Hosseini Baghdadabad Fatemehalsadat, Rahimi MohammadKazem, Askari Roohollah, Jafari Hasan, Fallahzadeh Hossein
Department of Health Management and Economics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Health Policy and Management Research Center, Department of Health Management and Economics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Iran J Nurs Midwifery Res. 2025 Jul 24;30(4):486-490. doi: 10.4103/ijnmr.ijnmr_192_23. eCollection 2025 Jul-Aug.
The influential role of professional ethics on service provision has been paid attention globally, especially in dealing with healthcare staff. The present study aimed to determine the barriers to respect to the Professional Ethics Standards (PES) in nurses working in educational hospitals of University of Medical Sciences in the province of Yazd, Iran, in 2022.
This study was quantitative cross-sectional. The participants ( = 170) were selected based on a stratified sampling policy, and data were collected using a standard questionnaire comprised of three managerial, environmental, and individual caregiving areas. Data were analyzed using independent t-tests and ANOVA.
There was a significant relationship between the nurses' service department and respect to the PES. While there was no significant relationship between nurses' demographic characteristics and barriers to respect to the PES. Among the identified challenges, environmental factors (72.09%), individual caregiving issues (58.72%), and managerial obstacles (58.38%) ranked highest, respectively. The most important challenges were included in staff shortage under the management category 4.26 (0.96), body physiological changes due to having the night shifts 4.11 (0.98) as an environmental category, and expected basic needs like adequate pay or rest 4.16 (1.01) in the caregiving category.
In conclusion, a balance between income and expenses, addressing shortages in personnel, and an efficient way to schedule shifts with minimal possible consequences from biological changes at work during the night shift would be the major implications that policymakers could take into consideration for optimizing the respect to the PES by nurses.
职业道德在服务提供中的重要作用已受到全球关注，尤其是在医护人员方面。本研究旨在确定2022年伊朗亚兹德省医科大学教学医院护士在遵守职业道德标准（PES）方面的障碍。
本研究为定量横断面研究。根据分层抽样策略选取参与者（n = 170），并使用由管理、环境和个人护理三个领域组成的标准问卷收集数据。数据采用独立t检验和方差分析进行分析。
护士的服务部门与对PES的遵守之间存在显著关系。而护士的人口统计学特征与对PES的遵守障碍之间无显著关系。在已确定的挑战中，环境因素（72.09%）、个人护理问题（58.72%）和管理障碍（58.38%）分别位居前列。管理类别中最重要的挑战包括人员短缺4.26（0.96），环境类别中因值夜班导致的身体生理变化4.11（0.98），以及护理类别中诸如足够的薪酬或休息等预期基本需求4.16（1.01）。
总之，收支平衡、解决人员短缺问题以及以尽可能减少夜班工作期间生理变化影响的有效方式安排轮班，将是政策制定者在优化护士对PES的遵守情况时可考虑的主要因素。
