Original Article

Nurses' perspectives regarding the relationship between professional ethics and organizational commitment in healthcare organizations


Nurses' professional and ethical performances are influenced by the health organizations' environment, and high quality and holistic care can only be provided by observing the principles of professional ethics and organizational commitment. Therefore, this study aimed at investigating the relationship between professional ethics and organizational commitment in nurses. This descriptive-analytic study was conducted in hospitals affiliated to Shiraz University of Medical Sciences (SUMS) in 2019 in Iran. The study participants included 210 public ward nurses selected using the stratified random sampling method. Data were collected using Petty Professional Ethics and Allen-Meyer Organizational Commitment questionnaires, and then analyzed by SPSS V.25.
Both the mean score of the nurses' professional ethics (102.21 ± 10.89) and the mean score of the nurses' organizational commitment (95.30 ± 16.54) were at high levels. Moreover, a direct and significant relationship was found between professional ethics and organizational commitment (P= 0.009, r = 0.179). In other words, a positive correlation was found between professional ethics and organizational commitment.
Considering the relationship between professional ethics and organizational commitment in nurses, managers should enhance nurses' level of adherence to ethical principles, organizational commitment and organizational attachment. Additionally, training courses can help improve nurses' professional capabilities, and hence enhancing the quality of providing healthcare services.

Esmaelzadeh F, Abbaszadeh A, Borhani F, Peyrovi H. Ethical sensitivity in nursing ethical leadership: a content analysis of Iranian nurses experiences. Open Nurs. 2017; 11: 1-13.

Salehi M, Dadgar Z. The relationship between professional ethics and organizational commitment from the viewpoint of nurses in Imam Khomeini hospital in Sari. Journal of Bioethics. 2016; 6(20): 33-46.

Borhani F, Jalali T, Abbaszadeh A, Haghdoost A. Nurses’ perception of ethical climate and organizational commitment. Nurs Ethics. 2014; 21(3): 278-88.

Bah HT, Sey-Sawo J. Teaching and practicing nursing code of ethics and values in the Gambia. International Journal of Africa Nursing Sciences. 2018; 9: 68-72.

Amiri E, Ebrahimi H, Vahidi M, Asghari Jafarabadi M, Namdar Areshtanab H. Relationship between nurses’ moral sensitivity and the quality of care. Nurs Ethics. 2019; 26(4): 1265-73.

Fu W. The impact of emotional intelligence, organizational commitment, and job satisfaction on ethical behavior of Chinese employees. Journal of Business Ethics. 2013; 122(1): 137-44.

Karami A, Farokhzadian J, Foroughameri G. Nurses' professional competency and organizational commitment: Is it important for human resource management? PloS one. 2017; 12(11): e0187863.

Khalilzadeh Naghneh MH, Zargari Tafreshi M, Naderi M, Shakeri N, Bolourchifard F, Sedghi Goyaghaj N. The relationship between organizational commitment and nursing care behavior. Electronic Physician. 2017; 9(7): 4835-40.

Harris KT. Nursing practice implications of the year of ethics. Nurs Womens Health. 2015; 19(2): 119-22.

Nawaz M, Pangil F. The relationship between human resource development factors, career growth and turnover intention: The mediating role of organizational commitment. Management Science Letters. 2016; 6(2): 157-76.

Safari Y, Yoosefpour N. Data for professional socialization and professional commitment of nursing students - a case study: Kermanshah University of Medical Sciences, Iran. Data in brief. 2018; 21: 2224-9.

Sadrollahi A, Khalili Z. Survey Correlation between organizational commitment and professional moral sensitivity among the nurses in West Golestan. J Educ Ethics Nurs. 2015; 4(1): 25-32.

Chanzanagh HE, Nejat J. Values and work ethic in Iran: a case study on Iranian teachers. Procedia-Social and Behavioral Sciences. 2010; 5: 1521-6.

