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Ethical climate in the primary health care workplace: a mixed-method study
Lenna Eloisa Madureira Pereira1,2, Laura Cavalcanti de Farias Brehmer3, José Luís Guedes Dos Santos2,3
1Universidade Federal do Pará, Departamento de Enfermagem, Belém, PA, Brazil.
This study analyzed the ethical climate in Amazonian primary healthcare using mixed methods. Findings reveal convergences between quantitative and qualitative data, highlighting the strength of ethical elements in workplace environments.
Area of Science:
- Healthcare Ethics
- Organizational Psychology
- Public Health
Background:
- The ethical climate of healthcare workplaces is crucial for professional conduct and patient care.
- Limited research exists on the ethical climate within primary healthcare settings in the Amazon region.
- Understanding workplace ethics is essential for improving healthcare delivery in diverse environments.
Purpose of the Study:
- To analyze the ethical climate in primary healthcare workplaces in an Amazonian municipality.
- To combine quantitative and qualitative data for a comprehensive understanding of workplace ethics.
- To explore the specific ethical constructs relevant to this unique healthcare setting.
Main Methods:
- A convergent, parallel, mixed-method study design was employed.
- Qualitative data were gathered through interviews with 46 professionals and analyzed using reflective thematic analysis.
- Quantitative data were collected from 170 professionals using the Ethical Climate Inventory (ECI), with exploratory factor analysis (EFA) used to test and propose a new ECI model configuration.
Main Results:
- Exploratory factor analysis proposed a new ECI model configuration with greater explanatory power than confirmatory factor analysis.
- Analysis of high-factor-loading ECI items (principles/rules, benevolence, independence/individualism, community/social responsibility) converged with qualitative findings.
- No divergences were observed between quantitative and qualitative data; instead, convergences and complementarity enhanced analytical synthesis.
Conclusions:
- Data integration provided a broader understanding of the ethical climate in this under-explored Amazonian healthcare scenario.
- The study demonstrated the distinctiveness of this reality concerning the analyzed ethical constructs.
- Ethical elements serve as a strong conceptual and analytical tool for understanding and improving workplace environments in primary healthcare.
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