همبستگی رفتار اخلاقی با تابآوری پرستاران: نقش میانجی پذیرش اجتماعی و اعتماد سازمانی
مجله اخلاق پزشکی - علمی پژوهشی,
دوره 15 شماره 46 (1400),
7 June 2021
,
صفحه 1-17
https://doi.org/10.22037/mej.v15i46.35869
چکیده
زمینه و هدف: تابآوری یکی ویژگیهای مورد نیاز در حرفهمندان پرستاری است، لذا مطالعه عوامل پیشبینیکننده تابآوری پرستاران به منظور ترغیب آنها برای بروز رفتارهای مبتنی بر هنجارهای اخلاقی پذیرفته شده و تلاش برای نهادینهکردن این رفتارها جهت برقراری ارتباطات انسانی در سیستمهای ارائه خدمات سلامت ضروری به نظر میرسد. از این رو پژوهش حاضر با هدف بررسی همبستگی رفتار اخلاقی با تابآوری پرستاران با تبیین نقش میانجی پذیرش اجتماعی و اعتماد سازمانی انجام شد.
مواد و روشها: این پژوهش به روش توصیفی ـ همبستگی انجام گردید. نمونهای متشکل از 195 نفر از پرستاران بیمارستانهای آموزشی شهر بروجرد در سال 1399 به روش نمونهگیری در دسترس سهمیهای به مقیاسهای استاندارد رفتار اخلاقی (سوآنسون و هیل)، تابآوری (کانر و دیویدسون)، اعتماد سازمانی (پِین) و پذیرش اجتماعی (مارلو-کرون) پاسخ دادند. روایی محتوا به روش کیفی، روایی سازه از طریق روایی همگرا و تشخیصی، پایایی به روش همسانی درونی با محاسبه ضریب آلفای کرونباخ و پایایی ترکیبی برای ابزارها اندازهگیری شد. تحلیل دادهها در نرمافزار Smart Pls 3.5 انجام شد.
ملاحظات اخلاقی: در این مطالعه اصول مرتبط با ملاحظات اخلاقی از جمله محرمانهماندن هویت مشارکتکنندگان، رضایت آگاهانه شركتكنندگان در پژوهش و امکان خروج از روند تحقیق رعایت شد.
یافتهها: رفتار اخلاقی با پذیرش اجتماعی به مقدار 51/0، با اعتماد سازمانی به مقدار 58/0 و با تابآوری به مقدار 69/0، همبستگی معنیدار و مستقیم دارد. همچنین پذیرش اجتماعی به مقدار 62/0 و اعتماد سازمانی به مقدار 66/0، با تابآوری همبستگی معنیدار و مستقیم دارند. نقش میانجی پذیرش اجتماعی، همبستگی رفتار اخلاقی با تابآوری پرستاران را به مقدار 32/0 افزایش میدهد. همچنین نقش میانجی اعتماد سازمانی، همبستگی رفتار اخلاقی با تابآوری پرستاران را به مقدار 38/0 افزایش میدهد.
نتیجهگیری: با توجه به یافتههای پژوهش پیشنهاد میشود مدیران بیمارستانها به مؤلفههای رفتار اخلاقی و عمل به آنها به خصوص در بخش پرستاری اهمیت دهند تا با تحت تأثیر قراردادن پذیرش اجتماعی و اعتماد سازمانی پرستاران، تابآوری آنها را در جهت مثبت تقویت نمایند.
- رفتار اخلاقی؛ پذیرش اجتماعی؛ اعتماد سازمانی؛ تابآوری؛ پرستاران
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مراجع
Attenborough J, Abbott S, Brook J, Knight RA. Pioneering New Roles in Healthcare: Nursing Associate Students' Experiences of Work-Based Learning in the United Kingdom. Work Based Learning e-Journal International. 2020; 9(1): 35-60.
Cooper AL, Brown JA, Rees CS, Leslie GD. Nurse resilience: A concept analysis. International Journal of Mental Health Nursing. 2020; 29(4): 553-575.
Mealer M, Jones J, Meek P. Factors affecting resilience and development of posttraumatic stress disorder in critical care nurses. American Journal of Critical Care. 2017; 26(3): 184-192.
Rahimi F, Mohammadi J, Kiani E. Multi-level model of Antecedents and consequences of career resilience in workplace. Industrial Management Perspective. 2018; 10(34): 44-63.
Aburn G, Gott M, Hoare K. What is resilience? An integrative review of the empirical literature. Journal of Advanced Nursing. 2016; 72(5): 980-1000.
Henshall C, Davey Z, Jackson D. Nursing resilience interventions-A way forward in challenging healthcare territories. J Clin Nurs. 2020; 29(19-20): 3597-3599.
