فصلنامه آموزش و اخلاق در پرستاری
سال چهارم شماره 1 (بهار 1394)

The Patient right is the most basic rights that should be taken into consideration by the medical staff. In this respect، the role of doctors and nurses is more significant compared to that of other members of the health team. The present study was conducted with the aim of assessing patient's satisfaction with nurses’ and doctors’ compliance with Patient Right Charter. The present study was a descriptive، cross-sectional study carried out by using a questionnaire derived from Patient Right Charter approved by the Ministry of Health. The target community was all patients admitted to different wards of shohadaye khalije fars hospital among whom 150 people were selected as samples. This study was done in May & June of 2014. By using independent and paired t-test، Pearson correlation and analysis of variance، data analysis was performed by SPSS19 software. Patients’ average satisfaction with the nurses in this study was 49. 93 ± 19. 95 and with physicians was 48. 89 ± 21. 37، which was not statistically significant (p=0. 47). A significant statistic difference was found between admittance duration and the level of satisfaction was observed. The highest level of satisfaction was contributed to the surgery ward obstetrics and the lowest level of satisfaction was ascribed to obstetrics and gynecology department. Given the importance of complying with Patient Right Charter by nurses and doctors، they seem to be obliged more to the rights of patients and be familiar with Patient Right Charter more so as to gain the patients’ satisfaction to a greater degree، and thus provide the patients with higher quality services.

One of the policies of the Ministry of Health is encouraging departments to conduct internal evaluations. Department of Microbiology is among the first groups formed in Jahrom Medical School that, in line with developments in medical sciences, has gone out of an absolutly theoretical mood and its scope has been drawn to the bedside. Internal assessment is done by the teachers of this group to determine the utility of educational and research processes. This study was a cross-sectional study in 2011 carried out in the Department of Microbiology, Jahrom University of Medical Sciences. The studied population consisted of all members of the group including head of department, faculty, staff and students. Internal assessment was performed based on eight factors including management, mission and goals, faculty and staff, curriculum, students, educational resources, research, testing and evaluation. Three questionnaires to collect information director, faculty and students on the basis of internal assessment software to extract and then assessing the chart according to the Ministry of Health and Medical Education has been used for microbiology localization. According to the results, management (mean acquired 3.58) and educational training (4.39) were in the ideal situation and the other factors were in a roughly appropriate position and generally the research Department was in a relatively favorable situation. Due to the relatively favorable assessment study groups, it is necessary to continue assessment along with removing the existing flaws and increasing the strengths

Triage is the basis for incident management and triage training to medical emergency faculty in planning Disasters is a very important issue. This study has been done with the aim of evaluating the effects of simulated workshop triage on their learning level and determining their satisfaction with the operational workshop. This quasi-experimental study was carried out on 15 senior students of medical emergency in the first semester of 2014-2015 in Jahrom University of Medical Sciences. Teaching fundamental modified triage was done in a two-hour meeting. After a week, workshop triage training was carried out in a simulated environment for 4 hours. Before and after workshop training, the students were tested in a simulated environment with Models and pseudo-injured patients. To assess the impact of workshop on student learning, pre-test and post-test scores were compared. Student's satisfaction with operating workshop was evaluated by a reliable and valid questionnaire (a = 0.8). A significant difference was seen in students’ pre-test and post-test scores (p<0.001, df = 14, t=-6.41) and post-test scores increased compared to the pre-test scores. All students (100%) fully agreed with issues such as that the operational workshops has caused deep learning and that it creates the necessary readiness for students to work in a real environment. It is recommended that emphasis be put on effective and operational training in practical skills training, especially in theoretical-practical courses so as to facilitate more the student learning to achieve skills.

Organizational commitment is one of the most important nursing factors in promoting health and care organizations that are under the influence behavioral characteristics. The aim of this study was to explore the correlation between organizational commitment and sensitivity of ethics for nurses in the West of Golestan province. This descriptive study was a cross-sectional one conducted in 2014. The study covered 288 nurses working in public centers affiliated to Golestan University of Medical Sciences in the West of the province. Quota sampling was carried out in the hospitals of Kordkoy, Turkman harbor and Gaz harbor. The used tools were a standard questionnaire of professional ethics sensitivity for nurses in decision-making and a standard questionnaire of Paterson's job commitment. Data were analyzed using SPSS 16 software, descriptive statistics and Kolmogorov-Smirnov tests, Spearman correlation coefficient and multiple regression at the significant level of p >0.05. 229 (79.5%) people of the study participants were women. The average moral sensitivity score of the study was 63.04 (16.79 = IQR) (Interquartile Range) and the average organizational commitment was 50.26 (13=IQR) which were equal to the average ethical sensitivity and higher than average organizational commitment. Spearman correlation test results showed a significant difference (p= 0.001, r=0.192) between the scores of organizational commitment and the average of professional ethics sensitivity of nurses. To anticipate the impact of different aspects of professional ethics sensitivity on organizational commitment, the most effective predictors were related to the field of professional knowledge (p=0.000, Beta=0.33) and applying ethical concepts in decision-making (p=0.280, Beta = 0.14), respectively. Improving the professional knowledge of nurses and promoting the ethical quality of decisions in dealing with the situation the nurses confront causes a more proper and more logical function in their profession. In order to develop these factors, the development of moral and administrative education based on clinic is of high importance.

