An evaluation of nurses’ professional autonomy in Turkey

2013 ◽  
Vol 21 (4) ◽  
pp. 447-460 ◽  
Author(s):  
Zehra Göçmen Baykara ◽  
Serap Şahinoğlu

Background: The development of a profession’s autonomy closely relates to that profession’s level of autonomy in performing its specific role. For the nursing profession, this key role is nursing care. Objectives: This study was undertaken to evaluate the professional autonomy of nurses in care provision, from an ethical perspective. Research design: A mixed methods approach is employed in this research, which makes use of both quantitative and qualitative methods. The quantitative dimension of this research covers sociodemographic aspects and makes use of the Sociotropy–Autonomy Scale. The qualitative dimension of the research relates to the factors that affect professional autonomy in nursing care. Participants and research context: The sample consisted of 30 nurses working in the orthopedics, neurology, or intensive care units of three hospitals. Ethical considerations: Before conducting this research, we received permission from the ethical committee, as well as written permits from all the institutions in which the research was carried out. Informed consent was obtained from all participants. Findings: According to the findings of this study, only 6.7% of the nurses surveyed stated that nurses had professional autonomy; they also stated that professional autonomy in nursing was mostly restricted by the need to be “dependent upon the physician in nursing implementations” and that autonomy in nursing care was mostly limited by a “high number of patients per nurse.” Discussion: This study determined that delays in resolving problems with regard to professional autonomy in nursing care in Turkey could be creating many of the professional and ethical problems that nurses face there. Conclusion: It is recommended that: individuals choose the nursing profession conscientiously; nurses need to be given professional awareness; their professional organizations need to be strengthened; and plans need to be made to increase research and to accumulate both knowledge and expertise.

2021 ◽  
Vol 24 (5-esp.) ◽  
pp. 672-677
Author(s):  
Janaína Daniel Ouchi ◽  
Nádia Antônia Aparecida Poletti ◽  
Rodrigo Boscariol ◽  
Jeferson Agnelli

A profissão de enfermagem caminha rumo ao trabalho transdisciplinar, com formação humanizada e científica. A docência em enfermagem é uma prática desafiadora e tem tido destaque nas produções científicas no Brasil e no exterior, que ganhou destaque nas últimas duas décadas, em função da necessidade de docentes atualizados e que atendam as reformulações do currículo. Essa pesquisa teve como objetivo avaliar o conhecimento do docente enfermeiro a respeito de toda a Ciência acerca das diferentes lesões por pressão (LP). Foi realizado um estudo transversal, quantitativo, por meio da aplicação de um questionário investigativo, que analisou o conhecimento de docentes do Ensino Superior em uma Faculdade de Enfermagem da cidade de Sorocaba. Os docentes que participaram foram abordados pelo pesquisador, na instituição supracitada. As respostas dos enfermeiros participantes da pesquisa (n=14) apontaram uma média de 43 acertos para as 46 questões aplicadas. Essas questões levaram em conta os critérios atualmente utilizados e que são considerados qualificadores da assistência de enfermagem. A enfermagem evoluiu consideravelmente, empoderando-se na tomada de decisões frente aos cuidados relacionados à lesão de pele, porém essa conduta ainda não faz parte da rotina da maior parte dos profissionais. Destaca-se a necessidade de atualização constante sobre o tema, pois o mercado oferece de forma contínua ferramentas que auxiliam na prevenção e tratamento das lesões de pele.   Palavras-chave: Lesão por Pressão. Educação em Saúde. Cuidados de Enfermagem. Medicina Preventiva.   Abstract The nursing profession is moving towards transdisciplinary work, with humanized and scientific training. Nursing teaching is a challenging practice and has been highlighted in scientific productions in Brazil and abroad, which has gained prominence in the last two decades, due to the need for updated professors s and who meet the  curriculum reformulations. This research aimed to assess the nurse professor’s knowledge regarding all the science concerning the different pressure injuries (LP). A cross-sectional, quantitative study was carried out by applying an investigative questionnaire, which analyzed the higher education professors’ knowledge at a  Nursing Faculty  in the city of Sorocaba. The professors who participated were approached by the researcher at the aforementioned institution. The nurses’ responses participating in the research (n=14) indicated an average of 43 correct answers for the 46 applied questions. These questions took into account the criteria currently used and which are considered nursing care qualifiers. Nursing has evolved considerably, empowering itself in making decisions regarding care related to skin lesions, but this conduct is not  part of the routine of most professionals yet. The need for constant updating on the topic is highlighted, as the market continuously offers tools that help in the prevention and treatment of skin lesions.   Keywords: Pressure Injury. Health Education. Nursing Care. Preventive Medicine.


