Showing 76 results for Nursing
Tahereh Baloochi Beydokhti, Hamidreza Tolide-Ie, Ali Fathi, Mehdi Hoseini, Sedigheh Gohari Bahari,
Volume 7, Issue 3 (9-2014)
Abstract
Decision making is an important part of nurses’ responsibilities in providing clinical interventions for patients. Religion is among the moral factors that affect the performance and clinical decision making of nurses. The present study aimed to investigate the relationship between religious orientation and moral sensitivity in the decision making process among nurses.This study was a cross-sectional, analytical research that was carried out on 170 nurses working in Gonabad hospitals. Subjects were selected by census, and data were collected using the Allport Religious Orientation Scale and the Moral Sensitivity Questionnaire. Data analysis was performed using SPSS version 16.In the present study, internal religious orientation mean was 36.39 ± 4.65, external religious orientation mean was 33.77 ± 6.89 and moral sensitivity mean was 159.21 ± 14.1, and therefore internal religious orientation was higher among the nursing staff. Moreover, Pearson's correlation test showed that there was a significant, positive relationship between internal religious orientation and moral sensitivity (P = 0.01, r = 0.17). Nevertheless, no significant relationship was found between external religious orientation and moral sensitivity (P = 0.86, r = - 0.01).Based on the findings of this study, it seems that authorities need to develop and implement strategies to educate nurses on morality and spirituality, since members of this profession play an important part in the health and well-being of the community.
Hadi Jafareimanesh, Atefeh Alibazi, Mansoureh Zaghari Tafreshi, Mehdi Ranjbaran,
Volume 7, Issue 4 (11-2014)
Abstract
A model is a summarized representation of facts. Health-related models show values, perceptions and various understandings of health care. This study investigated the nursing advocacy models and the nurses’ protective role. In this review article, related literature and documents were searched in PubMed, Science Direct, Proquest, Google Scholar, Magiran, Iran Medex, and Scientific Information Database, using the general search engine Google. The search was performed by keywords “advocacy” and “nursing advocacy model”. In this stage, 89 sources including books, articles and dissertations on the subject of nursing advocacy written between 1991 and 2014 were collected. In the next stage, 43 sources were chosen for the review article. Finally, 8 models that were more consistent with the topic and objectives of the study were extracted. Considering the findings of this study and the benefits of nursing advocacy, we propose to design a model in order to promote the advocacy role of nurses in Iran. In this model, legal constraints, social factors and values, organizational culture, position of the nurse in the health care system and political and economic considerations should be taken into account.
Mohammad Zirak, Hadi Hasankhani, Naser Parizad,
Volume 7, Issue 6 (3-2015)
Abstract
The principal objective of the nursing profession is to provide evidence-based and competent care mainly based on humanitarian and ethical principles. Ethical care is contingent on a proper level of moral reasoning, which can be categorized into pre-conventional, conventional and post-conventional reasoning. At the pre-conventional level, individuals are mostly self-oriented and prefer obedience to avoid blame. At the conventional level people apply laws and social principles to decision-making, and at the post-conventional level they try to guide their actions and behaviors with regard to ethical principles and make humanist and ethical decisions. This study aimed to assess the level of moral reasoning in nurses and nursing students by providing an analysis of the existing literature on moral reasoning.For the purpose of this study, we conducted an extensive search of the papers published between 1980 and 2014 on international electronic databases including Scopus, Google scholar, Science Direct, PubMed, Proqust and Elsevier. We also reviewed papers published between 1985 and the autumn of 2014 on Persian electronic databases Sid, Magiran and Iran Medex. A broad range of search keywords were used such as: ethical growth, moral growth, ethical development, moral development, ethical reasoning, moral reasoning, nurse, and nursing student. In total, 35 studies were reviewed at this stage.Based on the results of the above-mentioned studies, most nursing students and nurses reason at the conventional and post-conventional level, and nursing students reason at a higher ethical level in comparison with nurses. We also found that teaching ethical concepts helps improve ethical reasoning, and that an inverse relationship exists between clinical experiences and ethical reasoning.Although in most studies, the level of moral reasoning in nursing students and nurses was found to be at the conventional and post-conventional level, this is not enough to provide superior professional care. It is therefore essential to apply the necessary measures such as improving clinical environments and the ethical education system to further promote the reasoning ability of nurses and nursing students, so that they can make their decisions based on ethical principles and at the post-conventional level
