Moral sensitivity in Primary Health Care nurses

Nora, Carlise Rigon Dalla; Zóboli, Elma Lourdes Campos Pavone

doi:10.1590/0034-7167-2016-0453

Cited by 31 publications

(46 citation statements)

References 20 publications

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“…It can be stated that in order to increase the moral sensitivity of the nurses, factors that negatively affect sensitivity should be identified and precautions should be taken against these factors. Nora et al 29 conducted a study determining the ethical sensitivity of the primary health care nurses (n ¼ 100) and found out that nurses' ethical sensitivity score was 4.5 (out of 7), and it was stated that a moderate level of ethical sensitivity decreases the quality of preventive health services. In our study, it was found that as the nurses' scores regarding the CBI-24 sub-scales of assurance and knowledgeskill increased, their ethical sensitivity levels also increased, and as the scores obtained from ESQ sub-scales of providing benefit, holistic approach, orientation, and ESQ total score increased, the scores regarding the nurses' perception of caring quality also increased.…”

Section: Discussionmentioning

confidence: 99%

Perception of care quality and ethical sensitivity in surgical nurses

et al. 2020

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Background: It is stated that high ethical sensitivity positively affects the quality of nursing care. However, the relationship between nursing care quality and ethical sensitivity has not been clearly demonstrated in researches. Aim: This study was carried out to determine the relationship between surgical nurses’ care behaviors and their ethical sensitivity. Method: The sample of this cross-sectional, descriptive-correlational study consists of 308 nurses who worked at the surgical departments in four Turkish hospitals. The data were collected using the “Nurse Description Form” developed by the researcher, “Caring Behaviours Inventory-24” and “Ethical Sensitivity Questionnaire.” Data were evaluated by the Mann Whitney U test, Kruskal Wallis one-way analysis of variance and Spearman correlation analysis. Ethical considerations: The study was approved by the ethics committee. Verbal and written consent was received from the nurses. Results: It was found in the study that nurses’ Caring Behaviours Inventory-24 total score median was 5.25 (4.83–5.58), nurses’ perception level of caring quality was high, median of Ethical Sensitivity Questionnaire total score was 89.00 (75.00–101.00) and nurses’ ethical sensitivity was moderate. A negative significant relation was found between nurses’ Caring Behaviours Inventory-24 total score and Ethical Sensitivity Questionnaire total score (r = -0.162; p = 0.009). A negative relation was also detected between nurses’ working period at the current clinic and providing benefit (r = -0.147; p = 0.012), holistic approach (r = -0.139; p = 0.018) and orientation (r = -0.175; p = 0.003) scores of Ethical Sensitivity Questionnaire sub-scales. Conclusion: Nurses’ perception levels of caring quality were high and their ethical sensitivity levels were moderate. It was found out that nurses’ ethical sensitivity increased together with their perception of caring quality, and as their working period at the current clinic increased, the ethical sensitivity also increased in terms of the sub-scales of providing benefit, holistic approach, and orientation. The factors that adversely affect the quality of nursing care and ethical sensitivity should be examined and attempts should be made to improve the working environment.

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Section: Discussionmentioning

confidence: 99%

Perception of care quality and ethical sensitivity in surgical nurses

et al. 2020

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“…(11) Results demonstrated that there is no harmony between actions that are recommended and conducted at the Hansen's disease Control Program, which is not coherent with the social practice of nursing. (12) The nurses began conducting more general activities, focused on receiving all service users, not only focusing on specific Hansen's disease Control Program activities. It seems to be harder to transcend the normative dimension toward the creation of ties, due to the distancing resulting from the work routines in the FHS, which prioritizes low-risk cases that present no intercurrences.…”

Section: Resultsmentioning

confidence: 99%

Experiências de cuidado dos enfermeiros às pessoas com hanseníase: contribuições da hermenêutica

Silva

Paz

2017

Acta paul. enferm.