2018 ◽  
pp. 346-354
Author(s):  
Samsualam Samsualam ◽  
Rahmat Hidayat ◽  
Karyanti Lestari Aswan

Religiosity can describe a person's behavior at work, especially working as a health worker to help the healing process both physically, psychologically and spiritually. The purpose of this study was to analyze the level of religious religiosity of professional students and to analyze the implementation of Muslim spiritual nursing care for ners profession students in PSIK FKM Universitas Muslim Indonesia. This research method used quantitative and qualitative methods (Mix Method). Based on the results of the descriptive bivariate analysis of religiosity and the implementation of Muslim nursing care in 2018, it was shown that out of 0 (100%) respondents at a high level of religiosity overall did not implement complete Muslim spiritual nursing care, 24 people (100%) and 6 (100 %) respondents with a low level of religions overall did not carry out complete implementation of Muslim spiritual nursing care, namely 6 (100%) respondents. This shows that descriptively students who have high religiosity and low religiosity do not implement Muslim spiritual nursing care (AKSM).


2020 ◽  
Author(s):  
Hala Elmorshedy ◽  
Abrar AlAmrani ◽  
Mona Hassan Ahmed Hassan ◽  
Amel Ahmed Fayed ◽  
Susan Ann Albrecht

Abstract Background: In the Kingdom of Saudi Arabia, the nursing profession faces significant challenges including failure to recruit high school students into nursing education; poor nursing identity, and lack of awareness about the nursing profession. The level of community awareness and public image of the nursing profession are critical to recruit and retain students into nursing education, and to improve nurses' sense of identity. Aim: to explore the level of community awareness and public image of the nursing profession in Saudi Arabia Methods: We conducted a cross-sectional study with a convenient sample of 502 adults including 106 males and 396 females, their mean age was 22.93 ± 6.76 years. Data collected included; socio-cultural data, gender preference in getting nursing care, awareness, and perceived socio-cultural barriers to pursue a nursing career. Data were analyzed using SPSS version 21.0. Results: Only 32.5 % preferred to get nursing care by Saudis. The nursing profession was not viewed as a respected job as 71.5% of participants would be ashamed of having a nurse in their families. The study revealed a low median knowledge score (50.0, IQR: 50.0-66.7)). The study highlighted a number of socio-cultural barriers to pursue a nursing career including; the gender-mixed working environment (35.9%), delayed marriage of female nurses (20.3%), and the negative effect of nursing profession on social life (64.5%). Conclusions : Half of the sample had a knowledge score below 50.0 out of 100. This level of Poor awareness, in addition to socio-cultural perceived barriers are the main factors contributing to the negative public image of the nursing profession in Saudi Arabia. Understanding these factors could contribute to implementing focused intervention to improve the negative stereotype of the nursing profession among Saudis.


1991 ◽  
Vol 2 (3) ◽  
pp. 500-514 ◽  
Author(s):  
Terry K. Bavin

The number of patients receiving cardiopulmonary support (CPS) is increasing, requiring critical care nurses to be better prepared to care for these complex patients. Background information on CPS along with considerations for nursing management are presented. A case study of a patient requiring CPS and a suggested nursing care plan are included to assist in providing quality nursing care


2020 ◽  
Vol 29 (18) ◽  
pp. 1064-1067
Author(s):  
Osward Bwanga

Nurses have a vital role in providing nursing care to patients requiring mobile radiography. Mobile radiography is requested when a patient's condition makes it impossible for them to be transported to the radiology department. All health professionals involved in mobile radiography, such as nurses, medical doctors and radiographers should be knowledgeable in this area. This is even more important in current practice, where nurse consultants and nurse advanced practitioners are assessing and referring patients for limited radiological examinations. However, there is little literature to equip nurses with knowledge about mobile radiography. The aim of this article is to raise awareness of this subject at a time when the number of patients requiring mobile radiography has increased globally, due to the outbreak of coronavirus. Critically ill patients with COVID-19 require portable chest X-rays to diagnose complications of the disease, such as pneumonia.


