Plain English Summary
Background and study aims
A supportive ethical climate and ethical sensitivity are essential for nurses to understand the vulnerability of and discern the caring needs of their care recipients. However, the impact of contextual and personal factors on the caring efficacy of nurses from an ethical perspective has not received research attention. The aims of this study are to investigate the associations between ethical climate and the caring efficacy of nurses, as well as the mediating role of ethical sensitivity in this association.
Who can participate?
Enrolled nurses or registered nurses who work as full-time nursing staff
What does the study involve?
A total of 191 participants will be recruited by random sampling from two hospitals. Participants will complete a set of online questionnaires to examine the associations between ethical climate and the caring efficacy of nurses and the mediating role of ethical sensitivity.
What are the possible benefits and risks of participating?
The associations of ethical climate and ethical sensitivity with caring efficacy of nurses revealed from this study will guide ways to cultivate a conducive environment and strengthen the caring competency of nurses. The results of this study will enable evidence-based caring practice for providing holistic care and improving quality of care. There is no potential risk of participating in this study.
Where is the study run from?
The Chinese University of Hong Kong (Hong Kong)
When is the study starting and how long is it expected to run for?
May 2020 to April 2021
Who is funding the study?
Nethersole Institute of Continuing Holistic Health Education (Hong Kong)
Who is the main contact?
Dr Fiona Tang
Proposal_Caring project_version 1_2.4.2019
Impacts of the ethical climate of the clinical environment and ethical sensitivity of nurses on their caring efficacy
There are two objectives in the study:
1. To examine the association of ethical climate of clinical environment and ethical sensitivity of nurses with their caring efficacy
2. To investigate the mediation effect of ethical sensitivity on the association between ethical climate and caring efficacy
Approved 25/09/2019, Joint Chinese University of Hong Kong and New Territories East Cluster Research Ethics Committee (8/F, Lui Che Woo Clinical Sciences Building, Prince of Wales Hospital, Shatin, Hong Kong; +852 (0)3505 3935; firstname.lastname@example.org), ref: 2019.226
Descriptive correlational study with a cross-sectional design
Primary study design
Secondary study design
Cross sectional study
Patient information sheet
Not available in web format, please use the contact details to request a participant information sheet
Caring efficacy of nurses
Participants will be randomly selected from two local hospitals. The complete list of eligible nurses affiliated to the hospitals will be used to compile a sample frame for random selection of participants.
Participants will complete a set of online questionnaires, which consists of three scales: Hospital Ethical Climate Survey, Moral Sensitivity Questionnaire-Revised and Caring Efficacy Scale. The approach of Baron and Kenny will be adopted to examine the associations between ethical climate and caring efficacy of nurses and the mediating role of ethical sensitivity.
Primary outcome measure
1. Nurses’ appraisal of ethical climate of clinical environment measured using Hospital Ethical Climate Survey (HECS) at a single timepoint
2. Ethical sensitivity of nurses measured by Moral Sensitivity Questionnaire-Revised (MSQ-R) at a single timepoint
3. Caring efficacy of nurses measured using Caring Efficacy Scale (CES) at a single timepoint
Secondary outcome measures
There are no secondary outcome measures
Overall trial start date
Overall trial end date
Reason abandoned (if study stopped)
Participant inclusion criteria
1. Enrolled Nurses or Registered Nurses
2. Work as full-time nursing staff
3. Consent to participate in the study
Target number of participants
Participant exclusion criteria
Does not meet inclusion criteria
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
Alice Ho Miu Ling Nethersole Hospital
11 Chuen On Rd, Tai Po, NT
Trial participating centre
Tai Po Hospital
9 Chuen On Rd, Tai Po, NT
Nethersole Institute of Continuing Holistic Health Education (NICHE)
Funding Body Type
Funding Body Subtype
Results and Publications
Publication and dissemination plan
Planned publication in a high-impact peer-reviewed journal within a year after completion of the study.
IPD sharing statement
The datasets generated and/or analysed during the current study during this study will be included in the subsequent results publication.
Intention to publish date
Participant level data
Basic results (scientific)