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Showing 53 results for Nurses
Behzad Foroutan, Moussa Abolhassani, Sajad Salehipour, Adnan Karimi, Fariba Dehghanizadeh, Nastran Rezvani, Mohammad Soltani Beldaji,
Volume 8, Issue 4 (11-2015)
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)
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.
Niloofar Mikaeili, Mozaffar Ghaffari,
Volume 8, Issue 6 (3-2016)
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)
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.
Zahra Rafee, Alireza Bibak, Somaie Hoseinee, Farzan Azodi, Faezeh Jahanpour,
Volume 9, Issue 2 (8-2016)
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.
Somaye Rostami, Ravanbakhsh Esmaeali, Hedayat Jafari, Jamshid Yazdani Charati, Seyed Afshin Shorofi,
Volume 10, Issue 0 (3-2017)
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)
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.
Mohammad Aminizadeh, Mansoor Arab, Roghieh Mehdipour,
Volume 10, Issue 0 (3-2017)
Volume 10, Issue 0 (3-2017)
Abstract
Nurses in the intensive care unit face a variety of ethical issues that can lead to moral distress. Nurses need moral courage for correct moral performance in a state of moral distress. The aim of this study was to investigate the relationship between moral courage and moral distress in nurses. The descriptive-analytic study of correlation type which aimed to investigate the relationship between moral courage and moral distress in nurses. A total of 310 nurses from special units of educational hospitals in Kerman were selected by census method. The tools Sekerka's moral courage and Corley's moral distress were used to collect data. Data were analyzed by descriptive and analytical tests of SPSS version 24. Mean score of moral courage of nurses was 42.71 ± 9.67. Moral courage was the highest in moral agent. The mean of moral distress was 56.03 ± 18.21 and the most moral distress was in the dimension of errors. There was a significant and negative relationship between moral courage and moral distress (R = -0.166; p = 0.003). Moral courage was different in position, type of department, and marital status. Moral distress differed only from type of department. The results of study indicated a significant and negative relationship between moral courage and moral distress. Strengthening the moral courage of nurses plays an important role in controlling and reducing moral distress. Therefore, nurses can reduce their moral distress by reinforcing moral courage and, instead, increasing the quality of care for patients.
Mehri Seyedjavadi, Raheleh Mohammadi, Arezo Mirzayee, Maryam Mirzayee,
Volume 12, Issue 0 (3-2019)
Volume 12, Issue 0 (3-2019)
Abstract
Nursing ethics is one of the most basic aspects of nursing profession, which nurses are required to follow the principles receiving nursing care with confidence by patients. This study was conducted to determine the level of moral development of nurses and its contributing factors. This descriptive, analytic study was performed in 2017, study samples were 310 nurses working in educational hospitals of Ardabil University of Medical Sciences. Samples were selected by convenience method. The data was collected using a Kohlberg’s nursing dilemma test. The questionnaire included six scenarios: newborn with anomalies, forcing medication, adult's request to die, new nurse's orientation, medication error, and uninformed terminally ill adult. The data was analyzed by IBM SPSS 18 using descriptive and analytic tests. In this study, 51 nurses (16.45%) were in the pre-conventional level, 101 nurses (32.58%) in the conventional level, 132 nurses (42.58%) at the post-normal level and 26 nurses (8.38%) at the level of clinical considerations. Moral thinking mean score was 42.58 ± 5.6 and the mean score of the clinical considerations was 21.53 ± 4.3. The present study showed that the majority of nurses are in the post conventional and conventional level; but this is less than 50% of all nurses, which shows that the level of moral development of nurses is in the moderate level. It requires further investigation of the causes and related factors and more efforts for improving it.
