فصلنامه آموزش و اخلاق در پرستاری
سال دوم شماره 2 (تابستان 1392)

Adherence to the principles of professionalism enables health care team to act according to professional standards and attend to patients’ health and welfare in all stages of their life while trying to sustain and promote their professional status. This study aimed to assess the health care team’s compliance with professional ethical codes as a means to facilitate clinical governance. This is a descriptive and cross-sectional study performed by a census of 211 health care staff in Jahrom. The data gathering tool consisted of a valid, reliable questionnaire including two sections of demographic information (age, sex, employment history, and ward) and 41 questions in 8 areas based on a 5-point Likert scale. Data analysis was performed by descriptive and analytic statistics via SPSS. The overall compliance with ethical codes was 3.82 ± 0.75. The highest score belonged to patient care quality improvement (4.60) and the lowest score to commitment to confidentiality (2.78). There was a significant relationship between the type of ward (p=0.03), age (p=0.003) and adherence to professional ethics. It seems that compliance with professionalism is moderate among health care staff in Jahrom University of Medical Sciences. It is recommended that managers, planners, and instructors tend to enhance professionalism among health care staff by setting relevant policies and running service training.

New graduate nurses’ capability defect is one of the issues contributing to the reduction of nursing care quality in hospitals. Introductory education is the best solution; yet, the quality must be attended. The goal of this study was to compare the effect of traditional and classical education on new graduate nurses’ performance. This is an interventional study performed on 60 new graduate nurses randomly selected in Peymanieh Hospital of Jahrom University of Medical Science. Both groups were homogenized based on age, sex, place of education and GPA. 24 nursing procedures, performed all the wards, were assessed. Pre-intervention and post-intervention assessments were conducted by fixed observers. Data analysis was performed using SPSS The mean of assessment after intervention in traditional and classical groups were respectively 3.18 ± 0.28 and 3.74 ± 0.27. T-test revealed significant difference between the two groups (P<0.05). Traditional and classic educations enhance the new graduate nurses’ capabilities. But classical education is more effective, compared to traditional method

Respect for mothers’ dignity is a step to increase mothers’ satisfaction of the health services provided. Midwifery students should, therefore, acquaint themselves with and remain committed to pregnant women’s bill of rights from the outset of their studies. This study aimed at determining the level of awareness of pregnant women’s bill of rights in Qom University of Medical Sciences during 2009. This was a descriptive and cross-sectional study of 58 junior and senior midwifery students performed by census. The data collection tool consisted of researcher-made questionnaire including 25 closed and one open question in seven areas of pregnant women’s bill of rights. The questionnaire reliability and validity was confirmed. Descriptive statistics including chi square test via SPSS 18.0 were used to analyze the data. 37.9% of participants’ knowledge of the components of pregnant women’s bill of rights was good and 44.9% moderate. Also, the highest knowledge score was in the field rights of pregnant women belonged to right to information (2.4± 0.3) and the right to respect (2.1± 0.4). The lowest knowledge score belonged to the right to refuse (1.2± 0.2) and the right to protest (1.1± 0.1). The study showed that midwifery student's knowledge of the components of pregnant women’s bill of rights was 44.9% which would be interpreted as moderate. It is, therefore, recommended that planners, midwifery instructors and professors attend further to midwifery students’ knowledge pregnant women’s bill of rights.

Universities are responsible to meet the students’ demands during their studies. Supervisors’ appropriate performance would lead students to a proper grip on educational goals. With respect to the essential role of counseling and supervision, this study aimed at determining the status of supervisors’ performance in students’ views in Lorestan University of Medical Sciences. In this descriptive and cross-sectional study 680 sophomore students (in all fields) were studied by census. Data gathering tool consisted of a two-part questionnaire, with 79% reliability, scored according to the Ministry of Health instructions. Scores revealed supervisors’ performance in three levels. Findings were analyzed by statistical tests including frequency test and λ2 in SPSS. 77.9% of persons were females aged 19-35 years old. Educational problems (59.2%) were the most frequent reasons for seeking assistance. 37.9% of students evaluated supervisors’ performance as inappropriate, 44.38% as moderate, and 17.73% as appropriate. Results did not show a good level of satisfaction of supervisors’ performances. While holding positive attitudes toward educational counseling and supervision, it is, therefore, recommended to evaluate supervisors’ performances and outcomes in order to develop organized educational programs to upgrade academic institutional ideals.

This survey aimed to investigate the nurse's knowledge of patient's bill of rights in teaching hospitals affiliated to Birjand University of Medical Sciences during 2011. This is a descriptive and cross-sectional study in which 161 nurses working in hospitals of Birjand University of Medical Sciences were surveyed. The data collection tool comprised a questionnaire including demographic information and knowledge questions. SPSS 16.0 was used to analyze the data, using descriptive statistics and frequency tables. The majority of participating nurses showed adequate knowledge of patient's rights in the field of health services disregarding the racial, religious, and cultural issues involved. Participants, on the other hand, had the least trust regarding the medical staff confidentiality and the presence of people not directly involved the treatment process. Comparisons between nurse's knowledge scores and other variables including gender, marital status, educational level, and occupation were fulfilled. Regarding the importance of Patient's bill of rights, authorities are demanded to provide adequate theoretical and practical guides for nurses and set additional sanctions for elevating the medical education system in country.

During recent years our country has witnessed youths who specifically tend to act like the opposite sex. It can challenge our social as well as ethical affairs. This study aimed at determining the relation between transvestitism and the level of sexual hormones in youths. This was a case-control and analytical study performed on 60 people (30 cases and 30 controls). The case group was selected by convenient sampling. The inclusion criteria comprised of undertaking acts which were at odds with the persons’ sexualities. The data gathering tool consisted of a researcher-made questionnaire. The questionnaire content and face validities were confirmed by 10 university professors. The questionnaire reliability was then measured by Cronbach's alpha (r=0.81). Blood samples were taken from both groups. The difference between the mean hormonal levels and independent T was measured in SPSS 15.0. The mean estrogen level in males was 24.67 ± 0.40 pg/ml and the mean testosterone level means was 3.85 ± 0.42 mg/ml in females. No significant relationship was observed between hormonal levels and transvestitism (p=0.123). Due to the lack of significant hormonal differences between the two groups, it can be concluded that this phenomenon is rooted in a host of sociocultural factors which raise it as an ethical controversy in society.