Showing 27 results for Nursing Ethics
Ahmad Izadi, Hlham Imani, Zahra Khademi, Fariba Fariasadi Noughabi, Nina Hajizadeh, Fatemeh Naghizadeh ,
Volume 6, Issue 2 (5-2013)
Abstract
Nurses encounter challenging ethical issues in practice that can make decision making tough for them. The purpose of this study was to determine the moral sensitivity of critical care nurses in clinical decision making and its correlation with their caring behavior in teaching hospitals of Bandar Abbas in 2012.This research is a descriptive analytic study with intensive care unit nurses as its participants. A demographic and background questionnaire, a standard questionnaire of the nurses’ moral sensitivity, and a caring behavior questionnaire were used to collect information. Data were analyzed using SPSS16 software, descriptive statistics, Mann-Whitney U test, Kruskal-Wallis, and Spearman’s correlation.The mean score of the nurses’ moral sensitivity was 70.15 ± 6.90 (maximum score was 96 and minimum score was 49) that was moderate in 85.6% of the nurses. The mean score of the nurses’ caring behavior was 108.90 ± 10.62 (maximum score was 120 and minimum score was 69). There was no significant correlation between moral sensitivity and caring behavior scores, but both scores were significantly associated with the place where the nurses were working. The dimension of respect for patient autonomy had a significant relationship with participation in medical ethics seminars or workshops.The moral sensitivity of the nurses in this study was moderate and did not have a significant correlation with caring behavior scores. In view of the fact that nurses deal with serious situations in patient care that call for adequate ethical abilities for decision-making as well as good performance, it is necessary for them to be familiar with and sensitive to ethical issues related to their profession.
Leila Afshar, Soodabeh Joolaee, Khorshid Vaskouei, Alireza Bagheri,
Volume 6, Issue 3 (8-2013)
Abstract
Organizational justice is of great importance particularly for hospital personnel, and job stress has the potential to put their health at risk. The purpose of this study was to determine the relationship between organizational justice and job stress among the personnel of a hospital in Isfahan.
In this correlation study, the samples consisted of 150 personnel that were working in a governmental hospital in Isfahan. Samples were selected through convenience sampling in 2012. Data were gathered by personal data questionnaire, Niehoff organizational justice questionnaire and job stress questionnaire. Data were analyzed by descriptive and analytical statistics.
Results showed that job stress among hospital personnel varied from 48.6% (moderate) to 39.4% (mild) and 12% (severe). Moreover, findings showed there was a relationship between organizational justice in the domain of interactional justice and job stress among hospital personnel (r = - 0.18, P = 0.03).
According to the findings, it is essential to pay attention to the concept of organizational justice in hospitals in order to decrease job stress among the personnel.
Hossein Ebrahimi, Abdolhassan Kazemi, Mohammad Asghari Jafarabadi, Arezo Azarm,
Volume 6, Issue 4 (10-2013)
Abstract
One of the most important issues in nursing ethics is moral distress, which is a severe psychological problem among nurses. The purpose of this study was to determine the nurses’ moral distress in the hospitals of the northwest of Iran.This was a cross-sectional study in which 418 nurses were selected by randomized multistep sampling method in the northwest of Iran in 2012. Data collection was done using the moral distress standard scale with high reliability and validity. In order to analyze data, descriptive (mean, standard deviation, frequency and percent) and inferential statistics (independent t-test and one way ANOVA) were used.The mean score of nurses’ moral distress was 148.49 ± 32.93, and 222 nurses (53%) suffered from severe moral distress. Of the three provinces under study, Zanjan (152.46 ± 35.88) and intensive care units (152.72 ± 33.36) had the highest moral distress scores. Among the respondents’ demographic characteristics, province (P < 0.01), education (P < 0.05), type of shift (P < 0.05) and job status (P < 0.05) were significantly related to the level of moral distress experienced by the nurses.Due to the high level of moral distress in the nursing profession, dealing with it requires a lot of attention. Studies on casual and predictive factors in different wards and teaching coping strategies to nurses appear to be necessary in order to address this issue.
