi, M., Nasiri, M., Barkhordari-Sharifabad, M., & Skerrett, V. (2020). Association between ethical leadership, ethical climate and organisational citizenship behavior from nurses' perspective: a descriptive correlational study. BMC Nursing, 19(15). https://doi.org/10.1186/s12912-020-0408-1
  2. Alvarez-Nieto, C., Richardson, J., Navarro-Peran, M. A., Tutticci, N., Huss, N., Elf, M., . . . Lopez-Medina, I. M. (2022). Nursing students' attitudes towards climate change and sustainability: A cross-sectional multisite study. Nurse Education Today, 108. https://doi.org/10.1016/j.nedt.2021.105185
  3. Aransson, J., Clarke, D., Grose, J., & Richardson, J. (2020). Student nurses exposed to sustainability education can challenge practice: A cohort study. Nursing & Health Sciences, 22(3), 803-811. https://doi.org/10.1111/nhs.12734
  4. Asgari, S., Shafipour, V., Taraghi, Z., & Yazdani-Charati, J. (2019). Relationship between moral distress and ethical climate with job satisfaction in nurses. Nursing Ethics, 26(2), 346-356. https://doi.org/10.1177/0969733017712083
  5. Back, D., Han, K., Kim, J., & Baek, H. (2025). Climate change perceptions and behaviors among Korean nurses: The role of organisational initiatives. Nursing Outlook, 73(3). https://doi.org/10.1016/j.outlook.2025.102383
  6. Bahcecik, N., & Oztürk, H. (2003). The Hospital Ethical Climate Survey in Turkey. JONA'S Healthcare Law, Ethics and Regulation, 5(4), 94-99.
  7. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall.
  8. Borhani, F., Jalali, T., Abbaszadeh, A., & Hangdoost, A. (2014). Nurses' perception of ethical climate and organisational commitment. Nursing Ethics, 21(3), 278-288. https://doi.org/10.1177/0969733013493215
  9. Caruso, R., Pittella, F., Zaghini, F., Fida, R., & Sili, A. (2016). Development and validation of the Nursing Profession Self-Efficacy Scale. International Nursing Review, 63(3), 455-464. https://doi.org/10.1111/inr.12291
  10. Carvalho, M., Gaspar, F., Potra, T., & Lucas, P. (2022). Translation, Adaptation, and Validation of the Self-Efficacy Scale for Clinical Nurse Leaders for the Portuguese Culture. Int. J. Environ. Res. Public Health, 19(14). https://doi.org/10.3390/ijerph19148590
  11. Chung, S. J., Jang, S. J., & Lee, H. (2024). Validation of the Sustainability Attitudes in Nursing Survey-2 for nurses: A cross-sectional study. Nurse Education in Practice, 75. https://doi.org/10.1016/j.nepr.2024.103898
  12. Cruz, J., Alshammari, F., & Felicilda-Reynaldo, R. (2018). Predictors of Saudi nursing students' attitudes towards environment and sustainability in health care. International Nursing Review, 65(3), 408-416. https://doi.org/10.1111/inr.12432
  13. Einberg, E.-L. (2025). Commentary: Sustainability and environmental stewardship are ethical responsibilities for nurses. Journal of Research in Nursing, 30(7-8). https://doi.org/10.1177/17449871251361447
  14. Hashish, E. A., & Razek, N. M. (2025). Navigating Connections: How Moral Resilience Shapes Ethical Climate, Distress, and Courage Among Nurses. Sage Open, 15(4). https://doi.org/10.1177/21582440251381063
  15. İlaslan, N., & Orak, N. Ş. (2023). Sustainability attitudes in nursing survey: A cross-cultural adaptation and validation study. International Journal of Human Sciences, 20(3), 212-222. https://doi.org/10.14687/jhs.v20i3.6352
  16. Imani, H., Dahesh, M. B., & Hashemi, N. (2025). Ethical culture and climate in nursing: A bibliometric review. Nursing Ethics, 32(7). https://doi.org/10.1177/09697330251339415
  17. Judge, T., & Bono, J. (2001). Relationship of core self-evaluations traits – selfesteem, generalised self-efficacy, locus of control, and emotional stability – with job satisfaction and job performance: a meta-analysis. Journal of Applied Psychology, 86(1), 80-92.