Azam Pourama, Mansoureh Azizzadeh Forouzi, Azar Asadabadi,
Volume 7, Issue 6 (3-2015)
Abstract
Values in the nursing profession improve the quality of patient care and enhance job satisfaction among nurses. Therefore, promoting professional nursing values is an important aspect of nursing education. The purpose of the present study was to evaluate the professional values among nursing students in their last semester in nursing schools across Kerman province.A total of 152 students in their last semester in five schools of nursing across Kerman province (cities of Kerman, Bam, Jiroft, Zarand and Rafsanjan) participated in this cross-sectional study. Data were collected using a two-part questionnaire that included demographic variables and Nursing Professional Values Scale - Revised (NPVS-R) in five dimensions (caring, activism, trust, professionalism and justice). The reliability of the questionnaire using Cronbach's alpha coefficient was calculated at 0.91. Data were analyzed using descriptive statistics (mean and standard deviation) and inferential non-parametric statistical tests (Mann-Whitney and Spearman’s rho correlation coefficient) in SPSS 18.Of the five dimensions of professional values, the highest mean score (37.8 ± 4.6) pertained to the caring dimension and the lowest mean score (12.68 ± 1.92) was related to the justice dimension. There was a significant negative correlation between age and professional values (r = - 0.02, P = 0.01). Results of the Mann-Whitney test showed a statistically significant difference between the mean scores of the justice, activism, trust and professionalism dimensions and sex (P < 0.05) and between the total mean score of professional values and the place of education (P = 0.003).From the perspective of students, the dimensions of professional values were prioritized in the following order: caring, trust, activism, professionalism and justice. Nevertheless, the majority of students were not aware of the importance of some dimensions of professional values. Therefore, appropriate planning and teaching methods and strategies are required to enhance all dimensions of professional values.
Ali Imanzadeh,
Volume 8, Issue 1 (5-2015)
Abstract
Nursing theories have their roots in philosophical schools, and acceptance of a school of philosophy can direct the theoretical and clinical activities of a nurse.The present paper used a qualitative and explanatory-applied method. After a review of the general features of post-structuralism and post-structuralist ethics, the challenges and opportunities of post-structuralism in nursing and nursing codes of ethics were discussed.Ethics is one of the areas of nursing that have been affected by the arrival of post-structuralism. Ethics in post-structuralism is nomadic, based on discourse, democratic, relative, rhizomatic and anti-authoritarian.Despite the positive outcomes of post-structuralism in nursing, some features of this philosophical school presents challenges to nursing ethics. Some of these challenges that are in contrast with nursing codes of ethics are the relativism in ethics, anti-authoritarianism, rejection of hierarchy, representation and paternalism.
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.
Somayeh Khezerloo, Jamileh Mokhtari,
Volume 8, Issue 6 (3-2016)
Abstract
Nurses face numerous patients with different cultural backgrounds and needs on a daily basis. Cultural diversity can be an obstacle in the way of providing quality healthcare services. Cultural competency is the proper response to cultural and ethnic diversity in the society. This research was conducted to define the concept of cultural competency in nursing education.
In this study, Persian and English keywords related to cultural competency, nursing education and nursing curriculum were first searched separately and in combination on the internet and in existing literature. Consequently, papers that were more directly related to the topic were chosen and their concepts were extracted. Cultural competency refers to a set of knowledge, views and skills used simultaneously to enable the individual to work efficiently in different cultural conditions. In this study, first cultural competency was defined and then the process of its acquisition, the facilitating factors, barriers and consequences were described.
Considering that in Iran cultural variables are affected by many different factors, it seems necessary to investigate cultural competency in the existing cultural conditions. Moreover, there seems to be a need for comprehensive planning to provide solutions for professors and students in this respect.
