Majid Hassanpoor, Mohammadali Hosseini, Massod Fallahi Khoshknab, Abbas Abbaszadeh,
Volume 4, Issue 5 (10-2011)
Abstract
Making decisions for recipients of health care while offering clinical care is an important part of nurses’ responsibilities. In order to ensure patient satisfaction, nurses are obligated to observe ethical standards in the decision-making process. This paper aimed to determine the effect of teaching professional ethical principles on ethical sensitivity in nurses’ decision-making.
In this semi-empirical study, 80 Social Security nurses were selected through purposive sampling and were then randomly placed in two groups of 40 each, the intervention group and the control group. Research tool was the Ethical Sensitivity Scale Questionnaire for decision-making, the validity of which was assessed using content validity, and whose reliability was confirmed with a Cronbach’s alpha coefficient of 0.83 for internal consistency. At first the ethical sensitivity in decision-making was evaluated in both groups, and then an educational workshop on nursing ethics was held for the intervention group every other week the workshop consisted of 4 three-hour sessions, and upon completion of this workshop, both groups filled in the questionnaire once more, and data were analyzed using SPSS software.
There was no significant difference between the average ethical sensitivity in decision-making of the two groups before the intervention after the intervention, however, the difference was meaningful (P = 0.001). Moreover, the average ethical sensitivity in decision-making of the intervention group was significantly different after the intervention (P = 0.001).
Based on the findings of this study, teaching nursing ethical principles has a positive effect on nurses’ ethical sensitivity in decision-making. It is therefore recommended that this educational program be offered to nursing students and health care staff.
Khadijeh Nasiriani, Seyede Elham Fazlojoo, Arefe Dehghani Tafti, Yadollah Mobari,
Volume 13, Issue 0 (3-2020)
Abstract
Moral sensitivity is the first step in making a moral decision and taking a moral judgment. An effort to promote nurses' moral sensitivity, education of ethical concepts, and using appropriate approaches to teaching ethics is still under discussion. Thus, this study was conducted to determine the effect of virtual teaching of ethical principles through narrative method on the ethical sensitivity of critical care nurses. In this quasi-experimental study, 60 critical care nurses were studied in two groups of test and control in 2 hospitals. The experimental group was taught ethical principles through virtual narrative method. Demographic information and Latezen moral sensitivity questionnaire were completed by nurses on three occasions (before, immediately after and two months after virtual education). Data were analyzed by SPSS 20 software. Results showed that the mean and standard deviation of nurses' moral sensitivity were 61.53 ± 9.24 before intervention and (60.60 ± 7.76 for the control group, and the association was not statistically significant (p> 0.05). However, there was a significant difference between the experimental group (77.50 ± 6.05) and the control group (60.83 ± 8.07 in the first post-test. In addition, there was a significant difference between the experimental and control groups (p <0.05) in the second post-test. Repeated measure analysis showed a significant difference between the ethical sensitivity scores in the experimental group, but no significant difference in the control group. According to the findings, the nurses' moral sensitivity was moderate at the beginning of the study, but after the intervention, the test group was at a high level and the control group was still at a moderate level. Thus, it is necessary to motivate nurses for recording and sharing their ethical challenges. Accordingly, they can promote their own ethical performance. Furthermore, their narratives can be used for education of other nurses and students of nursing.
Maasoumeh Mangeli, Zahra Rezahosseini, Hossein Sabzaliani,
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.
