Showing 83 results for Nurse
Fariba Borhani, Mahmoud Abbasi, Abbas Abbaszadeh, Soolamz Mousavi, ,
Volume 7, Issue 3 (9-2014)
Abstract
In order to face the challenges of today’s health system, it is extremely important to promote collaborations among disciplines. Nevertheless, it seems that nurses and physicians cooperate more effectively in academic areas, and their partnership in the actual work place and clinical settings is associated with challenges.This cross-sectional study aimed to determine the attitudes of doctors and nurses in hospitals affiliated with Shahid Beheshti University of Medical Sciences toward collaboration with each other. For this purpose, the Jefferson Scale of attitudes toward physician-nurse collaboration was used after it was translated and its validity and reliability were examined on 59 physicians and 164 nurses. Data were analyzed using the SPSS software version 18.The results showed a more positive attitude toward the concept of collaboration among nurses (3.49) than physicians (3.12) (P = 0.02). Moreover, a significant difference was observed between the attitudes of physicians and nurses toward working together across various items of the questionnaire (F = 5.06, P = 0.02), with the exception of the area of nursing autonomy (F = 0.95, P = 0.32).An appropriate nurse-physician relationship and agreement over treatment plans can increase the quality of care, and lack of cooperation can lead to stress in the workplace. Therefore, in-service training for doctors and nurses and attention to the importance of cooperation among members of the medical team must be incorporated into the nursing and medical curriculum. Thus, the traditional views on the role of nurses will change, and nurses will be able to perform their professional duties more effectively. Consequently, the cooperation between physicians and nurses and the fortified synergy between the roles will improve the quality of care.
Batool Nehrir, Yaser Saeid, Abbas Ebadi, Mohammad Najafloo, Hadi Khoshab, Hossein Mahmoodi, Akbar Mozafarpoor,
Volume 7, Issue 6 (3-2015)
Abstract
Nowadays, ethics is an important factor that can determine the clinical competency of nurses. The aim of this study was to compare the moral intelligence of nurses in civilian and military hospitals.In this descriptive-comparative study, 315 nurses from hospitals in Tehran and Kerman were recruited by convenience sampling. Lennick & Kiel’s Moral Competency Inventory was used for data collection. The data were analyzed by SPSS software version 17 using descriptive and inferential statistical tests including T- test, ANOVA and Chi-square test.149 study subjects were military nurses and the remaining 166 were civilians. The nurses’ moral intelligence was found to be at an average level. On the other hand, there was a statistically significant difference between the moral intelligence level of civilian and military nurses (P < 0.001).The results showed that the moral intelligence of most nurses in this study was at an average level. It is therefore recommended that health managers pay more attention to this issue and incorporate it into the required courses for their employees especially during service training. Moreover, offering extensive training courses on ethical issues is a solution that should be considered in military hospitals.
Nasrin Imanifar, Seyyed Abolfazl Vagharseyyedin,
Volume 7, Issue 6 (3-2015)
Abstract
Patient advocacy is an inherent element of professional nursing ethics that helps to protect the patient’s rights. Many codes of ethics in nursing are concerned with this particular role of nurses. The present study aimed to evaluate the protective advocacy beliefs and actions of the nurses employed in educational hospitals affiliated to Birjand University of Medical Sciences during 2014. Data in this cross-sectional study were collected using a demographic characteristics questionnaire and the protective nursing advocacy scale. Participants included 248 nurses working in six hospitals located in Southern Khorasan province selected by randomized stratified sampling. The Cronbach’s alpha for Protective Nursing Advocacy Scale was 0.74. Data were analyzed in SPSS version 16 using descriptive and inferential statistical tests.Moderate levels of protective advocacy were observed in the majority of participants (80.6%), with a total mean score of 137.39 13.65. Some of the protective advocacy components had significant correlations with age, work experience, type of ward, employment status, and history of participation in ethics education programs (P < 0.05). In other words, the total mean score of advocacy and some of its components were significantly higher among nurses who had attended ethics education programs than those who had not (P < 0.05). Moreover, nurses who were older had more work experience, had worked in the emergency ward, and had a permanent employment status had higher scores of advocacy than others. The total mean score of advocacy among the nurses in this study was relatively appropriate, although strategies are needed to improve the score. It can also be assumed that nurses’ involvement in ethics education programs can increase the level of nursing advocacy. On the other hand, changing nurses’ temporary employment status to permanent status and providing job security for them may reinforce protective advocacy beliefs and actions in nurses.
