Iranian Pediatric Nurse’s Experience: The Facilitators of the Learning of Ethical Practices
Abstract
Background: Ethical care is a core value in nursing. Pediatric nurses are in direct and continuous contact with children and their parents. They manage their lives and health. As part of the pediatric nurses’ daily work, ethical issues play an important role in making decisions, are important to make decisions, and this capability is only achieved by ethical practice. This study aimed to explore the factors facilitating the learning of ethical practice among Iranian pediatric nurses.
Materials and Methods: This study is a conventional qualitative content analysis based on the Graneheim and Lundman method. It was conducted through semi‑structured interviews with two focus groups, incorporating 28 nurses working in pediatric wards. Unstructured observation and field notes were other methods of data collection. Purposive sampling continued until data saturation was ensured. All interviews were tape recorded and transcribed in verbatim.
Results: Three main categories and 12 subcategories emerged from this study. The facilitating factors include (1) individual competencies (knowledge, experience, emotional intelligence, and loving children), (2) ethical imprinting (responsibility, reflection, empathy, and ethical beliefs), and (3) an environment that nurtures moral values (organizational, spiritual, family, and cultural environments) as facilitating factors.
Conclusions: The promotion of nurses’ competencies, ethical virtues, and imprinting, as well as improvement of the quality of nursing care must be the top priority of the health team. Undoubtedly, the success of the health care system is not possible without ensuring that pediatric nurses learn ethical practices.Keywords
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Borhani F, Abbaszadeh A, Mohsenpour M, Asadi N. Lived experiences of pediatric oncology nurses in Iran. Iranian J Nurs Midwifery Res 2013;18:349 54.
Carol T, Carol L. The art & science of nursing care. Philadelphia: Lippincott; 2001.
Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Textbook of Medical Surgical Wal Nursing. Philadelphia: Lippincott; 2001.
Tefag M, Nikbakht Nasrabadi A, Mehran A, Dinmohammadi N. Investigation of the ethical practice in medication process among nurses. Hayat 2004;10:77 85. [In Persian].
Hasanpoor M, Hosseini M, Fallahi M, Abbaszadeh A. The effect of training of nursing ethics on nurses ethical decision making in Kerman social security hospitals at 2011. Iran J Ethics Med History 2012;4.
Akter B CA, Nasae T. Moral behaviors of nurse supervisors expected and perceived by nurses in Bangladesh. In: Proceeding of the 2nd international conference on humanities and social sciences. Prince of Songkla University; 2010.
Dierckx de Casterle B, Grypdonck M, Cannaerts N, Steeman E. Empirical studies in actuion: Lessons from two empirical studies in nursing ethics. Med Health Care Philos 2004;7:31 9.
Borhani F, Alhani F, Mohammadi I, Abbaszadeh A. Professional nursing ethics: It's Development and challenges. Iran J Med Ethics History Med 2009;2:27 38. [In Persian].
Udomluck S, Tonmukayakul O, Tiansawad S, Srisuphan W. Development of thai nurses caring behavior scale. Pacific Rim Int J Nurs Res 2010;14:32 44.
Courtney JF. Decision Making And Knowledge Management In Inquiring Organizations: Toward A New Decision Making Paradigm For DSS. Decision Support Syst 2001;31:17 38.
Fogleman C. Legal and ethical considerations on consent for minors. J Undergrad Nurse Writing 2010;4.
Kurtz P, Ronald L. Community focused nursing. Jones and Bartlett Publisher; 2008.
Davis AJ. Ethical similarities internationally. West J Nurs Res 1990;2:685 8.
Wocial DL. Nurturing the moral imagination: A Reflection On Bioethics Education For Nurses. Diametros Nr wrzesień 2010;25:92 102.
Daly LE, Fahey Mc. Re Examining the basis for ethical dementia care practice. Br J Nurs 2014;23:81 2,84 5.
Jacobs HH. Ethics in pediatric end of life care: A Nursing Perspective. J Pediatr Nurs 2005;20:360 9.
Brady M. Hospitalized children’s views of the good nurse. Nurs Ethics 2009;16:543 60.
