Muhammad Ardi Munir, Muhammad Asep Dwitama Cyio, Pascal Adventra Tandiabang
INTRODUCTION Ethics in health services is integral part of daily activities for health workers in government hospitals and integral to professionalism of health service providers. This study identifies key factors shaping health workers’ ethical values. METHODS This research was carried out in 2023 at Undata Hospital, Anutapura Hospital, and Madani Hospital. The study examined seven variables through perception tests among 30 health workers in Emergency Units and Polyclinics of three hospitals. Variables included seven factors: communication skills, medical knowledge and skills, ethics education and training, work environment conditions, organizational norms and work culture, professional responsibilities, and patient and family attitude. RESULTS Ethical values (Y) are emphasized as key outcomes. Data analysis using principal component analysis (PCA) identified three of seven factors with significant eigenvalues communication skills at 3.15, organizational norms and work culture at 1.65, and knowledge/skills at 1.10. These three components explained 73.80% of the variance in health workers’ ethical values, with contributions of 39.40%, 20.64%, and 13.77%, respectively. A strong correlation was observed between communication skills, and organizational norms and work culture (P=0.58, p<0.001), indicating a 0.58-unit increase in the latter per 1-unit increase in the former. Similarly, work environment conditions, and communication skills showed a significant relationship (P=0.50, p<0.01), with a 0.50-unit increase in latter per 1-unit increase in the former. CONCLUSIONS This study highlights three key factors influencing health workers’ ethical values: communication skills, organizational norms, and knowledge/skills. Enhancing these aspects, especially communication skills, and reinforcing organizational norms, significantly determines ethical values among health workers in the studied hospitals. © (2025), (European Publishing). All rights reserved.
Department of Bioethics and Humanities, Faculty of Medicine, Tadulako University, Indonesia; Department of Medical Science, Faculty of Medicine, Tadulako University, Indonesia; Department of Anatomy, Faculty of Medicine, Universitas Negeri Gorontalo, Indonesia
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