Factors related to implementation of nursing care ethical principles in Indonesia

The ethical principles and caring behavior of Indonesian nurses

Introduction: The caring behavior of nurses affects their working performance and the health care quality received by patients. The adherence to ethical principles by nurses is also known to increase this factor. However, no previous studies have been conducted on how ethical principles affect the caring behaviors of nurses. Hence, this study aims to investigate the association between nursing ethics and other demographic characteristics and their caring behavior in Indonesian hospitals. Design and Methods: A cross-sectional descriptive-analytical study was conducted with 389 nurses working in Indonesian hospitals. Furthermore, data were collected using questionnaires, which included demographic characteristics, ethical principles-based attitudes, and caring behavior. The analysis of the data was performed using descriptive (M, SD) and inferential statistics (Chi-square, Spearman’s rank correlation, Fisher’s exact test, and multiple logistic regression) with α= 0.05. Results: According to this study, the caring behavior of nurses was associated with gender (p=0.030) and nursing ethical principles, such as veracity (p=0.025), non-maleficence (p=0.007), beneficence (p<0.000), and fidelity (p<0.000). Fidelity was also revealed as the most influential ethical principle on nurses’ caring behavior, with a value of Exp(B)= 3.446. This indicates that nurses, who had demonstrated good fidelity, cared three times more than those who lacked this quality. Conclusions: Nurses with good ethical principles deliver suitable caring behavior. Hence, applying the right ethics to a patient would result in a great caring attitude, as the principle of ethical behavior is compassion and respectful conduct towards patients.  

Understanding the learning needs to enhance clinical competence of new professional nurses in public hospitals of South Africa: A qualitative study

BACKGROUND

A competent nursing workforce plays an important role, as it will ensure effective management of the healthcare system by providing quality nursing care. However, from the literature, it is evident that the learning needs of new professional nurses are not well explored and documented.

OBJECTIVE

The objective of this paper was to report identified learning needs of new professional nurses to enhance their clinical competence to ensure that they are able to provide excellent quality nursing care to patients with confidence.

METHODS

A qualitative study design was used to understand the perceptions of operational managers regarding the learning needs of new professional nurses to enhance their clinical competence. The study was conducted at seven public hospitals in the three districts of the North West Province, South Africa, between September and November 2021. Data were analyzed thematic.

RESULTS

Four themes emerged from data analysis: 1) Ethos and professional practice, 2) Management and leadership skills, 3) Assessment and observation skills, and 4) Documentation and record keeping.

CONCLUSION

This study provides valuable information regarding the learning needs of new professional nurses. Understanding these learning needs can provide insight into how to better transition student nurses to registered nurses so that they are able to adequately and safely take care of a diverse patient population and work successfully as new nurses.

Nursing competency inventory and professional competence of graduating students in six Asian countries: A cross-sectional study

AIMS

To investigate graduating nursing students' nursing and professional competencies and the predictors of their competencies.

BACKGROUND

Across Asian countries, there is a paucity of literature that explores graduating nursing students' competency and professional competence during the ongoing COVID-19 pandemic.

DESIGN

Descriptive, cross-sectional, and predictive approaches.

METHOD

Convenience sampling was used among graduating nursing students from the six Asian countries (n = 375). The STROBE guidelines for cross-sectional studies were used. Two self-report instruments were utilized to collect data. We conducted multiple linear regression analyses to assess the predictors of nursing competency and professional competence domains.

RESULTS

Country of residence and general point average (GPA) showed statistically significant multivariate effects. Value-based nursing care and critical thinking and reasoning domains recorded the highest in professional competence and competency inventory for nursing students, respectively. Country of residence, GPA, and preferred nursing major were significant predictors of graduating nursing students' nursing competency and professional competence domains.

CONCLUSION

Our study's findings revealed a high level of diversity among nursing students regarding ethical care obligations, caring pedagogies, and lifelong learning, all of which may be ascribed to their distinct culture, background, and belief systems.