Rafati Foozieh, Bagherian Behnaz, Mangolian Shahrbabaki Parvin, Imani Goghary Zahra
Nursing and midwifery school, Jiroft University of medical sciences, Jiroft, Iran.
2Nursing Research Center, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
BMC Nurs. 2020 May 14;19:39. doi: 10.1186/s12912-020-00434-w. eCollection 2020.
Clinical dishonesty is a complex problem that threatens the health and safety of patients. This study aimed to investigate the relationship between clinical dishonesty and perceived clinical stress in nursing students.
This cross-sectional correlational study was conducted on 395 nursing students from 4 nursing colleges. The data were collected using a demographic information questionnaire, Nursing Students Perception of Clinical Stressors, and a 12-item researcher-made questionnaire to evaluate the frequency of clinical dishonesty in the previous semester, the frequency of witnessing dishonest behavior among peers, and the perceived severity of unethical behavior.
In this study, 89.1% of the students stated that they had committed at least one dishonest clinical behavior in the previous semester. The frequency of clinical dishonesty was significantly correlated with the frequency of observing dishonesty among peers ( = 0.053, <0.01), perceived severity of unethical behavior ( = - 0.4, <0.01), and perceived stress of students in the clinical setting ( = 0.28, <0.01). Moreover, there were significant differences in the frequency of clinical dishonesty by gender ( = 0.006), the interest in the field of study ( = 0.004), and academic year ( = 0.002).
The frequency of clinical dishonesty among nursing students is high and needs attention. Furthermore, considering the positive relationship between dishonesty and perceived clinical stress, it is essential to teach effective strategies to nursing students to empower them to cope with clinical stress.
临床不诚实是一个复杂的问题,威胁着患者的健康和安全。本研究旨在调查护理专业学生临床不诚实行为与感知到的临床压力之间的关系。
本横断面相关性研究对来自4所护理学院的395名护理专业学生进行。数据收集采用人口统计学信息问卷、《护理专业学生对临床压力源的感知》以及一份由研究者编制的包含12个条目的问卷,以评估上一学期临床不诚实行为的发生频率、目睹同伴不诚实行为的频率以及对不道德行为的感知严重程度。
在本研究中,89.1%的学生表示他们在上一学期至少有过一次不诚实的临床行为。临床不诚实行为的发生频率与目睹同伴不诚实行为的频率(r = 0.53,P < 0.01)、对不道德行为的感知严重程度(r = - 0.4,P < 0.01)以及学生在临床环境中的感知压力(r = 0.28,P < 0.01)显著相关。此外,临床不诚实行为的发生频率在性别(P = 0.006)、对学习领域的兴趣(P = 0.004)和学年(P = 0.002)方面存在显著差异。
护理专业学生临床不诚实行为的发生频率较高,需要引起关注。此外,考虑到不诚实行为与感知到的临床压力之间的正相关关系,向护理专业学生传授有效的应对策略以增强他们应对临床压力的能力至关重要。