Vol-7, Special Issue3-April, 2016, pp1424-1429 http://www.bipublication.com
Case Report
Investigating the Emergency Nurse’s awareness of
professional ethics of nursing
Neda Ali Mohamadi1, Saeedeh Almasi2, Arezoo shayan3,
Maryam Dehghan4, Hassan Ahmadi Nia5 and Arash Khalili6.
1
department of medical surgical nursing,
2
department of pediatric nursing,
3
department of midwifery,
4
department of pediatric nursing, school of nahavand paramedical,
5
department of biostatistics and epidemiology,
6
. correspond author, department of pediatric nursing, Hamadan University of Medical Sciences, Hamadan, Iran
ABSTRACT
Background and purpose: an immoral action can cause loss of public trust and confidence of nurses in the community. The aim of this study was to evaluate investigating the emergency nurse’s awareness of professional ethics of nursing.
Methods: In this cross-sectional study, we studied all 110 emergency personnel were teaching hospitals in Hamadan. Data, collected through a standard questionnaire of 21 questions was Jahanpoor et al in 2014 with content validity index 0.90% and 0.65 Cronbach's alpha was reliable. Data Chi-square test, t-test and Pearson were analyzed.
Results: Knowledge 67.3% of teaching hospitals in Hamedan emergency personnel on the ethics and regulations in nursing was moderated. There was a significant relationship between the scores of professional ethics and work experience (p = 0.001) as well as the ethics of the profession and age (p = 0.002). The relationship between professional ethics and the amount of interest was significant (p = 0.001). The relationship between gender and professional ethics score was not significant (p = 0.225).
Conclusion: This study showed that emergency personnel teaching hospitals in Hamedan awareness of professional ethics in good condition and requires more effort in the field.
Key words: knowledge, ethics, emergency nurses
INTRODUCTION
Nursing is one of the most widely used wide and is about a two century old and its mission, providing the highest level of health services, care, treatment and rehabilitation to ensure the protection, preservation and promotion of public health (1). Nursing ethics Nursing is one of the new challenges with regard to development of the field, new challenges facing workers in this field that needs more attention is also placed (2). Ethics in all nursing jobs are important but it is
more necessary. Moral behavior and
responsibility with nurses and return has a significant role in improving the patient's health. Therefore, it could be argued that the nursing
increased patient satisfaction and the well-being index because it compliance with the code of professional ethics, to show nurse to patient demands respect and dignity (5).As well as observance of ethical standards in nursing practice leads to improvement of nursing services and improve the quality of nurses' work has a significant impact on improving patient recovery process. So that some researchers in clinical nursing care of three basic principles of ethics, clinical judgment and care know (6).In the meantime, pay attention to moral issues, share them with other partners, to identify solutions to solve ethical issues and consult with experts in the field of principles and the professional ethics of nursing should be considered (7).In another study, peasants and colleagues to investigate Tehran's standards of professional ethics in nursing practice that this study was conducted on 138 nurses the majority of nurses in terms of accountability, improving the quality of patient care and respect for patients had a satisfactory performance (8). Overall, about 71 percent of the observance of professional ethics was mentioned that high satisfaction and nurses had a satisfactory performance (9).In 2013 Jahanpoor et al in cross-sectional study in the city of Bushehr on their awareness of professional ethics did. In this study, term of 4 to 8 was studied nursing students that the knowledge students had an average (53.78 percent) (10).No one is clear on the moral concepts, have a positive charge at all pleasant emotions and lovely creation, so the concepts of ethics for nurses, and familiar concepts are worth, but only by recognizing the moral and ethical decision making in real terms the value they are not possible. Therefore, nurses must decide how to ethically appropriate in different circumstances so learn to be qualified (11).It seems that because of the lack of professional ethics among nurses in the studies, being a young professional ethics and non-teaching nursing classes, inability to measure the exact amount of nurses knowledge of the conditions of professional ethics. The lack of a standard measure of professional ethics of nursing, or the small number of samples in such
a way that those studies is the proper way have failed to persuade authorities improved (12) For this reason, and despite the international community's increasing emphasis on nursing and the importance of professional ethics as a fundamental virtue, this study aimed to investigate the knowledge of emergency nurses in teaching hospitals in Hamedan in term of professional ethics of nurses was conducted in 1395.
