The Relationship between Moral Sensitivity, Ethical Climate, and Job Strain with Patient Privacy from Viewpoint of Operating Room Staffs
Abstract
Background: The privacy of patients in the operating room is in particular importance. The results of previous studies have shown that various factors are affecting in this context. The aim of this study is to evaluate the relationship between moral sensitivity, ethical climate, and job strain with respect to patients’ privacy in operating rooms.
Materials and Methods: All of operating rooms nurses of teaching hospitals affiliated to Ardabil University of Medical Sciences were entered into this descriptive‑analytical study with census sampling method in 2019. To collect data, standard surveys of moral sensitivity, ethical climate, job strain, and privacy were used. Data were analyzed by SPSS15 software using descriptive and analytical statistics methods (independent t‑test, ANOVA, Pearson correlation, and regression analysis).
Results: There was a positive significant relationship between moral sensitivity and privacy (r = 0.56, p < 0.001) and ethical climate and privacy (r = 0.60, p < 0.001), too. But, there was an inverse and significant correlation between job strain and privacy (r = ‑0.69, p < 0.001). The results also showed that moral sensitivity is the best predictor of patients’ privacy.
Conclusions: Despite the predictability of all variables, results showed that moral sensitivity is the most important component in patients’ privacy. In this regard, by increasing the moral sensitivity of nurses, the privacy of patients can be improved.Keywords
Full Text:
PDFReferences
Kubiak R. The patient’s right to privacy and respect for dignity. Palliat Med 2016;8:113 9.
Aghajani M, Dehghannayeri N. The rate of observe “various dimensions of patients privacy” by treatment team. Iranian Journal of Medical Education 2009;2:59 70.
Dehghan Nayeri N, Aghajani M. Patients’privacy and satisfaction in the emergency department: A descriptive analytical study. Nurs Ethics 2010;17:167 77.
Azencott C A. Machine learning and genomics: Precision medicine versus patient privacy. Philos Trans A Math Phys Eng Sci 2018;376:20170350.
Silva DF, Colleoni R. Patient’s privacy violation on social media in the surgical area. Am Surg 2018;84:1900 5.
Zardosht R, Karimi Moonaghi H, Etezad Razavi M, Ahmady S. The challenges of clinical education in a baccalaureate surgical technology students in Iran: A qualitative study. Electron Physician 2018;10:6406 16.
Jolaee S, Bakhshandeh B, Mohammadebrahim M, Asgarzadeh M, Vasheghanifarahani A, Shariat E, et al. Nursing code of ethics in Iran: The report of an action research. Iranian Journal of Medical Education 2010;3:45 53.
Parsapoor AR, Salari P, Larijani B. Implementation of patient’s rights charter: A report from ministry of health and medical education, Iran. Ir J Public Health 2013;42:9 12.
Ahn SH, Yeom H. Moral sensitivity and critical thinking disposition of nursing students in Korea. Int J Nurs Pract 2014;20:482 9.
Lin YK, Lee WC, Kuo LC, Cheng YC, Lin CJ, Lin HL, et al. Building an ethical environment improves patient privacy and satisfaction in the crowded emergency department: A quasi experimental study. BMC Med Ethics 2013;14:8.
Silén M, Svantesson M, Kjellström S, Sidenvall B, Christensson C. Moral distress and ethical climate in a Swedish nursing context: Perceptions and instrument usability. J Clin Nurs 2011;20:3483 93.
King CA. Clinical ethics: Patient and provider safety. AORN J 2017;106:548 51.
Rasti R, Jahanpour F. Viewpoints of nurses and patients on paying respect to the privacy of patients in care. J Mazand Univ Med Sci 2013;24:34 42.
Majd teimoori Z, Elyasi F, Mosavi S, Kazem nejad E. The most important barriers in respecting patients’ privacy from view point of nurses in therapeutic and educational centers of Rasht city, 2015–2016. J Educ Ethics Nurs 2017;5:14 21.
Wazqar DY, Kerr M, Regan S, Orchard C. An integrative review of the influence of job strain and coping on nurses’ work performance: Understanding the gaps in oncology nursing research. Int J Nurs Sci 2017;4:418 29.
Azizpour Y, Shohani M, Sayehmiri K, Kikhavani S. A survey on the associated factors of stress among operating room personnel. Thrita J Med Sci 2013;2:19 23.
Norian K, Hashemi H, Salehi Z, Rahimi M. Comparison of viewpoints operation room staffs and patients perspectives from “patient’s privacy” in the operating room. J Clin Nurs Midwifery 2016;5:47 57.
Mardani Shorje M, Sabet Sarvestani R, Khani Jeyhooni A, Dehghan A. Comparison of the viewpoints of the operating room staff and those of patients on the degree of respecting patients’ privacy. J Educ Ethics Nurs 2019;8:14 20.
Borhani F, Abbaszadeh A, Hoseinabadi Farahani MJ. Moral sensitivity and its dimensions in Iranian nursing students. J Med Ethics Hist Med 2016;9:19.
Izadi Imani E, Khademi Z, Asadi Noughabi F, Hajizadeh N, Naghizadeh F. The correlation of moral sensitivity of critical care nurses with their caring behavior. Med Ethics Hist 2013;6:43 56.
Tehranineshat B, Torabizadeh C, Bijani M. A study of the relationship between professional values and ethical climate and nurses’ professional quality of life in Iran. Int J Nurs Sci 2020;7:313 9.
Mobasher M, Nkhaee N, Garoosi S. Assessing the ethical climate of Kerman teaching hospitals. Iranian Journal of Medical Education 2008;1:45 52.
Abdollah Zadeh F, Lotfi M, Mirza Aqazadeh A, Etebari Asl Z. Viewpoints of operating room staff and students toward ethical climate in teaching hospitals of Tabriz university of medical sciences. J Med Ethics 2015;9:65 84.
Glendon AI, Litherland DK. Safety climate factors, group differences and safety behavior in road construction. Saf Sci 2001;39:157 88.
Kiani F, Samavatyan S, Pourabian S. Job stress and the rate of reported incidents among workers’ Isfahan Steel Company: The role of mediator work pressure. Iran Occup Health 2011;8:23 31.
Mahdiyoun SA, Pooshgan Z, Imanipour M, Razaghi Z. Correlation between the nurses’ moral sensitivity and the observance of patients’ rights in ICUs. Med Ethics J 2017;11:7 14.
Allari R. Hospital ethical climate and it’s impact on nurses’ professional values. J Nurs Healthc Res 2018;4:13 9.
Etebari Asl Z, Abdollahzadeh F, Lotfi M, Mirza Aghazadeh A, Asghari E. The relationship of ethical climate and nurses’ job satisfaction in the operating room: A cross sectional study. Nurs Midwifery Stud 2017;6:137 9.
Mitchell L, Flin R, Yule S, Mitchell J, Coutts K, Youngson G. Evaluation of the scrub practitioners’ list of intraoperative nontechnical skills system. Int J Nurs Stud 2012;49:201 11.
Bakhtiari S, Sharif F, Shahriari M, Rakhshan M. Perspective and experience of hospital operating room nurses with the concept of excellence: A qualitative study. Risk Manag Healthc Policy 2020;13:125 34.
Akyüz E, Erdemir F. Surgical patients’ and nurses’ opinions and expectations about privacy in care. Nurs Ethics 2013;20:660 71.
Refbacks
- There are currently no refbacks.