Hill RB, Petty GC. A new look at selected employability skills: a factor analysis of the occupational work ethic. Journal of Vocational Education Research. 1995; 20(4): 59-73.

Sheikhzakaryaie N, Atashzadeh-Shoorideh F. The relationship between professional ethics and organizational commitment of faculty members in Kurdistan University of Medical Sciences. Advances in Nursing & Midwifery. 2016; 25(91): 21-30.

Preethi B, Lourthuraj SA. Emotional intelligence and organizational commitment among the college staff using genos model of emotional intelligence. International Journal of Managment. 2016; 7(2): 682-9.

Nodehi H, Rashidi A, Khalili A, Mehravar Giglou S. Relationship between self-control and locus of control and organizational commitment in staff of the education department of Sabzevar. Quaterly Research on Leadership and Mangement. 2014; 1(1): 49-66.

Nabizadeh Gharghozar Z, Atashzadeh Shoorideh F, Khazai N, Alavi Majd H. Correlation between demographic variables and organizational commitment of nurses working in the hospitals affiliated to Isfahan University of Medical Sciences, 2012. Journal of Research Development in Nursing and Midwifery. 2014; 11(1): 32-8.

Dehghani A, Radbeh F, Parviniannasab AM, Khaki S, Shamsizadeh M, Beyramijam M. Enactment of professional ethics standards compliance in patients and nurses prospective. Journal of Holistic Nursing and Midwifery. 2015; 25(4): 64-72.

Osingada CP, Nalwadda G, Ngabirano T, Wakida J, Sewankambo N, Nakanjako D. Nurses’ knowledge in ethics and their perceptions regarding continuing ethics education: a cross-sectional survey among nurses at three referral hospitals in Uganda. BMC research notes. 2015; 8(1): 319.

Khandan M, Abbaszadeh A, Bahrampoor A. The relationship between nurses’ awareness and attitude about ethics codes and determining the effective factors. Medical Sciences. 2015; 25(4): 299-304.

Kangasniemi M, Pakkanen P, Korhonen A. Professional ethics in nursing: an integrative review. J Advanced Nurs. 2015; 71(8): 1744-57.

Ahmad N, Oranye NO. Empowerment, job satisfaction and organizational commitment: a comparative analysis of nurses working in Malaysia and England. J Nurs Manag. 2010; 18(5): 582-91.

Lorber M, Skela-Savič B. Factors affecting nurses' organizational commitment. Obzornik Zdravstvene Nege. 2014; 48(4): 294–301.

Niazazari K, Enayati T, Behnamfar R, Kahroodi Z. Relationship between professional ethics and job commitment. Iran Journal of Nursing. 2014; 27(87): 34-42.

Han K, Chung K. Positive psychological capital, organizational commitment and job stress of nurses in small and medium-sized hospitals. Advanced Science and Technology Letters. 2015; 88: 208-11.

Rahmanzade E, Parsa Yekta ZP, Farahani M, Yekani Nejad S. Nurses’organizational commitment in hospitals affiliated to Tehran University of Medical Sciences. Iran Journal of Nursing. 2014; 26(86): 29-38.

Lim T. Relationships among organizational commitment, job satisfaction, and learning organization culture in one Korean private organization. Asia Pacific Education Review. 2010; 11(3): 311-20.

Weng Q, McElroy JC, Morrow PC, Liu R. The relationship between career growth and organizational commitment. Journal of Vocational Behavior. 2010; 77(3): 391-400.

Lu CS, Lin CC. The effects of ethical leadership and ethical climate on employee ethical behavior in the international port context. Journal of Business Ethics. 2014; 124(2): 209-23.

IssueVol 13 (2020) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/jmehm.v13i17.4658
Organizational culture; Ethics; Organizational commitment; Nursing.

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How to Cite
Torkaman M, Heydari N, Torabizadeh C. Nurses’ perspectives regarding the relationship between professional ethics and organizational commitment in healthcare organizations. J Med Ethics Hist Med. 13.