Correlation between the Nurses, Moral Sensitivity and the Observance of Patients' Rights in ICUs
akhlāq-i pizishkī i.e., Medical Ethics,
Vol. 11 No. 40 (1396),
17 Tir 2017
,
Page 7-14
https://doi.org/10.22037/mej.v11i40.17898
Abstract
Background and Aim: Moral sensitivity is a feature that enables a person to recognize his/her moral conflicts and to understand the results of moral judgment about others. Considering that this issue is more important in the ICUs and since observance of patients' rights is one of the aspects of moral care, this study aimed to determine the relationship between nurses' moral sensitivity and respect for patients' rights in ICUs in 2016.
Materials and methods: In this descriptive-correlational study, 260 nurses working in ICUs of hospitals affiliated to Tehran University of Medical Sciences were selected by accessible method. To collect data, the Lutzen's Moral Sensitivity Questionnaire and Researcher-made Patients' Rights Questionnaire were used. The Data were analyzed using SPSS 20 and statistical tests.
Ethical considerations: Participation in the study was optional and informed written consent was obtained from nurses to participate in the study. In addition, the information confidentiality of the participants was observed.
Findings: The mean of moral sensitivity of nurses in intensive care units (160.58±18.30) and respect for patients' rights by them (12.19±127.81) were higher than average. There was a direct significant correlation between the nurses, moral sensitivity and the degree of observance of patient's rights in ICUs (P<0.0001 and r=0.326).
Conclusion: Regarding the observed relationship between moral sensitivity and observance of patients' rights, it is suggested to adopt appropriate strategies to improve the observance of patients' rights in order to increase the level of moral sensitivity of nurses and provide high-quality care.
Please cite this article as: Mahdiyoun SA, Pooshgan Z, Imanipour M, Razaghi Z. Correlation between the Nurses, Moral Sensitivity and the Observance of Patients' Rights in ICUs Original article. Med Ethics J 2017; 11(40): 7-14.
- Moral Sensitivity; Patient Rights; Intensive Care Units; Nurses
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References
Erdil F, Korkmaz F. Ethical problems observed by student nurses. Nurs Ethics 2009; 16(5): 589-598.
Jordan J. Taking the first step toward a moral action: A review of moral sensitivity measurement across domains. J Genet Psychol 2007; 168(3): 323-359.
Lützén K, Dahlqvist V, Eriksson S, Norberg A. Developing the concept of moral sensitivity in health care practice. Nurs Ethics 2006; 13(2): 187-196.
Borhani F, Abbaszadeh A, Mohsenpour M. Nursing students’ understanding of factors influencing ethical sensitivity: A qualitative study. Med Ethics J 2013; 18(4): 310-315. [Persian[
Zuzelo PR. Exploring the moral distress of registered nurses. Nurs Ethics 2007; 14(3): 344-359.
Filipova AA. Licensed nurses’ perceptions of ethical climates in skilled nursing facilities. Nurs Ethics 2009; 16(5): 574-588.
Dehghani A, Mohammadkhan Kermanshahi S. Evaluating of compliance with professional ethical standards in nursing practice from nursing staff's viewpoints in Tehran University of Medical Sciences. Mod Care J 2012; 9(3): 208-216. [Persian[
Weaver K, Morse JM. Pragmatic utility: Using analytical questions to explore the concept of ethical sensitivity. Res Theory Nurs Pract 2006; 20(3): 191-214.
Mohammadi S, Borhani F, Roshanzadeh M. Moral sensitivity and delivering bad news skills: A study on critical care unit nurses. Med Ethics J 2016; 10(37): 7-16. [Persian[
Nasiriani K, Farnia F, Nasiriani F. Study of respecting patients rights from nurses point of view employed in Yazd hospitals. Sci J Forensic Med 2007; 13(1): 33-37. [Perisan[
Rushton CH, Penticuff JH. A framework for analysis of ethical dilemmas in critical care nursing. AACN Adv Crit Care 2007; 18(3): 323-328.
Lewenson SB, Truglio-Londrigan M, Singleton J. Practice what you teach: A case study of ethical conduct in the academic setting. J Prof Nurs 2005; 21(2): 89-96.
