[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 6, Issue 4 (Military Caring Sciences 2020) ::
MCS 2020, 6(4): 295-304 Back to browse issues page
The Relationship between Managers' Ethical Leadership Style with Professional Commitment and Ethical Sensitivity among Physicians of a Military Hospital
Mohammadimehr. M1 , Hosseinpour. E 2
1- Ph.D. Curriculum Studies, Associated Professor, Faculty of Paramedicine, Aja University of Medical Sciences, Tehran, Iran.
2- (Corresponding Author) MSc Educational Management, Researcher in Education Development Center, Aja University of Medical Sciences, Tehran, Iran. Email: esmaelhosainpoor@gmail.com
Abstract:   (408 Views)
Introduction: Doctors as leaders and managers of different departments of a hospital are morally a model for students and clients. Hospitals, as organizations, according to their nature, should be sensitive to ethical issues and to the commitment of doctors.
Objective: The purpose of this study was to investigate the relationship between managers’ ethical leadership style with professional commitment and moral sensitivity of physicians in a military hospital.
Materials and Methods: This study is descriptive and correlational. The research population included all physicians of a military hospital in Tehran. To collect data, ethical leadership, professional commitment, and moral sensitivity questionnaires have been used with Likert’s five-point scale. The reliability of each questionnaire was 0.88, 0.94, 0.82, according to Cronbach’s alpha, respectively. Data were analyzed by SPSS version 22, Smart PLS version 2, using one-sample t-test, Pearson correlation, regression analysis in synchronous manner and structural equations.
Results: Findings showed that there was a significant relationship between hospital managers’ ethical leadership style and physicians’ ethical sensitivity with a correlation coefficient of 0.776 at 0.01 level. Also, there is a significant relationship between the managers’ ethical leadership style and the level of professional commitment of physicians in the hospital with a correlation coefficient of 0.778 at 0.01 level. The results of this study showed that the structural model of the study is well-suited. According to the findings, ethical leadership status predicts the level of ethical sensitivity and professional commitment. Also, ethical leadership has a positive effect, both directly and indirectly, on the mediation of professional commitment to physicians’ moral sensitivity.
Discussion and Conclusion: According to the findings of the study, it is recommended to have ethical leadership and ethical environment in the hospital so that in addition to providing a proper context for the ethical performance of physicians and staff, it is positively important to promote professional commitment and ethical sensitivity among hospital physicians.
Keywords: Ethical Leadership, Managers, Moral Sensitivity, Professional Commitment, Physicians.
Full-Text [PDF 454 kb]   (145 Downloads)    
Type of Study: Research | Subject: General
Received: 2019/09/8 | Accepted: 2019/11/4 | Published: 2020/03/9
1. Baghaei R, Zareh H, Aminolshareh S, Moradi Y. The ethical sensitivity of nurses in decision making in Ayatollah Taleghani Hospital, 1391. The Journal of Urmia Nursing and Midwifery Faculty. 2014;11(11):900-6.
2. Safari fard AR, Akrami S. Medical Ethics in the Medical Diagnostic Laboratory. Scientific Journal of the Medical Council of the Islamic Republic of Iran. 2013;31(1):50-60.
3. Kitenana JS. Access to Tourism Market Pro-ject for Sustainable Economic Development of Community around Protected Areas in Natta Mbiso village-Serengeti District: The Open University of Tanzania; 2013.
4. Friedson E. Profession of medicine: A study of the sociology of applied knowledge: University of Chicago Press; 1988.
5. Gabbard GO, Nadelson C. Professional boundaries in the physician-patient relationship. JAMA. 1995;273(18):1445-9. [PubMed]
6. Roberts LW, Dyer AR. Concise guide to ethics in mental health care: American Psychiatric Publishing, Inc.; 2004.
7. Santos S, Norland E. Factors related to commitment of extension professionals in the Dominican Republic: implications for theory and practice. Journal of agricultural education. 1994.
8. Alaghehband A. Organizational Behavior with the Application of Human Resources Hersey and Blanchard: Amir Kabir Publishing; 2015.
9. Zeinabadi HR, Behrangi MR, Naveh Ebrahim AR, Abdulrahim Valiullah F. The role of managers in the academic achievements of boys' elementary school students in Tehran. Transformational Leadership Style Effect Test. J Educational Innovation. 2010;34:89-126.