METHODS
In this cross-sectional study, sampling method was census and sample emergency nurse teaching hospitals of Besat, Beheshti, Farshchian and Sina. The sample consisted of all hospital emergency personnel were mentioned. In this study, 110 nurses hospital emergency Besat, Beheshti, Farshchian and Sina. Inclusion criteria included a bachelor's degree in nursing, working in hospital emergency departments and willingness to cooperate and participate in the scheme. Data collection included two-part
questionnaire (5 questions) personal
information, the second part contains 21 questions with yes, and no responses were evaluated by the knowledge (correct answer 1 score and score a wrong answer was zero. Content validity values 0.73 and content validity index 0.90. To determine reliability, internal consistency and external reliability was calculated. To assess the internal consistency of the questionnaire method was used Kuder Richardson, the amount of which was 0.65 Pearson correlation coefficient was calculated and to assess the reproducibility (0.73), which was statistically significant (13). The data was analyzed using SPSS software and descriptive and inferential statistical tests, Chi-square, t-test and Pearson were analyzed.
Findings
Table 1: Distribution of patients according to gender and interest in the work
Variable Variable level Frequency
Number Percent
Gender
Male 38 34.5
Female 72 65.5
Total 110 100
Interest in work Yes 71 64.5
No 39 35.5
Total 110 100
Professional ethics
Weak 11 10
Average 74 67.3
Good 25 22.7
Table 2: Relationship between Ethics of gender and interest in it (compare the ethics of poor, average and good women, men and interesting work)
Variable Variable level
Nursing Ethics
Chi-square test
Weak Average Good
Number Percent Number Percent Number Percent
Gender
Male 5 45.5 25 33.8 8 32
0.715
Female 6 54.5 49 66.2 17 68
Total 11 100 74 100 25 100
Interest in work
Yes 3 27.3 44 59.5 24 96
0.0001<
No 8 72.7 30 40.5 1 4
Total 11 100 74 100 25 100
Table 3: comparison of professional ethics, experience and age of nurses in two groups of interest and non-interest work
T test result
Ama No Yes
Interest in work Variable Standard
deviation Average
Standard
deviation Average
0.0001< 2.16 11.41 12.7 14.08 Ethics score
0.331 4.84 7.66 7.43 8.95 Work experience
0.306 45.5 30.59 7.88 31.92 Age
The correlation between variables professional ethics, experience and age of nurses was found that between the professional ethics and work experience was a significant difference (p = 0.001, r = 0.31).Among the professional ethics and age was also a significant difference (p = 0.002, r = 0.30). This ratio was also observed between age and work experience (p = 0.001, r = 0.97). Comparing the average scores of professional ethics, experience and age of nurses was found in both males and females and the average score of professional ethics in males and 12.68 with a standard deviation is 2.8. But the rate in females was 13.37 with a standard deviation by comparing two groups by t-test showed that there was no relation between the two (p = 0.225). Between the two groups in terms of age and experience as well as a
statistically significant difference was observed. Comparing the average scores of professional ethics, experience and age of nurses in two groups by t-test showed interest. There is no interest in work and the mean scores of professional ethics in the two groups are interested in nursing jobs and other interested statistically significant difference was observed nursing jobs (p = 0.0001) but in terms of experience and age difference was not significant.
DISCUSSION
Hamedan professional ethics of nurses was conducted in 1395. In the present study the relationship between gender and professional ethics score was not significant. The findings of the study authors (15), and Yaghobian et al (16) studied the match, but Jahanpoor et al (10) did not match. The cause of this discrepancy can be the kind of subjects and their work experience because the doctor Jahanpoor et al, students' and the group did not have much experience in the clinical environment of constant contact with patients and patients' specific conditions were not moral.