Somayeh Mohammadi, Nozar Nakhaei, Fariba Borhani, Mostafa Roshanzadeh,
Volume 6, Issue 5 (12-2013)
Abstract
Moral intelligence is one of the dimensions of intelligence that can provide a framework for the proper function of man, and be used as a predictor for people’s conduct. Nurses’ performance is of great importance because of the moral and human nature of their profession, and their adherence to ethical principles improves the nursing care quality as well as organizational performance. Therefore, the present study aimed to assess moral intelligence in nurses.This cross-sectional study was conducted on 400 nurses from teaching hospitals in South Khorasan. Participants were selected through census method. Data were collected by Lennik & Kiel’s moral intelligence questionnaire, and data analysis was performed using SPSS 16 software and descriptive and analytical statistics tests. The results suggest that the nurses’ moral intelligence score was 4.35 ± 0.56 (range: 1-5). There was a direct and meaningful relationship between moral intelligence and age and years of practice (P < 0.05).Optimal levels of moral intelligence suggest the importance that nurses attribute to moral values, and can also be an indirect manifestation of their moral conduct in healthcare environments.
Madineh Jasemi, Leila Valizadeh, Vahid Zamanzadeh, Fariba Taleghani,
Volume 6, Issue 6 (2-2014)
Abstract
Holistic care is a comprehensive approach for achieving optimal level of care for patients. Identifying the motivational factors can increase quality of nursing care and improve the healing process. Investigation of nurses’ experiences will provide real and meaningful results in this field. In this study we aimed to explore nurses' experiences regarding holistic care.This qualitative study was conducted on 18 nurses from Uremia, Tabriz, Ardebil and Tehran teaching hospitals of Iran. The data were obtained by interviews with nurses. These interviews were transcribed and analyzed by the conventional content analysis method and using MAXQDA software.Personal characters and experience of hospitalization were identified as motivational and promotional factors in providing holistic care.Considering the role of personal characters and experience of hospitalization in holistic care, paying more attention to nurses’ characteristics and upgrading their communication skills and knowledge are necessary for development of holistic care and are highly recommended.
Mehdi Golafrooz, Hajar Sadeghi, Fatemeh Ghaedi, Yaser Tabarraei, Fariba Keighobadi, Farzaneh Keighobadi,
Volume 7, Issue 1 (5-2014)
Abstract
Although errors in health services are harmful and the consequences might be irreversible in some situations, none of the health care providers are free of errors. Since health provision is the main goal of the nursing care, it is important to report professional errors in order to reach this goal. However, there are many obstacles in reporting nursing errors that should be identified and solved. The present study tried to evaluate the nurses’ point of view about managerial and moral obstacles in expressing nursing errors.Two hundred and one nurses of the educational hospitals of Sabzevar University of Medical Sciences were enrolled in this descriptive analytic study. The students were selected by convenience sampling method and the study data was collected using a questionnaire that consisted of a demographic part and a researcher made part with 13 and 27 questions related to managerial and moral obstacles respectively. Content validity index and reliability were measured by internal consistency (α = 80) and test-retest (r = 0.84). Data analysis was done by SPSS 18 software.The results of this study showed that the main reported managerial obstacle in reporting nursing errors was endangerment of academic position (43.3%), and the main moral obstacle was losing physicians' support (55.2%). Thus this problem might be solved by designing appropriate plans from both managerial and moral points of view.
Somayeh Mohammadi, Fariba Borhani, Leili Roshanzadeh, Mostafa Roshanzadeh,
Volume 7, Issue 2 (7-2014)
Abstract
Moral distress is one of the ethical challenges that nurses face due to the nature of their career. Nurses' frequent confrontation with this phenomenon can have different outcomes such as frustration and boredom in providing patient care. This will lead directly to a decline in care quality and can hamper the accomplishment of health goals. Therefore, the present study examined the relationship between moral distress and compassion fatigue in nurses.This cross-sectional study was conducted on 260 nurses of intensive care units in Kerman who were selected through convenience sampling method. In this study, Corley’s moral distress scale and Figley’s Compassion Fatigue Scale were used for data collection. The collected data were analyzed using the SPSS software and descriptive and analytical statistics.The results of this study indicate that there is a significantly positive relationship between moral distress and compassion fatigue (P<0.05). From a total range of 0 to 5, the average score of moral distress was 3.5±0.8 in terms of intensity, and 3.9±0.55 in terms of frequency. The mean of compassion fatigue score was 3.5±0.68 from a range of 0 to 5.Moral distress and its association with compassion fatigue suggest that conditions contributing to moral distress can have an important role in the quality of care. It is clear that strategies should be adopted to prevent the occurrence of these conditions. Informing nurses about moral distress and its consequences as well as periodic consultations will play an important part in the identification and management of moral distress and its consequences.