10. Brown ME, Treviño LK. Ethical leadership: A review and future directions. The Leadership Quarterly. 2006;17(6):595-616. [DOI]
11. Kalshoven K, Den Hartog DN, De Hoogh AHB. Ethical Leader Behavior and Big Five Factors of Personality. J Business Ethics. 2010;100(2):349-66. [DOI]
12. Treviño LK, Brown M, Hartman LP. A Qualitative Investigation of Perceived Executive Ethical Leadership: Perceptions from Inside and Outside the Executive Suite. Human Relations. 2016;56(1):5-37. [DOI]
13. Doostar M, Mostaghimi M, Esmaelzadeh M. Ethical Leadership and evaluating the Impact of its Dimension on Organizational Commitment. Quarterly Journal of Management Studies (Improvement and Development). 2015;24(79):24-45
14. Brown ME, Treviño LK, Harrison DA. Ethical leadership: A social learning perspective for construct development and testing. Organizational Behavior and Human Decision Processes. 2005;97(2):117-34. [DOI]
15. Suddaby R, Gendron Y, Lam H. The organizational context of professionalism in accounting. Accounting, Organizations and Society. 2009;34(3-4):409-27. [DOI]
16. Lutzen K, Nordin C. Modifying autonomy--a concept grounded in nurses' experiences of moral decision-making in psychiatric practice. J Med Ethics. 1994;20(2):101-7. [DOI] [PubMed]
17. Esmaelzadeh F, Abbaszadeh A, Borhani F, Peyrovi H. Ethical Leadership and Organizational Climate: The Experience of Iranian Nurses. Iranian Red Crescent Med J. 2017;19(4). [DOI]
18. Hossein Pour E. The Relation Between Ethical Leadership Style of managers and Teacher's Self-Efficacy and Job Involvement in Sanandaj High schools: Kurdistan University; 2016.
19. Ponnu CH, Tennakoon G. The association between ethical leadership and employee outcomes-the Malaysian case. EJBO-Electronic Journal of Business Ethics and Organization Studies. 2009;14(12):108-23.
20. Moon YJ. The Effect of Ethical Leadership on Organizational Performances. International Information Institute (Tokyo) Information. 2015;18(6 (A)):2241.
21. Huang L, Paterson TA. Group Ethical Voice. J Management. 2016;43(4):1157-84. [DOI]
22. Mayer DM, Aquino K, Greenbaum RL, Kuenzi M. Who Displays Ethical Leadership, and Why Does It Matter? An Examination of Antecedents and Consequences of Ethical Leadership. Academy of Management J. 2012;55(1):151-71. [DOI]
23. Doukas DJ, McCullough LB, Wear S, Project to R, Integrate Medical Education I. Perspective: Medical education in medical ethics and humanities as the foundation for developing medical professionalism. Acad Med. 2012;87(3):334-41. http://dx.doi.org/10.1097/ACM.0b013e318244728c [PubMed]
24. Ahn SH, Yeom HA. Moral sensitivity and critical thinking disposition of nursing students in Korea. Int J Nurs Pract. 2014;20(5):482-9. [DOI] [PubMed]
25. Lutzen K, Blom T, Ewalds-Kvist B, Winch S. Moral stress, moral climate and moral sensitivity among psychiatric professionals. Nurs Ethics. 2010;17(2):213-24. [DOI] [PubMed]
26. Kim YS, Kang SW, Ahn JA. Moral sensitivity relating to the application of the code of ethics. Nurs Ethics. 2013;20(4):470-8. [DOI] [PubMed]
27. Lin CF, Lu MS, Chung CC, Yang CM. A comparison of problem-based learning and conventional teaching in nursing ethics education. Nurs Ethics. 2010;17(3):373-82. [DOI] [PubMed]
28. Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet. 2010;376(9756):1923-58. [DOI]
29. Huang FF, Yang Q, Zhang J, Zhang QH, Khoshnood K, Zhang JP. Cross-cultural validation of the moral sensitivity questionnaire-revised Chinese version. Nurs Ethics. 2016;23(7):784-93. [DOI] [PubMed]
30. Weaver K, Morse J, Mitcham C. Ethical sensitivity in professional practice: concept analysis. J Adv Nurs. 2008;62(5):607-18. [DOI] [PubMed]
31. Engelbrecht AS, Heine G, Mahembe B. The influence of ethical leadership on trust and work engagement: An exploratory study. SA J Industrial Psychology. 2014;40(1). [DOI]
Send email to the article author

Add your comments about this article
Your username or Email:


XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

M M, E H. The Relationship between Managers' Ethical Leadership Style with Professional Commitment and Ethical Sensitivity among Physicians of a Military Hospital. MCS. 2020; 6 (4) :295-304
URL: http://mcs.ajaums.ac.ir/article-1-328-en.html

Volume 6, Issue 4 (Military Caring Sciences 2020) Back to browse issues page
مجله علوم مراقبتی نظامی Military Caring Sciences Journal
Persian site map - English site map - Created in 0.06 seconds with 31 queries by YEKTAWEB 4162