Aliakbar Koohi, Morteza Khaghanizade, Abbas Ebadi,
Volume 9, Issue 1 (5-2016)
Abstract
As a result of the changes made in health care systems, nurses nowadays are faced with more complicated ethical dilemmas. Therefore, they need to be familiar with ethical decision-making procedures and have the ability to perform ethical reasoning. The present study aimed to evaluate this ability in nurses and investigate its relationship with demographic characteristics in a subspecialized hospital in Tehran during 2015. This was a descriptive-analytical study, and the research population consisted of 245 qualified nurses selected by census. A demographic questionnaire and Crisham’s Nursing Dilemma Test were used to collect the data. Descriptive-analytical tests and SPSS software version 22 were used for data analysis. Based on the, the mean value of the nurses’ ethical reasoning was 40.81 ± 6.72, which is lower than the average score of the test. Furthermore, increased work experience led to a reduction in the mean value of ethical reasoning (P ≤ 0.05). Overall, single subjects scored higher in the mean ethical reasoning than those who were married (P ≤ 0.05), but no significant relationship was observed between other demographic characteristics and the mean of ethical reasoning. Due to the nurses’ low ability to perform ethical reasoning, further studies will need to be conducted on proper training methods to promote ethical decision-making in nurses. As regards the reduced ethical reasoning ability in nurses with more work experience, it is necessary to identify the reasons and devise appropriate solutions with the help of nursing managers and hospital ethics committees.
Marjan Mardani Hamooleh, Masoomeh Iranshahi, Naimeh Seyedfatemi, Hamid Haghani,
Volume 9, Issue 2 (8-2016)
Abstract
Moral distress has been identified in nursing literature as a major dilemma affecting nurses in all healthcare systems. It is viewed as an important factor threatening the integrity of nurses and ultimately the quality of patient care. The present study attempted to determine levels of moral distress among the nursing staff employed in hospitals across the city of Malayer. This was a descriptive and cross-sectional study conducted on 195 nurses of Malayer hospitals during 2015. Data were collected using a demographic questionnaire and the standard moral distress scale (MDS). Data analysis was performed by descriptive and analytical statistics using SPSS software version 18.
In this study, 88 nurses (45.1%) were found to be suffering from severe moral distress. The most important factors causing moral distress pertained to substandard care and treatment due to a shortage of health professionals and care providers (6.6±0.21), physician orders for unnecessary tests, treatments and care (6±0.12), and measures taken by staff who lacked clinical competency (5.9±0.22). Among the nurses’ demographic data, gender (P=0.001), job experience (P=0.001) and nursing ward (P=0.01) were significantly related to the level of moral distress experienced by the nursing staff. The results imply that in nursing, moral distress is a highly important and pertinent issue that requires greater consideration by health service managers, policymakers and nurse educators.
Nader Ayadi, Shahriar Dargahi, Hossein Ghamari Givi, Moslem Abbasi,
Volume 9, Issue 2 (8-2016)
Abstract
Job stress is rather common in the nursing profession and affects many areas of nurses’ personal lives such as physical, psychological, social and family aspects. Considering the important role of nurses in the society, it is necessary to identify factors that influence their professional and domestic life, and take preventive measures. The aim of this study was to investigate the impact of job stress on marital stress and subjective well-being of nurses.
This was a descriptive correlation research. Study population consisted of 120 nurses employed in the city of Ardabil during 2013 and 2014 selected through available sampling. To collect data, Job Stress Questionnaire (Tufts and Gary Anderson), a subjective well-being questionnaire, and Stockholm-Tehran Marital Stress Scale (STMSS) were used. Data analysis was performed by Pearson’s correlation coefficient and regression analysis.
The results of Pearson’s correlation coefficient demonstrated a negative correlation between job stress and subjective well-being in nurses. Moreover, a positive correlation was discovered between job stress and marital stress. Additionally, regression analysis showed that nursing job stress could predict 25 percent of variance of subjective well-being, 27 percent of variance of marital stress and 29 percent of variance of empathy.
It can be concluded that due to the nature of the nursing profession, nurses’ physical, mental and personal lives are influenced by the stress of the workplace. This will in turn lead to increased marital stress and reduced subjective well-being, which may intensify the risk of developing psychological problems and marital issues in the long run.
Hakimeh Eskandari Sabzi, Maryam Heidari, Shahrzad Nezarat, Mahsa Mousavi, Mohammad Amin Harizavi, Atefeh Zahedi,
Volume 9, Issue 3 (10-2016)
Abstract
Ethics of care are the central core of nursing values and a fundamental concept in the nursing profession. Since the outlook of nurses on ethics can affect the quality of care, the present study was conducted to investigate the attitude of nursing students to codes of ethics for nurses, their commitment to ethics of care, and academic dishonesty in Abadan School of Medical Sciences.