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.
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.
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.
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.
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.
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.
Talieh Khalifi, Naimeh Seyedfatemi, Marjan Mardani - Hamooleh, Hamid Haghani,
Volume 11, Issue 0 (3-2018)
Abstract
Spiritual health (SH) is a supernatural force and endeavor to achieve perfection and peace of mind in life.When it is endangered, a person experiences loss of meaning in life. In nursing, caring services and SH are related to each other. It is necessary to promote the SH of nurses so that patients will receive better care. The study aim was the effect of spiritual education on SH of nursing students. In this quasi-experimental study, 76 of undergraduate nursing students were selected using random simple sampling method and divided into experimental group (EG) and control group (CG) (n= 38) with random allocation method. Educational intervention was done for the EG for a period of 4 weeks, a 60-minute session per week, but no intervention was performed for the CG. Four weeks after the intervention, the post-test was taken in 2 groups. Data were collected using the SH scale by Paloutzian and Ellison. Independent t-test didn’t indicate any difference before the intervention in the mean score of SH in 2 groups (t=-0.49, p=0.62), while in the post-test, the independent t-test indicated the mean score of SH was higher in the EG than in the CG (t=-2.14, p<0.03). After the intervention, there was a significant increase in the SH (t=-4.39, p<0.001) in the EG. The paired t-test indicated no difference in the SH in the CG compared to the pre and post-test (t=-0.25, p<0.79). Spritual education influenced SH of nursing students. It is recommended that spiritual education be considered as one of the strategies for promoting SH in students.
Marjan Mardani - Hamooleh, Masoomeh Ahmadi, Naimeh Seyedfatemi, Hamid Haghani,
Volume 11, Issue 0 (3-2018)
Abstract
Empathy is considered an essential prerequisite for a nurse to effectively care for a patient. Also, spirituality is an important component in nurse-patient relationships. The aim of this study was to determine the relationship between empathy and spiritual attitude among nursing students. In this descriptive and correlation study, the samples consisted of 272 nursing students that were studying in 3 Medical Sciences Universities in Tehran, 2017. Samples were selected through convenience sampling method. Data were collected by demographics’ data form, validated and reliable scales of empathy and spiritual attitude. Data were analyzed by descriptive and analytical (Pearson Coefficient, Independent T test, and ANOVA) statistics. The students had a mean empathy score of 106.982 ± 14.65 that this was more than median scores of scale (60). Furthermore, they had a spiritual attitude score of 115.79 ± 15.8 that this was more than median scores of scale (86). Findings indicated that a significant relationship between empathy and spiritual attitude among nursing students (r=.265, p=.0001). Gender, educational level, interest in nursing, work status, and the average score of the previous term had significant relationships with empathy (P < 0.05). Interest in nursing and work status had significant relationships with spiritual attitude (P < 0.05).Research findings support the hypothesis of association between empathy and spiritual attitude. Since empathy has a significant relationship with spiritual attitude, it seems that nursing students’ empathy will increase by promoting their spiritual attitude.
Mehri Seyedjavadi, Raheleh Mohammadi, Arezo Mirzayee, Maryam Mirzayee,
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.
