Aim: From a person-centered perspective, this study explored the distinct profiles of hospital ethical climateand then examined the relationships of the profiles with clinical nurses’ service behavior (both in-role andextra-role service behavior).

Research design: A quantitative study was conducted using cluster random sampling. Latent profile analysis and binary coded hexadecimal (BCH) analysis were conducted using Mplus 8.2.

Participants and research context: A total of 871 clinical nurses in China were surveyed using the Ethical Climate Scale and Nurses’ Service Behavior Questionnaire.

Ethical considerations: Ethical approval was obtained from the IRB of the First Affiliated Hospital of JinanUniversity (No. KY-2020-090).

Results: A four-profile hospital ethical climate model provided the best fit for the data. The four different profiles not only varied in level, but also in shape: high normative and low egoism (45.8%), high ethical climate(19.9%), low ethical climate (3.6%), and moderate ethical climate (30.8%). These profiles differentially predicted clinical nurses’ overall, in-role, and extra-role service behaviors.

Conclusions: The results reveal new insights into the nature of hospital ethical climate and how different clinical nurses in these profiles can be best managed to accomplish different forms of service behavior.

【關鍵詞】hospital ethical climate；in-role service behavior；extra-role service behavior；latent profile analysis；clinical nurses

【文章作者】張娜

【作者單位】bevictor伟德官网bevictor伟德官网

【發表期刊】Nursing Ethics

【發表時間】2023年6月

【基金資助】This work was supported by National Natural Science Foundation of China (71901031).