ASSESSMENT OF CRITICAL CARE NURSES’ ADHERENCE TO ETHICAL CODES AND ITS RELATION TO SPIRITUAL WELL-BEING AND MORAL SENSITIVITY

. ADEEL; A ASGHAR; F FIAZ; A LATIF; I HAIDER; S BIBI; . QASIR

doi:10.54112/pjicm.v4i01.26

Authors

. ADEEL Department of Critical Care Nursing, Bahria International Hospital, Lahore, Pakistan.
A ASGHAR Department of Critical Care Nursing, Bahria International Hospital, Lahore, Pakistan.
F FIAZ Department of Critical Care Nursing, Bahria International Hospital, Lahore, Pakistan.
A LATIF Department of Critical Care Nursing, Bahria International Hospital, Lahore, Pakistan.
I HAIDER Department of Critical Care Nursing, Bahria International Hospital, Lahore, Pakistan.
S BIBI Department of Critical Care Nursing, Bahria International Hospital, Lahore, Pakistan.
. QASIR Department of Critical Care Nursing, Bahria International Hospital, Lahore, Pakistan.

DOI:

https://doi.org/10.54112/pjicm.v4i01.26

Keywords:

Critical Care, Ethics, Moral Sensitivity, Nursing, Spiritual Well-Being

Abstract

Background: Adherence to ethical standards is a vital component of nursing care and is influenced by various circumstances. Identifying such aspects can improve ethical performance. Objective: This study examined critical care nurses' compliance with ethical rules and their impact on spiritual well-being (SWB) and moral sensitivity (MS). Study Design: The research was primarily descriptive and correlational. Setting: The study was conducted at Bahria Town International Hospital Lahore. Duration of Study: This study was conducted from May 1, 2023, to December 10, 2023. Methods: Data were compiled on the individuals' demographics and three essential questionnaires: the adherence to ethical norms questionnaire, the moral sensitivity questionnaire (MSQ), and the spiritual well-being scale (SWBS). The study included 51 nurses, with the bulk of participants being female (76.4%), single (64.7%), without kids (72.54%), possessing a diploma in nursing (84.3%), and graduates of public universities (66.9%). Results: The mean score of adherence to ethical codes was 64.06±7.11, indicating a satisfactory level of commitment to ethical principles. The mean SWB score was 91.67±10.54, with 74.5% (n=38) falling into the moderate category. The mean scores for existential and religious health were 44.85±6.73 and 47.72±5.53, respectively. The mean MS score was 135.63±10.53, with most subjects falling into the moderate category. Multivariate regression analysis revealed a significant correlation between SWB, MS, and ethical code adherence among nurses (P<0.05).Conclusion: Critical care nurses demonstrated a solid commitment to ethical standards. MS and SWB also improved their commitment to ethical rules. Nursing managers may use these findings to promote MS and SWB among nurses, leading to better ethical performance.

References

Grace PJ, Uveges MK. Nursing ethics and professional responsibility in advanced practice: Jones & Bartlett Learning; 2022.

Yang Q, Zheng Z, Pang S, Wu Y, Liu J, Zhang J, et al. Clinical nurse adherence to professional ethics: A grounded theory. Nursing ethics. 2023;30(2):197-209.

Robinson S, Doody O. Nursing & Healthcare Ethics-E-Book: Nursing & Healthcare Ethics-E-Book: Elsevier Health Sciences; 2021.

Atashzadeh-Shoorideh F, Tayyar-Iravanlou F, Chashmi ZA, Abdi F, Cisic RS. Factors affecting moral distress in nurses working in intensive care units: A systematic review. Clinical Ethics. 2021;16(1):25-36.

Arnold TC. Moral distress in emergency and critical care nurses: A metaethnography. Nursing ethics. 2020;27(8):1681-93.

Rajabipoor Meybodi A, Mohammadi M. Identifying the components of spirituality affecting the resilience of nurses. Journal of nursing management. 2021;29(5):982-8.