Zahra Mahmoodzadeh, Tahereh Ashktorab, Seid Mohammad Kazem Naeeni,
Volume 12, Issue 0 (3-2019)
Volume 12, Issue 0 (3-2019)
Abstract
One of the most common ethical issues in nursing profession is moral distress which causes discomfort and impedes nurses proper moral performance, despite having sufficient knowledge. Moral distress disturbs the relationship between nurse and patient which leads to the decreased quality of care. Caring behaviors greatly contribute to improving the quality of care and patient safety. The present study aimed to determine the correlation between moral distress and caring behaviors of nurses in intensive care units of Bandar Abbas hospitals in 2018. This was a descriptive correlational study that was performed on 173 nurses working in ICU and NICU departments of Bandar Abbas hospitals. The data collection tools were demographic information questionnaire, the moral distress scale of nurses of intensive care units, and nursing Caring Behaviors Inventory. Data were analyzed using IBM SPSS 20. Moral distress in nurses in the intensive care unit was in the middle range (1.75 ± 0.81 of 4 score). Also, the mean score of nurses' caring behavior was 5.28 ± 0.48 of 6 score which was considered as an acceptable level. There was a significant negative correlation between moral distress and caring behavior (r = -0.150, P = 0.049). Regarding the importance of moral distress, as well as the role of caring behaviors in improving the quality of care of nurses and satisfaction of patients, it seems necessary that nurses get more familiarized with this concept and attempts to provide solutions for coping and reducing moral distress and improving nurses' caring behaviors.
Halimeh Zarei, Parviz Azodi, Marzieh Mahmoudi, Zahra Sedighi, Faezeh Jahanpour,
Volume 13, Issue 0 (3-2020)
Volume 13, Issue 0 (3-2020)
Abstract
Communication skills are recognized as an essential part of nursing services and as they are faced with an extended range of referees, they have to communicate with them in a specific way. This study was performed to determine the communication skills of nursing staff of pediatric wards with their colleagues. This descriptive-analytic study as cross-sectional was performed on 110 nursing staff of pediatric wards from Persian Gulf’s hospital during 2019, in Bushehr, Iran, by using census sampling method. Data collection tool was a communication skills’ questionnaire including demographic part and items for self assessing communication skills of nurses with their colleagues. The validity and reliability of the questionnaire were confirmed in previous studies. Data were analyzed by SPSS software using independent t-test, Pearson correlation and one-way ANOVA at the significant level of 0.05. The mean score of professional communication was 54.33 ± 7.26 which was relatively significant. Scores of professional communication were not statistically associated with age, work experience, educational degree, employment status, type of responsibility, interest to job and marital status. The results showed statistically significant relationship between the mean scores of professional relationship with workplace (p <0.013) and shift work (p <0.020). The highest professional communication score was 58.83 in the nursing office and the lowest score was 50.21 in the pediatric emergency department. The Pearson correlation between age and work experience was positive with the mean score of professional communication, and the highest score of professional communication was related to staff working in shift work. According to the findings of the present study, the status of professional communication among nursing staff of pediatric wards was relatively desirable and therefore, based on the results, it is suggested that nursing authorities and planners plan and endeavor to enhance nurses' professional communication.
Maasoumeh Mangeli, Zahra Rezahosseini, Hossein Sabzaliani,
Volume 15, Issue 1 (3-2022)
Volume 15, Issue 1 (3-2022)
Abstract
Providing nursing care based on ethical values requires nurses to have ethical sensitivity. Determining the factors related to moral sensitivity can help to identify strategies to promote this ability. The aim of this study was to investigate the relationship between nurses' ethical sensitivity and work environment index. This descriptive-correlational study was performed in the presence of 135 nurses of Vali-e-Asr Hospital in Shahr-e-Babak (Kerman province) in 2021. Samples were selected by consensus method. Lutzen Ethical Sensitivity Questionnaire and Work Environment Index Questionnaire were used to data collection. Data analysis was performed by determining the Pearson correlation coefficient and regression test using SPSS26. T-test and ANOVA were also used to examine the difference in mean scores based on demographic and occupational variables. Findings showed that the status of ethical sensitivity and work environment index of nurses participating in this study is at a moderate level and there is a significant correlation between nurses' ethical sensitivity and work environment index (P=0/049 R=0/212). Also, the mean score of work environment index showed a significant difference based on the variables of position (P=0/008) and shift work (P = 0/012). The existence of a significant relationship between nurses' ethical sensitivity and their work environment index confirms the importance of the work environment and its related consequences. According to the results of the present study, by optimizing the working environment of nurses, we can expect their ethical sensitivity to improve.