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Objective: To analyze the experience of caring for Hansen's disease patients in the practice of nurses in the city of Rio de Janeiro. Methods: Qualitative study based on philosophical hermeneutics conducted in the programmatic areas of health in the city of Rio de Janeiro, which presented high or medium rates of Hansen's disease detection in 2014. Services with the following profiles were selected: exclusively Family Health Strategy (FHS), services with specialized clinics, and hybrid units in which the FHS and the traditional care model coexist. Nineteen nurses working in the primary and secondary health services of these areas participated in the research. The inclusion criteria were having at least five years of experience in following up Hansen's disease patients, and technical ability acquired from specific training. Exclusion criterion was being absent from work during the whole data collection stage, which happened between February 2015 and March 2016. Interviews were scheduled in agreement with participants and recorded with their authorization. Results: Two categories were established: For nurses, care for Hansen's disease patients lost its quality, and nurses recognize stigma as a problem that compromises Hansen's disease treatment and cure. Conclusion: Treatment of Hansen's disease patients was limited to eventual actions, where the professional-user relationship has a fragile link. The stigma and discrimination that harm treatment are still present in attitudes and behaviors of health professionals, and represent an obstacle for reestablishing health. ResumoObjetivo: Estudo qualitativo fundamentado na hermenêutica filosófica que teve como objetivo analisar a experiência de cuidar de pessoas com hanseníase na pratica de enfermeiros do Município do Rio de Janeiro. Métodos: Estudo qualitativo desenvolvido nas áreas programáticas de saúde do município do Rio de Janeiro, que apresentaram alto ou médio coeficiente de detecção de hanseníase em 2014. Foram selecionados serviços com os seguintes perfis: exclusivamente ESF, serviços com clínicas especializadas e unidades mistas que se caracterizam pela coexistência da ESF e do modelo tradicional de atendimento. Participaram da pesquisa dezenove enfermeiros que atuavam nos serviços de Atenção Primária e Secundária destas áreas. Os critérios de inclusão definidos foram possuir experiência de pelo menos cinco anos no acompanhamento de pessoas que receberam diagnóstico de hanseníase e, qualificação técnica por treinamento específico. Como critério de exclusão, estar em afastamento laboral durante toda a etapa de coleta de dados que ocorreu no período de fevereiro de 2015 a março de 2016. As entrevistas foram agendadas em comum acordo com os participantes e gravadas com autorização dos mesmos. Resultados: Elaboraram-se duas categorias: Para os enfermeiros, o atendimento da pessoa com hanseníase perdeu em qualidade e os enfermeiros reconhecem o estigma como um problema que compromete o tratamento e a cura da hanseníase. Conclusão: O atendimento às pessoas co...

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“…One study (12) addressing Iranian nurses reports that ethical problems related to interpersonal relationships both within the staff and within the inter-professional team, hinder the development of moral sensitivity that would enable them to cope with dilemmas. Therefore, workers experience discomfort, distress, difficulty in adapting to clinical settings, and disqualification of nursing care delivery (17)(18) .…”

Section: Discussionmentioning

confidence: 99%

The ethical dimension of problems faced in general medicine: relationship with moral sensitivity

Yasin

Barlem

Tomaschewski-Barlem

et al. 2020

Rev. Latino-Am. Enfermagem

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Objective: to identify the main ethical problems and how these relate to the moral sensitivity of nurses working in a general medicine ward. Method: this qualitative, exploratory, and descriptive study was conducted in a university hospital located in the south of Brazil. A total of 18 nurses working in a general medicine ward were interviewed. A semi-structured interview script was used, and data were analyzed using discursive textual analysis. Results: nurses considered the main ethical problems to include conflicts at the institutional level, situations involving conflicts with patients and/or family members, and conflicts within the staff. The perception of nurses and how they deal with these problems relate to moral sensitivity. Two categories emerged: experiencing ethical problems, and relationship with moral sensitivity. Conclusion: because of the multidimensional nature of moral sensitivity, it trains and enables nurses to recognize and deal with ethical problems faced in clinical practice so that nurses become able to make fair and prudent decisions, improving the quality of nursing care.

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Moral sensitivity in Primary Health Care nurses

Abstract: the nurses of Rio Grande do Sul have a moderate moral sensitivity, which may contribute to a lower quality in Primary Health Care.

Cited by 31 publications

References 20 publications

Perception of care quality and ethical sensitivity in surgical nurses

Perception of care quality and ethical sensitivity in surgical nurses

Experiências de cuidado dos enfermeiros às pessoas com hanseníase: contribuições da hermenêutica

The ethical dimension of problems faced in general medicine: relationship with moral sensitivity

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