The status of ethical behaviour in clinical nursing in three Chinese hospitals: A qualitative interview study

Wang, Shengnan; Jiang, Zhaobin; Zhang, Zeyu; Xiao-yan, Zhao; Fei, Wang; Chen, Yongxia; Yang, Xiumu

doi:10.1111/jonm.13810

Cited by 6 publications

(4 citation statements)

References 48 publications

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“…In another study, nurses estimated their own ethical competence to be at an average level [ 41 ]. Our study findings are in line with the literature [ 39 , 42 , 43 ]. The negative (low levels ethical attitude) ethical attitudes of the nurses who participated in our research may have resulted from the complex ethical problems experienced due to the critical importance of the patient group provided care for and the high workload and stress of the nurses.…”

Section: Discussionsupporting

confidence: 94%

The relationship between the ethical attitudes and holistic competence levels of intensive care nurses: A cross-sectional study

TAŞKIRAN

Türk

2023

PLoS ONE

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Background Intensive care units are directly associated with the competency level of nurses and are units where ethical problems are frequently experienced. This research aims to determine the relationship between intensive care nurses’ ethical attitudes and holistic competence levels. Methods This study was conducted as a cross-sectional design using self-report questionnaires distributed to 131 intensive care nurses in Turkey. The data of the study were collected with the “Nurses Information Form,” “Holistic Nursing Competence Scale” and “Ethical Attitude Scale for Nursing Care”. Results The total mean score of the Holistic Nursing Competence of the nurses was 6.89±0.95. Holistic Nursing Competence level was significantly lower for those who had experienced less than one year in the profession, and it was higher for those who worked in the emergency intensive care unit and the nurses whose clinics had 21 and above nurses. The total mean score of the nurses’ ethics attitude toward nursing care was 59.36±29.09. Ethical Attitude for Nursing Care was significantly lower for those who had a master’s degree, and the nurses whose clinics had 21 and above nurses scored higher. There was a weak and negative correlation between the nurses’ Holistic Nursing Competence Scale and the total mean score of the Ethical Attitude Scale for Nursing Care. The ethical attitude was predicted in 13.2% of the Holistic Nursing Competence of nurses. Conclusions It was concluded that nurses’ holistic competence levels were high, their ethical attitudes were negative, and there was a weak negative correlation between their holistic competence levels and their ethical attitudes toward care.

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Section: Discussionsupporting

confidence: 94%

The relationship between the ethical attitudes and holistic competence levels of intensive care nurses: A cross-sectional study

TAŞKIRAN

Türk

2023

PLoS ONE

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“…In China, entry criteria for SNs vary depending on the area of specialist care. Provinces and municipalities have also developed different entry criteria in their SNs training systems, resulting in uneven competencies and low recognition of SNs across the country (Ma et al, 2019;Zhang et al, 2012).…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…The scientific research ability of nurses is an important factor used to measure the quality of nursing education (Zhang et al, 2012).…”

Section: Current Situation Of Scientific Research Ability Of Snsmentioning

confidence: 99%

Scientific research ability of specialist nurses in Guangxi Zhuang Autonomous Region, China: A cross‐sectional study

Huang

Liu

et al. 2023

Nursing Open

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AimThis study investigated the scientific research ability of Chinese specialist nurses (SNs) in the Guangxi Zhuang Autonomous Region and its influencing factors.DesignA cross‐sectional design.MethodsA total of 652 SNs in the Guangxi Zhuang Autonomous Region were investigated from March to October 2021. The nursing scientific research ability level was measured using the Nursing Research Competence of Nurses Self‐evaluation Scale. Descriptive statistics, univariate analysis and ordinal logistic regression analysis were used to evaluate factors affecting the scientific research ability of SNs.ResultsThe median score of scientific research ability of SNs was 31 (interquartile range: 19–41). Approximately 74.8% of clinical speciality nurses had low scientific research ability. Educational background, working hospital level, being the first author of a published paper and successful application for scientific research projects were identified as factors influencing scientific research ability score.

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“…A study in Canada showed that 71% of ICU patients had no exercise, 28 and another survey in China showed that early exercise rate of patients with mechanically ventilation was only 19.2% . 29 To improve the implementation rate of early exercise in ICU, a professional multidisciplinary team (including doctors, nurses, rehabilitation physiotherapists, etc) is required, and the role of nurses is indispensable. 3,30,31 As the literature supporting early exercise expands, investigations of current clinical practice are necessary to inform implementation efforts.…”

Section: Introductionmentioning

confidence: 99%

Early exercise in intensive care units in China: nurses’ current practices, limitations and intentions

Wang,

Zhang,

Jia

et al. 2024

Preprint

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Rationale, Aims and Objectives: Early exercise has been extensively reported as safe and beneficial for critically ill patients. However, it is not widely implemented as frequently as expected in intensive care units (ICUs). Little is known regarding nurses’ current practice status and their intention toward early exercise. This paper aimed to investigate intensive care unit (ICU) nurses’ current practice, limitations and intention to implement early exercise for ICU patients. Methods: A cross-sectional, multicenter survey with the e-questionnaire was conducted in the ICUs of four tertiary hospitals in Beijing, China. Results: A majority of the participants had experience with early exercise for critically ill patients during the last 3 months. Among 156 nurses who had early exercise experience, 49.3% performed early exercise less than once per week, only 29.5% of them spent >20 min on early exercise per patient, the main form of early exercise was in-bed exercise, with 55.8% performing out-of-bed exercise. Only 24.2% of participants reported having an early exercise guideline to follow in their work. The forms and frequencies of early exercise in different ICUs varied greatly, the emergency ICU was the least ideal, while the respiratory and surgical ICUs were better. Most participants showed positive intention to implement early exercise, and their intentions were significantly correlated with their education level (bachelor degree or above), support from their department, fewer perceived barriers, and working department. Conclusion: Although two-thirds of participants had experience with early exercise for critically ill patients, the implementation details of the early exercise were not ideal, including inadequate frequency and time etc. ICU managers should work to develop guidelines or regulations for early exercise, conduct training programs, overcome the limitations and provide adequate support for nurses to improve early exercise practices.

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The status of ethical behaviour in clinical nursing in three Chinese hospitals: A qualitative interview study

Cited by 6 publications

References 48 publications

The relationship between the ethical attitudes and holistic competence levels of intensive care nurses: A cross-sectional study

The relationship between the ethical attitudes and holistic competence levels of intensive care nurses: A cross-sectional study

Scientific research ability of specialist nurses in Guangxi Zhuang Autonomous Region, China: A cross‐sectional study

Early exercise in intensive care units in China: nurses’ current practices, limitations and intentions

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