Factors Associated with Nursing Code of Ethics Practice in Gurage Zone, SNNPR, Ethiopia, 2022

Abstract

Ethical codes are a set of systematic binding and guiding rules defining morally acceptable ethical behavior. The nursing profession is the backbone of the medical industry and the front-line healthcare service providers. Nowadays providing ethically competent, compassionate and respectful care is highly essential. Objective: Determining Factors associated with nursing code ethics practice among nurses working in Gurage zone hospitals, 2022. Methods: From February 1 to March 30, 2022, an institution-based cross-sectional study using the non-probability convenient sampling method was used to choose the study participants. Pretested self-administered questionnaires were used to collect data and entered using Epi info 3.5.1 versions, then exported to SPSS version 23 for analysis. Bivariate and multivariable logistic regression analyses were employed to identify associated factors. Variables having a P-value of <0.05 in the multivariable logistic regression model were considered as significantly associated variables. Results: This study was completed through 413 study participants with 97.86% response rate. Fifty-three percent of nurse practitioners were found to adhere to the nursing code of ethics. Sex [females] (AOR [95% CI] 3.69 (2.14-6.36)), working ward [surgical ward] (AOR[95% CI] 4.84(1.94-12.06)) and [pediatrics ward] (AOR[95% CI] 0.36(0.17-0.77)), Years of working experience [5-10 years] (AOR[95% CI] 2.08 (1.13-3.84)) and work experience [>10 years] (AOR [95% CI] 3.49 (1.798-6.76)), nurses who had training (AOR[95% CI] 5.02(2.85-8.83)) and nurses who had frequent supportive supervision system (AOR[95% CI] 2.27(1.29-3.98)) were factors that associated with nursing code of ethics practice. Conclusion:In this study, over half of the nurses practiced the nursing code of ethics in a professional manner. Nursing code of ethics practice was substantially correlated with factors, sex, working ward, years of experience, training, and regular supportive supervision. Therefore, it is strongly advised that all parties involved implement a regular supporting supervision system and give up-to-date training to staff nurses.

Critical and Medical-Surgical Nurses' Adherence to Professional Nursing Code of Ethics and Quality of Nursing Care Satisfaction

“…This study was supported by a study in Gambia (2018) which found that educational level affected the proper practicing code of ethics among nurses (Bah & Sey-Sawo, 2018 However, the current finding was incongruent with the Egyptian study in 2016 which found that the nurses had adequate practice of the professional code of ethics among nurses in outpatient and hemodialysis units (Hafez et al, 2016;Ali et al, 2018). The present study also disagreed with other studies in Iran (2016 and 2023) (Momennasab et al, 2016;Momennasab et al, 2023), Ethiopia (2022) (Haile, 2022) and Indonesia (2020) (Safitri et al, 2020), which found that nurses' adherence to NECP was at a satisfactory level.…”

“…Because of this, nurses could not spend more time with their patients for proper listening and caring for them due to time constraints and heavy workload. Similar results were found in international studies conducted between 2003 to 2022 which revealed that time limitation and shortage in nursing personnel with increasing numbers of patients were the major barriers against proper application of NCEP and quality of nursing care (Bennett et al, 2003;Aliyu et al, 2015;Ghanem et al, 2015;Bah & Sey-Sawo, 2018;Jafarimanesh et al, 2020;Safitri et al, 2020;Asare et al, 2022;Haile, 2022). This similarity proved that barriers to adherence to the NCEP were similar among nurses in different locations around the world.…”

Moral caring competency and moral distress among Ghanaian nurses in adult care settings: A descriptive-correlational study

“…In Ghana, 69% of nurses experience morally distressing situations with a greater incidence and severity than in other Asian countries (Hoskins et al, 2018 ; Joseph et al, 2022 ). This occurrence can be ascribed to the moral challenges that Ghanaian nurses face related to the cultural and patient factors involving donations of organs, transplants, and palliative or hospice care decisions (Haile, 2022 ; Hoglund et al, 2010 ), and organizational factors, including inadequate resources and insufficient educational training on nursing ethics (Bah & Sey-Sawo, 2018 ; Prompahakul et al, 2021 ). Differing cultural backgrounds can impact moral practices and standards in healthcare (Wright et al, 1997 ).…”