The purposes of this study were to examine the existence and nature of ethical conflicts faced by nurses in public sector hospitals and to investigate the impact of such conflicts on their performance in addition to looking at the mediating role of proactive behavior. The study sample comprised 300 female nurses from three public sectors hospitals in Pakistan. Data was collected through close-ended questionnaires and informal interviews. Inferential statistics were used to make sense of the relationship among different variables and test the given hypotheses. Results were found to be in-line with previous studies. This study confirmed that proactive behavior of employees mediates the relationship between ethical conflict and job performance. Moreover, it was found that value-congruent environment of the organization can increase the chance of proactive behavior which in turn leads to increase in nurses’ performance. Healthcare organizations are most likely to experience reduced operating capacity and increased attrition costs when nurses are non-performing. This study has identified the types of ethical conflicts prevailing in public healthcare organization. Managers/administrators can focus them one by one to reduce ethical conflicts and improve the overall service delivery of hospitals.

中文翻译：

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道德冲突对工作绩效的影响：积极行为的中介作用

这项研究的目的是检查公立医院护士面临的道德冲突的存在和性质，并调查此类冲突对其行为的影响，并着眼于积极行为的中介作用。该研究样本包括来自巴基斯坦三个公共部门医院的300名女护士。通过封闭式问卷调查和非正式访谈收集数据。推论统计被用来理解不同变量之间的关系并检验给定的假设。发现结果与以前的研究一致。这项研究证实，员工的积极行为可以调解道德冲突与工作绩效之间的关系。而且，结果发现，组织的价值一致环境可以增加主动行为的机会，进而导致护士绩效的提高。当护士表现不佳时，医疗机构最有可能遇到运营能力下降和损耗成本增加的问题。这项研究确定了公共医疗保健组织中普遍存在的道德冲突类型。管理人员/管理人员可以一一关注他们，以减少道德冲突并改善医院的整体服务水平。这项研究确定了公共医疗保健组织中普遍存在的道德冲突类型。管理人员/管理人员可以一一关注他们，以减少道德冲突并改善医院的整体服务水平。这项研究确定了公共医疗保健组织中普遍存在的道德冲突类型。管理人员/管理人员可以一一关注他们，以减少道德冲突并改善医院的整体服务水平。