Magnusson A, Högberg T, Lützén K, Severinsson E. Swedish mental health nurses’ responsibility in supervised community care of persons with long‐term mental illness. Nurs Health Sci 2004; 6(1): 19-27.
Khodamoradi K, Akbari SA, Jalali S, Mobini N. Evaluation of undergraduate and graduate nursing students' awareness of patients' rights. Med Ethics J 2010; 4(12): 133-148. [Persian[
Doane G, Pauly B, Brown H, McPherson G. Exploring the heart of ethical nursing practice: implications for ethics education. Nurs Ethics 2004; 11(3): 240-253.
Bokaie M, Enjezab B, Sarvary M, Fotoohi Z, Farajkhoda T, Abbasi M. Evaluation of patient rights by health personnel from the standpoint of hospitalized patients of Shahid Sadughi hospital of Yazd in 2010. J Med Ethics Hist Med 2012; 6(19): 99-118. [Persian[
Rad M, Mohammd A, Esna Ashari P. Patients and physicians awareness of patients’ rights and its implementation at Beheshti hospital in Isfahan. Iran J Med Educ 2004; 4(1): 45-54. [Persian[
Park M, Jeon SH, Hong HJ, Cho SH. A comparison of ethical issues in nursing practice across nursing units. Nurs Ethics 2014; 21(5): 594-607.
Kim YS, Park JW, You MA, Seo YS, Han SS. Sensitivity to ethical issues confronted by Korean hospital staff nurses. Nurs Ethics 2005; 12(6): 595-605.
Lützén K, Nordström G, Evertzon M. Moral sensitivity in nursing practice. Scand J Caring Sci 1995; 9(3): 131-138.
Auvinen J, Suominen T, Leino-Kilpi H, Helkama K. The development of moral judgment during nursing education in Finland. Nurse Educ Today 2004; 24(7): 538-546.
Sadrollahi A, Khalili Z. A survey of professional moral sensitivity and associated factors among the nurses in west Golestan province of Iran. J Med Ethics Hist Med 2015; 8(3): 50-61. [Persian[
Mousavi S, Mohsenpour M, Borhani F, Ebadi M. Ethical sensitivity of nurses and nursing students working in Aja University of Medical Sciences. Med Ethics J 2015;9 (31): 127-143. [Persian[
Baloochi Beydokhti T, Tolide-ie H, Fathi A, Hoseini M, Gohari Bahari S. Relationship between religious orientation and moral sensitivity in the decision making process among nurses. J Med Ethics Hist Med 2014; 7(3): 48-57. [Persian[
Robinson EM, Lee SM, Zollfrank A, Jurchak M, Frost D, Grace P. Enhancing moral agency: clinical ethics residency for nurses. Hastings Cent Rep 2014; 44(5): 12-20.
Ahn SH, Yeom HA. Moral sensitivity and critical thinking disposition of nursing students in Korea. Int J Nurs Pract 2014; 20(5): 482-489.
Zande M, Baart A, Vosman F. Ethical sensitivity in practice: finding tacit moral knowing. J Adv Nurs 2014; 70(1): 68-76.
Nekoei Moghaddam M, Amiresmaeili M, Ghorbaninia R, Sharifi T, Tabatabaie S. Awareness of Patients' rights charter and respecting it from the perspective of patients and nurses: A study of limited surgical centers in Kerman city, 2013. Iran J Bioethics 2014; 4(11): 31-56. [Persian[
Kazemnezhad S, Hesamzadeh A. Implementation of patients' bills of rights by physicians and nurses from their colleagues' points of view in educational hospitals of Mazandaran university of medical sciences. J Mazandaran Univ Med Sci 2013; 22(97): 215-223. [Persian[
Merakou K, Dalla-Vorgia P, Garanis-Papadatos T, Kourea-Kremastinou J. Satisfying patients’ rights: a hospital patient survey. Nurs Ethics 2001; 8(6): 499-509.
Joolaee S, Nikbakht-Nasrabadi A, Parsa-Yekta Z. Iranian nurses, physicians and patients' lived experiences regarding patient’s rights practice. Iran J Nurse 2009; 22(60): 28-41. [Persian[
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