Kontakt 2025, 27(1/2025):3-8 | DOI: 10.32725/kont.2024.060

The impact of nurses' ethical perceptions and sensitivities on care behaviors in internal medicine servicesOšetřovatelství - původní práce

Özlem Bulantekin Düzalan1, *, Arife Albayrak Coşar2, Emre Şahin3
1 Çankiri Karatekin University, Faculty of Health Science, Nursing Department, Çankiri, Turkey
2 Alanya Alaaddin Keykubat University, Faculty of Health Science, Nursing Department, Alanya, Turkey
3 Eskişehir Osmangazi University Hospital, Internal Medicine ICU, Eskişehir, Turkey

Background: Ethical decision making is a complex process in health and nursing care. Whenever nurses make ethical decisions, they also have to consider what benefits the patient. Some studies have shown that nurses' ethical perceptions and sensitivities directly affect quality of health care.

Aim: This study aimed to assess the impact of internal medicine nurses' ethical perceptions and sensitivities on the quality of care.

Methods: The sample of this analytical cross-sectional study consisted of two hundred nurses (n = 200) from internal medicine clinics of a university hospital (in Turkey). Data collection tools used to collect the data were a Nurse Information Form, the Caring Behaviors Inventory-24 (CBI-24), the Moral Sensitivity Questionnaire (MSQ), and the Hospital Ethical Climate Survey (HECS). Data were analyzed with percentages, the Mann-Whitney U test, and correlation analysis.

Results: A significant negative correlation was found between the total score of the CBI-24 (r = -0.152, p < 0.005) and the total score of the MSQ. A significant positive correlation (p < 0.05) was found between all subscale and total scores of the BDI-24 and all subscale and total scores of the HECS. There was no statistically significant correlation between HECS and MSQ (p > 0.05).

Klíčová slova: Caring; Ethical climate; Ethics; Nursing
Střet zájmů:

The authors have no potential conflicts of interest to declare with respect to the research, authorship, and/or publication of this article.

Vloženo: 27. duben 2024; Revidováno: 9. říjen 2024; Přijato: 17. prosinec 2024; Zveřejněno online: 17. prosinec 2024; Zveřejněno: 27. únor 2025  Zobrazit citaci

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Bulantekin Düzalan Ö, Albayrak Coşar A, Şahin E. The impact of nurses' ethical perceptions and sensitivities on care behaviors in internal medicine services. Kontakt. 2025;27(1):3-8. doi: 10.32725/kont.2024.060.
Sdílet...
Stáhnout citaci
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Zobrazit celý článek