Zahra Nikkhah Farkhani, Fariborz Rahimnia, Mostafa Kazemi, Ali Shirazi,
Volume 7, Issue 6 (3-2015)
Abstract
The purpose of this research was to explore the components of nurses’ ethical conduct in public hospitals in Mashhad. This study employed an eclectic method for research and followed a mixed exploratory design. A qualitative study was first performed, and then based on the results the quantitative method was applied. The statistical population consisted of all the nurses in public hospitals in the city of Mashhad. In order to collect data, in-depth semi-structured interviews were conducted, and the data were then analyzed using thematic content analysis. A preliminary model was developed for the nurses' ethical conduct comprising three levels. The first level covered areas of ethical behavior toward patients, patients’ families and the core group. At the second level 13 dimensions and at the third, 51 components (themes) were abstracted. The questionnaire was then distributed among 176 experienced nurses employed in public hospitals in Mashhad. In order to assess the fit of the model in quantitative research, data were analyzed using confirmatory factor analysis and AMOS software. The results of the confirmatory factor analysis showed that all dimensions and components were acceptable with the exception of the component "patient education". Using AMOS software, the comparative fit index (CFI) was calculated at 0.9, which indicates a good fit of the model and validates the components and sub-components. The results of this study can guide human resource managers in public hospitals to promote ethical conduct in nurses.
Nader Hajlo, Mozafar Ghaffari, Mansoor Movaghar,
Volume 8, Issue 1 (5-2015)
Abstract
Social and moral intelligence can enhance nurses’ amenability and affect their professional performance in treatment settings, where there is considerable personality and individual diversity. The aim of this research is to investigate the relationship between nurses' social and moral intelligence, and their attitude to patient education. This was a descriptive-analytic correlation study conducted on a statistical sample of 200 nurses selected from West Azerbaijan province during 2014 using the Cochran formula and cluster sampling. Lennick & Kiel’s Moral Competency Inventory, Thet’s Social Intelligence Scale and a researcher-compiled questionnaire on nurses' attitude to patient education were used for data collection. The data were analyzed by Pearson’s correlation coefficient and multiple regression analysis. A positive relationship was found between nurses' attitude to patient education and the social intelligence variable (r=0.422, P=0.001), subscale integrity (r=0.554, P=0.001) subscale responsibility (r=0.292, P=0.001), subscale forgiveness (r=0.283, P=0.002) and subscale compassion (r=0.353, P=0.001) of moral intelligence. The results of multi-variable correlation coefficient using input method indicated that social intelligence and the subscales of moral intelligence influence nurses' attitude to patient education (R2 = 0.426). Patient education is among the main responsibilities of nurses. The results of this study showed that there is a positive and significant relationship between social intelligence and the subscales of moral intelligence, and nurses’ attitude to patient education. It is therefore necessary to improve nurses’ social and moral intelligence through group training in order to enhance their educational role.
Ali Sadrollahi, Zahra Khalili,
Volume 8, Issue 3 (9-2015)
Abstract
Moral sensitivity is an attribute that enables people to recognize moral conflicts, forms their perceptions of complex situations, and makes them aware of the ethical consequences of their decisions. Moral decision-making and identification of related motives is an integral part of the nursing profession. Many factors are involved in nurses’ sensitivity to professional ethics, and the present study aimed to survey professional moral sensitivity and associated factors among the nurses in West Golestan province of Iran.This cross-sectional descriptive study was conducted in 2014 on 288 nurses employed in public health centers affiliated with West Golestan University of Medical Sciences through convenience sampling. Research instrument was a demographic data questionnaire and the Moral Sensitivity Scale for Nurses. Data were analyzed by SPSS 16. Descriptive statistics and a significance level of P<0.05 were used for data analysis.A total of 229 (79.5%) of the study subjects were female. The mean age of the study population was 31.2 ± 6.4 years, and their moral sensitivity score was 63.48 ± 13.9. The level of moral sensitivity was reported as low in 51 subjects (17.7%), moderate in 182 subjects (63/2%), and high in 53 subjects (18/4%). The highest rating pertained to application of professional knowledge (mean rank=4.83). Results of the Spearman correlation test showed a significant relationship between the nurses’age and their professional moral sensitivity (r=0.152, P=0.005). Moreover, the Mann-Whitney U test showed a significant difference between nurses’ professional moral sensitivity and history of participation in ethics workshops (P=0.001).The moral sensitivity of nurses in West Golestan province was established as moderate, indicating the importance of attention to professional ethics and raising nurses’ awareness of sensitive moral issues related to their profession.