Sexual education is one of the basic needs of patients with heart attack. Given the importance of the role of nurses in educating patients, now there are many obstacles in providing patient with education, particularly sexual education in myocardial infarction patients, by nurses that is necessary to be dealt with. So, the present study was conducted with the aim of investigating the barriers to training sexual activity to heart attack patients by nurses in Yazd province hospitals. This study is cross-sectional study carried out on 100 CCU and cardiac nurses, whom were selected by cluster sampling, in selected hospitals in Yazd city in. Data collection tools included three questionnaires of demographic, of general obstacles and of specific obstacles to sexual activity education to heart attack patients. Tool validity was calculated through content and face validity and tool reliability was calculated through internal consistency. Data analysis was performed using SPSS 20 and descriptive statistics such as mean, standard deviation, frequency and percentage and independent T and ANOVA tests. In this study, 52 percent were female and the rest were male. Moreover, the majority of people (61%) were in the age group of 34-24 years old. The results of this study showed that in general aspect, the terms "additional procedures" with 87% and " nurses’ lack of motivation for training " with 86%, and also in specialized aspect, the terms " patients’ modesty and shyness" with 85% and "the difficulty discussing sexual issues for nurses " with 84% percent were the highest barrier sexual activity training to heart attack patients, respectively. The average rating of the general barriers and general and specific dimensions were significantly higher in younger nurses and those who were, single, worked in the heart section, had a bachelor's degree, as well as those with low experience low (p <0/05). With respect to the research findings and mentioned obstacles, it is recommended that the related authorities look for ways to increase the motivation in nurses (financial 0 non-financial), way to take into account the adjustment law in education, and way to take into account the nurse in charge of education to remove barriers.

Due to the importance of providing spiritual care to patients and the appropriateness of any education program, it is essential to know the perspective of nursing and operating room students as the main service providers. Thus, the present study carried out with the aim of evaluating the attitude to spirituality and spiritual care in nursing and operating room students. This study is a cross-sectional study. The study population included 140 nursing and operating room students of Health and Paramedical College in Ferdows city in the second semester of the Academic Year 2013-2014 who were selected by census method. Finally, 106 of them, who met inclusion criteria, were studied as the study samples. Research instruments included a Standard attitude questionnaire to spirituality and spiritual care validated by content validity and its reliability was measured by Cronbach's alpha confirmed by R = 0/82. Then, the questionnaires were given to the students. After collecting data, research data were analyzed using SPSS version 18 and descriptive statistics (mean, standard deviation, and frequency). The results showed that the mean score of attitude to spirituality and spiritual care was 55/92 ± 8/46 and scores the majority of students (81/15%) was between 32 to 62, which estimated in moderate level. Given the importance of spiritual care and the average level of spiritual care in students in this study, it is essential to establish the concept of spirituality and spiritual care along with other interventions to improve medical and nursing skills.

Nurses are the biggest service providers group in the health system and cast a significant impact on the quality of health– therapeutic care and their complying with ethical norms will be an effective factor to improve their performance in providing patient care. So, this study was carried out with the aim of determining the factors associated with facilitating professional ethics compliance from the perspective of nurses. This study was a cross-sectional study and was conducted in a census way in 2011 involving 120 nurses working in hospitals affiliated with Jahrom University of Medical Sciences. The data collection tool was a researcher-made 17-question questionnaire which studied facilitating factors of professional ethics compliance in two levels, individual and patients. The validity and reliability of the questionnaire was approved. Data analysis was performed using 19 SPSS software and statistical tests and chi-square and correlation coefficient. From the perspective of nurses, the most important factor facilitating professional ethics in the individual dimension is related to the ability of critical thinking and the ability to make correct decisions in challenging moral situations (64/2%) and in the patient level it is associated with patients’ proper conduct in communication with nursing staff (41/7%). Furthermore, a significant discrepancy was found between sexuality and factors related to the patient dimension (p =0/01). Factors related to facilitate professional ethics compliance were identified and prioritized on the basis of nurses’ perspective. Therefore, based on the effectiveness of each of the studied factors that affect compliance with professional ethics, it is proposed that a consistent planning be performed in order to better adherence to professional ethics in the health care system.

Moral Intelligence refers to the capacity to understand right from wrong and having strong and deep moral convictions and good behavior. Moral intelligence is associated with right work and adherence to ethics. Thus, the purpose of the present study was to determine moral intelligence in nurses at Kashan Hospitals in 2015. The research was a sectional-description one in terms of data collection. Research population included all nurses in Kashan hospitals (N=577) among whom 196 people were selected as samples using Cochran Formulate and stratified random sampling. A forty-item researcher-made questionnaire with four components of honesty (16 questions), forgiveness (8 questions), responsibility (12 questions) and empathy (4) in the form of five-scale Likert were used to measure moral intelligence. Questionnaire validity was confirmed by experts. Using Cronbach alpha coefficient, questionnaire reliability were calculated 0.897. Data analysis in descriptive level (frequency, percentage, mean & standard deviation) and inferential level (one sample t test and Univariate) was done by SPSS 19 statistical software. Findings showed that the mean of moral intelligence components (3.38±0.35) was higher than average (3). The highest mean score was related to forgiveness (3.48 ±0.39). ANOVA test revealed that there were no significant differences in the level of moral intelligence in nurses in terms of gender, level of education, work experience and employment status. According to the findings, nurse's moral intelligence level was desirable. Optimal levels of moral intelligence in nurses may denote the importance of attaining moral values among nurses, and can also be, in an implicit way, a symptomatic of their moral conduct in healthcare environments. Although the level of moral intelligence components in research community was in a favorable situation, moral intelligence is an ability can be acquired and developed.