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Ghobadi A, Sayadi L, Nayeri ND, Shabestari AN, Varaei S. The nurses' perception of the factors influencing professional misconduct: A qualitative study. Nurs Ethics 2024; 31:281-295. [PMID: 37599451 DOI: 10.1177/09697330231184469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/22/2023]
Abstract
BACKGROUND Professional misconduct undermines safe and quality care; however, little is known about its nature and influential factors. AIM This study aimed to explain the factors influencing professional misconduct in nurses. RESEARCH DESIGN This qualitative study was conducted using the conventional content analysis method. PARTICIPANTS AND RESEARCH CONTEXT Data were collected using semi-structured interviews with 19 nurses working in the hospital selected through a purposeful method and analyzed by Graneheim and Lundman approach. ETHICAL CONSIDERATIONS The ethics committee of Tehran University of Medical Sciences approved this study with the ethics code IR.TUMS.FNM.REC.1400.187. Informed consent was obtained from all participants. Participants were assured of confidentiality. FINDINGS Factors influencing professional misconduct by nurses were categorized into three main categories: human factors (nurses' professional characteristics, personal characteristics of nurses and patient/companion, patient's clinical condition), procedural factors (procedural conditions, possibility of proving misconduct), and organizational factors (recruitment process, conditions of resources, managing misconduct, bureaucracy, and ward characteristics). CONCLUSION This study assists in explaining the factors influencing professional misconduct by nurses. Therefore this study's results can help managers and planners develop interventions to prevent and correct factors that contribute to misconduct and strengthen factors that prevent misconduct in order to ensure quality and safe patient care.
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Affiliation(s)
- Akram Ghobadi
- Department of Medical-Surgical, School of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran
- School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Leila Sayadi
- Nursing and Midwifery Care Research Center, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Nahid Dehghan Nayeri
- Nursing and Midwifery Care Research Center, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Shokoh Varaei
- School of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran
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Lawrence C, Laventhal N, Fritz KA, Carlos C, Famuyide M, Tonismae T, Hayslett D, Coleman T, Jain M, Edmonds BT, Leuthner S, Andrews B, Feltman DM. Ethical Cultures in Perinatal Care: Do They Exist? Correlation of Provider Attitudes with Periviability Practices at Six Centers. Am J Perinatol 2021; 38:e193-e200. [PMID: 32294770 DOI: 10.1055/s-0040-1709128] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVE This study aimed to compare attitudes of providers regarding perinatal management and outcomes for periviable newborns of caregivers at centers with higher resuscitation (HR) and lower resuscitation (LR) rates in the delivery room. STUDY DESIGN All obstetric and neonatal clinical providers at six U.S. sites were invited to complete an anonymous online survey. Survey responses were compared with clinical data collected from a previous retrospective study comparing centers' rates of planned resuscitation. Responses were analyzed by multivariable logistic and linear regression to assess how HR versus LR center respondents differed in management preferences and outcome predictions. RESULTS Paradoxically, HR versus LR respondents, when adjusting for other variables, were less likely to respond that interventions such as antenatal steroids (odds ratio: 0.61, 95% confidence interval [CI]: 0.42-0.88, p < 0.009) and resuscitation (OR: 0.59, 95% CI: 0.44-0.78, p < 0.001) should be given at 22 weeks. HR versus LR respondents also reported lower likelihood of survival and acceptable quality of life (OR: 0.7, 95% CI: 0.53-0.93, p = 0.012) at 23 weeks. CONCLUSION Despite higher rates of planned resuscitation at 22 and 23 weeks, steroid usage and survival rates did not differ between HR and LR sites. In this subsequent survey, respondents from HR centers had a less favorable outlook on interventions for these newborns than those at LR centers, suggesting that instead of driving practices, attitudes may be more closely associated with experiences of clinical outcomes.
