Relationship between nurses’ moral sensitivity and the quality of care

Amiri, Elham; Ebrahimi, Hossein; Vahidi, Maryam; Jafarabadi, Mohamad Asghari; Areshtanab, Hossein Namdar

doi:10.1177/0969733017745726

Cited by 83 publications

(83 citation statements)

References 26 publications

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“…Many studies report nurses' observance ofprofessional ethics to be unsatisfactory (15). According to a study in Iran, whennurses fail to respect ethical values, negative consequences,including nurses' distancing themselves from patients andindifference to providing ethical care, follow (16). Professional ethics arevital to meeting the challenges which arise from constant changesin healthcare systems and societies (14).…”

Section: Background and Purposementioning

confidence: 99%

The Relationship Between Nurses' Perceptions of Caring Behaviors based on Watson's Theory and of Professional Ethics: A Cross-Sectional Study

Heydari

Torkaman

Torabizadeh

2020

Preprint

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Background and purpose: Caring is a central concept in nursing. It is essential that nurses adhere to ethics toward improving the quality of their performance as nurses. This study aims to explore the relationship between nurses' perceptions of caring behaviors and of nursing professional ethics.Methods: 210 nurses from hospitals in Shiraz, Iran, participated in this cross-sectional study. The participants were selected via stratified random sampling. The data collection tool consisted of demographics, Watson's caring dimensions inventory, and Petty's work ethics scale. The collected data were analyzed in SPSS v. 25 using descriptive and analytical statistics.Results: There was not a statistically significant relationship between the nurses' demographics on the one hand and their perceptions of caring behaviors or of nursing professional ethics on the other. The mean of the participants' perception of caring behaviors scores was 142.49±10.71 and the mean of their professional ethics scores was 102.21±5.32. A significant positive correlation was found to exist between the two variables under study (P<0.001, r=0.46).Conclusion: There is a positive correlation between nurses' perceptions of caring behaviors and of professional ethics. This finding can be used by nursing administrators and policy-makers to design interventions to improve the quality of nursing care.

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Section: Background and Purposementioning

confidence: 99%

The Relationship Between Nurses' Perceptions of Caring Behaviors based on Watson's Theory and of Professional Ethics: A Cross-Sectional Study

Heydari

Torkaman

Torabizadeh

2020

Preprint

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“…Furthermore, the components of moral practice, including sensitivity and courage were evaluated in several studies (23)(24)(25)(26)(27)(28). For example, in their study involving, Amiri et al 2018 showed that nurses apply ethics knowledge in real work situations infrequently (9). The results of other studies showed that sometimes deterioration happened in the moral practice of nurses.…”

Section: Introductionmentioning

confidence: 98%

“…The importance of ethics in care is to such an extent that it sometimes outweighs the technical aspects of nursing (8); in this regard any care should be provided ethically to have the highest quality. As nurses become more sensitive to the ethical aspects of care, the quality of care provided also tends to increase (9,10). Because the level of sensitivity to ethical issues and understanding the ethical dimensions of care are influenced by cultural and workplace conditions, and beliefs of nurses, the level of moral sensitivity of nurses can vary (11).…”

Section: Introductionmentioning

confidence: 99%

Moral neutralization: Nurses' evolution in unethical climate workplaces

Hakimi

Joolaee

Farahani

et al. 2020

Preprint

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Introduction Good quality of care is dependent on nurses’ strong clinical skills and strong moral competencies, as well. However, the moral performance of some nurses in some organizations shows a deterioration in their moral sensitivity and actions. The aim of the study reported on in this paper was to explore the experiences of nurses regarding negative changes in their moral practice. Materials and Methods This was a qualitative study utilizing a inductive thematic analysis approach, which was conducted from February 2017 to September 2019. Twenty-five nurses participated in semi-structured interviews. Results The main theme that emerged from our analysis was one of moral neutralization in the context of an unethical moral climate. We found five sub-themes, including: (1) feeling discouraged; (2) normalization; (3) giving up; (4) becoming a justifier; and (5) moral indifference. Conclusions Unethical moral climates in health organizations can result in deterioration of morality in nurses which can harm both pateints and health syetms. Some unethical behaviors in nurses can be explaiened by this process.

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“…At first glance, nurses' performance and clinical activity may seem to be separate from ethics. However, ethics and clinical performance are not practically separable [22]; rather, the observation of codes of ethics is related to nursing performance in care-giving [23]. On the other hand, promotion of nurses' awareness of ethical principles and issues can lead to improved patient safety and quality care [24].…”

Section: Introductionmentioning

confidence: 99%

The effect of education around ethical principles on nurses’ perception to patient safety culture in an Iranian mental health inpatient unit: a pilot study

et al. 2020

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Background & objectives: Patient safety is a crucial factor in the provision of quality healthcare and is therefore a global health concern. It is an area in which ethical concerns and high-quality clinical practice are inextricably linked. This study investigates the effect of education around ethical principles on nurses' perception of patient safety in a psychiatric unit. Materials & methods: This pre-and post-test descriptive study was conducted in a mental health inpatient unit in a hospital in Tehran, capital of Iran, in 2018. A total of 33 nurses, selected by census sampling, participated in the study. Data was collected using a demographics questionnaire and Hospital Survey on Patient Safety Culture (HSOPSC), and was analyzed with SPSS21. Results: The mean score of patient safety was 116.85 ± 9.98 before the educational intervention, 143.58 ± 7.21 immediately after intervention, and 153.12 ± 9.47 1 month after intervention. The rate of error report by most participants over the past 12 months was 3-5 and 6-10 events before intervention, and 6-10 events immediately after and 1 month after intervention. Also, 42.4% of the participants assessed patient safety after intervention as very good and 36.4% assessed it as acceptable and very good 1 month after intervention whereas most of the participants (45.5%) assessed patient safety as acceptable before intervention. Conclusion: Education on ethical principles exerts a positive effect on nurses' perception of patient safety culture. Thus, it is recommended as an effective method of promoting nurses' perception of this variable. In this way, healthcare quality and enhanced patient safety can be achieved.

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Relationship between nurses’ moral sensitivity and the quality of care

Cited by 83 publications

References 26 publications

The Relationship Between Nurses' Perceptions of Caring Behaviors based on Watson's Theory and of Professional Ethics: A Cross-Sectional Study

The Relationship Between Nurses' Perceptions of Caring Behaviors based on Watson's Theory and of Professional Ethics: A Cross-Sectional Study

Moral neutralization: Nurses' evolution in unethical climate workplaces

The effect of education around ethical principles on nurses’ perception to patient safety culture in an Iranian mental health inpatient unit: a pilot study

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