Delgado C, Upton D, Ranse K, Furness T, Foster K. Nurses’ resilience and the emotional labour of nursing work: An integrative review of empirical literature. International Journal of Nursing Studies. 2017; 70: 71-88.
Lyu L, Xu LY, Liu M, Li GH. Resilience in new nurses: a qualitative study. Frontiers of Nursing. 2020; 7(2): 161-168.
Slatyer S, Craigie M, Heritage B, Davis S, Rees C. Evaluating the effectiveness of a brief mindful self-care and resiliency (MSCR) intervention for nurses: A controlled trial. Mindfulness. 2018; 9(2): 534-546.
Lopez V, Yobas P, Chow YL, Shorey S. Does building resilience in undergraduate nursing students happen through clinical placements? A qualitative study. Nurse Education Today. 2018; 67: 1-5.
Walsh P, Owen PA, Mustafa N, Beech R. Learning and teaching approaches promoting resilience in student nurses: An integrated review of the literature. Nurse Education in Practice. 2020; 45: 102748.
Walpita YN, Arambepola C. High resilience leads to better work performance in nurses: Evidence from South Asia. Journal of Nursing Management. 2020; 28(2): 342-350.
Hauser ST, Allen JP. Overcoming adversity in adolescence: Narratives of resilience. Psychoanalytic Inquiry. 2007; 26(4): 549-576.
Aleksić A, Stefanović M, Arsovski S, Tadić D. An assessment of organizational resilience potential in SMEs of the process industry, a fuzzy approach. Journal of Loss Prevention in the Process Industries. 2013; 26(6): 1238-1245.
Grafton E, Gillespie B, Henderson S. Resilience: the power within. Oncology Nursing Forum. 2010; 37(6): 698-705.
Baker TL, Hunt TG, Andrews MC. Promoting ethical behavior and organizational citizenship behaviors: The influence of corporate ethical values. Journal of Business Research. 2006; 59(7): 849-857.
Hansen JD, Riggle RJ. Ethical salesperson behavior in sales relationships. Journal of Personal Selling & Sales Management. 2009; 29(2): 151-166.
Deshpande SP, Joseph J. Impact of emotional intelligence, ethical climate and behavior of peers on ethical behavior of nurses. Journal of Business Ethics. 2009; 85(3): 403-410.
Ebrahimi H, Nikravesh M, Oskouie F, Ahmadi F. Ethical behavior of nurses in decision-making in Iran. Iranian Journal of Nursing and Midwifery Research. 2015; 20(1): 147-155.
Sârbescu P, Costea I, Rusu S. Psychometric properties of the Marlowe-Crowne social desirability scale in a Romanian sample. Procedia-Social and Behavioral Sciences. 2012; 33: 707-711.
Frögéli E, Rudman A, Gustavsson P. The relationship between task mastery, role clarity, social acceptance and stress: An intensive longitudinal study with a sample of newly registered nurses. International Journal of Nursing Studies. 2019; 91: 60-69.
Pellico LH, Brewer CS, Kovner CT. What newly licensed registered nurses have to say about their first experiences. Nursing Outlook. 2009; 57(4): 194-203.
Van Rooyen DR, Jordan PJ, ten Ham-Baloyi W, Caka EM. A comprehensive literature review of guidelines facilitating transition of newly graduated nurses to professional nurses. Nurse Education in Practice. 2018; 30: 35-41.
Sterner A, Ramstrand N, Nyström M, Hagiwara MA, Palmér L. Novice nurses’ perceptions of acute situations: A phenomenographic study. International Emergency Nursing. 2018; 40: 23-28.
Fahrenwald NL, Bassett SD, Tschetter L, Carson PP, White L, Winterboer VJ. Teaching core nursing values. Journal of Professional Nursing. 2005; 21(1): 46-51.
Hendry J. Promoting compassionate care in radiography - what might be suitable pedagogy? A discussion paper. Radiography. 2019; 25(3): 269-273.
Gider Ö, Akdere M, Top M. Organizational trust, employee commitment and job satisfaction in Turkish hospitals: implications for public policy and health. Eastern Mediterranean Health Journal. 2019; 25(9): 622-629.
Hoseinpour Z, Heshmati Nabavi F, Emami moghadam Z, Behnam vashani H, Hasanzadeh F. Comparing Professional Confidence in Midwifery Students and Clinical Midwives. Iranian Journal of Medical Education. 2014; 14(2): 137-147.
Hecimovich M, Volet S. Development of professional confidence in health education: Research evidence of the impact of guided practice into the profession. Health Education. 2011; 111(3): 177-197.
