Investigating the Relationship Between Nurses’ Attitude and Ethical Sensitivity Ability Towards the Elderly - A Case Study

S. Zeynali, E. Shafiei, M. Mozafari
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Abstract

Background: Older adults need more specialized care due to their complex conditions, and each part of the healthcare system plays a specific role. In addition, nurses have the most human relationship regarding patient duration and depth. Therefore, the quality of providing care to the elderly is influenced by many factors, including nurses’ attitudes and ethical sensitivity. Objectives: This study aimed to determine the relationship between nurses’ attitudes and ethical sensitivity ability towards the elderly in hospitals and their effective factors. Methods: This descriptive-analytical study was conducted on selected (training and non-training) hospitals affiliated with the Ilam University of Medical Sciences, Iran, in 2021. The population included 380 nurses, who were selected by random sampling. The data were collected using two questionnaires, including the standard questionnaire on nurses’ ethical sensitivity in decision-making and Kogan’s Attitudes Toward Old People Scale (Kogan OP Scale). Finally, the data were analyzed by descriptive-inferential statistical tests and SPSS software version 24. Results: The results showed no significant difference between the mean score of nurses’ ethical sensitivity and attitudes (P = 0.807). In addition, no significant relationship was found between the level of ethical sense and individual characteristics of nurses, including age, gender, education level, marital status, work experience, workplace sector, and nursing work type (P > 0.05). However, a significant relationship was found between age and attitude (P = 0.031). Conclusions: Nurses have to deal with many ethical situations when caring for elderly patients, so a positive attitude is essential when dealing with the elderly. As a result, nurses respect the rights of elderly patients to make decisions and preserve their independence. Further, educational programs such as workshops and continuous training courses can help develop nurses’ ethical sensitivity.
护士态度与老年伦理敏感能力的关系研究——以个案为例
背景:老年人由于其复杂的情况需要更多的专业护理,医疗保健系统的每个部分都起着特定的作用。此外,护士在病人的持续时间和深度上是最具人情味的。因此,对老年人的护理质量受到许多因素的影响,包括护士的态度和伦理敏感性。目的:本研究旨在了解医院护士对老年人的态度与伦理敏感能力的关系及其影响因素。方法:本描述性分析研究于2021年在伊朗伊拉姆医科大学附属的选定医院(培训和非培训)进行。其中380名护士是随机抽取的。数据采用护士决策伦理敏感性标准问卷和科根老人态度量表(Kogan OP量表)两份问卷进行收集。最后,采用描述-推理统计检验和SPSS软件24版对数据进行分析。结果:结果显示护士伦理敏感性和态度均分差异无统计学意义(P = 0.807)。护士伦理意识水平与年龄、性别、文化程度、婚姻状况、工作经历、工作部门、护理工作类型等个体特征之间无显著相关(P > 0.05)。然而,年龄与态度之间存在显著相关(P = 0.031)。结论:护理人员在护理老年患者的过程中要处理许多伦理问题,因此在与老年人打交道时要有积极的态度。因此,护士尊重老年病人的决定权,保持他们的独立性。此外,诸如研讨会和持续培训课程等教育项目可以帮助培养护士的道德敏感性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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