Masoomeh Seidi, Fatmeh Cheraghi, Taibeh Hasan Tehrani,
Volume 8, Issue 3 (9-2015)
Abstract
Medication errors are among the most common medical errors that place patients at risk, and their prevalence is considered a measure of patient safety in hospitals. Using the experiences and opinions of experts is an important source of information for developing strategies to prevent medication errors. The aim of this study was to define strategies for the prevention of medication errors in hospitals of Hamedan University of Medical Sciences.This qualitative study was conducted on 10 nurses with experience of working in various hospital wards, selected through purposive sampling using the maximum variation technique. Semi-structured interviews were used to collect record and transcribe the data, which were then typed and stored on the computer. The collected data were analyzed using content analysis. After combining similar cases, we were able to develop 11 main categories, 43 sub-categories, and 3 themes: human factors, administrative principles and organizational structures. Our findings present the experiences of nurses regarding strategies related to the prevention of medication errors. Proper planning, coordination of human resources within wards, development of a comprehensive system to monitor prescription charts, suitable hospital equipment and favorable environmental conditions are some factors that can prevent the dangerous and perhaps irreversible consequences of medication errors.
Roghaye Mahdaviseresht, Foroozan Atashzadeh-Shoorideh, Fariba Borhani, Hmad Reza Baghestani,
Volume 8, Issue 3 (9-2015)
Abstract
Nurses nowadays are faced with complex moral problems, which put them in conditions where their proper performance may conflict with the values and beliefs of other health care providers. In such situations, maintaining commitment to patients requires considerable moral courage, and moral sensitivity can play a significant role in the development of moral courage. The present study was performed to investigate the correlation between moral courage and moral sensitivity of the nurses working in selected hospitals of Tabriz University of Medical Sciences.In this study, 260 nurses were selected by randomized sampling. Data were collected through a demographic questionnaire, the Moral Sensitivity Questionnaire by Han et al., and the Professional Moral Courage Scale by Sekerka et al. Content validity and face validity of the moral sensitivity questionnaire and moral courage scale were qualitatively investigated, and Cronbach's alpha was used for assessing their reliability. Data were analyzed by descriptive and analytic statistical tests using SPSS 21.The results indicated that the average score of nurses’ moral courage was 90.36 ± 10.56, and the highest moral courage pertained to the dimension of moral agent. The average score of the nurses’ moral sensitivity was 60.99 ± 17.78, and the highest moral sensitivity was observed in the dimension of respect for the patient. The statistical analysis indicated a positive correlation between moral courage and moral sensitivity (P < 0.05, r = 0.15). The subjects’ moral courage differed according to their age, work experience and employment type, but not according to their gender, marital status, education level and work shift. The results of the present study indicate that there is a positive and significant statistical correlation between moral courage and moral sensitivity. It seems that promoting nurses’ awareness of moral principles and increasing their moral sensitivity lead to the development of courageous moral behaviors in nurses.
Fateme Poladi, Foroozan Atashzade, Abaas Abaaszade, Azam Moslemi,
Volume 8, Issue 4 (11-2015)
Abstract
Moral distress is a phenomenon that can result in feelings of disappointment, guilt, depression, insecurity, fear, discouragement, and depression in nurses, and can affect their personality and professional performance. Burnout in nurses could cause various complications in their families, personal and social lives, and organizations. The aim of the present study was to determinate the correlation between moral distress and burnout in nurses.