This descriptive analytical study was performed among 150 nursing students of Abadan School of Medical Sciences by census sampling in 2016. After giving their informed consent, the students completed the questionnaire designed by McCrink in 3 sections: 1) demographic information, 2) attitude to ethics codes, commitment to ethics of care and neutralization behaviors, and 3) outlook on academic dishonesty. Data were analyzed using descriptive statics, chi-square test and Pearson’s correlation coefficient in SPSS version 21.
The results showed that the students had the most positive attitude to ethics codes and commitment to ethics of care, and the most negative attitude to neutralization behaviors. Less than half of the participants had a negative outlook on academic dishonesty. Moreover, about 40 percent of the students reported academic dishonesty among their classmates. Ethics codes are moral values in academic and clinical settings and should therefore be considered as major components of initial nursing education programs. Additionally, it seems necessary to make efforts in order to change nursing students’ attitude toward academic dishonesty.
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.
Marjan Sadat Arshiha, Khazar Layegh Talari, Fatemeh Noghani, Naser Sedghi Goyaghaj, Taraneh Taghavi Larijani,
Volume 9, Issue 3 (10-2016)
Abstract
Moral intelligence is the ability to utilize principal criteria that can lead to effectiveness of individual reactions. The aim of this study was to determine the relationship between moral intelligence and communication skills among bachelor’s students in nursing at Tehran University of Medical Sciences, Iran, in 2016-2017.
This was a descriptive-correlational study. The study population consisted of all nursing students studying at the School of Nursing and Midwifery of Tehran University of Medical Sciences. Among the study population, 204 subjects were selected through convenience sampling method and based on the inclusion criteria (direct acceptance in the field of nursing, absence of any illness, and willingness to participate). The data collection tools consisted of a demographic characteristic questionnaire, the Moral Intelligence Scale (Lennick & Kiel), and the Communication Skills Inventory (Jerabek). The validity and reliability of both instruments had been approved in similar studies in the country using Cronbach's alpha coefficient (α = 0.88 and α = 0.71, respectively). The reliability of the two questionnaires was calculated in the current research using Cronbach's alpha (α = 0.85 and α = 0.81, respectively). Data were analyzed using descriptive (average and standard deviation) and inferential statistics (t-test, Pearson correlation coefficient, and ANOVA test) in SPSS software. The mean moral intelligence score was 71.98±7.12 and ranged from 20 to 100 and mean communication skills score was 114.9±9.67 and ranged from 34 to 170. Pearson correlation coefficient revealed a significant and positive relation between moral intelligence and communication skills of nursing students (r=0.54, P ≤ 0.001). Thus, the communication skills of students can be improved by strengthening their moral intelligence. Therefore, it is suggested that the grounds for the strengthening of moral intelligence among nursing students be provided.
Mansoureh Ashghali Farahani, Tahmine Salehi, Zahra Arab Ameri, Fatemeh Hajibabaee, Agha Fatemeh Hosseini, Fatemeh Ghaffari,
Volume 9, Issue 4 (10-2016)
Abstract
Empathy is a necessary condition for an effective nursing care. An empathetic relationship between nurse and patients leads to positive treatment outcomes and moral sensitivity among students in clinical and educational environments. This study was conducted in 2014 to determine the level of empathy among nursing students and its relationship with their demographic data. A cross-sectional study (Descriptive analysis) was undertaken using paper-based versions of the Jefferson Scale of nursing Empathy. By using stratified random sampling, 320 undergraduate students from the first to forth-year of their program in Tehran University of Medical Sciences were selected.
The result shows that participants reported good empathy levels, and the average of empathy score was 103 ±11. Empathy scores increased with increasing academic year. There was a significant relationship between sex and empathy. Students who did not passed the effective communication course scored higher than their counterparts. Empathy score increased with age, and older students recorded higher scores than their younger colleagues. Single and employed students recorded higher empathy scores than married and unemployed students.
There were no significant differences between the place of living (dormitory versus personal house), Interest in nursing education as well as their marks.
Regarding the relationship between empathy with students’ academic years, the finding offers insights into the importance of incorporating and promoting empathy in nursing curricula from the first year of training.
In addition, it is necessary to pay more attention to teaching empathy to male students.
