Introduction: Uncivil behaviors in workplace are threating and a leading risk for health of nurses and patients in clinical environments. Lack of job satisfaction and quitting are the main work-related outcomes of incivility. This study aimed to explain the concept of workplace incivility among nurses. Methods: In this research in 2014, using qualitative approach, 50 hospital nurses affiliated to Golestan University of Medical Sciences were participated. The sampling method was purposeful with maximum variation. Data were collected by semi-structured interviews; they were stopped after data saturation and analyzed using conventional qualitative content analysis method. Results: Eighty percent of participants were female, with 3-20 years of work experience. The concept of incivility was characterized with "inferiority", "verbal/non-verbal aggression", "threating", "blaming", "ignoring", and "isolating" in terms of interaction with coworkers, superiors, physician, patients, patients' attendants and cleaning staff. The participants experienced uncivility in a range of mild to severe and felt as it was very stressful; insulting from patients was perceived as less personal, so they could endure it better. The participants did not always know the best way to respond to uncivil behavior, how to deal with the agent of abusive behavior, or the mistreating behavior was not reported. Conclusions: The results showed that uncivil behaviors occur to varying degrees and in different aspects in the nurses' workplace. The persistence of such behaviors and feelings as well as lack of supporting system could lead to frustration from profession and stress.
Health professionals frequently confront serious situations in which an ethical judgment is required clinical practice. Based thinking of nurses to respect the life, times, and human rights. This means that nurses have the moral and legal rights of patients to recognize and protect these rights are responsible. Despite the importance of moral sensitivity in nursing students, the purpose of this study was to assess the ethical sensitivity of nursing students and compare their views and their teachers about the ethical sensitivity of students. In this study using convince sampling 42 nursing students and 12 nursing clinical instructors from Golestan University of Medical Sciences, participated. The data collected reliable and valid moral sensitivity questionnaire. The mean age of students and teachers were 22.59 and 42.66 respectively. The mean of moral sensitivity score by self evaluation was 56.64±9.2 and by teacher assessment was 51.17±13.2. The students selfevaluation scores for some questions such as patient's rights, ethical dealing with difficult circumstances, and using previous experiences, were better than the teacher's assessment, however the statistics showed no significant relationship between the scores of moral sensitivity of these two groups. The results showed the students' perceptions of their ethical sensitivity compared to teachers about their views were not significantly different. This could indicate a true understanding of nursing instructors from moral sensitivity of their students.
Introduction:Moral attitudes are an introduction to ethical behavior. And ethical performance is among the requirements of nurses' clinical practice. Nurses need to consider ethical dilemmas related to their responsibilities at the bedside and back up the rights of their clients at the time of decision-making and manage ethical dilemmas effectively in clinical practice. The aim of this study is to determine the attitude and practice of nursing students, teachers and administrators in Kerman University of Medical Sciences about the concept of professional ethics in nursing. Materials and Methods:This descriptive study was conducted on 168 nursing instructors, students and administrators of the School of Nursing and Midwifery of Kerman Razi University and hospitals affiliated with Kerman University of Medical Sciences using Sampling Census during 2011. Ethics-in-Nursing questionnaire with validity r = 0.76 was used for data collection. Data analysis was performed using descriptive and analytical statistics. Results:In this study, 70 (41.7 percent) students, 14 (3.8%) teachers and 84 (50%) clinical nurses took part. and standard deviation of Students was 65/67 ± 8/3 .There was a statistically significant and positive correlation between nurses' attitude and their clinical practice (P < 0.02). Conclusion:Based on the results, ethical attitude and performance is relatively good in all three study groups, while, evidence is indicative of the inadequacy of ethical behavior in such clinical situations that require investigation, identification and provision of solutions to enhance tangible dimensions of moral performance.
Introduction:Patient response to trauma problems is influenced by individual's cultural and spiritual background. This highlights the importance of spiritual and human care; nurses pay less attention to it. Watson's theory of human care states that human existence should not be treated as an object of care, and that care is a spiritual ideal that is intertwined with their mind, spirit, and body involved and effective. Objective: The purpose of this case report is to apply nursing care based on the theory of human care on adolescent anxiety and hopelessness with fracture trauma and burns. Methods and Materials:This case study of nursing care was based on Watson's human care model and Caritas care process on a patient with burn trauma and fracture. Data gathering method was qualitative method using semistructured interview. Care of the client was performed according to Watson's human care model in two phases: First phase. Interview based on Watson's human care model with the patient to identify care needs and problems second phase. Implement interventions based on the classification of identified needs and problems based on the ten care factors and caritas care processes and receive feedback. Case Study:This study reports the case of a 17-year-old adolescent with trauma of the 3rd and 2.5 th burns on the palms, fingers and wrists and from 5 fractures of the palms and fingers 3 and 4. Having a psychological problem during treatment, such as misery, loneliness, misery. In this study, Watson's theory of human care was used to identify and solve the patient's problem, so that follow-up care and educational interviews were conducted based on the classification of needs and psychological problems based on ten care factors. Conclusion:This study demonstrated the application of Watson's theory in difficult and anxious events. The improvement in the condition of the adolescent with trauma was based on the patient's expression of feelings of improvement during the care interview process.
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