Amirahmad Shojaee, Fazlollah Hasanvand, Hamidreza Namazi, Mojtaba Parsa, Kobra Rashidi,
Volume 16, Issue 1 (3-2023)
Volume 16, Issue 1 (3-2023)
Abstract
Professional ethics is based on human values, tasks, rights and responsibilities and affects the professional and organizational conditions of nurses. In this regard, the aim of this study was identifying framework of the dimensions of nurses' professional ethics from the point of view their and physicians. This study was done with qualitative method, using semi-structured interview, with the participation of 26 physicians medical ethics specialist, clinical specialist, clinical assistant and intern and 20 nurses based on theoretical saturation with the purposeful sampling method and after obtaining informed consent from them. Content analysis method was used for data analysis, which was done in MAXQDA version 18 software. Findings showed professional ethics was based on a four-dimensional framework; The professional ethics of nurses in relation to the patient (six sub-components), in relation to colleagues in different job categories (four sub-components), in relation to the profession (three sub-components) and in relation to the hospital and medical organizations (two sub-components). The reliability of the coding of the components was obtained based on the Kappa index equal to 0.88. Therefore, it can be said. Framework of the dimensions professional ethics of the point of view of nurses found meaning in relation to themselves and others (patients, colleagues, organization and profession). The nurses, knowing and observing the details and nature of these communications, as well as the individual rights of these people from their own point of view; they can properly implement the principles of professional ethics in advancing the goals of the organization and increasing the quality of service provision and the satisfaction of others and raising the status of the profession.
Shabnam Rasoulpoor, Reza Nematollahi Maleki, Neda Tagizadeh,
Volume 17, Issue 0 (12-2024)
Volume 17, Issue 0 (12-2024)
Abstract
Euthanasia, defined as the intentional ending of a patient's life to relieve intractable suffering, presents complex ethical, legal, and emotional challenges for healthcare professionals, particularly nurses. Nurses play a pivotal role in end-of-life care, making their attitudes toward euthanasia crucial for understanding its implications in clinical practice. This review aims to synthesize existing literature on nurses' attitudes about euthanasia to identify key influencing factors and areas requiring further exploration. This study was conducted using the PRISMA 2020 guideline with no time limitation (by December 2024). Eligible articles were selected following a search in various databases (Scopus, Web of Science, PubMed, ScienceDirect, Embase, and Google Scholar) using keywords and operators of “AND” & “OR.” The search strategy included “Perceptions” OR “Attitudes” OR “Nurse” AND “Euthanasia.” Data extraction and risk-of-bias assessment were performed independently by two reviewers (SR and NT). Studies were evaluated with the Appraisal Tool for Cross-Sectional Studies (AXIS Tool). A total of 21 studies were included in the review. The review revealed that nurses’ attitudes toward euthanasia vary widely depending on legal frameworks, cultural norms, religious beliefs, and personal values. In countries where euthanasia is legalized, such as Belgium and the Netherlands, nurses often report greater acceptance and willingness to participate in the process, emphasizing their role in ensuring patient autonomy and dignity. Conversely, in regions where euthanasia is illegal, nurses frequently express ethical concerns, moral distress, and reluctance to support the practice. Common themes include the need for clear guidelines, ethical training, and emotional support systems for nurses dealing with euthanasia-related situations. Nurses’ attitudes about euthanasia are influenced by a complex interplay of cultural, legal, and personal factors. While some nurses view euthanasia as an extension of compassionate care, others experience ethical dilemmas and professional conflict. This highlights the need for robust ethical frameworks, specialized training, and supportive resources to help nurses navigate the challenges associated with euthanasia in their practice.
