Borhani Fariba, Abbaszadeh Abbas, Bahrampour Abbas, Ameri Golnaz Forough, Aryaeenezhad Azita
Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Professor of Biostatistics, Department of Epidemiology and Biostatistics, School of Public Health, Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
J Educ Health Promot. 2021 Mar 31;10:88. doi: 10.4103/jehp.jehp_875_20. eCollection 2021.
Ethical decision-making and behavior of nurses are major factors, which can effect on the quality of nursing care. It seems that there is a correlation between demographic variables and ethical decision-making and moral behaviors of nurses. Promoting patients' health is one of the issues related to nurses' ethical behaviors. The aim of this study was to determine the role of judgment in promoting nurses' decisions and ethical behavior.
This was a descriptive, cross-sectional study in which 260 nurses were selected based on the inclusion criteria. Sampling method was available. The data collection tool was the Hospital Ethics Committee Survey Questionnaire. Data were analyzed by SPSS software version 20.
In this study, judgments and ethical behaviors of nurses were evaluated at the moderate and good level. Gender, marriage status, education level, and nursing position were effective in judgments and ethical behavior of nurses. Age, job experience, and participation in the ethics workshop had no significant effect on ethical behavior and moral judgment. The mean score of moral belief of nurses participating in this study was 181.56 ± 17.60, and their mean moral practice in the real environment was 168.5 ± 17.77.
The judgment competencies in ethical situation of nurses should be promoted to a higher level. It seems that more advanced educational methods are needed to achieve this goal. The findings from this study show the necessity of nurses' ability to improve their behavior and moral judgment. It also shows that nurses need more reinforcement based on the demographic variables.
护士的道德决策和行为是影响护理质量的主要因素。护士的人口统计学变量与道德决策和道德行为之间似乎存在关联。促进患者健康是与护士道德行为相关的问题之一。本研究的目的是确定判断力在促进护士决策和道德行为中的作用。
这是一项描述性横断面研究，根据纳入标准选取了260名护士。采用便利抽样法。数据收集工具是医院伦理委员会调查问卷。数据用SPSS 20软件进行分析。
在本研究中，护士的判断力和道德行为评估为中等和良好水平。性别、婚姻状况、教育程度和护理职位对护士的判断力和道德行为有影响。年龄、工作经验和参加伦理研讨会对道德行为和道德判断无显著影响。参与本研究的护士道德信念平均得分为181.56±17.60，其在实际环境中的平均道德实践得分为168.5±17.77。
应将护士在伦理情境中的判断能力提升到更高水平。似乎需要更先进的教育方法来实现这一目标。本研究结果表明护士有必要提高其行为和道德判断能力。研究还表明，护士需要根据人口统计学变量得到更多强化。