Chen Q, Su X, Liu S, Miao K, Fang H. The relationship between moral sensitivity and professional values and ethical decision-making in nursing students. Nurse education today. 2021;105:105056.

Kim Y-S, Kang S-W, Ahn J-A. Moral sensitivity relating to the application of the code of ethics. Nursing Ethics. 2013;20(4):470-8.

Lalani N. Meanings and interpretations of spirituality in nursing and health. Religions. 2020;11(9):428.

Amiri E, Ebrahimi H, Vahidi M, Asghari Jafarabadi M, Namdar Areshtanab H. Relationship between nurses’ moral sensitivity and the quality of care. Nursing ethics. 2019;26(4):1265-73.

GHobadi Far MA, Mosalanejad L. Evaluation of staff adherence to professionalism in Jahrom University of Medical Sciences. Education and Ethics in Nursing. 2022;2(2):1-10.

Izadi F, Bijani M, Fereidouni Z, Karimi S, Tehranineshat B, Dehghan A. The effectiveness of teaching nursing ethics via scenarios and group discussion in nurses’ adherence to ethical codes and patients’ satisfaction with nurses’ performance. The Scientific World Journal. 2020;2020.

Kvande ME, Delmar C, Lauritzen J, Damsgaard JB. Ethical dilemmas embedded in performing fieldwork with nurses in the ICU. Nursing ethics. 2021;28(7-8):1329-36.

Newham R, Terry L, Atherley S, Hahessy S, Babenko-Mould Y, Evans M, et al. A moral profession: Nurse educators’ selected narratives of care and compassion. Nursing ethics. 2019;26(1):105-15.

Momennasab M, Homayoon Z, Torabizadeh C. Critical Care Nurses’ Adherence to Ethical Codes and Its Association with Spiritual Well-Being and Moral Sensitivity. Critical Care Research and Practice. 2023;2023.

Chagas C, Martins LB, Machado FR, Zangari W, Galduróz JCF. Religious and secular spirituality: Methodological implications of definitions for health research. Explore. 2023;19(1):6-13.

Yasin JCM, Barlem ELD, Barlem JGT, Andrade GBd, Silveira RSd, Dalmolin GdL. Elements of moral sensitivity in the practice of clinical hospital nurses. Texto & Contexto-Enfermagem. 2020;29:e20190002.

Choe K, Kim S, Lee C, Kim S. Effect of ethics seminar on moral sensitivity and ethical behavior of clinical nurses. International journal of environmental research and public health. 2020;18(1):241.

Khodaveisi M, Oshvandi K, Bashirian S, Khazaei S, Gillespie M, Masoumi SZ, et al. Moral courage, moral sensitivity and safe nursing care in nurses caring of patients with COVID‐19. Nursing open. 2021;8(6):3538-46.

Escolar-Chua RL. Moral sensitivity, moral distress, and moral courage among baccalaureate Filipino nursing students. Nursing ethics. 2018;25(4):458-69.

Lee E, Kim Y. The relationship of moral sensitivity and patient safety attitudes with nursing students’ perceptions of disclosure of patient safety incidents: A cross-sectional study. Plos one. 2020;15(1):e0227585.

Jafari M, Fallahi-Khoshknab M. Competence in providing spiritual care and its relationship with spiritual well-being among Iranian nurses. Journal of Education and Health Promotion. 2021;10(1):388.

Carr D. Spirituality, spiritual sensibility and human growth. International Journal for Philosophy of Religion. 2018;83:245-60.

Gijsberts M-JH, Liefbroer AI, Otten R, Olsman E. Spiritual care in palliative care: a systematic review of the recent European literature. Medical Sciences. 2019;7(2):25.

Pasricha P, Singh B, Verma P. Ethical leadership, organic organizational cultures and corporate social responsibility: An empirical study in social enterprises. Journal of Business Ethics. 2018;151:941-58.

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(40):7-14.

Ghassemi F, Khaleghkhah A, Zahed A. Investagating the Relationship between Ethical Sensitivity and Spiritual Health on Ethical Behavior of Nurses Ardabil City: University of Mohaghegh Ardabili; 2018.