Maryam Kashani, Mansoureh Ashqli Farahani, Fatemeh Golestan,
Volume 17, Issue 0 (12-2024)
Volume 17, Issue 0 (12-2024)
Abstract
The intensive care unit (ICU) environment presents numerous ethical challenges, contributing to significant levels of moral distress among ICU nurses. This distress negatively impacts their well-being and job satisfaction. Recognizing this critical issue, researchers have investigated the potential of moral empowerment programs to alleviate moral distress. This scoping review aimed to systematically synthesize existing literature on these programs and evaluate their efficacy in mitigating moral distress among ICU nurses. A comprehensive search of PubMed, Scopus, and CINAHL databases was conducted, utilizing keywords such as "moral empowerment," "moral distress," and "intensive care unit nurses." Fifteen articles meeting predefined inclusion criteria, including publication between 2010 and 2022 and a specific focus on moral empowerment programs for ICU nurses, were selected for analysis. The scoping review revealed that moral empowerment programs demonstrated positive outcomes in reducing moral distress among ICU nurses. These programs, encompassing workshops, case-based discussions, reflective exercises, and role-playing simulations, were designed to enhance moral reasoning, ethical decision-making, and moral resilience. Consistent findings indicated a significant decrease in moral distress among nurses who participated in these programs. Participants reported increased confidence in navigating ethical dilemmas, making sound clinical decisions, and effectively advocating for patients' rights. Moreover, moral empowerment programs fostered a sense of moral agency, empowering nurses to address ethical challenges proactively. Moral distress poses a significant challenge for ICU nurses, impacting their well-being and potentially compromising the quality of patient care. Moral empowerment programs offer a promising approach to mitigating this distress and enhancing ethical decision-making capabilities. The successful implementation of these programs requires a supportive work environment that fosters open dialogue and ethical reflection. Nurse leaders and educators play a crucial role in collaborating with ethics committees to develop and implement tailored interventions, including integrating moral empowerment modules into new nurse orientations and ongoing professional development programs. Continuous support through follow-up sessions, mentoring, and debriefing is essential to sustain the long-term benefits of these programs. Ethical consultation services and interprofessional collaboration further contribute to the ethical well-being of ICU nurses. While this review provides valuable insights, further research is warranted to investigate the long-term effects and broader implications of moral empowerment programs in the ICU setting.
Nasrin Rasoulzadeh, Abbas Abbaszadeh,
Volume 17, Issue 0 (12-2024)
Volume 17, Issue 0 (12-2024)
Abstract
A crucial aspect of nurses' professional performance is adherence to ethical principles, which can significantly impact their spiritual health. Strengthening spiritual well-being contributes to improved physical and mental health for individuals and society as a whole. By prioritizing spiritual dimensions such as faith, purpose in life, and moral commitment, individuals can mitigate anxiety and its associated complications. Spiritual aspects of life foster greater tolerance for shortcomings and challenges, facilitating more appropriate interactions with others within society. To effectively monitor the health status of nurses, accurate and readily accessible online health information is essential. Therefore, this study aimed to determine the key spirituality components that should be incorporated into a nurses' health monitoring website. This research was conducted in two stages. The first stage employed a content analysis approach with 25 participants, followed by a Delphi approach involving 51 participants across four rounds. Purposive sampling was utilized, with participants including nurses and other relevant specialists. In the first stage, data were collected through semi-structured interviews and guiding questions related to nurses' health monitoring. In the second stage, a questionnaire with open-ended questions was administered to participants in four rounds. Items achieving consensus from more than 75% of experts were incorporated into the final statements defining the information structure of the health monitoring system. Qualitative data were analyzed using directed content analysis. In the first qualitative stage, analysis of participant statements within the category of "spiritual peace" revealed a primary focus on the stability of health monitoring pillars. Participants identified belief in God and service to humanity as key contributors to establishing inner peace. However, all participants did not initially recognize the necessity of assessing spiritual health within the health monitoring framework. They tended to equate religious behavior with spiritual health, considering it primarily an internal and personal category, likely influenced by the prevailing religious and cultural context. In the second Delphi stage, expert consensus emerged regarding the importance of assessing nurses' spiritual health. While nurses initially may not have explicitly identified the need to assess spiritual health, neglecting this aspect can potentially hinder their ability to identify and address the spiritual needs of their patients. Therefore, it is recommended that the implementation of the health monitoring system incorporate a component for assessing nurses' spiritual health, tailored to the specific cultural context of Iran, enabling users to evaluate their own spiritual well-being.