    Přílohy

    Stáhnout souborKONT_Duzalan_1397_Suppl-mat.pdf

    Velikost: 109.85 kB

    Reference

    1. Abedi G, Rostami F, Nadi Ghara AA, Taheri N (2015). Determining the relationship between nurses' professional ethics and observance of nursing care standards. Indian J Sci Technol 8(35): 1-7. DOI: 10.17485/ijst/2015/v8i35/86770. Přejít k původnímu zdroji...
    2. Aksu T, Akyol A (2011). Investigation of the moral sensibility of nurses in Izmir. J Med Ethics 19(1): 16-24.
    3. Alpar ŞE, Etik İlkeler, Bahçecik N, Karabacak Ü (2013). Çağdaş Hemşirelik. Etik. 2. Baski. İstanbul: İstanbul Tip Kitapevi, pp. 52-78.
    4. American Nurses Association - ANA (2015). Code of Ethics for Nurses with Interpretive Statements. Silver Spring. [online] [cit. 2024-01-22]. Available from: https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/coe-view-only/
    5. Asgari S, Shafipour V, Taraghi Z, Yazdani-Charati J (2019). Relationship between moral distress and ethical climate with job satisfaction in nurses. Nurs Ethics 26(2): 346-356. DOI: 10.1177/0969733017712083. Přejít k původnímu zdroji... Přejít na PubMed...
    6. Bahcecik N, Oztürk H (2003). The hospital ethical climate survey in Turkey. JONAS Healthc Law Ethics Regul 5(4): 94-99. DOI: 10.1097/00128488-200312000-00008. Přejít k původnímu zdroji... Přejít na PubMed...
    7. Bayram Ş, Dündar T (2011). Sağlik Sektöründe Etik İklim Ve Yildirma (Mobbing) Davranişlari Arasindaki İlişkinin İncelenmesi [Investigation of Relationship Among Ethical Climate and Mobbing Behaviors in Health Care Sector]. Ankara University SBF Journal 66(1): 129-159. DOI: 10.1501/SBFder_0000002198. Přejít k původnímu zdroji...
    8. Borhani F, Jalali T, Abbaszadeh A, Amiresmaili M (2012). Nurses' Perception of Ethical Climate and Job Satisfaction. J Med Ethics Hist Med 5 (6): 1-6. DOI: 10.1016/j.jemep.2021.100664. Přejít k původnímu zdroji...
    9. Cerit B, Öztürk E (2021). Yoğun Bakim Hemşirelerinin Ahlaki Duyarliliği ile Etik Karar Verebilme Düzeyi Arasindaki İlişkinin Belirlenmesi [Determination of the Relationship Between Intensive Care Nurses' Moral Sensitivity and Ethical Decision Making Level]. DEUHFED 14(2): 116-123. DOI: 10.46483/deuhfed.763525. Přejít k původnímu zdroji...
    10. Cerit B, Özveren H (2018). Effect Of Hospital Ethical Climate On The Nurses' Moral Sensitivity. Eur Res J 5(2). DOI: 10.18621/eurj.423324. Přejít k původnímu zdroji...
    11. Dalcali-Köktürk B, Şendir M (2016). Determining The Relationship Between Nurses Personal Values and Their Ethical Sensitivity. Florence Nightingale J Nurs 24(1): 1-9. Přejít k původnímu zdroji...
    12. Duran S, Kargin M, Celebi E (2018). Moral sensitivity in nurses providing care to psychiatric patients: a cross-sectional study. Kocaeli Med J 7(3): 96-103. DOI: 10.5505/ktd.2018.93584. Přejít k původnímu zdroji...
    13. Erenoğlu R, Can R, Tambağ H (2019). Nursing Care Behaviors and Factors Related to Care Behaviors; Maternity Hospital. Health and Society 29(1): 79-88.
    14. Erol F (2016). Hemşirelerin Bakim Davranişlari Ve Mesleki Profesyonel Tutumlari. [Determining The Caring Attributes and Professional Manners of Nurses]. Adnan Menderes University, Aydin.
    15. Firat B, Karataş G. Barut A, Metin G, Sari D (2017). Acil Servis Hemşirelerinin Etik Duyarliliklarinin İncelenmesi [Investigation of Ethical Sensitivities of Emergency Service Nurses]. E-Journal of Dokuz Eylul University Nursing Faculty 10(4): 229-235.