In this study the average professional ethics argues that this finding was 13.13 awareness of professional ethics in teaching hospitals in Hamedan is average with the study of the Jahanpoor et al (10), Dehghani (17). As well as Jafari Manesh et al (18) but consistent with studies Yaghobian (16), Shannon (19), as well as author et al (15) did not match. In their study was high awareness of professional ethics. Between the desire to work and the professional ethics significant relationship was observed that the findings Jahanpoor (10), Yaghobian (16), Jafari Manesh (18) and the author et al (15) but consistent with Dehghani (17), Sanjari (20) and
Vaskoee Eshkavari et al (21) is
ambivalence. The cause of the discrepancy could be due to the number of samples, research In terms of the type of hospital admission, work and gender history is examined.
Between the experience and the professional ethics significant relationship was observed that these findings by studying Jafari Manesh (18), Shannon (19), author (15) and Yaghobian et al (16) studied the match, but Sanjari et al (20) and Mac Kinstry et al (22) does not match
The discrepancy could be due to the different culture of the group and the gender is under study. No significant relationship between age and professional ethics not score that this finding is consistent with Jafari Manesh study (18), Rahmani (23) and Mac Kinstry et al (22). But the study of Kohan et al (24) found that the cause of this discrepancy can be at odds with the ethics of nursing education in recent years is Coriklom because until a few years ago were not right training course titled nursing ethics and
ethics in Coriklom more human side and conscience.
CONCLUSION
According to the average, score of Business Ethics by emergency personnel teaching hospitals in Hamedan and due to the sensitivity regarding the application of professional ethics of nursing in emergencies. Because hospitals are emergency hospitals as clinical picture, the need for training and retraining of professional ethics of nursing for these groups is an undeniable necessity. Therefore for a more comprehensive plan to improve knowledge be considered emergency nurses by promoting educational and professional principles to practice professional nursing ethics enhance public confidence in the nursing department.
ACKNOWLEDGEMENT
This study is the result of a research project Hamedan University of Medical Sciences. Deputy University of Medical Sciences in Hamedan and all personnel and those who refused to cooperate and participate in the study, is sincerely grateful
REFERENCES
1.Jollaei S, Bakhshande B, Mohammad Ebrahim M, Asgarzade M, Vasheghani Farahani A, Shareiat E, et al. Nursingethics codes in Iran: report of a qualitative study. Journal of Medical Ethics and History of Medicine 2010; 3(2): 46-52.
2. Khalili A, Davodi M, Pouladi S, Paymard A, Shayan A, Azodi P, Azodi F, Molavi
Vardanjani M, and Jahanpoor F.
Comparative Study on the Effect of Professional Ethics Education Using Two Methods, Group Discussion and Multi-Media Software on the Knowledge of Nursing
Students. Research Journal of
Pharmaceutical, Biological and Chemical Sciences. 2016:7(4):2776-2781.
Journal of Medical Ethics and History of Medicine. 2011; 4 (5): 58-64. [Persian] 4. Joziarkozi H, Ashktorab T, Abbasi M,
Delpishe A. Evaluating nurses 'and patients' perspectives of patient rights in teaching hospital in Ilam University of Medical Sciences. Journal of Medical Ethics and History of Medicine. 2011; 5 (7): 89 – 104. Persian.
5. Mohseni M, Ashvandi Kh, Safi M. The Evaluating of patients perspective in Hamedan teaching hospitals of their rights compliance in 2009. Journal of Medical Ethics and History of Medicine. 2012; 6 (19): 50 – 66. Persian.
6. Rahmani A, Gahramanian A,
Mohajjel-Agdam AR, Allah- Bakhshian A.
Perception of patients regarding respecting to their autonomy during nursing care in hospitals affiliated to Tabriz University of Medical Sciences. Iranian Journal of Nursing Research. 2008; 3 (8,9): 7 – 14. Persian.
