Barriers to Respect Professional Ethics Standards: Insights from Iranian Nurses
Abstract
Background: The influential role of professional ethics on service provision has been paid attention globally, especially in dealing with healthcare staff. The present study aimed to determine the barriers to respect to the Professional Ethics Standards (PES) in nurses working in educational hospitals of University of Medical Sciences in the province of Yazd, Iran, in 2022.
Materials and Methods: This study was quantitative cross‑sectional. The participants (n = 170) were selected based on a stratified sampling policy, and data were collected using a standard questionnaire comprised of three managerial, environmental, and individual caregiving areas. Data were analyzed using independent t‑tests and ANOVA.
Results: There was a significant relationship between the nurses’ service department and respect to the PES. While there was no significant relationship between nurses’ demographic characteristics and barriers to respect to the PES. Among the identified challenges, environmental factors (72.09%), individual caregiving issues (58.72%), and managerial obstacles (58.38%) ranked highest, respectively. The most important challenges were included in staff shortage under the management category 4.26 (0.96), body physiological changes due to having the night shifts 4.11 (0.98) as an environmental category, and expected basic needs like adequate pay or rest 4.16 (1.01) in the caregiving category.
Conclusions: In conclusion, a balance between income and expenses, addressing shortages in personnel, and an efficient way to schedule shifts with minimal possible consequences from biological changes at work during the night shift would be the major implications that policymakers could take into consideration for optimizing the respect to the PES by nurses.
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Mahmoodian F, Seyed Jafari SM, Keshmiri M, Azimi A, Vosoughi MH. Nurses’ experiences about the challenges of nurse physician professional relationships, in 1390. Sadra Med J 2013;2:31 42.
Omidi N, Asgari H, Omidi M R. The relationship between professional ethics and the efficiency of the nurses employed in Imam Hospital and Mostafa Khomeini Hospital in Ilam. IJMEHM 2016;9:65 73.
Blackwood S, Chiarella M. Barriers to uptake and use of codes of ethics by nurses. Collegian 2020;27:443 9.
Ghamari Zare Z, Alizadeh Barmi Z, Sadegholvaad VS, Esmaeili M, Romouzi M. Study of barriers professional ethics in the practice of nurse care from nurse manager’s viewpoints in year 2013. Educ Ethics Nurs 2018;3:57 63.
Kaabomeir N, Mosavi M, Mosavi S, Naami A. Assessing relationship between intra organizational factors that affect on nurses’ professional ethics behaviors. Quarterly Journal of Nursing Management 2018;7:9 17.
Torkashvand S, Moradiyan Mohammadieh V, Keshavarz S. Philosophical Analysis of Educational Upheaval Documents Based on the Components of Teachers’ Professional Ethics and its Educational Implications. Quarterly Scientific Journal of Applied Ethics Studies 2021;17:97-126. doi: 10.22081/jare.2022.61970.1678.
Pennino CM. Managers and professional ethics. J Bus Ethics 2004;41:337 47.
Sanjari M, Zahedi F, Aalaa M, Peimani M, Parsapoor A, Aramesh K, et al. Code of ethics for Iranian nurses. IJMEHM 2011;5:17-28.
Abbasi M, Momenyan S. Barriers to observance of the codes of professional ethics in clinical care: Perspectives of nurses and Midwifery of hospitals affiliated with Qom University of Medical Sciences in 2016. Health Spiritual Med Ethics 2018;5:33 9.
Alizadeh Barmi Z, Sadat Sadegholvaad H, Esmaeili M, Romouzi M. Study of barriers professional ethics in the practice of nurse care from nurse managers’ viewpoints in year 2013. Educ Ethic Nurs 2014;3:57 63.
Azadian M, Rahimi A, Mohebbi M, Iloonkashkooli R, Maleki M, Mardani A. The barriers to observing professional ethics in the practice of nursing care from nurses’ viewpoints. Clin Ethics 2021;16:114 21.
Bullock ML. Not playing fair: Deviant Emotional Intelligence, Dark Traits, and Unethical Behavior in the Nursing Profession [PhD Thesis]. Northcentral University; 2019.
