School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
School of Nursing, Midwifery, Social Work and Social Science, University of Salford, Salford, UK.
J Clin Nurs. 2018 Oct;27(19-20):3687-3698. doi: 10.1111/jocn.14374. Epub 2018 Jul 17.
To identify, at different stages of nursing education, the extent to which nursing students appreciate altruism, honesty, religiosity and other, sometimes contrasting, values in practice.
Nursing is informed by values that guide care ethos and activities. Embodiment of these core values has become a matter of concern. Reports outlining deficiencies in health care followed by polemics in nursing journals have called into question whether nursing students are sufficiently motivated by values and educated in their application. This study explores these values among undergraduate nursing students in the Republic of Ireland. Considering the strong religious tradition in health care in Ireland, religiosity was also included.
A link to an online survey was distributed via email to all nursing students in the thirteen Schools of Nursing in the Republic of Ireland.
Quantitative data were collected using an adaptation of the Salford-Scott (Journal of Advanced Nursing, 57(8), 2007, 366) Nursing Values Questionnaire.
Participants (n = 158) reported positively to statements related to honesty and altruism. Both altruism and religiosity received support, but the latter was to a lesser extent. Students considered their professionalism more important than altruism, and honesty varied according to the situation.
This study adds new information by confirming that students exhibit support for two of the most essential values in nursing: altruism and honesty. The adapted Salford-Scott instrument has shown reliability and promise in further empirical study in nursing.
Priority given to professionalism over altruism reflects concerns highlighted in the international literature around overly task-oriented care in which compassion gets lost. Also, when loyalty supersedes honesty, problems with accountability in health care may emerge. Uncertainty around religiosity in health care may reflect limitations in competence in nurses to relate to patients with religions or spirituality other than their own.
在护理教育的不同阶段，确定护理学生在实践中对利他主义、诚实、宗教信仰和其他有时相互矛盾的价值观的理解程度。
护理受到指导护理精神和活动的价值观的影响。这些核心价值观的体现已经成为一个关注的问题。卫生保健领域的缺陷报告以及护理期刊上的争论，都对护理学生是否受到足够的价值观激励以及在价值观的应用方面是否得到教育提出了质疑。本研究探讨了爱尔兰共和国本科护理学生的这些价值观。考虑到爱尔兰卫生保健领域的强烈宗教传统，本研究还纳入了宗教信仰。
通过电子邮件向爱尔兰共和国的 13 所护理学校的所有护理学生发送了一个在线调查链接。
使用改编自 Salford-Scott（《高级护理杂志》，57（8），2007，366）护理价值观问卷的方法收集定量数据。
参与者（n=158）对与诚实和利他主义相关的陈述报告持积极态度。利他主义和宗教信仰都得到了支持，但后者的支持程度较低。学生认为他们的专业精神比利他主义更重要，而诚实则根据情况而有所不同。
本研究通过证实学生对护理中两个最重要的价值观——利他主义和诚实——表示支持，提供了新的信息。改编后的 Salford-Scott 工具在护理领域的进一步实证研究中显示出可靠性和潜力。
对专业精神的重视超过利他主义，反映了国际文献中强调的过于以任务为导向的护理问题，在这种护理中，同情心会消失。此外，当忠诚超过诚实时，医疗保健中的问责问题可能会出现。医疗保健领域对宗教信仰的不确定性可能反映了护士在与自己以外的宗教或精神信仰的患者建立关系方面的能力有限。