This was a correlative descriptive study conducted on 224 nurses selected by stratified randomized sampling. Data were collected through a demographic characteristics questionnaire Corley’s Moral Distress Scale and the Copenhagen Burnout Inventory. Data analysis was performed by SPSS 20 software and Spearman correlation tests.
In this study, mean of moral distress score, mean of personal burnout score, score of work-related burnout, and mean of client-related burnout were 1.31, 55.97, 54.35 and 51.28 respectively. The findings showed a positive significant correlation (P<0.001) between moral distress and all of its dimensions, and personal burnout, work-related burnout, and client-related burnout, although the correlation was low.
According to these findings, it is recommended to reduce the conditions and situations causing moral distress and burnout in order to promote job satisfaction and quality of nursing care.
Behzad Foroutan, Moussa Abolhassani, Sajad Salehipour, Adnan Karimi, Fariba Dehghanizadeh, Nastran Rezvani, Mohammad Soltani Beldaji,
Volume 8, Issue 4 (11-2015)
Abstract
Ethics is important in all professions, particularly in nursing, since morality and commitment in nurses can play a significant role in improving patients’ health and recovery. The nursing profession is therefore rooted in ethics, and the observance of nursing ethics is more important than other aspects of health care. This study aimed to determine patient's views on standards of professional ethics in nursing practice in Imam Hussain Hospital during 2015.
This was a cross-sectional study conducted on 575 patients in different wards of Imam Hussein Hospital in Shahroud. Research instrument was a 22-item questionnaire designed by the researchers to evaluate nurses’ observance of professional ethics in the three dimensions of accountability, improvement of care quality, and respect for patients. Data analysis was performed using SPSS 20 software.
The mean age of participants in this study was 51.32 (± 19.03), and 299 participants (52%) were male. The mean total score of professionalism was 18.38 (± 2.74), and the relationship between age and observance of professional ethics was statistically significant (P = 0.006).
According to the subjects of this study, the nurses’ observance of professional ethics was relatively good and at a desirable level. It is recommended to utilize a variety of learning styles and employ the services of professors of nursing ethics in order to enhance the quality of nursing education with respect to professional ethics.
Maryam Karimi Noghondar, Nasrin Tavakoli, Fariba Borhani, Mohaddeseh Mohsenpour,
Volume 8, Issue 5 (2-2016)
Abstract
In the nursing profession, ethical practice is contingent upon the nurses’ ability to determine the ethical issues in their vocation, and their sensitivity to these issues in the nurse-patient relationship. In order for the health system to have a strong and solid foundation, this sensitivity must be formed in nursing students during the early stages of their education. Educational environment and clinical experience each affect ethical sensitivity in their own way. The purpose of this study was to determine and compare the ethical sensitivity of third and fourth year nursing students and nurses in Islamic Azad University, Mashhad branch during 2014.
In this cross-sectional study Lutzen’s Moral Sensitivity Questionnaire was used, and its validity and reliability was confirmed. According to the formula for sample size, 110 persons were sampled in each group. Sampling was performed randomly among the third and fourth year students, and in two stages among the nurses: first cluster, and then randomly. Data were analyzed using descriptive and analytical statistics by SPSS software.
The mean and standard deviation of moral sensitivity was 3.33 ± 0.36 in nursing students, and 3.27 ± 0.35 in nurses, and the independent t-test showed no significant difference between the two groups (df = 218, t = -1.06, P > 0.05). Moreover, there was no statistically significant difference between the mean scores of moral sensitivity based on demographic characteristics.
It was concluded that the ethical sensitivity of nurses and nursing students of Islamic Azad University, Mashhad branch was satisfactory, which can be considered as a point of strength for policy makers of the health system.
Mohammad Reza Heidari, Reza Norouzadeh, Vida Shafipour, Masoomeh Karampour,
Volume 8, Issue 6 (3-2016)
Abstract
The ethical climate in hospitals is among the factors affecting health care providers’ moral development and the quality of care. This study aimed to explore nurses' perception of the ethical climate in health centers and certain related factors.
