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医疗保健中的伦理道德:加纳 Cape Coast 大都市护士的知识、态度和实践。

Ethics in healthcare: Knowledge, attitude and practices of nurses in the Cape Coast Metropolis of Ghana.

机构信息

Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana.

College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.

出版信息

PLoS One. 2022 Feb 16;17(2):e0263557. doi: 10.1371/journal.pone.0263557. eCollection 2022.

Abstract

BACKGROUND

Nursing is a profession that care for personal and private aspects of people's lives. Therefore, nurses need to know the basic ethical aspects of nursing which is integral in nursing practices. The purpose of the study was to describe the ethical knowledge, attitude and practice of nurses in the Cape Coast Metropolis of Ghana.

METHOD

A cross-section design was used to collect data from 264 nurses in three selected healthcare facilities in the Metropolis. A structured questionnaire was administered to all the categories of these nurses in the selected facilities. Frequency counts and multiple regression statistics were used to analyze the data.

RESULTS

The results show 78% of nurses possess good ethical knowledge, 84% had a positive attitude, while 98% had good ethical practices. The results further show that nurses' professional rank [F (1, 259), 2.35, p = .02] and academic qualification [F (1, 259), 2.67, p = .008] were significant predictors of their ethical knowledge and attitude, respectively.

CONCLUSION

Inadequate resources, poor set up of working areas and understaffing are the major barriers limiting the practice of good ethical standards among the nurses. The Regional Health Directorate, the Ministry of Health and the Managers in charge of the health facilities need to work together to eliminate these barriers as they have the potential to negatively impact quality healthcare delivery in the Metropolis.

摘要

背景

护理是一个关心个人和私人生活方面的职业。因此,护士需要了解护理的基本伦理方面,这是护理实践中不可或缺的。本研究的目的是描述加纳海岸角都会区护士的伦理知识、态度和实践。

方法

采用横断面设计,从大都市的三家选定医疗机构中收集 264 名护士的数据。在选定的医疗机构中,向所有类别的护士发放了一份结构化问卷。使用频数计数和多元回归统计分析数据。

结果

结果显示,78%的护士具有良好的伦理知识,84%的护士具有积极的态度,98%的护士具有良好的伦理实践。结果还表明,护士的职业级别[F(1,259),2.35,p=0.02]和学历[F(1,259),2.67,p=0.008]是其伦理知识和态度的显著预测因素。

结论

资源不足、工作区域设置不佳和人手不足是限制护士实践良好伦理标准的主要障碍。地区卫生署、卫生部和负责卫生设施的管理人员需要共同努力消除这些障碍,因为它们有可能对大都市的医疗质量产生负面影响。

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