Nurses’ caring behaviour and its correlation with moral sensitivity

Afrasiabifar, Ardashir; Mosavi, Asadolah; Dehbanizadeh, Abolfazl; Khaki, Sahar

doi:10.1177/1744987120980154

Cited by 19 publications

(24 citation statements)

References 39 publications

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“…This supports the previous findings that person‐centred care increases with increased age, career length (Sagong & Lee, 2016), and moral sensitivity (Park & Park, 2018). These findings are in line with the past findings that have shown a significant positive correlation between nurses' moral sensitivity and care behaviours (Afrasiabifar et al, 2021). Ertuğ et al (2014) revealed that moral sensitivity is associated with professional competence and high‐quality care, suggesting that nurses with high moral sensitivity can provide high‐quality patient care (Afrasiabifar et al, 2021).…”

Section: Discussionsupporting

confidence: 93%

“…The multiple regression analysis revealed that moral sensitivity was the most potent predictor of person-centred care. This result supports previous research (Afrasiabifar et al, 2021) that reported a significant correlation between nurses' moral sensitivity and care behaviour, and that nurses with high moral sensitivity could provide high-quality care to patients. Zhang et al ( 2020) performed a latent profile analysis according to nurses' moral sensitivity and identified the associations between the profiles and service behaviours.…”

Section: Predictors Of Person-centred Caresupporting

confidence: 91%

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Moral sensitivity and person‐centred care among mental health nurses in South Korea: A cross‐sectional study

Jang

Kim²,

Lee

2022

J Nursing Management

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Aim To identify the predictors of mental health nurses' person‐centred care, including moral sensitivity. Background Person‐centred care meets patients' ethical needs by protecting their autonomy and dignity and respecting their choices; it is essential to enhance patient outcomes. Therefore, it is important to identify the predictors of the practice of advocating patients' rights and dignity and providing person‐centred care among mental health nurses to foster competency and ensure the highest quality of care. Methods This cross‐sectional study included 220 mental health nurses in South Korea. It measured their general and work‐related characteristics, moral sensitivity, and person‐centred care. Multiple regression analysis was conducted to identify the person‐centred care predictors. Results The most potent person‐centred care predictor was moral sensitivity (β = .35, p < .001). Other predictors included prior biomedical ethics education (β = .15, p = .013) and marital status (β = .14, p = .025). The regression model had 28.0% explanatory power. Conclusions Mental health nurses' moral sensitivity must be increased to improve their person‐centred care. Implications for Nursing Management Nurses should receive continuous education to remain aware of and maintain a high level of moral sensitivity and be encouraged to continue the person‐centred practice. Organizational and policy support is needed to promote the practice of person‐centred care in the workplace.

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Section: Discussionsupporting

confidence: 93%

Section: Predictors Of Person-centred Caresupporting

confidence: 91%

Moral sensitivity and person‐centred care among mental health nurses in South Korea: A cross‐sectional study

Jang

Kim²,

Lee

2022

J Nursing Management

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“…The first factor at the level of individual MHNs affecting PCC was moral sensitivity, which was high in this study. In parallel to this finding, the studies conducted by Afrasiabifar et al 14 and Mert Boga et al 35 also found a positive correlation between the moral sensitivity of nurses and caring behavior. This study identified that moral sensitivity affects both the perception and provision of MHNs' PCC.…”

Section: Discussionmentioning

confidence: 61%

“…Moral sensitivity is a significant attribute for nurses to identify and resolve ethical difficulties inherent in caring. 14 It is defined as an understanding of patients’ vulnerable situations and awareness of the moral meaning of decisions made in place of the patient. 12 Therefore, moral sensitivity would be an important factor to perform PCC.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing mental health nurses in providing person-centered care

