Mohammad Zirak, Sima Moghaddsiyan, Farahnaz Abdollahzadeh, Azad Rahmani,
Volume 4, Issue 4 (7-2011)
Abstract
Nurses are confronted with numerous situations calling for moral decision-making in their workplace every day. Nursing students should therefore attain a satisfactory level of moral development during their university years. The present study was conducted to determine nursing students’ level of moral development, as there seems to be a shortage of similar studies throughout the country.
This descriptive, correlational research was performed in 2010 study samples were 115 junior and senior students of the Department of Nursing and Midwifery of Tabriz University of Medical University who were selected by census. These students’ level of moral development was evaluated through the Nursing Dilemma Test (NDT), which has been created based on Kohlberg’s theory of ethical development. NDT assesses nurses’ moral development in three levels: pre-conventional, conventional and post-conventional, and evaluates their observance of clinical considerations at the same time. A number of the participants’ sociodemographic characteristics were also collected through a questionnaire. Data analysis was performed using SPSS statistical software, and descriptive and inferential statistics.
According to the findings of this study, 13 students (11.3%) were in the pre-conventional, 33 (28.7%) in the conventional, and 55 (47.8%) in the post-conventional level, and 14 (12.1%) took clinical considerations into account more than others. There seemed to be no meaningful statistical relationship between the students’ moral development and their age (P = 0.49), sex (P = 0.21), marital status (P = 0.79), place of education (P = 0.32), and year of education (P = 0.92).
These results showed that although approximately half of the students under study were in the post-conventional level, which is an acceptable level of moral development, a great percentage were still in the lower levels. This means that those in administrative positions in nursing departments need to pay more attention to the moral education of nursing students.
Samira Rezaei, Mehrnoosh Pazargadi, Mohammad Mehdi Salaree,
Volume 13, Issue 0 (3-2020)
Abstract
The health system needs nursing managers with moral reasoning ability to increase the quality of care in the system by adopting an effective leadership style. The aim of this study was to investigate the relationship between moral reasoning ability and leadership style of nursing managers of medical centers affiliated to Jiroft University of Medical Sciences. The present study was a descriptive- correlation cross-sectional study that was conducted in 2020. The population of study was all employed nursing managers, among whom 124 participants with a bachelor's degree in nursing and higher were included in the study by census sampling method. Data collection tools were demographic questionnaires, “Cherisham moral reasoning” and “Hershey and Blanchard leadership style”. Descriptive and inferential statistics and SPSS software version 19 were used to analyze the data. The results of the study showed that the mean score of moral reasoning of nursing managers is (48.10 ±7.04) which is higher than the mean score of the test. Also, the dominant leadership style of managers was selling leadership style 59.68%. The highest average of ethical reasoning of nursing managers was related to participating leadership style (48.44±7.35). There was no significant relationship between moral reasoning ability and leadership style of nursing managers (P >0.05). According to the results of the study, it is recommended to strengthen nursing managers 'efforts to strengthen transformational leadership styles in their managerial behaviors in order to improve leadership effectiveness and increase nurses' job satisfaction and observe ethical decision making.
Simin Kokabi Asl, Sareh Zekavat, Somayeh Rostamkhan, Abolfazl Dehbanizadeh, Mahsa Ghaemizadeh, Milad Amiri,
Volume 17, Issue 1 (3-2024)
Abstract
The intensive care unit (ICU) is a challenging and stressful environment where nurses encounter difficult ethical decisions daily. Therefore, this study aimed to determine the correlation between moral reasoning and clinical belongingness among Iranian ICU nurses. This cross-sectional, descriptive-analytical study was conducted on 126 nurses working in the adult ICUs of hospitals in Yasuj, Iran in 2023 using census sampling. Questionnaires measuring clinical belongingness and moral reasoning were used to collect data. Data were analyzed using independent samples t-test, ANOVA, regression, and Pearson’s correlation coefficient via SPSS-26 software. The findings revealed that the mean scores for clinical belongingness and moral reasoning among the nurses were 109.68 ± 13.75 and 36.07± 5.50, respectively, indicating good clinical belongingness and moderate moral reasoning. Moreover, a statistically significant relationship was identified between the place of service and clinical belongingness (p = 0.02), while no significant relationship was found between clinical belongingness and moral reasoning (p>0.05). Although no significant relationship was established between clinical belongingness and moral reasoning, certain demographic characteristics showed a significant predictive relationship with nurses' clinical belongingness. Accordingly, it is recommended that nursing officials and managers utilize these findings to improve moral reasoning and the sense of belonging to the clinical environment among nurses.