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Affiliation(s)
- Christin Lawrence
- Division of Neonatal-Perinatal Medicine, Department of Pediatrics, University of Michigan C.S. Mott Children's Hospital, Ann Arbor, Michigan
| | - Naomi Laventhal
- Division of Neonatal-Perinatal Medicine, Department of Pediatrics, University of Michigan C.S. Mott Children's Hospital, Ann Arbor, Michigan
| | - Katie A Fritz
- Division of Neonatology, Tennessee Valley Neonatology, Huntsville, Alabama
| | - Christine Carlos
- Division of Neonatology, Department of Pediatrics, University of Chicago Comer Children's Hospital, Chicago, Illinois
| | - Mobolaji Famuyide
- Division of Neonatology, Department of Pediatrics, University of Mississippi Medical Center, Jackson, Mississippi
| | - Tiffany Tonismae
- Maternal, Fetal, & Neonatal Institute, Johns Hopkins All Children's Hospital, St. Petersburg, Florida
| | - Drew Hayslett
- Division of Pediatric Palliative Care, Department of Pediatrics, University of Mississippi Medical Center, Jackson, Mississippi
| | - Tasha Coleman
- Division of Neonatology, Department of Pediatrics, University of Mississippi Medical Center, Jackson, Mississippi
| | - Meenu Jain
- Department of Internal Medicine, St Vincent Hospital, Indianapolis, Indiana
| | - Brownsyne Tucker Edmonds
- Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, Indiana
| | - Steven Leuthner
- Division of Neonatology, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin
| | - Bree Andrews
- Division of Neonatology, Department of Pediatrics, University of Chicago Comer Children's Hospital, Chicago, Illinois
| | - Dalia M Feltman
- Division of Neonatology, Department of Pediatrics, NorthShore Evanston Hospital, Evanston, Illinois.,Department of Pediatrics, University of Chicago Pritzker School of Medicine, Chicago, Illinois
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Althobaiti MH, Alkhaldi LH, Alotaibi WD, Alshreef MN, Alkhaldi AH, Alshreef NF, Alzahrani NN, Atalla AA. Knowledge, attitude, and practice of medical ethics among health practitioners in Taif government, KSA. J Family Med Prim Care 2021; 10:1759-1765. [PMID: 34123925 PMCID: PMC8144760 DOI: 10.4103/jfmpc.jfmpc_2212_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Revised: 12/09/2020] [Accepted: 12/18/2020] [Indexed: 11/16/2022] Open
Abstract
Objectives: Medical ethics practice and the attitude and knowledge toward it was our concern and aim to investigate. Methods: A cross-sectional study was conducted on 1943 healthcare practitioners from three tertiary care hospitals. A questionnaire requesting demographic data and items related to the level of knowledge and awareness beside the real-life practice of medical ethics among healthcare providers was used. A score was given for each response and a total score was calculated. Results: Of the participants, 86.9% had studied medical ethics, 70.3% thought patients should know about their rights, 87.4% supported that the patient have the right to know and be informed if any malpractice happened, 61.8% never engaged in healthcare-related act on a patient without informed consent, 73% ensured that no one was present other than medical team during assessments or procedures, and 86.6% tried to give only what was necessary to the patient regarding their situation. Nursing specialists/technicians, with of 20-<30 years of practice and participants who had previous training in bioethics had significantly higher mean attitude scores than others. Females, laboratory specialists/technicians, and those who reported previous study of medical ethics had a significantly higher practice scores. A cogent positive correlation was found between the practice and attitude scores. Conclusion: Interduce medical ethics and insist on its importance in medical institutions will positively affect practitioners' knowledge, attitude, and practice.
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Affiliation(s)
| | - Lama H Alkhaldi
- College of Medicine, Taif University, Taif, Kingdom of Saudi Arabia
| | - Waad D Alotaibi
- College of Medicine, Taif University, Taif, Kingdom of Saudi Arabia
| | - Maha N Alshreef
- College of Medicine, Taif University, Taif, Kingdom of Saudi Arabia
| | | | | | | | - Ayman A Atalla
- College of Medicine, Taif University, Taif, Kingdom of Saudi Arabia
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Marques-Sulé E, Arnal-Gómez A, Cortés-Amador S, de la Torre MI, Hernández D, Aguilar-Rodríguez M. Attitudes towards learning professional ethics in undergraduate physiotherapy students: A STROBE compliant cross-sectional study. NURSE EDUCATION TODAY 2021; 98:104771. [PMID: 33529858 DOI: 10.1016/j.nedt.2021.104771] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Revised: 12/18/2020] [Accepted: 01/06/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND Ethics is a key competence to be acquired by physiotherapy students to ensure quality care. However, students may not be aware of the importance of ethics for the development of their clinical practice, in the same way that their attitudes towards Professional Ethics are unknown within their curriculum. OBJECTIVES The aim of this study was to identify the attitudes towards learning Professional Ethics among undergraduate students of Physiotherapy Degree and compare the attitude between the educational years. DESIGN A cross-sectional study was carried out. SETTINGS Physiotherapy Degree at the University of Valencia, Spain. PARTICIPANTS In the study 340 physiotherapy students participated. METHODS This was a quantitative study with a cross-sectional observational design. The students of the different years of the Physiotherapy Degree had to complete the Attitudes Questionnaire towards Professional Ethics in Physiotherapy in order to analyse the study objective. RESULTS The four educational years' scored 3.80 or more in the questionnaire. Second-year students scored the highest (4.25 ± 0.35) and had significantly more favourable attitudes towards learning ethics in relation to the rest of the years (p = 0.007 vs. first; p < 0.001 vs. third and fourth). First-year students (4.09 ± 0.37) obtained a significantly higher score than third (3.86 ± 0.35) and fourth years (3.80 ± 0.33) with p < 0.001 vs. both third and fourth. Finally, in relation to the 3 categories of the items' questionnaire the mean scores showed significant differences between the second year and the rest of the years. CONCLUSIONS The attitudes towards learning Professional Ethics among students of the Physiotherapy Degree at the university is favourable, although it varies depending on the academic year, with the students in the academic year in which Ethics is taught (i.e. second year students) being the ones with better attitudes.
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Affiliation(s)
| | - Anna Arnal-Gómez
- Department of Physiotherapy, University of Valencia. Valencia, Spain
| | | | | | - David Hernández
- Department of Physiotherapy, University of Valencia. Valencia, Spain
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