    16. Güney-Kizil E, Beyece-İncazli S, Erken S, Güntürkün F, Özkan B (2015). Hemşirelerin Görevlerini Bilme, Benimseme ve Yerine Getirme Durumlari: İzmir Örneği [Nurses' Knowing, Accepting and Fulfi lling Their Responsibilities: Izmir Sample]. Hemşirelikte Eğitim Ve Araştirma Dergisi 12(3): 215-223. DOI: 10.5222/HEAD.2015.215. Přejít k původnímu zdroji...
    17. Hwang JI, Park HA (2014). Nurses' Perception of Ethical Climate, Medical Error Experience and Intent-To-Leave. Nurs Ethics 21(1): 28-42. 17. DOI: 10.1177/0969733013486797. Přejít k původnímu zdroji... Přejít na PubMed...
    18. Joonbakhsh F, Pashaee S (2014). Caring behaviors perceived by nurses and students in critical care units in Tabriz University of medical sciences affiliated hospitals. Intl Res J Appl Basic Sci 8(4): 489-493.
    19. Kahriman I, Çalik KY (2017). Klinik Hemşirelerin Etik Duyarliliği [Ethical sensitivity of clinical nurses]. Gümüshane Univ J Health Sci 6(3): 111-121.
    20. Karagözoğlu Ş, Özden D, Yildirim G (2014). Yoğun bakim hemşirelerinin hastane etik iklim algisi [Intensive care nurses' perceptions of hospital ethical climate]. J Educ Res Nurs 16(1): 34-45.
    21. Karatuzla M, Uluocak T (2019). Hemşirelikte Etik İklim Algisi Ethical Climate Perception in Nursing [Ethical Climate Perception in Nursing]. Sdü Sağlik Bilimleri Dergisi 10(4): 465-470. DOI: 10.22312/sdusbed.596981. Přejít k původnímu zdroji...
    22. Kirilmaz H, Akbolat M, Kahraman G (2015). A Research About the Ethical Sensitivity of Healthcare Professionals. Int J Health Sci 3(3): 73-82. DOI: 10.15640/ijhs.v3n3a7. Přejít k původnímu zdroji...
    23. Kurşun Ş, Kanan N (2012). Bakim Davranişlari Ölçeği-24'ün Türkçe Formunun Geçerlik Ve Güvenirlik Çalişmasi [Validity and Reliability Study of the Turkish Version of Caring Behaviors Inventory-24]. Anadolu Hemşirelik ve Sağlik Bilimleri Dergisi 15(4): 229-235.
    24. Lemmenes D, Valentine P, Gwizdalski P, Vincent C, Liao C (2018). Nurses' perception of ethical climate at a large academic medical center. Nurs Ethics 25(6): 724-733. DOI: 10.1177/0969733016664980. Přejít k původnímu zdroji... Přejít na PubMed...
    25. Lutzén K, Johansson A, Nordström G (2000). Moral sensitivity: some differences between nurses and physicians. Nurs Ethics 7(6): 520-530. DOI: 10.1177/096973300000700607. Přejít k původnímu zdroji... Přejít na PubMed...
    26. Martins VSM, Santos CMNC, Bataglia PUR, Duarte IMRF (2020). The Teaching of Ethics and the Moral Competence of Medical and Nursing Students. Health Care Anal 29(2): 113-126. DOI: 10.1007/s10728-020-00401-1. Přejít k původnímu zdroji... Přejít na PubMed...
    27. Mert S, Kersu Ö, Aydin-Sayilan A, Akyolcu N (2023). An Investigation of Surgical Nurses' Professional Values, EthicalSensitivity and Quality of Care: A Cross-Sectional Study From Northwest Turkey. Eval Health Prof 46(1): 30-40. DOI: 10.1177/01632787221109968. Přejít k původnímu zdroji... Přejít na PubMed...
    28. Mert-Boğa S, Sayilan-Aydin A, Kersu Ö, Baydemir C (2020). Perception of care quality and ethical sensitivity in surgical nurses. Nurs Ethics 27(3): 673-685. DOI: 10.1177/0969733020901830. Přejít k původnímu zdroji... Přejít na PubMed...
    29. Nas Z (2017). Hemşirelerin etik duyarliliklarinin belirlenmesi. Medipol Üniversitesi Sağlik Bilimleri Enstitüsü Yüksek Lisans Tezi, İstanbul.
    30. Olson LL (1998). Hospital nurses' perceptions of the ethical climate of their work setting. Image J Nurs Sch 30(4): 345-349. DOI: 10.1111/j.1547-5069.1998.tb01331.x. Přejít k původnímu zdroji... Přejít na PubMed...