Fatemeh Jafarinahlashkanani, Zainab Eydivandi, Marzieh Shafiei, Elham Maraghi, Mehrnaz Moradi Kalboland,
Volume 13, Issue 0 (3-2020)
Abstract
The observance of professional ethics standards’ is inherent nature of nursing profession. Observance of ethical standards by them will be an effective factor in improving performance of patient care and affecting the quality of health care. This study was conducted to determine the facilitating and Inhibitory factors of professional ethics from the perspective of nurses. This cross-sectional descriptive study with the participation of 367 nurses in Masjed-e-Soliman hospitals was performed in 2019. The data collection tool was a questionnaire of facilitating factors in the three dimensions of management, individual, and patients and inhibitory factors in three dimensions of management, environmental, and individual care; design, validity, and reliability of the questionnaire was reported by Dehghani. Data analysis was analyzed using SPSS version 22 and statistical tests. From the nurses' point of view, facilitating factors to follow ethics were: sufficient personnel in proportion to the number of patients (64.6%) in the managerial dimension, proper interpersonal relationship between colleagues and other treatment teams (60.3%) in the individual dimension;. appropriate treatment of patients with nursing staff (59.1%) in the patient dimension. The most important inhibitory factors were: lack of attention to the ability and skills of personnel during the division of labor (71.2%) in the managerial dimension; crowded and busy wards in environmental dimension (69.6%); shortage of time in the individual and care dimension (66.4%). In this research, most important facilitating and inhibitory factors for following professional ethics standards in nurses was evaluated. Due to the necessity of observing the standards of professional ethics in nursing performance, the managers of health care organizations can observe the current situation by conducting periodic studies in the field of professional ethics from the perspective of nurses and patients.
Mahrokh Keshvari, Negar Farajzadeh, Mohsen Shahriari, Mohammad Azadmanesh, Aliasghar Jamalinasab,
Volume 17, Issue 0 (12-2024)
Abstract
Nursing and midwifery professors play a crucial role in transmitting societal norms, providing cultural experiences, shaping students' behavior, beliefs, and attitudes, and cultivating moral virtues. As significant influencers on students' moral development during their academic journey, careful attention to this aspect is essential. This study aimed to elucidate the ethical challenges encountered by faculty members within the Faculty of Nursing and Midwifery. This qualitative study employed content analysis. Purposive sampling was utilized to select 23 faculty members from the Faculty of Nursing and Midwifery at Isfahan University of Medical Sciences, with data collection spanning eight months. Data were collected through semi-structured interviews and analyzed using conventional qualitative content analysis. Continuous and comparative data analysis revealed three primary categories of ethical challenges perceived by faculty members: discrimination and injustice, low professional commitment, and unprofessional behavior.
· Discrimination and injustice: This category encompassed three subcategories: disparities in rule implementation across faculties and groups, unfair financial compensation, and inequitable distribution of academic units and points.
· Low professional commitment: This category included two subcategories: educational underselling and non-adherence to established rules by faculty members.
· Unprofessional behavior: This category comprised two subcategories: unhealthy competition among faculty members and inappropriate student evaluations.
The experiences of faculty members in this study highlighted the presence of numerous challenges, with ethical issues significantly impacting their performance and motivation. The identified ethical challenges primarily revolved around discrimination and injustice, low professional commitment, and unprofessional behavior. Given the pivotal role of faculty members in teaching ethical principles and actively addressing ethical challenges, it is imperative for administrators and officials to acknowledge these concerns and implement strategies to mitigate these issues.
Nayereh Baghcheghi, Zahra Maddah,
Volume 17, Issue 0 (12-2024)
Abstract
With the increasing elderly population and the growing demand for home healthcare and end-of-life care services, nurses are facing expanded duties and responsibilities. This intensification of responsibilities can expose them to significant ethical challenges. This study aimed to investigate the ethical issues nurses encounter in providing end-of-life care at home for elderly patients. This review study involved a comprehensive search of databases including PubMed (Medline), Google Scholar, ISI Scopus, ProQuest, Science Direct, SID, IranDoc, IranMedex, and Magiran. The keywords used were: nursing ethics, ethical challenges, end-of-life care, and home care, along with their Persian equivalents. The search covered literature published between 2000 and 2024. The review identified several prominent ethical challenges faced by nurses in home-based end-of-life care, including: lack of attention to patients’ rights and independence, disrespect for the dignity of elderly patients, inadequate empathetic care, poor communication, and unsafe home environments for nurses. These challenges may lead to moral distress, as well as psychological and emotional consequences for both the care providers and the elderly patients. Given the serious ethical challenges nurses face in end-of-life home care for the elderly, it is essential for them to be well-versed in ethical principles relevant to this context. Enhancing awareness and competence in ethical practices can help nurses uphold patient rights, promote autonomy, and provide high-quality, compassionate care through effective communication and support.
