This article presents the derivation of moral competence in nursing practice by identifying its attributes founded on Thai culture. In this process moral competence is formed and based on the Thai nursing value system, including personal, social and professional values. It is then defined and its three dimensions (moral perception, judgment and behavior) are also identified. Additionally, eight attributes as indicators of moral competence are identified and selected from three basic values. The eight attributes are loving kindness, compassion, sympathetic joy, equanimity, responsibility, discipline, honesty, and respect for human values, dignity and rights. All attributes are discussed by addressing the three moral dimensions in order to present how to deal with ethical issues in nursing practice. As a summary, a model of moral competence is presented to demonstrate moral competence in nursing practice in Thailand.
The aims of this descriptive comparative study are to describe the levels of tsunami disaster preparedness of people living in areas affected and nonaffected by the December 2004 tsunami, and to compare the tsunami disaster preparedness of these two groups of people. A total of 304 subjects were recruited using a multistage-stratified random sampling from both of the areas along the west coast of Aceh Province. The Individual's Tsunami Preparedness Questionnaire was developed by the researcher and validated by three experts yielding a content validity index (CVI) of .95. Test-retest was performed with reliability coefficients for knowledge, individual emergency planning, and resource mobilization capacity of .99, 1, and .99, respectively. The Individual's Tsunami Preparedness Questionnaire was used to measure the subjects' knowledge, individual emergency planning, and resource mobilization capacity related to tsunami preparedness. The findings showed a moderate level of tsunami preparedness of people living in both areas including the variables that cover knowledge, individual emergency planning, and resources mobilization capacity. The mean scores for each variable of people living in affected areas were significantly higher than people living in non-affected areas (p <.05). Sub-variables were also at higher mean scores except one of the sub-variables, individual emergency planning: "skills related to disaster preparedness", that was at a lower mean score. This study provided evidence that direct experience for the people living in affected area and indirect tsunami experience for the people living in non-affected area has a significant impact on people's tsunami preparedness.
Purpose: Identify the levels of importance of ethical values in the nursing profession as perceived by the head nurses and the staff nurses, and compare the levels of importance of ethical values in the nursing profession as perceived by head nurses and those as perceived by staff nurses in public hospitals, Banda Aceh, Indonesia.Methods: Data collected from79 head nurses and 280 staff nurses were analyzed by using descriptive statistics and Mann-Whitney U test.Results: The total mean score of the importance of ethical values in the nursing profession perceived by head nurses and staff nurses are at a high level. The top 3 mean scores of the importance of ethical values in the nursing profession perceived by head nurses included caring, autonomy, and confidentiality. Meanwhile, the top 3 mean scores of the importance of ethical values in the nursing profession perceived by staff nurses included caring, confidentiality, and non maleficence. The Mann-Whitney U test showed that head nurses perceived accountability as significantly statistically different from staff nurses. Conclusion: Although head nurses and staff nurses mostly perceived the importance of ethical values in the nursing profession at high levels, it is still need to promote some ethical values of head nurses and staff nurses.
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