Masoomeh Salehi, Behzad Imani, Shirdel Zandi,
Volume 17, Issue 0 (12-2024)
Volume 17, Issue 0 (12-2024)
Abstract
The diversity of work environments, regulations, and prevailing atmospheres uniquely influence individuals' moral intelligence. Given the significant role of operating room nurses in patient care and the importance of moral intelligence in enhancing the quality of these services, this study aimed to elucidate the experiences of operating room nurses regarding moral intelligence at Hamadan University of Medical Sciences. A hermeneutic phenomenological study was conducted in hospitals affiliated with Hamadan University of Medical Sciences, Iran, from May to October 2023. Twelve operating room nurses were purposefully selected. Data was collected through in-depth semi-structured interviews and analyzed using van Manen's method. The study's rigor was ensured through four criteria: credibility, dependability, confirmability, and transferability. Three main themes related to moral intelligence were identified by examining the experiences of operating room nurses. These themes include: moral sensitivity (inner guidance, recognizing the rightness or wrongness of actions, having a work ethic), the ability to make sound decisions (ability to make sound judgments, moral courage), and ethical behavior towards patient interests (providing ethical care, preserving patient dignity, ability to work as a team). Operating room nurses with high moral intelligence are sensitive to the rightness or wrongness of actions, guided by inner ideals and professional commitment to doing what is right. They make sound judgments when faced with challenges and defend them courageously, making sound decisions. By providing ethical care, working as a team, and protecting human dignity, they demonstrate ethical behavior towards patient interests.
Morteza Javanmardi , Seyede Elahe Karimipour , Zahra Bakhshizadeh , Mohammad Hossein Taklif, Negin Farid,
Volume 17, Issue 0 (12-2024)
Volume 17, Issue 0 (12-2024)
Abstract
Moral courage, encompassing the ability to act ethically in the face of adversity and uphold ethical principles, is crucial for nurses. This systematic review aimed to investigate the factors influencing moral courage among nurses. A comprehensive literature search was conducted using keywords such as "moral courage," "ethics," "nurses," and "courage" in major databases, including PubMed/Medline, Web of Science Core Collection, Scopus, Google Scholar, Irandoc, SID, and Magiran. The search included publications in both English and Persian with no time limitations. After excluding duplicates and screening the initial 2577 studies, 21 studies met the inclusion criteria. The review adhered to the PRISMA guidelines for reporting systematic reviews, ensuring ethical considerations were maintained throughout the selection, extraction, and analysis processes. The review revealed that moral courage in nurses is influenced by a multifaceted array of factors. Individual factors such as age, gender, work experience, and type of employment (e.g., permanent vs. temporary) were found to influence moral courage. Higher education, particularly possessing a master's degree or higher, and participation in medical ethics training were significantly associated with increased moral courage. Ethical sensitivity, defined as the ability to recognize and appreciate ethical dilemmas, was a significant facilitator of moral courage. A supportive work environment, characterized by factors such as strong ethical leadership, open communication, and adequate resources, was found to positively influence moral courage. Conversely, ethical distress experienced in challenging clinical situations can negatively impact moral courage. This review demonstrates that moral courage among nurses is influenced by a complex interplay of individual, professional, and environmental factors. Enhancing moral courage requires a multi-pronged approach, including strengthening nursing education with a robust emphasis on ethics training, fostering a supportive and ethically sound work environment, and implementing strategies to mitigate ethical distress. These interventions can significantly contribute to improved clinical practice and enhanced patient care.