    31. Önder-Erdem H, Khorshid L, Sari D (2024). Ethical Decision-Making Level of Intensive Care Nurses. Curr Perspect Health Sci 5(1): 24-31. DOI: 10.58208/cphs.1445823. Přejít k původnímu zdroji...
    32. Sauerland J, Marotta K, Peinemann MA, Berndt A, Robichaux C (2014). Assessing and Addressing Moral Distress and Ethical Climate, part 1. Dimens Crit Care Nurs 33(4): 234-245. DOI: 10.1097/DCC.0000000000000050. Přejít k původnímu zdroji... Přejít na PubMed...
    33. Shahvali EA, Mohammadzadeh H, Hazaryan M, Hemmatipour A (2018). Investigating the relationship between nurses' moral sensitivity and patients' satisfaction with the quality of nursing care. Eurasian J Anal Chem 13(2): DOI: 10.29333/ejac/85009. Přejít k původnímu zdroji...
    34. Shalaby SA, Janbi NF, Mohammed KK, Mohammed Al-harthi K (2018). Assessing the caring behaviors of critical care nurses. Nurs Educ Pract 8(10): 77-85. DOI: 10.5430/jnep.v8n10p77. Přejít k původnímu zdroji...
    35. Stenmark CK, Redfearn R (2022). The role of sensory processing sensitivity and analytic mind-set in ethical decision-making. Ethics Behav 32(4): 344-358. DOI: 10.1080/10508422.2021.1906247. Přejít k původnímu zdroji...
    36. Tazegün A, Çelebioğlu A (2016). Çocuk hemşirelerinin etik duyarlilik düzeyleri ve etkileyen faktörler [Ethical Sensitivity Levels of Pediatric Nurses and The Factors Affecting This Sensitivity]. J Dr Behcet Uz Child Hosp 6(2): 97-102. DOI: 10.5222/buchd.2016.097. Přejít k původnímu zdroji...
    37. Tosun H (2018). Moral Sensitivity Questionnaire (MSQ): Turkish Adaptation of the Validity and Reliability. J Contemp Med 8(4): 316-321. DOI: 10.16899/gopctd.467052. Přejít k původnímu zdroji...
    38. Ulrich CM, Taylor C, Soeken K, O'Donnell P, Farrar A, Danis M, Grady C (2010). Everyday ethics: ethical issues and stress in nursing practice. J Adv Nurs 66(11): 2510-2519. DOI: 10.1111/j.1365-2648.2010.05425.x. Přejít k původnímu zdroji... Přejít na PubMed...
    39. Wolf ZR, Giardino ER, Osborne PA, Ambrose MS (1994). Dimensions of Nurse Caring. Image J Nurs Sch 26(2): 107-111. DOI: 10.1111/j.1547-5069.1994.tb00927.x. Přejít k původnímu zdroji... Přejít na PubMed...
    40. Wu Y, Larrabee JH, Putman HP (2006). Caring behaviors inventory: a reduction of the 42-item instrument. Nurs Res 55(1): 18-25. DOI: 10.1097/00006199-200601000-00003. Přejít k původnímu zdroji... Přejít na PubMed...
    41. Yilmaz AT, Yildirim A (2019). Bir Üniversite Hastanesinde Çalişan Hemşirelerin Etik İklim Algisi [Ethical Climate Perceptions Of Nurses Working In A University Hospital]. Electronic J Soc Sci 18(69): 162-176. Přejít k původnímu zdroji...
    42. Yorulmaz Demir DS (2021). Investigation of the Moral Sensitivity and a Affecting Factors of Nurses. Turkiye Klinikleri J Med Ethics 29(1): 86-93. DOI: 10.5336/mdethic.2020-73404. Přejít k původnímu zdroji...
    43. Yürün Y (2015). Hastanede Çalişan Hemşirelerin Hasta Bakim Davranişlarinin Belirlenmesi [Determining Patient Care Behaviours of Nurses at Hospital]. Lefkoşe, Near East University, pp. 1-55.

    Tento článek je publikován v režimu tzv. otevřeného přístupu k vědeckým informacím (Open Access), který je distribuován pod licencí Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), která umožňuje nekomerční distribuci, reprodukci a změny, pokud je původní dílo řádně ocitováno. Není povolena distribuce, reprodukce nebo změna, která není v souladu s podmínkami této licence.


    Zpět na obsah