{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T11:49:52Z","timestamp":1791805792875,"version":"4.3.4"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Nursing Review"],"published-print":{"date-parts":[[2026,12]]},"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n To examine the relationship between nurses\u2019 ethical and professional attitudes, to compare ethical attitude scores according to gender, educational level, and professional experience, and to examine the association between ethical and professional attitudes after accounting for age, professional experience, and weekly working hours.<\/jats:p>\n <\/jats:sec>\n \n Background<\/jats:title>\n Ethical and professional attitudes are fundamental to nursing practice and influence nurses\u2019 decision\u2010making, responsibilities, and relationships with patients and healthcare teams. Understanding how these attitudes are related may inform strategies to strengthen nursing practice.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A descriptive, cross\u2010sectional study was conducted among nurses working in public hospitals.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Nurses working in two public hospitals in Bursa, Turkey, were recruited using convenience sampling. Data were collected using a sociodemographic information form and validated instruments assessing ethical and professional attitudes. Descriptive and inferential analyses were performed to examine relationships between ethical and professional attitudes and demographic and work\u2010related characteristics.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Ethical and professional attitudes were positively associated, although the strength of the relationship was modest (\n \n r\n s<\/jats:sub>\n <\/jats:italic>\n = 0.284,\n p<\/jats:italic>\n <\u00a0.001). The overall multiple regression model was not statistically significant (\n F<\/jats:italic>\n (4, 151) = 1.715,\n p<\/jats:italic>\n =\u00a0.150) and explained only 4.3% of the variance in professional attitude scores (\n R<\/jats:italic>\n 2<\/jats:sup>\n =\u00a0.043). Within this nonsignificant model, the coefficient for ethical attitude was statistically significant (\u03b2 =\u00a0.183,\n p<\/jats:italic>\n =\u00a0.024) and should therefore be interpreted cautiously. Ethical attitude scores did not differ significantly according to gender, educational level, or professional experience.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Nurses\u2019 ethical and professional attitudes were positively but modestly associated. However, the multivariable model was not statistically significant and explained only a small proportion of the variance in professional attitude scores; therefore, the statistically significant coefficient observed for ethical attitude within this model should be interpreted cautiously. Nursing education and institutional policies should support ethics education and professional development.<\/jats:p>\n <\/jats:sec>\n \n Implications for Nursing<\/jats:title>\n The observed modest association highlights the relevance of considering ethical and professional attitudes together in nursing education and professional development. Further research is needed to determine whether educational or professional\u2010development interventions can strengthen these attitudes.<\/jats:p>\n <\/jats:sec>\n \n Implications for Health Policy<\/jats:title>\n The findings may inform consideration of ethical and professional attitudes in organizational and workforce\u2010development initiatives; however, the present study does not provide evidence regarding the effectiveness of specific institutional policies or interventions.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/inr.70249","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T11:30:21Z","timestamp":1791804621000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["More Ethical, More Professional? The Relationship Between Ethical and Professional Attitudes in Nursing"],"prefix":"10.1111","volume":"73","author":[{"given":"S\u00fcnd\u00fcz Gizem","family":"Durgut","sequence":"first","affiliation":[{"name":"Bursa Ali Osman S\u00f6nmez State Hospital Osmangazi Bursa Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7951-6971","authenticated-orcid":false,"given":"Leman","family":"\u015eenturan","sequence":"additional","affiliation":[{"name":"Department of Fundamentals of Nursing Faculty of Health Sciences, Biruni University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1134-9016","authenticated-orcid":false,"given":"Aysu Y\u0131ld\u0131z","family":"Karaahmet","sequence":"additional","affiliation":[{"name":"Department of Midwifery Faculty of Health Sciences, Biruni University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/NND.0000000000000892"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.5152\/ArcHealthSciRes.2020.585935"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3102\/0013189\u00d7028004018"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010022\u201001161\u20100"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-172X.2011.01961.x"},{"issue":"3","key":"e_1_2_11_7_1","first-page":"158","article-title":"Hem\u015firelerin Profesyonel Tutumlar\u0131 \u0130le Bunu Etkileyen Fakt\u00f6rlerin \u0130ncelenmesi","volume":"17","author":"Dikmen Y.","year":"2014","journal-title":"Journal of Anatolia Nursing and Health Sciences"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.5505\/tjob.2014.54264"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.4274\/cjms.2022.2021.240"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/15265160802166017"},{"key":"e_1_2_11_12_1","unstructured":"International Council of Nurses2021.The ICN Code of Ethics for Nurses. International Council of Nurses.https:\/\/www.icn.ch\/system\/files\/2021\u201010\/ICN_Code\u2010of\u2010Ethics_EN_Web.pdf."},{"key":"e_1_2_11_13_1","first-page":"111","article-title":"Clinical Nurses' Ethical Sensitivity [Klinik hem\u015firelerin etik duyarl\u0131l\u0131\u011f\u0131] (in Turkish)","volume":"6","author":"Kahriman \u0130.","year":"2017","journal-title":"G\u00fcm\u00fc\u015fhane \u00dcniversitesi Sa\u011fl\u0131k Bilimleri Dergisi"},{"issue":"3","key":"e_1_2_11_14_1","first-page":"197","article-title":"Profesyonel Hem\u015firelikte Etik","volume":"6","author":"Karada\u011fl\u0131 F.","year":"2017","journal-title":"D\u00fczce \u00dcniversitesi Sa\u011fl\u0131k Bilimleri Enstit\u00fcs\u00fc Dergisi"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.5505\/tjob.2020.26598"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733016646155"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020\u20107489(00)00033\u2010X"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0280700"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0269034"},{"key":"e_1_2_11_20_1","unstructured":"\u00d6z\u00e7ift\u00e7i S.2020.Development of the Nursing Care Ethical Attitude Scale [Hem\u015firelik bak\u0131m\u0131nda etik tutum \u00f6l\u00e7e\u011fi geli\u015ftirme] (Master's thesis in Turkish). \u0130zmir K\u00e2tip \u00c7elebi University Institute of Health Sciences \u0130zmir T\u00fcrkiye. Available at: TOAD Thesis Record (accessed 29 April 2020)."},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.54304\/SHYD.2024.68736"},{"key":"e_1_2_11_22_1","volume-title":"Moral Development: Advances in Research and Theory","author":"Rest J. 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