This was a cross-sectional study conducted on 168 nurses employed in one of the teaching hospitals affiliated with Shahed University. Data collection tools included a socio-demographic questionnaire and Olson's Hospital Ethical Climate Survey.
Most of the nurses (83.1%) in this study were female, and the mean age was 35.10 ± 9.42 years. From the nurses’ perspective, the highest score of ethical climate was related to managers (4.56 ± 1.04), and the lowest score pertained to the patients’ domain (2.87 ± 0.47). Moreover, no significant difference was observed in questionnaire domains according to demographic characteristics.
The results showed that the nurses in this study had a relatively positive outlook on the prevailing ethical climate in the hospital. It is recommended, however, that managers devise strategies based on the employees’ viewpoints in order to achieve the ideal ethical climate.
Niloofar Mikaeili, Mozaffar Ghaffari,
Volume 8, Issue 6 (3-2016)
Abstract
In treatment settings, where a wide range of personality and individual diversity is to be expected, psychological variables such as intelligence and empathy enhance nurses’ amenability and affect their moral sensitivity. The aim of this research was to investigate the relationship between nurses’ personal intelligence and empathy, and their moral sensitivity. This was a descriptive-analytic and correlational study conducted on a statistical sample of 250 nurses working in West Azerbaijan during 2015 selected by Cochran formula and cluster sampling. Mayer’s Personal Intelligence Scale, the Jefferson Scale of Empathy and Lutzen’s Moral Sensitivity Questionnaire were used for data collection. The data were analyzed by Pearson’s correlation coefficient and multiple regression analysis. A positive relationship was found between nurses' moral sensitivity and the empathy variable (r = 0.279, P = 0.002), the subscale “forming models” (r = 0.411, P = 0.001) and the subscale “guiding choices” (r = 0.544, P = 0.001) of personal intelligence. The results of multi-variable correlation coefficient using the input method indicated that empathy and the subscales of personal intelligence influence nurses' moral sensitivity ( 0.374).
Adherence to professional ethics is among the main responsibilities of nurses. Our findings showed that there is a positive and significant relationship between empathy and the subscales of personal intelligence in nurses and their moral sensitivity. It is therefore necessary to increase the latter by enhancing nurses’ personal intelligence and empathy through group training.
Fatemeh Jahandar, Jamoleh Mohtashami, Foorozan Atashzadeh -Shorideh, Seyed Amir Hosein Pishgooie,
Volume 9, Issue 1 (5-2016)
Abstract
Nowadays nurses are faced with numerous complex moral conflicts. As a result, doing what one nurse considers as proper can prove contrary to the values and beliefs of other health care providers. The present study was performed to investigate the efficacy of the negotiating style for reducing the severity of moral conflicts in ICU nurses in selected hospitals of Guilan University of Medical Sciences.
This was a semi-experimental single group study with before and after design. For this purpose, 45 nurses working at ICU Wards of Guilan University of Medical Sciences were selected. Data were collected using the Ethical Conflict in Nursing Questionnaire by Falco-Pegueroles (2013). The questionnaire was first completed by each participant. Consequently, a negotiation style educational workshop was held for the nurses with an average or high score. After 8 weeks of intervention, the questionnaire was distributed among the participants one more time. The results were analyzed using SPSS software version 20, t-test and ANOVA to compare the severity of moral conflict in the samples before and after the intervention.
The average severity of the nurses’ moral conflict before the workshop was 53.22. The mean reduction of the severity of moral conflict was 17.66 after 8 weeks, and the difference was statistically significant (P < 0.05). The results indicated a decrease in the severity of the nurses’ moral conflict following the intervention. Based on the findings of the research, the negotiating style is recommended for the purpose of reducing the severity of moral conflict in ICU nurses.
Hafez Sotoodeh, Iraj Shakerinia, Maryam Kheyrati, Shahriar Dargahi, Reza Ghasemi Jobaneh,
Volume 9, Issue 1 (5-2016)
Abstract
It is an undeniable fact that nurses have an important role in the provision of health services. The psychological well-being of nurses is associated with an improvement in their job performance. The aim of this research was to survey the relationship between spiritual and moral intelligence and the psychological well-being of nurses.
