{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T11:03:27Z","timestamp":1790334207183,"version":"4.1.0"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":267,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In intensive care unit (ICU) patients, diminished consciousness, device dependency, and limited privacy leave dignity preservation largely dependent on nurses\u2019 behavior, which may be shaped by both individual professional values and the unit\u2019s ethical climate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine the predictive roles of professional values and perceived ethical climate on dignity\u2010protecting behaviors among ICU nurses and to test whether perceived ethical climate moderates the professional values\u2013dignity\u2010protecting behavior relationship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This descriptive, cross\u2010sectional study included 165 nurses from the adult ICUs of six private hospitals in Istanbul, T\u00fcrkiye. Data were collected using the Nurses\u2019 Professional Values Scale, the Intensive Care Unit Dignified Care Scale, and the Hospital Ethical Climate Scale. Regression analyses, Hayes\u2019 PROCESS macro, and simple slope analysis were used to test the moderation model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Professional values (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.521) and perceived ethical climate (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.679) significantly predicted dignity\u2010protecting behaviors, with large effect sizes. The interaction term significantly predicted dignity\u2010protecting behaviors (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u2009\u22120.005,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001): The effect of professional values was significant at low and mean levels of ethical climate, but not at high levels.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Professional values and ethical climate independently predicted dignity\u2010protecting behaviors, and ethical climate moderated this relationship, with professional values mattering most when ethical climate was weak. A strongly perceived ethical climate appears to reduce, rather than amplify, the behavioral influence of professional values, offering a more consistent pathway to safeguarding patient dignity in ICUs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Since professional values mattered most under weak ethical climates, nurse managers should pair efforts to strengthen the ethical work environment with strategies to reinforce nurses\u2019 individual professional values, including transparent decision\u2010making, sensitivity to patient rights, and support for ethical discussion within ICU teams.<\/jats:p>\n                  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