Gaul A. The effect of a course in nursing ethics on the relationship between ethical choice and ethical action in accalaureate nursing students. J Nurs Educ 1987;26:113 7.
Felton, GM, Parsons MA. The impact of nursing education on ethical/moral decision making. J Nurs Educ 1987;26:7 11.
Crisham P. Measuring moral judgment in nursing dilemmas. Nurs Res 1981;30:104 10.
Murphy CP. Moral reasoning in a selected group of nursing practitioners. In: Ketefian S, editor. Perspectives on nursing leadership. Teacher College Press: New York; 1981. p. 45 75.
Ranjbar H, Joolaee S, Vedadhir A, Abbaszadeh A, Bernstein C. Becoming a nurse as a moral journey: A constructivist grounded theory. Nurs Ethics 2016 [Epub ahead of print].
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24:105 12.
Lincoln YS, Guba E. But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. New Directions Program Evaluation 1986;1986:73 84.
Borhani F, Abbaszadeh A, Mohsenpour M. Nursing students’ understanding of factors influencing ethical sensitivity: A qualitative study. Iran J Nurs Midwifery Res 2013;18:310 5.
Borhani F, Abbaszadeh A, Mohsenpour M. Illumination meaning of ethical sensitivity in nursing students: A qualitative study. Medical Ethics Journal 2013;6:93 115. [In Persian].
Kim YS, Park JW, You MA, Seo YS, Han SS. Sensitivity to ethical issues confronted by Korean hospital staff nurses. Nurs Ethics 2005;12:595 605.
Pourbandbani M Sadeghi M, Salsali M, Borhani F. Effective factors on active participation of clinical nurses to solution of ethical issues: Master nursing students’ perspective. J Urmia Nurs Midwifery Fac 2013;11:42 51. [In Persian].
Weaver K, Morse J, Mitcham C. Ethical sensitivity in professional practice: Concept analysis. J Adv Nurs 2008;62:607 18.
Gallagher A. Dignity and respect for dignity two key health professional values: Implications for nursing practice. Nurs Ethics 2004;11:587 99.
Borhani F, Alhani F, Mohammadi E, Abbaszadeh A. Professional ethical competence in nursing: The role of nursing instructors. J Med Ethics Hist Med 2010;3:3.
Robichaux C. Developing ethical skills: From sensitivity to action. Crit Care Nurse 2012;32:65 72.
Teekman B. Exploring reflective thinking in nursing practice. J Adv Nurs 2000;31:1125 35.
Abedini M, Abbasi A, Mortazavi F, Bijari B. The Effective factors on the communication between students and faculty members from student’s prospective in Birjand University of medical sciences. Proc Soc Behav Sci 2013;83:94 8. [In Persian].
Manning Morton J. The Personal is Professional: Professionalism and the Birth to Threes Practitioner. Contemporary Issues in Early Childhood 2006;7:42 52.
Borhani F, Hosseini S, Abbaszadeh A. Commitment to care: A qualitative study of intensive care nurses’ perspectives of end of life care in an Islamic context. Int Nurs Rev 2014;61:140 7.
Gigerenzer G. Moral intuition fast and frugal heuristics? In the cognitive science of morality: Intuition and diversity. MIT Press; 2008:1 26.
Borhani F, Jalali T, Abbaszadeh A, Haghdoost AA, Amiresmaili M. Nurses’ perception of Ethical Climate and Job Satisfaction. J Med Ethics Hist Med 2012;5:6.
Haglund K, van der Meiden E, von Knorring L, von Essen L. Psychiatric care behind locked doors. A study regarding the frequency of and the reasons for locked psychiatric wards in Sweden. J Psychiatr Ment Health Nurs 2007:14:49 54.
Boverie P, Grassberger R, Law V. Leading individual development and organizational change around learning, meaning, and nurturing environment. Adv Developing Human Resources 2013;15:382 400.
Lachman VD. Moral Courage: A Virtue In Need Of Development? Medsurg Nurs 2007;16:131 3.
Taylor EJ, Amenta M, Highfield M. Spiritual care practices of oncology nurses. Oncol Nurs Forum 1995;22:31 9.
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