Somayeh Mohammady, Fariba Borhani, Mostafa Roshanzadeh,
Volume 9, Issue 5 (1-2017)
Abstract
Nursing is an ethical profession and nurses are responsible for patient care. In providing healthcare services, patient right is an important issue to consider. However, not only the awareness the patient right is important but also moral sensitivity to ethical decision-making is crucial. This study aimed to determine the relationship between moral sensibility and attitude towards patients' rights. A descriptive-analytic study was used and 194 nurses working in intensive care units in hospitals affiliated to medical university of South Khorasan province were selected by convenience sampling method. The data collected through a questionnaire consisting of three parts: 1) demographics 2) the moral sensitivity questionnaire (Korean version), and 3) a questionnaire survey of nurses' attitudes towards the patients’ rights. Data collected by the software SPSS version 16, and were analyzed descriptive and analytical statistical tests.
The results showed that there is a significant direct relationship between average moral sensibility and nurses' attitudes towards patients’ rights (r= 0.6, P=0.03). The average nurse's ethical sensitivity has been reported 3.05±0.68 0f the total score (0-4). The average attitude towards the patients’ rights was 4 ± 0.8 of the total score (1-5). The relationship between moral sensitivity whit the years of service and age of the participants was significant (P<0.05). There was also a significant relationship between the attitudes of nurses towards patients' rights with gender and years of service (P<0.05). In conclusion it is necessary to provide more moral education to increase nurse’s moral sensitivity towards patients’ rights. It should be noted that due to the fact that moral sensitivity and attitude towards patients' rights increases with the number of years of service the article suggests that considering more experienced nurses in the teams would result a more morally sensitive care for the patients.
Azam Mahmoodi, Lotfali Khani, Mozaffar Ghaffari,
Volume 9, Issue 5 (1-2017)
Abstract
The cultural competence, responsibility and ethical beliefs are influential factors in providing quality services by nurses and pay an important role in patient's right. The purpose of this research was to illustarte a predictive model of patient's right based on cultural competence, responsibility and ethical beliefs. The research method was correlational study conducted in 2016 among 300 nurses in west Azerbaijan in 2016, selected by multistage cluster sampling. For gathering the data, the Perng and Watson’s nurses’ cultural competence questionnaire, and the Mergler and Shield responsibility questionnaire as well as the Mahmoudi and et al questionnaire on ethical beliefs and Scale rights of patients were used. The data were analyzed by using Pearson correlational coefficient and bootstrap through SPSS software and amos-22. The results indicated that the model was fitted and has direct effect in cultural competence (0.11), responsibility (0.57) and ethical beliefs (0.24) on nurse’s attitude with the rights of patients were significant. The indirect effects of cultural competence (0.03) and responsibility (0/03) with mediating of forming the model of ethical beliefs were significant. In conclusion, %65 of the variance in nurses’ attitudes to the patients' rights was determined by the variables of this research model. Due to the direct and indirect effects of cultural competence, responsibility and ethical beliefs on the attitudes of nurses towards patients' rights, it is important to increase cultural competence relationship and responsibility with nurses’ attitudes towards patient’s rights by focusing on ethical beliefs.
Shahrzad Ghiyasvandian, Afagh Sedighiyani, Anooshirvan Kazemnejad, Iraj Iranshahi,
Volume 9, Issue 6 (3-2017)
Abstract
One of the major challenges in healthcare system is to train staff with strong commitment to the organizational mission. The key variables that have a significant impact on the performance of the organization is communication satisfaction. In fact, organizational communication has influential affect on different aspects of the organization including, professional commitment. This study was conducted to determine the relationship between communication satisfaction and organizational commitment among nurses.
In a descriptive-correlation study, 300 nursing staff in hospitals from Tehran University of Medical Sciences were selected through random cluster sampling in 2015. Data were collected by organizational communication “Downs and Hazen” and organizational commitment of “Allen and Meyer” questionnaires. Data were analyzed using chi square test and SPSS 16 software.
In Result, 7.2% of nurses were satisfied with their organizational communication and 1.7% of nurses had organizational commitment. There was a significant correlation between organizational communication satisfaction and organizational commitment (p<0.001). The mean and standard deviation of organizational communication Satisfaction (91.396 ±2.39) and for Organizational Commitment respectively (47.488±9.33) was. also there was a significant correlation between organizational commitment and age, education and shift, but it was not correlated with sex, marriage status and organizational post. Likewise, communication satisfaction had significant correlation with job position and job experience, but hadn’t significant correlation with other demographic variables. Also, the regression model showed that with one point increase of organizational communication satisfaction are added. /189 to the score of organizational commitment.