  18. Kalogirou, M. R., Dahlke, S., Davidson, S., & Yamamato, S. (2020). Nurses' perspectives on climate change, health and nursing practice. Journal of Clinical Nursing, 29(23-24), 4759-4768. https://doi.org/10.1111/jocn.15519
  19. Koskenvuori, J., Numminen, O., & Suhoven, R. (2019). Ethical climate in nursing environment: A scoping review. Nursing Ethics, 26(2). https://doi.org/10.1177/0969733017712081
  20. Larionow, P., Gawrych, M., Mackiewicz, J., Michalak, M., Mudlo-Glagolska, K., Preece, D. A., & Stewart, A. E. (2024). The Climate Change Worry Scale (CCWS) and Its Links with Demographics and Mental Health Outcomes in a Polish Sample. Healthcare, 12(11). https://doi.org/10.3390/healthcare12111128
  21. Lazemi, Z., & Barkhordari-Sharifabad, M. (2023). Translation and psychometric evaluation of the Persian version of the "Nursing Profession Self-Efficacy Scale". BMC Nursing, 22(24). https://doi.org/10.1186/s12912-023-01182-3
  22. Lemmenes, D., Valentine, P., Gwizdalski, P., Vincent, C., & Liao, C. (2018). Nurses' perception of ethical climate at a large academic medical center. Nursing Ethics, 25(6), 724-733. https://doi.org/10.1177/0969733016664980
  23. Maiz, A. M., Ahmed, E. A., Abdelrahim, S. M., Ayed, M. M., & Eldiasty, N. E. (2023). Impact of Ethical Climate on Moral Distress and Nurse's Green Behavior. Egyptian Journal of Health Care, 14(4), 1503-1514. https://doi.org/10.21608/ejhc.2023.357700
  24. Manojlovich, M. (2005). Promoting Nurses' Self-Efficacy A Leadership Strategy to Improve Practice. The Journal of Nursing Administration, 35(5), 271-278.
  25. Mohamed, E., Abed, F. A., & Hassan, S. (2020). The relationship between ethical work climate and organisational commitment among staff nurses. Egyptian Nursing Journal, 17(2), 96-106. https://doi.org/10.4103/ENJ.ENJ_29_20
  26. Numminen, O., Leino-Kilpi, H., Isoaho, H., & Meretoja, R. (2015). Ethical climate and nurse competence – newly graduated nurses' perceptions. Nursing Ethics, 22(8), 845-859. https://doi.org/10.1177/0969733014557137
  27. Oflaz, F. (2025). Sustainability and Psychiatric Nursing: Workforce, Environmental, and Ethical Challenges. Journal of Psychosocial Nursing and Mental Health Services, 63, 4-6. https://doi.org/10.3928/02793695-20251014-02
