探索促进因素与护理道德标准依从性之间的关系。
Exploring the relationship between facilitating factors and adherence to nursing ethical standards.
作者信息
Bordbar Shima, Mehralian Gholamhossein, Davarani Fatemeh Rezabeigi, Yusefi Ali Reza
机构信息
Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
University of Exeter Business School, Exeter, UK.
出版信息
BMC Nurs. 2025 Jan 6;24(1):5. doi: 10.1186/s12912-024-02676-4.
BACKGROUND
Professional ethics is a cornerstone of the nursing profession, with its observance closely linked to the enhancement of nursing services and the satisfaction of service recipients. This study aimed to assess nurses' compliance with professional ethical codes and its relationship with factors that facilitate such compliance.
METHODS
This descriptive-analytical, cross-sectional study was conducted in 2021 in a hospital located in southern Iran. A total of 312 nurses were selected using the census method and participated in the study. Data were collected through researcher-designed questionnaires that assessed compliance with professional ethical codes and factors facilitating such compliance. Data analysis was conducted using SPSS software version 23, employing t-tests, ANOVA, Pearson's correlation coefficient, and multiple linear regression.
RESULTS
The mean scores for compliance with professional ethical codes and factors facilitating compliance were 127.94 ± 8.52 (out of 170) and 98.31 ± 6.22 (out of 180), respectively. Nurse-related factors (β = 0.323, p < 0.001), patient-related factors (β = 0.286, p = 0.002), and management factors (β = 0.277, p = 0.003) emerged as significant predictors of compliance with professional ethical codes. Significant differences in compliance scores were observed based on gender (p = 0.01), marital status (p = 0.02), level of education (p = 0.04), and the number of patients under observation per work shift (p = 0.03). Additionally, the mean score of factors facilitating compliance with ethical codes was higher among female nurses (p = 0.03) compared to male nurses.
CONCLUSION
Compliance with professional ethical codes was rated as acceptable, while the factors facilitating compliance were rated as moderate. Given the predictive role of facilitating factors, targeted improvements in these areas could significantly enhance nurses' adherence to professional ethical codes.
背景
职业道德是护理行业的基石，遵守职业道德与提升护理服务及服务对象满意度密切相关。本研究旨在评估护士对职业道德规范的遵守情况及其与促进遵守规范的因素之间的关系。
方法
本描述性分析横断面研究于2021年在伊朗南部的一家医院进行。采用普查法共选取了312名护士参与研究。通过研究者设计的问卷收集数据，该问卷评估了对职业道德规范的遵守情况以及促进遵守规范的因素。使用SPSS 23软件进行数据分析，采用t检验、方差分析、Pearson相关系数和多元线性回归。
结果
遵守职业道德规范的平均得分及促进遵守规范的因素平均得分分别为127.94±8.52（满分170分）和98.31±6.22（满分180分）。护士相关因素（β = 0.323，p < 0.001）、患者相关因素（β = 0.286，p = 0.002）和管理因素（β = 0.277，p = 0.003）是遵守职业道德规范的显著预测因素。根据性别（p = 0.01）、婚姻状况（p = 0.02）、教育程度（p = 0.04）和每班观察的患者数量（p = 0.03），遵守得分存在显著差异。此外，女护士促进遵守道德规范因素的平均得分高于男护士（p = 0.03）。
结论
对职业道德规范的遵守情况被评为可接受，而促进遵守规范的因素被评为中等。鉴于促进因素的预测作用，在这些方面进行有针对性的改进可显著提高护士对职业道德规范的遵守程度。
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