Comparison of the Level of Ethical Development of Nurses at Teaching and Private Hospitals in Mashhad

Reza Bayattork, Elahe Karazdian, Nazgol Behgam, Arezou Farajpour, Zahra Mostafavian, Mehran Homam

Abstract


8

Background and Aim: Today, due to changes in health care services, including the use of Updated technologies, differences in people's demands and needs, change in patterns of diseases, increasing public awareness, the necessity of applying an ethical approach is increasingly felt. Therefore, this study was designed to assess the level of ethical development of nurses in Mashhad hospitals and compare it among nurses in teaching and private hospitals.

Materials and Methods: In this descriptive-analytical study, 198 nurses were selected by the census sampling from 4 private and teaching hospitals in Mashhad. Informed consent was obtained from each participant included in the study. The data collection tool was Kohlberg standard questionnaire. Data were analyzed using SPSS version 16 statistical software. P-value<0.05 was considered significant.

Findings: The average age and mean work experience of nurses were 35.86±7.80 and 7.73±7.03 respectively. The average score of NP was 45.29±6.84 and the mean CP score was 20.9±3.91 in nurses and there was no significant difference in private and teaching hospitals. Also, except in the intensive care unit there was not a significant relationship between demographic factors and these scores.

Ethical Considerations: Participants' informed consent and compliance with the principle of confidentiality were considered.

Conclusion: According to the results, it was found that the level of ethical development score is higher than the average score but far from the optimal level. Most of the nurses are at the level of the post conventional and conventional, but a significant number are at the pre-conventional level. On the other hand, considering the effect of professional environment and performance of the nurses on students modeling and learning, it is expected that promotion of ethical aspect of professional nurses, especially in teaching hospitals, will be the priority of nurses’ empowerment programs. Also it is a necessity to monitor and evaluation of Nurses’ performance.

 

Cite this article as: Bayattork R, Karazdian E, Behgam N, Farajpour A, Mostafavian Z, Homam M. Comparison of the Level of Ethical Development of Nurses at Teaching and Private Hospitals in Mashhad. Med Ethics J 2019; 13(44): e8.


Keywords


Kohlberg Inventory; Nurse; Teaching Hospital; Private Hospital; Ethical Development

Full Text:

PDF

6

References


Farajpour A, Mostafavian Z, Rahchamani M. The professionalism and medical ethics education through cadaveric dissection. JMED 2018; 12(4): 248-259.

Borhani F, Abbaszadeh A, Kohan M, Fazael MA. Nurses and nursing students’ ethical reasoning in facing with dilemmas: A comparative study. Iranian Journal of Medical Ethics and History of Medicine 2010; 3(4): 71-81.

Abbaszadeh A, Shamsaee F. The Status of Ethics Education in Iranian Nursing Education System. Bioethics Journal 2015; 5(17): 117-146.

Ferrell BR. Understanding the moral distress of nurses witnessing medically futile care. Oncol Nurs Forum 2006; 33(5): 922-930. [PubMed]

De Casterlé BD, Izumi S, Godfrey NS, Denhaerynck K. Nurses’ responses to ethical dilemmas in nursing practice: meta‐analysis. Journal of Advanced Nursing 2008; 63(6): 540-549. [PubMed]

Borhani F, Hoseini H, Zadeh AA, Abbasi M, Fazljoo E. Nurses' perceptions of ethical climate governing the teaching hospital affiliated with the University of Medical Sciences Shahid Sadughi Yazd. Medical Ethics Journal 2015; 8(29): 41-65.

Cronqvist A, Theorell T, Burns T, Lützén K. Caring about-caring for: Moral obligations and work responsibilities in intensive care nursing. Nursing Ethics 2004; 11(1): 63-76. [PubMed]

Amini R, Khatiban M, Farahanchi A, Soltanian A, Falahan SN. Moral Development in Nursing Students of Hamedan University of Medical Sciences. Journal of Clinical Research in Paramedical Sciences 2016; 5(2): 132-141.

Corley MC, Elswick RK, Gorman M, Clor T. Development and evaluation of a moral distress scale. Journal of Advanced Nursing 2001; 33(2): 250-256. [PubMed]

Abbaszadeh A, Nakhaee N, Borhani F, Roshanzadeh M. Moral distress in the nurse’s practical action: A descriptive-cross sectional study. Medical Ethics Journal 2012; 6(21): 113-130.

Borhani F, Abbas zadeh A, Arab M, Faramarzpor M. Moral Distress in Nurses. Medical Ethics Journal 2015; 8(26): 135-157.

Corley MC, Selig PM. Nurse moral reasoning using the nursing dilemma test. Western Journal of Nursing Research 1992; 14(3): 380-388. [PubMed]

Numminen OH, Leino-Kilpi H. Nursing students’ ethical decision-making: A review of the literature. Nurse Education Today 2007; 27(7): 796-807. [PubMed]

Zirak M, Moghadasian S, Abdollahzadeh F, Rahmani A. The study of level of ethical development in nurses working in training-treatment hospitals affiliated in Tabriz university of medical sciences, Tabriz, Iran. Qom University of Medical Sciences Journal 2012; 6(3): 32-39.

Rahmanian A. Investigating the relation between moral development & moral distress in bam university medical sciences nurses 2014. Masters thesis. Kerman: School of Nursing, Kerman University of Medical Sciences; 2015.

Yazdani S, Akbarilakeh M, Ahmady S, Foroutan SA, Afshar L. Concept analysis: Value based curriculum. Biosci Biotech Res Asia 2015; 12(1): 123-130.

Ham KL. A comparison of ethical reasoning abilities of senior baccalaureate nursing students and experienced nurses. Doctoral dissertation. United States of America: The University of Memphis; 2002. Available at: https://www.stti.confex.com/stti/bcscience/ techprogram/paper_14912.htm.

Goethals S, Gastmans C, De Casterlé BD. Nurses’ ethical reasoning and behaviour: A literature review. International Journal of Nursing Studies 2010; 47(5): 635-650. [PubMed]

Ketefian S. Moral reasoning and moral behavior among selected groups of practicing nurses. Nurs Res 1981; 30(3): 171-176. [PubMed]

Crisham P. Measuring moral judgment in nursing dilemmas. Nursing Research 1981; 30(2): 104-110. [PubMed]

Duckett L, Rowan M, Ryden M, Krichbaum K, Miller M, Wainwright H, et al. Progress in the moral reasoning of baccalaureate nursing students between program entry and exit. Nursing Research 1997; 46(4): 222-229. [PubMed]

Woods TJ. The effect of education on nursing resolution of ethical dilemmas among nurses practicing in a rural area. Doctoral dissertation. United States of America: The University of Memphis; 1994.

Eac K. Moral Reasoning of Nurses in the Work Setting. Doctrol Dissertation. Boston: Boston University School of Nursing; 1980.

Murray NM. Moral Reasoning in Male and Female Nurses: A Care Perspective vs. a Justice Perspective. New Jersey: Rutgers University; 1995.


Refbacks

  • There are currently no refbacks.


Creative Commons License

This journal is distributed under the terms of CC BY-NC 4.0. Copyright © 2017 Medical Ethics Journal. All rights reserved. All credits and honors to PKP for their OJS.

For Author | Online Submission | About Contact