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Culture and Organizational Climate: Nurses’ Insights Into Their Relationship With Physicians

University of Regina, Saskatchewan, SK, Canada,david.malloy{at}uregina.ca

Thomas Hadjistavropoulos

University of Regina, Saskatchewan, SK, Canada

Elizabeth Fahey McCarthy

Trinity College, Dublin, Republic of Ireland

Robin J Evans

University of Saskatchewan, Saskatoon, SK, Canada

Dwight H Zakus

Griffith University, Gold Coast, QLD, Australia

Illyeok Park

Seoul National University, Seoul, Korea

Yongho Lee

University of Toledo, Toledo, OH, USA

Jaime Williams

University of Saskatchewan, Saskatoon, SK, Canada

Within any organization (e.g. a hospital or clinic) the perception of the way things operate may vary dramatically as a function of one’s location in the organizational hierarchy as well as one’s professional discipline. Interorganizational variability depends on organizational coherence, safety, and stability. In this four-nation (Canada, Ireland, Australia, and Korea) qualitative study of 42 nurses, we explored their perception of how ethical decisions are made, the nurses’ hospital role, and the extent to which their voices were heard. These nurses suggested that their voices were silenced (often voluntarily) or were not expressed in terms of ethical decision making. Finally, they perceived that their approach to ethical decision making differed from physicians.

Key Words: ethical climate • ethical decision making • ontology • organizational climate

Nursing Ethics, Vol. 16, No. 6, 719-733 (2009)
DOI: 10.1177/0969733009342636


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