Ahn

2022

Nurs Ethics

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Background Mental health nurses advocate for patients through a person-centered approach because they care for people experiencing mental distress who tend to be limited to exercising their human rights and autonomy through interpersonal relationships. Therefore, it is necessary to provide high-quality person-centered care for these patients by identifying the influencing factors. Aim This study aims to identify the factors affecting mental health nurses in performing person-centered care for patients. Research design This study had a cross-sectional, descriptive-correlational survey design. Participants and method Nurses ( N = 166) working at psychiatric wards in Korea completed an online questionnaire on moral sensitivity, attitudes toward people with mental illness, and person-centered care. The t-test and stepwise multiple regression analysis were used. Ethical considerations Ethical approval for the study was obtained from the relevant ethics committee. Findings Moral sensitivity was a significant factor correlating with the provision and perception of person-centered care. Attitudes toward patients had no effect on person-centered care. The predictor variables for the provision of person-centered care (R2 = 0.247) were moral sensitivity (β = 0.33), having a professional qualification (β = 0.19), marital status (β = 0.18), and closed ward (β = −0.15). The predictor variables for the perception of person-centered (R2 = 0.150) care were closed ward (β = −0.25), moral sensitivity (β = 0.23), and marital status (β = 0.18). Discussion and conclusion Mental health nurses can strengthen person-centered care by improving moral sensitivity related to the ethical aspect of nursing and professional competence to address the complex needs of patients. Person-centered care needs to be applied more carefully in closed wards where human rights issues may arise. Through these efforts, the dignity of patients can be protected.

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“…Moral sensitivity is understood as an intuitive recognition of the conditions that can expose the patient to vulnerabilities that can be circumvented with an expanded view of the ethical and moral consequences of decision-making processes. 23,25,26 Professionals who have improved moral sensitivity can better manage ethical dilemmas than those who do not by broadening caring possibilities and clarifying the pathways for ethical decisionmaking in situations where autonomy is undermined with contradictions and restrictions of choices in light of the prognosis. [27][28][29] Therefore, we can infer that the limitations of nursing professionals in identifying ethical and moral conflicts can be overcome by strengthening their moral sensitivity.…”

Section: Discussionmentioning

confidence: 99%

Ethical and Moral Conflicts in the Nursing Care of Pediatric Patients With Cancer and Their Families

et al. 2022

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BackgroundPediatric oncology nurses encounter ethical and moral dilemmas when providing comprehensive care to pediatric patients with cancer and their families.ObjectiveThe aim of this study was to explore ethical and moral conflicts arising in the field of pediatric oncology from the perspective of nursing professionals.MethodThis qualitative secondary analysis was conducted with 10 nursing professionals from a pediatric cancer hospital through semistructured interviews and analyzed using thematic data analysis.ResultsTwo themes emerged: (1) living with conflicts intrinsic to the relationships, which describes multiple sources of conflict in the relationships of nursing professionals with the team, with the family, and with seriously ill children, summarizing trigger-sensitive topics to be addressed for its mediation; (2) developing moral resilience, which represents how nurses reframe the conflicts and make use of strategies to avoid being personally harmful.ConclusionsThe results highlight the challenging work environment of pediatric oncology, recognizing the multiple natures of sensitive topics to nursing professionals during clinical decision making and the incipient strategies in dealing with ethical and moral conflicts.Implications for PracticeThis study reveals self-reflection and intuitive strategies as protective factors, which could be applied as a step to support nurses encountering ethical and moral conflicts in pediatric oncology daily practice. Furthermore, because of the limited support services for nursing professionals, it is necessary to foresee institutional policies to embrace the development of moral resilience.

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Nurses’ caring behaviour and its correlation with moral sensitivity

Cited by 19 publications

References 39 publications

Moral sensitivity and person‐centred care among mental health nurses in South Korea: A cross‐sectional study

Moral sensitivity and person‐centred care among mental health nurses in South Korea: A cross‐sectional study

Factors influencing mental health nurses in providing person-centered care

Ethical and Moral Conflicts in the Nursing Care of Pediatric Patients With Cancer and Their Families

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