7. Adib-Hajbaghery M, Aminoroayaei-Yamini E. Nurses Perception of professional support. Feyz, Journal of Kashan University of Medical Sciences 2010; 14(2): 140-53. 8. Dehghani A, Mohammad Khan Kermanshah
S. Compliance with ethical standards of professional nursing practice from the perspective of the nursing staff, Tehran University of Medical Sciences. Care Modern Journal of Nursing and Midwifery, Birjand 2012; 9(3): 208-216
9. Horton K, Taschudin V, Forget A. The value of nursing: a literatuer review.nurse ethics 2007; 14(6): 716-40.
10. Jahanpour F, Khalili A, Ravanipour M, Nourouzi L, Khalili M, Dehghan F. Investigating Awareness Amount of Nursing Students of Medical Sciences University of Bushehr about Ethic in Nursing Profession. Armaghane-danesh, Yasuj University of
Medical Sciences Journal (YUMSJ),
2014;19(3). (persian)
11. Borhani F, Elhani F, Mohammadi E. Qualified nurses to develop professional ethics, ethics education needs and challenges. Journal of Medical Ethics 2009; 2(3): 27-38
12. Nasiriani K, Farnia F, Nasiriani F. Study of respecting patients rights from nurse’s point of view employed in Yazd hospitals. Journal of Legal Medicine of Islamic Republic of Iran. 2007; 13 (45): 33-37. [Persian]
13. Jahanpour F, Khalili A, Pouladi S , Zoladl M, Dehghanian H . Construction and Evaluation of Nursing Ethics Questionnaire. Armaghane-danesh 2014; 19(9): 788-796. 14. Mardanihamoleh M, Shahrakivahed A.
Assessment of Barriers from the perspective of nurses to errors report. Journal of Medical Ethics and History of Medicine. 2009; 2 (4): 55-61. [Persian]
15. Negarandeh R, Ghobadi S. A Survey of Knowledge and Attitudes of Zanjan Hospitals Nurses and Midwives towards Ethical Issues. Journal of Zanjan university of medical Sciences 2001; 36(9): 55-9. 16. Yaghobian M, Yaghobi T, Salmeh F,
Golmohammadi F, Safari R, Ghanei N, Habibi KH. Comparing the Effect of Teaching Using Educational booklets and lecture along with educational Booklet on nurses’ Knowledge about Professional Laws and Regulations. Iranian Journal of Medical Education 2010; 9(4): 372- 80.
17. Dehghani A, Radbeh F, Parviniannasab A, Khaki S, Shamsizadeh M, Beyramijam M. Enactment of Professional Ethics Standards
Compliance in Patients and Nurses
Prospective. Nursing and Midwifery
Community.2015:25(78):64-72.
18. Jafari manesh H, Ranjbaran M, Vakilian K, Tajik R, Hashiani AA. Nursing’s code of ethics: a survey of respecting the code among nursing students. Iranian Journal of Medical History and Ethics.2013:6(6):45-55.
19. Shannon SE, Mitchell PH. Cian KC. Patients, Nurses, and physicians have differing views of quality of critical care. Journal of Nursing Scholarship. 2002; 34: 173-179.
21. Vaskooiashkori Kh, Karimi M, Asnaashari H, Kohan N. The Evaluating of patient rights compliance in Tehran University of Medical Sciences hospitals in 2008. Journal of Medical Ethics and History of Medicine. 2009; 2 (4): 47 – 53. Persian.
22. McKinstry B. Do patients wish to be involved in decision- making in the consultation? A cross sectional survey with video vignettes. BMJ. 2000; 321: 867-871.
23. Rahmani A, Gahramanian A,
Mohajjel-Agdam AR, Allah- Bakhshian A.
Perception of patients regarding respecting to their autonomy during nursing care in hospitals affiliated to Tabriz University of Medical Sciences. Iranian Journal of Nursing Research. 2008; 3 (8,9): 7 – 14. Persian.
24. Kohan N, Sabzevari S, Nakhaei N, Kohan M. The Evaluating of patients perspective in medical and surgical wards of kerman university of medical science
hospitals than individual privacy
