Table 2.
Factor loadings for ethical climate items
| Item | Factor | ||||
|---|---|---|---|---|---|
| Peers | Patients | Managers | Hospital | Physicians | |
| Q 1: My peers listen to my concerns about patient care. | 0.69 | ||||
| Q 10: My peers help me with difficult patient care issues/problems. | 0.63 | ||||
| Q 18: I work with competent colleagues. | 0.55 | ||||
| Q 23: Safe patient care is given on my unit. | 0.69 | ||||
| Q 2: Patients know what to expect from their care. | 0.51 | ||||
| Q 6: Nurses have access to the information necessary to solve a patient care issue/problem. | 0. 50 | ||||
| Q 11: Nurses use the information necessary to solve a patient care issue/problem. | 0.60 | ||||
| Q 19: Patients’ wishes are respected. | 0.55 | ||||
| Q 3: When I’m unable to decide what’s right or wrong in a patient care situation, my manager helps me. | 0.60 | ||||
| Q 7: My manager supports me in my decisions about patient care. | 0.78 | ||||
| Q 12: My manager listens to me talk about patient care issues/problems. | 0.77 | ||||
| Q 15: My manager is someone I can trust. | 0.80 | ||||
| Q 20: When my peers are unable to decide what’s right or wrong in a particular patient care situation, I have observed that my manager helps them. | 0.80 | ||||
| Q 24: My manager is someone I respect. | 0.64 | ||||
| Q 4: Hospital policies help me with difficult patient care issues/problems. | 0.71 | ||||
| Q 8: A clear sense of the hospital’s mission is shared with nurses. | 0.70 | ||||
| Q 25: I am able to practice nursing on my unit as I believe it should be practiced. | 0.60 | ||||
| Q 13: The feelings and values of all parties involved in a patient care issue/problem are taken into account when choosing a course of action. | 0.56 | ||||
| Q 16: Conflict is openly dealt with, not avoided. | 0.60 | ||||
| Q 21: There is a sense of questioning, learning, and seeking creative responses to patient care problems. | 0.52 | ||||
| Q 5: Nurses and physicians trust one another. | 0.55 | ||||
| Q 9: Physicians ask nurses for their opinions about treatment decisions. | 0.69 | ||||
| Q 14: I participate in treatment decisions for my patients. | 0.56 | ||||
| Q 17: Nurses and physicians here respect each other’s opinions even when they disagree about what is best for the patient | 0.74 | ||||
| Q 22: Nurses and physicians respect each other. | 0.66 | ||||
| Q 26: Nurses are supported and respected in this hospital. | 0.79 | ||||