Barkhordari Sharifabad M, Ashktorab T, Atashzadeh Shoorideh F. Ethical leadership outcomes in nursing: A qualitative study. Nursing Ethics 2018;25:1051 63.
Fagbenro DA. Role ambiguity and organizational justice as the predictors of unethical behavior among nurses. J Client Centered Nurs Care 2019;5:81 6.
Khaki S, Ismail Porzanjani S, Mashouf S. The relationship between compliance with professional ethics and the quality of providing care from nurses’ vantage point a correlation_ Descriptive study in 2014. J Edus Ethics Nurs 2016;5:24 32.
Haahr A, Norlyk A, Martinsen B, Dreyer P. Nurses experiences of ethical dilemmas: A review. Nurs Ethics 2020;27:258 72.
Heydari A, Ahrari S, Toghian Chaharsoughi N. Moral distress in nursing and its contributors in the context of Iran. Health Spiritual Med Ethics 2018;5:44 50.
Jafari H, Khatony A, Abdi A, Jafari F. Nursing and midwifery students’ attitudes towards principles of medical ethics in Kermanshah, Iran. BMC Med Ethics 2019;20:1 6.
Esmaeili M, Toloie Eshlaghy A, Afshar Kazemi MA, Motadel MR. Performance evaluation of nursing students in the clinical area based on ethical principles. Bioethics J 2021;11:e10.
Mohammadi MM, Parandin SH, BahreMand P. Barriers to apply the principles of professional ethics in the practice from viewpoints of nurses and nursing instructors of medical sciences at Kermanshah University (2015). J Ethics Cult Nurs Midwifery 2014;1:1 8.
Jia Y, Chen O, Xiao Z, Xiao J, Bian J, Jia H. Nurses’ ethical challenges caring for people with COVID 19: A qualitative study. Nurs Ethics 2021;28:33 45.
Dehghani A, Dastpak M, Gharib A. Barriers to respect professional ethics standards in clinical care viewpoints of nurses. Iran J Med Educ 2013;13:421 30.
Karimi Johani R, Karimi Johani F, Hamdollahi Miandoab M, Abbasi N. Investigating the barriers to professional ethics in nursing practice from the perspective of hospital nurses in 2018, Imam Khomeini Sarab city. J Educ Ethics Nurs 2021;10:20 5.
Asadi F, Donyaei M, Karimzadeh M, Heydari M. Survey of nurses’ awareness about the principles of professional ethics and barriers to its observance in public hospitals in South Khorasan province in 2019. Iran J Med Ethics History Med 2021;14:14 26.
Delshad A, Mohammadian B, Nazemi SH, Shahpasand M. Barriers to adherence to professional ethics standards in clinical care from the perspective of nurses and nursing students at Gonabad University of Medical Sciences in 2016. Proceedings of the 12th Annual Research Congress of Medical Students in Eastern Iran, Gonabad, 2017. Available from: https://civilica.com/doc/687372.
Dehghani A, Shamsizadeh M. Effective strategies to improve the professional ethics compliance: The presentation the best of practical strategy. J Ethics Educ 2014;2:13 9.
Rezaeean SM, Kazemi Gelian Z, Kazemi Gelian G, Abbasi Z, Salari E, Tabatabaeichehr M. Study of barriers to professional ethics in midwifery clinical care from midwives’ viewpoints in hospitals specializing in obstetrics and gynecology in North Khorasan province in 2018. IJMEHM 2021;14:1 13.
Javadian Kutnai H, Jafari H, Javadian Kutnai P. The relationshipbetween professional ethics and factors related to it from the point of view of nurses in teaching hospitals affiliated to Mazandaran University of Medical Sciences 2015. Conference on Health Promotion Strategies and Challenges, Sari, 2015. https://elmnet.ir/doc/20783917-83921.
Hashmatifar N, Mohsenpour M, Rakhshani M. Barriers to moral sensitivity: Viewpoints of the nurses of educational hospitals of Sabzevar. IJMEHM 2014;7:34 42.
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