This was a descriptive-correlational study conducted on 128 nurses working in hospitals of Bojnourd during 2013. The subjects were selected through availability sampling and responded to King’s Spiritual Intelligence Self-Report Inventory, Lennick and Kiel’s Moral Competency Inventory and Ryff’s Scales of Psychological Well-being. The collected data were analyzed by Pearson’s correlation coefficient and regression analysis using SPSS software version 18.
The results indicated a positive and significant relationship between spiritual and moral intelligence and psychological well-being (P<0.01). The regression analysis showed that spiritual and moral intelligence could significantly predict 26 percent of the variance of psychological well-being (P<0.01).
Based on the positive relationship between spiritual and moral intelligence and the psychological well-being of nurses, it is recommended that these factors be taken into consideration in programs designed to promote nurses’ mental health
Zahra Rafee, Alireza Bibak, Somaie Hoseinee, Farzan Azodi, Faezeh Jahanpour,
Volume 9, Issue 2 (8-2016)
Abstract
Nurses comprise the largest group of service providers in the health system and have a significant impact on health care quality; therefore, ethical practice is of greater importance in the nursing profession compared to other fields of care. The present study was conducted to evaluate patients’ views on nurses’ observance of professional ethics in training hospitals of Bushehr during 2015.
This was a descriptive cross-sectional study performed on 208 patients hospitalized in teaching hospitals of Bushehr selected by convenience sampling. The research instrument was a questionnaire including demographic characteristics and questions about ethics of the nursing profession. Validity and reliability of the data collection tool were approved. Data were analyzed through descriptive statistics, t-test, ANOVA and Pearson’s correlation coefficient using SPSS version 18.
The results showed that 94.6 percent of the patients evaluated the nurses’ observance of professional ethics as good, 4.4 percent as moderate and 1 percent as poor. Moreover, no significant relationship was found between the independent variables of age, gender, marital status, education level and history of hospitalization ward in the patients, and their views on nurses’ observance of professional ethics.
Nabi Omidi, Heshmatolaah Asgari, Mohammad Reza Omidi,
Volume 9, Issue 3 (10-2016)
Abstract
Ethics is elemental in all lines of work, but more so in the nursing profession, since the ethical and responsible conduct of nurses can have an important role in promoting patient recovery. As members of a large group in the field of medical science, nurses need to be equipped with sound professional ethics in their interactions with others.
The present study was a descriptive survey of the relationship between professional ethics and the efficiency of nurses. Study population consisted of the nurses employed in Imam Hospital and Mostafa Khomeini Hospital in Ilam. Sample size was determined at 134 using the Cochran formula, and 126 completed the professional ethics and efficiency questionnaire. The validity of the questionnaire was confirmed by experts, and its reliability was established by Cronbach's alpha test. Subsequently, the main hypothesis and the eight sub-hypotheses were examined.
The subjects consisted of 89 males and 37 females, of which 50 percent were aged between 20 and 35, 42% between 36 and 50, and 6% between 51 and 60 years. In terms of education level, 7 subjects had high school diplomas, 18 associate degrees, 42 were undergraduate and 59 graduate students and higher. The findings showed a significant correlation (0.002) between professional ethics and the efficiency of nurses. Results of the Pearson’s correlation test confirmed the relationship between accountability, honesty, fairness, loyalty, respect for others, and the efficiency of the nurses employed in Imam and Mostafa Khomeini Hospitals, Ilam. No significant correlation was found, however, between the components of superiority and sympathy in nurses and their efficiency.
Considering the relationship between professional ethics and the efficiency of the nurses in these two hospitals, it is recommended to improve their performance through continuous training and promotion of nursing ethics.
