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Background <p>Social responsibility and professional accountability are fundamental to ethical nursing practice, yet empirical evidence on their interrelationship remains limited, particularly among clinical nurses in Iran. This study assessed these two constructs and examined their relationship in a sample of clinical nurses.</p> Methods <p>In this descriptive-correlational study, 210 clinical nurses were recruited using proportional random sampling from hospitals affiliated with Kashan University of Medical Sciences. Data were collected from October 2024 to February 2025 using a demographic questionnaire, the Nurses’ Social Responsibility Questionnaire, and the Hochwarter Professional Accountability Questionnaire. Descriptive statistics, Spearman correlation, and hierarchical multiple regression analysis were performed using SPSS 21.</p> Results <p>Participants reported high overall social responsibility, with strong scores in all four dimensions: Dedicated to Others (94.3%), Efforts to Improve Social Conditions (64.7%), Holistic Vision (86.6%), and Favorable Relationship (94.7%). Professional accountability was also high The observed scores ranged from 8 to 56, with a median of 39 (interquartile range IQR: 9). A significant positive correlation was found between social responsibility and professional accountability (<i>r</i> = 0.326, <i>p</i> &lt; 0.001), indicating a modest association. Hierarchical regression analysis, controlling for age, work experience, and overtime hours, confirmed that social responsibility independently predicted professional accountability (β = 0.232, <i>p</i> = 0.001), explaining 12.9% of the variance beyond demographic factors.</p> Conclusion <p>Clinical nurses at Kashan University of Medical Sciences exhibit high levels of social responsibility and professional accountability. The findings suggest a positive association between these constructs, though the modest effect size indicates that other factors also contribute significantly to professional accountability. Within the limitations of the cross-sectional design, which precludes causal inference, promoting social responsibility may be associated with professional accountability, thereby improving patient care, teamwork, and organizational performance.</p>

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Social responsibility and professional accountability in clinical nursing practice: a correlational analysis

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月24日

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  • Seyyed Mohammad Abasszadeh,
  • Newsha Poursaadat,
  • Reyhaneh Zarei,
  • Roohollah Badizadeh,
  • Nahid Dehghan Nayeri

摘要

Background

Social responsibility and professional accountability are fundamental to ethical nursing practice, yet empirical evidence on their interrelationship remains limited, particularly among clinical nurses in Iran. This study assessed these two constructs and examined their relationship in a sample of clinical nurses.

Methods

In this descriptive-correlational study, 210 clinical nurses were recruited using proportional random sampling from hospitals affiliated with Kashan University of Medical Sciences. Data were collected from October 2024 to February 2025 using a demographic questionnaire, the Nurses’ Social Responsibility Questionnaire, and the Hochwarter Professional Accountability Questionnaire. Descriptive statistics, Spearman correlation, and hierarchical multiple regression analysis were performed using SPSS 21.

Results

Participants reported high overall social responsibility, with strong scores in all four dimensions: Dedicated to Others (94.3%), Efforts to Improve Social Conditions (64.7%), Holistic Vision (86.6%), and Favorable Relationship (94.7%). Professional accountability was also high The observed scores ranged from 8 to 56, with a median of 39 (interquartile range IQR: 9). A significant positive correlation was found between social responsibility and professional accountability (r = 0.326, p < 0.001), indicating a modest association. Hierarchical regression analysis, controlling for age, work experience, and overtime hours, confirmed that social responsibility independently predicted professional accountability (β = 0.232, p = 0.001), explaining 12.9% of the variance beyond demographic factors.

Conclusion

Clinical nurses at Kashan University of Medical Sciences exhibit high levels of social responsibility and professional accountability. The findings suggest a positive association between these constructs, though the modest effect size indicates that other factors also contribute significantly to professional accountability. Within the limitations of the cross-sectional design, which precludes causal inference, promoting social responsibility may be associated with professional accountability, thereby improving patient care, teamwork, and organizational performance.