Department of Nursing, Faculty of Health Sciences, Istanbul Aydin University, Istanbul, Turkey.
Department of Nursing, Faculty of Health Sciences, Izmir Demokrasi University, Izmir, Turkey.
Nurs Forum. 2022 Nov;57(6):1111-1119. doi: 10.1111/nuf.12797. Epub 2022 Sep 8.
Nurses are facing several ethical problems like the safety of the nurses, patients, co-workers, and families, allocation of scarce resources, and the changing nature of the relationships of nurses with patients and families during the COVID-19 pandemic. These have caused nurses to have feelings such as stigmatization, fear, anger, anxiety, uncertainty, work-related strain, and burnout. Identifying nurses' ethical sensitivities and professional values are highly important to ensure that nurses are placed in the right decision-making position. This descriptive correlational study was carried out to evaluate the professional values and ethical sensitivities of nurses during the COVID-19 pandemic.
A quantitative descriptive and correlational study was performed with 245 nurses in Turkey. The "personal information form," the "nurses professional values scale-revised (NPVS-R)," and the "moral sensitivity questionnaire (MSQ)" were employed for data collection.
The nurses' 52.7% reported facing an ethical dilemma. Also, 40.3% of the nurses who had an ethical dilemma during the pandemic failed to solve it. The mean NPVS-R scores of the nurses had statistically significant negative correlations with mean scores of the overall MSQ and its autonomy, benefit, integrative approach, and orientation subscales (p < .05). The nursing staff had high levels of professional values and moral sensitivities.
Professional value perceptions were enhanced, and moral sensitivities were improved. Age and professional experience were identified as factors that affected the professional value perceptions and moral sensitivities of the nurses. The results will form the basis for future studies and contribute to the resolution of ethical dilemmas experienced by nurses.
护士在 COVID-19 大流行期间面临着一些伦理问题,如护士、患者、同事和家属的安全、稀缺资源的分配以及护士与患者和家属关系的变化性质。这些问题导致护士产生了诸如污名化、恐惧、愤怒、焦虑、不确定性、与工作相关的紧张和倦怠等感觉。确定护士的伦理敏感性和专业价值观对于确保护士处于正确的决策位置非常重要。这项描述性相关性研究旨在评估 COVID-19 大流行期间护士的专业价值观和伦理敏感性。
在土耳其对 245 名护士进行了一项定量描述性和相关性研究。使用“个人信息表”、“护士专业价值观量表修订版(NPVS-R)”和“道德敏感性问卷(MSQ)”进行数据收集。
52.7%的护士报告面临伦理困境。此外,在大流行期间遇到伦理困境的 40.3%的护士未能解决该问题。护士的 NPVS-R 平均分与整体 MSQ 及其自主性、利益、综合方法和定向分量表的平均分呈统计学显著负相关(p<0.05)。护理人员具有较高的专业价值观和道德敏感性。
专业价值观的认知得到了提高,道德敏感性得到了改善。年龄和专业经验被确定为影响护士专业价值观认知和道德敏感性的因素。研究结果将为未来的研究提供基础,并有助于解决护士所经历的伦理困境。