  28. Olson, L. (1995). Ethical climate in healthcare organisations. International Nursing Review, 42(3).
  29. Olson, L. L. (1998). Hospital Nurses' Perceptions of the Ethical Climate of Their Work Setting. Journal of Nursing Scholarship, 30(4), 345-349. https://doi.org/10.1111/j.1547-5069.1998.tb01331.x
  30. Ozdoba, P., Dziurka, M., Pilewska-Kozak, A., & Dobrowolska, B. (2022). Hospital Ethical Climate and Job Satisfaction among Nurses: A Scoping Review. Int. J. Environ. Res. Public Health, 19(8). https://doi.org/10.3390/ijerph19084554
  31. Özden, D., Arslan, G., Ertuğrul, B., & Karakaya, S. (2019). The effect of nurses' ethical leadership and ethical climate perceptions on job satisfaction. Nursing Ethics, 26(4), 1211-1225. https://doi.org/10.1177/0969733017736924
  32. Pauly, B., Varcoe, C., Storch, J., & Newton, L. (2009). Registered Nurses' Perceptions of Moral Distress and Ethical Climate. Nursing Ethics, 16(5). https://doi.org/10.1177/0969733009106649
  33. Pradhan, R. K., Jena, L. K., & Panigrahy, N. P. (2020). Do sustainability practices buffer the impact of self-efficacy on organisational citizenship behaviour? Conceptual and statistical considerations. Journal of Indian Business Research, 12(4), 509-528. https://doi.org/10.1108/JIBR-05-2019-0170
  34. Pronajaya, G., Anindita, R., & Pamungkas, R. (2021). Self Efficacy Model and Career Development in Increase Employee Engagement and Nurse Performance. Dinasti International J Educ Management and Social Scie, 2(4), 663-675. https://dx.doi.org/10.31933/dijemss.v2i4.830
  35. Richardson, J., Heidenreich, T., Álvarez-Nieto, C., Fasseur, F., Grose, J., Huss, N., . . . Schweizer, A. (2016). Including sustainability issues in nurse education: A comparative study of first year student nurses' attitudes in four European countries. Nurse Educ Today, 37, 15-20. https://doi.org/10.1016/j.nedt.2015.11.005
  36. Simha, A., & Pandey, J. (2021). Trust, ethical climate and nurses' turnover intention. Nursing Ethics, 28(5), 278-288. https://doi.org/10.1177/0969733020964855
  37. Stievano, A., & Tschudin, V. (2019). The ICN code of ethics for nurses: a time for revision. Nursing and Health Policy Perspectives, 66(2), 154-156. https://doi.org/10.1111/inr.12525
  38. Swarnakar, V., Singh, A., & Tiwari, A. K. (2021). Evaluating the effect of critical failure factors associated with sustainable Lean Six Sigma framework implementation in healthcare organisation. International Journal of Quality & Reliability Management, 38(5), 1149-1177. https://doi.org/10.1108/IJQRM-07-2020-0243
  39. Vasileiou, A., Sfakianaki, E., & Tsekouropoulos, G. (2024). Exploring Sustainability and Efficiency Improvements in Healthcare: A Qualitative Study. Sustainability, 16(19). https://doi.org/10.3390/su16198306
  40. Vicdan, A. K., & Taştekin, A. (2019). A Study of Adapting the Nursing Profession Self-Efficacy Scale to Turkish. Acibadem University Health Sciences Journal, 10(3), 504-510. https://doi.org/10.31067/0.2019.183
  41. Victor, B., & Cullen, J. B. (1987). A theory and measure of ethical climate in organisations. Research in Corporate Social Performance and Policy, 9, 51–71.
  42. World Health Organization. (2017). Environmentally sustainable health systems: A strategic document.
  43. World Health Organization. (2020a). WHO guidance for climate-resilient and environmentally sustainable health care facilities.
  44. World Health Organization. (2020b). State of the world's nursing 2020: Investing in education, jobs and leadership.
  45. Wullenkord, M. C., Tröger, J., Hamann, K. R., Loy, L. S., & Reese, G. (2021). Anxiety and climate change: a validation of the Climate Anxiety Scale in a German-speaking quota sample and an investigation of psychological correlates. Climatic Change, 168(20). https://doi.org/10.1007/s10584-021-03234-6
  46. Yi, J., & Yi, Y. (2025). Exploring influences of environmental information, beliefs and self-efficacy on nurses' climate health behaviours and their relationships. Journal of Advanced Nursing, 00, 1-10. https://doi.org/10.1111/jan.16269
  47. Zoromba, M. A., & El-Gazar, H. E. (2025). Nurses' attitudes, practices, and barriers toward sustainability behaviors: a qualitative study. BMC Nursing, 24(437).