Fairouz Alhourani RN, MSN, PhD, Francis Byron Opinion RN, MAN, Asha Raj Sudha RN, MSN, MA, PhD, Maha O. Mihdawi RN, MSN, Vishnu Renjith RN, MSN, PhD
{"title":"巴林王国一家三级医院护士伦理困境经历的横断面调查","authors":"Fairouz Alhourani RN, MSN, PhD, Francis Byron Opinion RN, MAN, Asha Raj Sudha RN, MSN, MA, PhD, Maha O. Mihdawi RN, MSN, Vishnu Renjith RN, MSN, PhD","doi":"10.1016/S2155-8256(22)00066-7","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Nurses constitute the vast majority of the healthcare workers, but it is unclear how frequently they encounter ethical dilemmas in Bahrain. Thus, there is a need for nurse administrators in Bahrain to understand the ethical dilemmas their nursing staff may face.</p></div><div><h3>Purpose</h3><p>The study aimed to explore the ethical dilemmas experienced by nurses in Bahrain and to identify any associations between ethical dilemmas with nurse characteristics.</p></div><div><h3>Methods</h3><p><span>A descriptive cross-sectional survey design was undertaken. The setting was inpatient nursing units and the emergency department<span> of a tertiary hospital in Bahrain. Data were collected from nurse participants through convenience sampling from July to August 2020 by using an online 24-item Ethical Dilemma Questionnaire (EDQ) on a 7-point (0-6) </span></span>Likert scale. Ethical approval for the study was obtained from the hospital’s institutional review board.</p></div><div><h3>Results</h3><p>Among the 390 participating nurses, the mean (SD) EDQ score was 1.24 (0.80), indicating a low overall frequency of ethical dilemmas (between less than a few times per year and up to once per month). The subdomains were patients’ actions and decisions, nursing care provisions, personal and collegial actions and decisions, and sharing of information. The participants’ characteristics that were found to be statistically significant were gender, nationality, and department of work. Age was found to be negatively correlated. However, nurses’ EDQ scores based on job category and years of experience were not found to have a statistically significant difference.</p></div><div><h3>Conclusion</h3><p>Although nurses had infrequent encounters with ethical dilemmas, they reported more dilemmas when facing low nurse-patient ratios, contesting a prescription order, working with nonresponsive physicians, dealing with patients’ lifestyle choices, and handling nonnursing tasks.</p></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":null,"pages":null},"PeriodicalIF":4.2000,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Ethical Dilemma Experiences of Nurses in a Tertiary Hospital, Kingdom of Bahrain: A Cross-sectional Survey\",\"authors\":\"Fairouz Alhourani RN, MSN, PhD, Francis Byron Opinion RN, MAN, Asha Raj Sudha RN, MSN, MA, PhD, Maha O. Mihdawi RN, MSN, Vishnu Renjith RN, MSN, PhD\",\"doi\":\"10.1016/S2155-8256(22)00066-7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Nurses constitute the vast majority of the healthcare workers, but it is unclear how frequently they encounter ethical dilemmas in Bahrain. Thus, there is a need for nurse administrators in Bahrain to understand the ethical dilemmas their nursing staff may face.</p></div><div><h3>Purpose</h3><p>The study aimed to explore the ethical dilemmas experienced by nurses in Bahrain and to identify any associations between ethical dilemmas with nurse characteristics.</p></div><div><h3>Methods</h3><p><span>A descriptive cross-sectional survey design was undertaken. The setting was inpatient nursing units and the emergency department<span> of a tertiary hospital in Bahrain. Data were collected from nurse participants through convenience sampling from July to August 2020 by using an online 24-item Ethical Dilemma Questionnaire (EDQ) on a 7-point (0-6) </span></span>Likert scale. Ethical approval for the study was obtained from the hospital’s institutional review board.</p></div><div><h3>Results</h3><p>Among the 390 participating nurses, the mean (SD) EDQ score was 1.24 (0.80), indicating a low overall frequency of ethical dilemmas (between less than a few times per year and up to once per month). The subdomains were patients’ actions and decisions, nursing care provisions, personal and collegial actions and decisions, and sharing of information. The participants’ characteristics that were found to be statistically significant were gender, nationality, and department of work. Age was found to be negatively correlated. However, nurses’ EDQ scores based on job category and years of experience were not found to have a statistically significant difference.</p></div><div><h3>Conclusion</h3><p>Although nurses had infrequent encounters with ethical dilemmas, they reported more dilemmas when facing low nurse-patient ratios, contesting a prescription order, working with nonresponsive physicians, dealing with patients’ lifestyle choices, and handling nonnursing tasks.</p></div>\",\"PeriodicalId\":46153,\"journal\":{\"name\":\"Journal of Nursing Regulation\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":4.2000,\"publicationDate\":\"2022-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nursing Regulation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2155825622000667\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Regulation","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2155825622000667","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Ethical Dilemma Experiences of Nurses in a Tertiary Hospital, Kingdom of Bahrain: A Cross-sectional Survey
Background
Nurses constitute the vast majority of the healthcare workers, but it is unclear how frequently they encounter ethical dilemmas in Bahrain. Thus, there is a need for nurse administrators in Bahrain to understand the ethical dilemmas their nursing staff may face.
Purpose
The study aimed to explore the ethical dilemmas experienced by nurses in Bahrain and to identify any associations between ethical dilemmas with nurse characteristics.
Methods
A descriptive cross-sectional survey design was undertaken. The setting was inpatient nursing units and the emergency department of a tertiary hospital in Bahrain. Data were collected from nurse participants through convenience sampling from July to August 2020 by using an online 24-item Ethical Dilemma Questionnaire (EDQ) on a 7-point (0-6) Likert scale. Ethical approval for the study was obtained from the hospital’s institutional review board.
Results
Among the 390 participating nurses, the mean (SD) EDQ score was 1.24 (0.80), indicating a low overall frequency of ethical dilemmas (between less than a few times per year and up to once per month). The subdomains were patients’ actions and decisions, nursing care provisions, personal and collegial actions and decisions, and sharing of information. The participants’ characteristics that were found to be statistically significant were gender, nationality, and department of work. Age was found to be negatively correlated. However, nurses’ EDQ scores based on job category and years of experience were not found to have a statistically significant difference.
Conclusion
Although nurses had infrequent encounters with ethical dilemmas, they reported more dilemmas when facing low nurse-patient ratios, contesting a prescription order, working with nonresponsive physicians, dealing with patients’ lifestyle choices, and handling nonnursing tasks.
期刊介绍：
Journal of Nursing Regulation (JNR), the official journal of the National Council of State Boards of Nursing (NCSBN®), is a quarterly, peer-reviewed, academic and professional journal. It publishes scholarly articles that advance the science of nursing regulation, promote the mission and vision of NCSBN, and enhance communication and collaboration among nurse regulators, educators, practitioners, and the scientific community. The journal supports evidence-based regulation, addresses issues related to patient safety, and highlights current nursing regulatory issues, programs, and projects in both the United States and the international community. In publishing JNR, NCSBN''s goal is to develop and share knowledge related to nursing and other healthcare regulation across continents and to promote a greater awareness of regulatory issues among all nurses.
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