Zahra Abdollahi, Marzieh Barahooei Noori, Mohammad Hossein Khani, Mohammad Hossein Taklif, Negin Farid,
Volume 17, Issue 0 (12-2024)
Volume 17, Issue 0 (12-2024)
Abstract
Moral intelligence encompasses an individual's ability to discern right from wrong, possess ethical values, and demonstrate ethical behavior in practice. Clinical competence, a crucial aspect of nursing practice, encompasses a combination of knowledge, skills, and attitudes, including adherence to ethical principles. This systematic review aimed to investigate the relationship between moral intelligence and clinical competence among nurses and nursing students. A comprehensive literature search was conducted using keywords related to "moral intelligence," "clinical competence," "nurses," and "nursing students" in major international databases, including Web of Science Core Collection, PubMed/Medline, Scopus, and Google Scholar, as well as national databases such as Irandoc, SID, and Magiran. The search included publications in Persian and English with no time limitations. After removing duplicates and screening the initial 150 identified studies, five studies met the inclusion criteria. Ethical considerations, including minimizing bias in the selection, extraction, and analysis of evidence, were adhered to throughout the review process. The abstract adheres to PRISMA guidelines for reporting systematic reviews. The review revealed a significant positive correlation between moral intelligence and clinical competence across various dimensions. Studies demonstrated that higher levels of moral intelligence were associated with improved clinical competence, including ethical reasoning and clinical self-efficacy. Factors such as age, work experience, educational status, and individual rank were found to influence this relationship. Additionally, some studies indicated that moral intelligence could predict clinical competence scores, while others demonstrated that it could be a significant predictor of clinical competence alongside other factors such as Grade Point Average (GPA). This systematic review provides evidence for a significant positive relationship between moral intelligence and clinical competence among nurses and nursing students. Enhancing moral intelligence through targeted educational interventions can contribute to improved clinical competence and ultimately enhance the quality of patient care. Future research should focus on developing and evaluating educational programs designed to enhance moral intelligence in nursing education and practice.
Hedayat Jafari, Fatemeh Ahmadi, Mobina Abedinpour,
Volume 17, Issue 0 (12-2024)
Volume 17, Issue 0 (12-2024)
Abstract
Compassion fatigue refers to the physical and emotional exhaustion experienced by healthcare professionals due to prolonged exposure to job-related stress and the emotional demands of caring for others. Compassionate care is vital for achieving better patient outcomes, but various factors during healthcare delivery can compromise it. This study examines the factors influencing compassion fatigue among critical care nurses. This systematic review was conducted by searching databases including SID, Magiran, Irandoc, Iranmedex, Civilica, Science Direct, Web of Science, Embase, PubMed, Scopus, ProQuest, and Google Scholar. Keywords used in the search included “compassion fatigue,” “critical care,” “intensive care,” “nurses,” “compassion satisfaction,” and “burnout.” After removing duplicates, studies were screened based on inclusion and exclusion criteria, and their quality was assessed using the Critical Appraisal Checklist for Analytical Cross-Sectional Studies. Ultimately, 23 studies met the criteria and were included in the systematic review (qualitative synthesis). The studies included in this review were conducted between 2012 and 2024, with a total of 5,820 participants. The review found that both workplace structural factors and demographic characteristics of nurses, such as age, sex, marital status, nationality, educational level, resilience, length of shifts, experience in critical care settings, place of work, position within the unit, and nurse-to-patient ratios, are causes and predictors of compassion fatigue. Leadership and administrative support in clinical settings, as well as the coping strategies employed by nurses, were identified as factors that mitigate the impact of compassion fatigue among critical care nurses. This systematic review highlights the profound impact of compassion fatigue on nurses and emphasizes the roles of workplace environment and demographic factors in its development. The findings underscore the importance of supportive leadership and effective coping strategies in reducing compassion fatigue and enhancing compassion satisfaction among critical care nurses. By addressing these factors, healthcare organizations can reduce burnout, improve nurse well-being, and enhance patient care and clinical outcomes.
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