Somaye Rostami, Ravanbakhsh Esmaeali, Hedayat Jafari, Jamshid Yazdani Charati, Seyed Afshin Shorofi,
Volume 10, Issue 0 (3-2017)
Abstract
Futile medical care is considered as the care or treatment that does not benefit the patient. Thus, perception of the clinical team regarding futile care is of great importance and it has an important role in the quality of nursing care and health of clinical team. This study aimed to determine the relationship between perception of nurses regarding futile medical care and their caring behaviors toward patients in the final stages of life admitted to intensive care units. This correlational, analytical study was performed on 181 nursing staff of the intensive care units (ICUs) of health centers affiliated to Mazandaran University of Medical Sciences, Mazandaran, Iran. The data collection tool included a two-part questionnaire containing demographic characteristics form, perception of futile care questionnaire, and caring behaviors inventory. To analyze the data, statistical tests and central indices of tendency and dispersion were used. Pearson’s correlation coefficient, partial correlation, t-test, and ANOVA tests were performed to assess the relationship between the variables. Findings illustrated that the majority of nurses (65.7%) had a moderate perception of futile care. In addition, it was only the mean working hours per week among the demographic variables that had a statistically significant relationship with perception of futile care (P<0.05). Given the moderate perception of nurses concerning futile care, implementing suitable interventions for minimizing the frequency of futile care and its resulting tension seems to be mandatory. It is imperative to train nurses on adjustment mechanisms and raise their awareness as to situations resulting in futile care.
Shahriar Dargah, Mojtaba Haghani Zemydani, Hossein Ghamari Givi, Mostafa Ghalavand,
Volume 10, Issue 0 (3-2017)
Abstract
Due to the great importance that the nurses health and job engagement have in the health of their, colleagues and patients, this study aimed to investigate the the relationship between work-family conflict and work ethics with mediating role of job stress in nurses. The design of this study was descriptive and correlation cross-sectional design. The study population included all male and female nurses working in hospitals and clinics in the Gachsaran city during 2016-2017 . To select participants, cluster sampling method was used. A total 150 nurses were selected. To collect information from the Carlson et al work - family conflict questionnaire, work ethics questionnaire of Gregory. C. Petty (1990) and revised French et al. nursing stress scale was used. The results showed that there is a negative significant correlation between job stress with work ethic (P<0.01). Also, there was a negative significant correlation between the work-family conflict with work ethics (P<0.05). In addition, this study showed that job stress plays mediating role between work-family conflict and work ethics in nurses. In general, the interaction between family and work issues influence nurces' performance. As family and work interactions and job stress are predictors of work ethics of nurses. Education about managing and improving quality of nurses' marital and family life and training the stress management can improve nurses' work ethics.
Masoumeh Hasanlo, Arezo Azarm, Parvaneh Asadi, Azar Avazeh, Mitra Hojt Ansari, Hossein Ebrahimi, Mohammad Asghari Jafarabadi,
Volume 10, Issue 0 (3-2017)
Abstract
Stressful ethical situations are considered as one of the problems of nursing profession, which disrupts the competence of simultaneous application of knowledge, skills, attitudes, and values in patient care. Since clinical nurses are more exposed to ethical distress due to their nature of job, especially in in critical care and psychiatric wards, this study was conducted to analyze the relationship between three dimensions of moral distress. In this descriptive-correlational study 545 nurses from Tabriz educational centers were selected by census method in 2013-2014. The moral distress scale (MDS) questionnaire was distributed among partcipants and data was collected during nine months. Data were analyzed by SPSS V13, descriptive statistics, Chi-square test, and Kendall's tau-b correlation coefficient. According to the findings, the mean of moral distress was 141.89 ± 29.6 (in the intermediate range). Chi-square test showed the relationship between the dimensions of moral distress (the relation between patient's ignorance, decision-making power, and professional competence) (P <0.05). According to the Kendall's tau-b correlation coefficient test, there was a direct and significant correlation between the dimensions of moral distress (P <0.05). There was a meaningful correlation between the moral distress and the demographic characteristic of the educational level (P <0.05). Considering the direct and meaningful relationship between three dimensions of moral distress (patient's ignorance, decision-making power, and professional competence), each dimension of moral distress affects another as aggravating or modifying factor. Therefore, it is recommended that planners and health care administrators at the macro level provide appropriate programs to increase the nurse's attention and support to patients and reinforce decision-making power and professional competence by increasing the number of nurses and other controlling programs.
