Nurses' Views On Ethical Practices In Nursing Care: A Qualitative Study

Cumhuriyet medical journal Pub Date : 2023-09-25 DOI:10.7197/cmj.1238689

Şükriye ŞAHİN, Şule ALPAR ECEVİT

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Abstract

ABSTRACT Objectives: Nurses are required to make ethical decisions with the ethical principles of the nursing profession while making decisions in clinical practice. Therefore, it is very important to recognize and solve ethical problems. The purpose of this research is to learn in-depth the views of nurses about ethical practices and nurses' behavior towards individuals when giving care. Methods: A hermeneutic-phenomenological qualitative study was performed. Qualitative data were gathered through semi-structured in-depth interviews from March to November 2020, four hospital in Kocaeli. This qualitative study was carried out with the data collected in face-to-face in-depth interviews with the semi-structured questionnaire. Interviews were conducted with 40 nurses and each interview took 30–60 min. The obtained data were evaluated with the inductive content analysis method. Results: Content analysis of the interview based on nurses' descriptions revealed four major themes. Themes: The meaning given to care ethics, difficulties encountered in nursing care, ethical values in nursing care and ethical approachs of hospital management. The nurses indicated level of care ethics knowledge was insufficient and they needed to receive comprehensive ethical care training from a qualified specialist. In addition, nurses' personal characteristics, religious and cultural values, and professional experiences were found to be factors affecting nursing care. It was also find that the support and motivation of nurses by their managers positively affected their care. Conclusion: In the interviews, nurses consider it necessary to provide care by paying attention to ethical behaviors in nursing care and practices for the development and professionalism of the profession, but they state that they do not have an idea about how this will be provided. It was determined that nurses thought that more attention should be paid to the importance and value of ethics in nursing interventions, and ethical practices in nursing care should be included in in-service training programs.

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护士对护理伦理实践的看法:一项质的研究

摘要# x0D;目的:要求护士在临床实践中根据护理职业的伦理原则进行伦理决策。因此，认识和解决伦理问题是非常重要的。本研究的目的是深入了解护士在护理时对个人的道德实践和行为的看法。方法:进行解释学-现象学定性研究。从2020年3月至11月，通过半结构化深度访谈收集了科加埃利四家医院的定性数据。本定性研究采用半结构化问卷，采用面对面深度访谈的方式收集数据。对40名护士进行访谈，每次访谈30 ~ 60 min。采用归纳内容分析法对所得数据进行评价。& # x0D;结果:基于护士描述的访谈内容分析揭示了四个主要主题。主题:护理伦理的意义，护理中遇到的困难，护理中的伦理价值和医院管理的伦理方法。护士表示护理伦理知识水平不足，需要接受合格专科医生的全面护理伦理培训。此外，护士的个人特征、宗教文化价值观和专业经验也是影响护理的因素。研究还发现，管理者对护士的支持和激励对护士的护理有积极的影响。结论:在访谈中，护士认为有必要通过关注护理中的道德行为和实践来提供护理，以促进职业的发展和专业化，但他们表示不知道如何提供。结果表明，护士认为在护理干预中应更加重视护理伦理的重要性和价值，并将护理伦理实践纳入在职培训计划。

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Cumhuriyet medical journal

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