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从临床护士角度看伊朗一所医科大学附属医院中职业价值观的重要性。

The importance of professional values from clinical nurses' perspective in hospitals of a medical university in Iran.

作者信息

Poorchangizi Batool, Farokhzadian Jamileh, Abbaszadeh Abbas, Mirzaee Moghaddameh, Borhani Fariba

机构信息

Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.

Department of Community Health Nursing, School of Nursing and Midwifery, Nursing Research Center, Kerman University of Medical Sciences, PO Box: 7716913555, Haft-bagh Highway, Kerman, Iran.

出版信息

BMC Med Ethics. 2017 Mar 1;18(1):20. doi: 10.1186/s12910-017-0178-9.

Abstract

BACKGROUND

Today, nurses are required to have knowledge and awareness concerning professional values as standards to provide safe and high-quality ethical care. Nurses' perspective on professional values affects decision-making and patient care. Therefore, the present study aimed to investigate the importance of professional values from clinical nurses' perspective.

METHODS

The present cross-sectional study was conducted in 2016 in four educational hospitals of Kerman University of Medical Sciences, Iran. Data were collected via the Persian version of Nursing Professional Values Scale-Revised (NPVS-R) by Weis and Schank. Sampling was conducted through the use of stratified random sampling method and 250 clinical nurses participated in the study.

RESULTS

Results indicated that the total score of the nurses' professional values was high. (102.57 ± 11.94). From nurses' perspective items such as "Maintaining confidentiality of patients" and "Safeguarding patients' right to privacy" had more importance; however, "Recognizing role of professional nursing associations in shaping healthcare policy" and "Participating in nursing research and/or implementing research findings appropriate to practice had less importance. A statistically significant relationship was observed between NPVS-R mean scores and nurses' age, work experience as well as participation in professional ethical training (P < 0.05).

CONCLUSIONS

Although the total score related to the clinical nurses' perspective on professional values was high, the importance of certain values was at a lower level. Owing to the emerging ethical challenges, it is indispensable to design educational programs in order to improve nurses' awareness and understanding of the comprehensive importance of professional values. Furthermore, it is recommended that mixed methods studies should be conducted in order to design an instrument to evaluate the use of values in nursing practice.

摘要

背景

如今,要求护士具备有关专业价值观的知识和意识,以此作为提供安全且高质量道德护理的标准。护士对专业价值观的看法会影响决策和患者护理。因此,本研究旨在从临床护士的角度调查专业价值观的重要性。

方法

本横断面研究于2016年在伊朗克尔曼医科大学的四所教学医院进行。通过韦斯和尚克修订的《护理专业价值观量表》(NPVS-R)的波斯语版本收集数据。采用分层随机抽样方法进行抽样,250名临床护士参与了研究。

结果

结果表明,护士专业价值观的总分较高(102.57±11.94)。从护士的角度来看,诸如“对患者保密”和“保护患者隐私权”等项目更为重要;然而,“认识专业护理协会在塑造医疗政策中的作用”以及“参与护理研究和/或实施适合实践的研究结果”的重要性较低。观察到NPVS-R平均得分与护士年龄、工作经验以及参与专业伦理培训之间存在统计学上的显著关系(P<0.05)。

结论

尽管临床护士对专业价值观的看法相关的总分较高,但某些价值观的重要性处于较低水平。由于新出现的伦理挑战,设计教育项目以提高护士对专业价值观全面重要性的认识和理解是必不可少的。此外,建议开展混合方法研究,以设计一种工具来评估价值观在护理实践中的应用。

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