In conclusion, considering the existence of significant positive relationship and also linear regression result, satisfaction of organizational communication is as predictive variable for organizational commitment. Therefore it seems that the optimization of organizational communication managers and officials could increase the commitment of nurses in hospitals and to increase their effectiveness.
Shamsa Ahmadian, Jamileh Mokhtari,
Volume 9, Issue 6 (3-2017)
Abstract
Nursing role development was created to response to the challenge of balancing supply and demand in healthcare system. The aim of this study is to examine the evolution in nursing role development and subsequent experience in dealing with the challenges in the world. In this study, electronic resources were searched till to 2015 by English keywords contain 'Role development' and 'Nursing role' in combination and individually. Data were extracted from articles that were more relevant. This study found two approaches regarding nursing role development. First, the role extension that relates to progressing in the field of medicine and the traditional functions of physicians, and the role expansion that implies any enlargement of the nurse's role within the boundaries of nursing education, theory and practice. In many countries that seek to expansion/extension of the nurses’ role. However, despite the shortage that exist in nursing and also because of the increased workload of nurses, caused employment of workers with lower skills and in result multiple significantly challenges have been experienced. In our country, nursing role development has not considerable progress. The current situation does not provide enough infrastructures such as the licensing professional qualification and data-based decision-making from monitoring the effect of changes on the quality of care. Therefore, decision-making about the implementation of any changes in the nursing profession and its role development, must be accomplished very prudential with regard to all aspects of the professional Ethics.
Masomeh Khajeahmadi, Faezeh Jahanpour,
Volume 10, Issue 0 (3-2017)
Abstract
Maintaining the privacy is one of the most fundamental rights of the patients, based on the need for respect to human dignity. Considering that today's students are tomorrow's nurses who are directly involved with patients during and after their education, it is necessary to review their performance regarding the privacy of patients. Therefore, the present study aimed to investigate the privacy practices of patients among trainees and interns of the Faculty of Nursing and Midwifery of Bushehr University of Medical Sciences. This was a descriptive analytical and cross-sectional study. A total of 283 nursing and midwifery students of Bushehr University of Medical Sciences who had the necessary features to enter this study were selected by consensus method. The data collection tool was privacy questionnaire made by Heidari (2000), which validity and its reliability was confirmed. Data analysis was performed using SPSS software version 23 as well as statistical tests (T-test and ANOVA). The results of this study showed that the average score of patient's privacy was 09.24 ± 11.97. Also, students' performance in the area of personal, human, and in general the patient privacy was approximately good, and there was a significant difference between the average performance of trainees and interns in the domain of human (p-value = 0.002) and, in general, the privacy the patient (p-value = 0.018). There was a significant difference between the demographic factors of the educational level, ethnicity and occupation of students with practice of patient's personal privacy. Since the students' performance regarding the privacy of the patients was good, the administrators and clinicians should plan and take the necessary measures to maintain the present situation.
Hossein Mahmoodian, Haseli Sara,
Volume 11, Issue 0 (3-2018)
Abstract
Ethical approach is one of the most important features of medical staffs expected to be used. One of the most important diseases that have been allocated to high moral challenges is HIV/AIDS. Nurses should provide standard care to these patients in their professional careers. In this descriptive study, 136 nurses working in the internal and surgical wards of one of the hospitals in Shiraz were selected through a cross-sectional questionnaire in 2015.Frequency of compliance with ethical values of nurses toward HIV/AIDS patients within various aspects showed that in total 40.4% of nurses in the observance of moral values has unsatisfactory performance, 33.1% relatively good performance and 26.5% has optimal performance. (P-value: 0.018)The mean score of different dimensions to separate parts of questionnaire showed no significant difference in dealing with AIDS patients among nurses according to different ages, sex and working years. The mean score of the separation of education in the respect of client/patient and keep his human dignity significantly differ between Diploma, B.S and M.S. Findings showed poor compliance with ethical code among nurses toward HIV/AIDS patients. Due to importance of ethical approach towards patients especially this vulnerable group of patients, regular educational program in relation to AIDS patients, in order to improve the quality of services, is recommended.