Barghi IZ, Bagean KM, Hazari N. The Effectiveness of Resilience Training Program on Improving Nurses? Quality of Life. 2017; 5(3-4): 9-18.
Swanson HL, Hill G. Metacognitive aspects of moral reasoning and behavior. Adolescence. 1993; 28(111): 711-736.
Ashoori J. The Relationship of Nurse’s Moral Reasoning, Moral Behavior and Health with Their Moral Metacognition. Medical Ethics. 2016; 9(34): 55-76.
Fischer DG, Fick C. Measuring social desirability: Short forms of the Marlowe-Crowne social desirability scale. Educational and Psychological measurement. 1993; 53(2): 417-424.
Nicknam M. The Relationship between Coping Strategies with Job Burnout and Social Acceptance in Employees of Rouden Azad University. Journal of Counseling and Psychotherapy. 2015; 4(16): 51-67.
Connor KM, Davidson JR. Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and Anxiety. 2003; 18(2): 76-82.
Barkhordari-Sharifabad M, Hekayati M, Nasiriani K. The Relationship between Moral Distress and Resiliency in Nurses. Medical Ethics Journal. 2020; 14(45): 1-14.
Atkinson S, Butcher D. Trust in managerial relationships. Journal of Managerial Psychology. 2003; 18(4): 282-304.
Szromek AR, Naramski M. Measuring trust in business relations between tourist facilities on one thematic touristic route. Sustainability. 2019; 11(14): 3935.
Doolatshah A, Ghorban Hossini M, Sabegh A, Sadeh E. The Effect of Modern Public Management on Organizational Citizenship Behavior According to the Mediating Role of Organizational Trust. Career and Organizational Counseling. 2020; 12(42): 139-160.
Rastegar A, Darvish H, Khalili M, Nodeh Farahani M. Investigating the Role of Spiritual Capital on Organizational Resilience: Emphasizing the Mediation of Ethical Climate. Social Capital Management. 2019; 6(1): 1-22.
Ansari Shahidi M, Tat M, Badrizadeh A, Maleki S. The role of ethical intelligence and professional value in predicting nurses' resilience. Scientific Magazine Yafte. 2018; 20(3): 48-58.
Furlong D, Harris B, Weaver K. Gaining clinical wisdom from adversity: Nurse leaders’ ethical conflict and resilience experiences. GSTF Journal of Nursing and Health Care (JNHC). 2014; 1(2).
Tarmas Hafshjani F, Ahmadi E. The relationship between Spiritual Intelligence and work ethics with Resilience in Staff of education department of shahrkord city. The Journal of Modern Thoughts in Education. 2016; 11(1): 33-45.
Saleh Sedghpour B, Mahmoudian M, Salmanian Hr. An Investigation into Quranic Lessons on the Improvement of Social Acceptance. Interdisciplinary Quranic Studies. 2009; 1(2): 17-26.
Zhang C, Xiao X. Review of the influencing factors of unethical pro-organizational behavior. Journal of Human Resource and Sustainability Studies. 2020; 8(01): 35-47.
Engelbrecht AS, Heine G, Mahembe B. Integrity, ethical leadership, trust and work engagement. Leadership & Organization Development Journal. 2017; 38(3): 368-379.
Rahimi H, Baharlooei F. The Effect of Ethical Climate on Trust in Teamwork with the Meditating Role of Ethical Behavior. Organizational Behaviour Studies Quarterly. 2018; 7(2): 129-158.
Pole N, Kulkarni M, Bernstein A, Kaufmann G. Resilience in retired police officers. Traumatology. 2006; 12(3): 207-216.
Arteaga AS, Arteaga DBS, Mayo ARP, Trujillo LSV. Resilience and Organizations: A State of the Art. Journal of Human Resource and Sustainability Studies. 2018; 6(2): 194-209.
Gerami Nejad N, Ghorbani Moghaddam Z, Kazemi Majd R, Hosseini M. Association between Resilience and Professional Commitment among Nurses Working in Intensive Care Units. Journal of Healthcare Management. 2018; 9(3): 65-76.
Chtibi H, Ahami A, Azzaoui FZ, Khadmaoui A, Mammad K, Elmassioui F. Study of psychological resilience among health care professionals, in Ibn Sina Hospital/ Rabat/ Morocco. Open Journal of Medical Psychology. 2018; 7(03): 47-57.
Imoto E, Yoshioka E, Kaneko S. Relationship of Stress Coping Behaviors and Changes in Resilience during an Integrated Nursing Practicum. Open Journal of Nursing. 2020; 10(11): 1026-1037.
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