2009 ◽  
Vol 16 (6) ◽  
pp. 813-826 ◽  
Author(s):  
Franco A Carnevale ◽  
Bilkis Vissandjée ◽  
Amy Nyland ◽  
Ariane Vinet-Bonin

This article reviews empirical evidence and ethical norms in cross-linguistic nursing. Empirical evidence highlights that linguistic barriers between nurses and patients can perpetuate discrimination and compromise nursing care. There are significant organizational and relational challenges involved in ensuring adequate use of interpreters by nurses. Some evidence suggests that linguistic barriers are particularly problematic for nurses when compared with physicians. A comparative analysis of nursing ethical norms for cross-linguistic nursing was conducted using the codes of ethics of the American Nurses Association, the Canadian Nurses Association, and the International Council of Nurses. Five principal ethical norms for cross-linguistic nursing were identified: (1) respect for the patient as a unique person; (2) respect for the patient’s right to self-determination; (3) respect for patient privacy and confidentiality; (4) responsibility for one’s own competence, judgment, and action; and (5) responsibility to promote action better to meet the needs of patients, families, and groups.


1996 ◽  
Vol 5 (3) ◽  
pp. 410-414 ◽  
Author(s):  
Kenneth Craig Micetich

The institutional review board (IRB) Is charged with assessing the risks and benefits of research projects Involving human subjects. Ethical considerations and federal regulations require that an IRB, in part, must find that the potential risks of participation are proportional to the potential benefits (If any) and to the Importance of the knowledge that may be learned before the IRB can approve the voluntary assumption of risk by a research participant. Adequate assessment of the risks and benefits requires careful scrutiny of the study design In relation to the study objectives.


Author(s):  
Jean-Louis Vincent

Acute cardiac syndromes are common and responsible for considerable mortality and morbidity. Decision making in such patients can be difficult clinically but can also be complex and challenging from an ethical perspective. This chapter reviews some of the ethical problems, including organ donation and withholding/withdrawing, that can occur in the acutely ill adult cardiac patient, starting with a brief look at the ethical principles that should guide our decision making: beneficence, non-maleficence, autonomy, and distributive justice. The role of advance directives and considerations related to family presence during cardiopulmonary resuscitation will also be discussed. With the increasing incidence and prevalence of coronary artery disease worldwide, the number of patients with cardiac arrest and requiring acute cardiac care is going to increase, and doctors will increasingly be faced with difficult ethical decisions associated with these patients. Open discussion and debate about these issues and good communication among patients, family members, and members of the health care team are essential to ensure that all patients receive the best possible end-of-life care.


2016 ◽  
Vol 25 (7) ◽  
pp. 906-917
Author(s):  
Paola Gobbi ◽  
Maria Grazia Castoldi ◽  
Rosa Anna Alagna ◽  
Anna Brunoldi ◽  
Chiara Pari ◽  
...  

Background: The research question for this study was as follows: Is the Code of Ethics for Nurses in Italy (Code) a valid or useful decision-making instrument for nurses faced with ethical problems in their daily clinical practice? Method: Focus groups were conducted to analyze specific ethical problems through 11 case studies. The analysis was conducted using sections of the Code as well as other relevant documents. Each focus group had a specific theme and nurses participated freely in the discussions according to their respective clinical competencies. Ethical considerations: The executive administrative committee of the local nursing licensing council provided approval for conducting this project. Measures were taken to protect the confidentiality of consenting participants. Findings: The answer to the research question posed for this investigation was predominantly positive. Many sections of the Code were useful for discussion and identifying possible solutions for the ethical problems presented in the 11 cases. Conclusion: We concluded that the Code of Ethics for Nurses in Italy can be a valuable aid in daily practice in most clinical situations that can give rise to ethical problems.


2006 ◽  
Vol 2006 ◽  
pp. 1-11 ◽  
Author(s):  
Mette Ebbesen ◽  
Thomas G. Jensen

Nanotechnology is concerned with materials and systems whose structures and components exhibit novel physical, chemical, and biological properties due to their nanoscale size. This paper focuses on what is known as nanomedicine, referring to the application of nanotechnology to medicine. We consider the use and potentials of emerging nanoscience techniques in medicine such as nanosurgery, tissue engineering, and targeted drug delivery, and we discuss the ethical questions that these techniques raise. The ethical considerations involved in nanomedicine are related to risk assessment in general, somatic-cell versus germline-cell therapy, the enhancement of human capabilities, research into human embryonic stem cells and the toxicity, uncontrolled function and self-assembly of nanoparticles. The ethical considerations associated with the application of nanotechnology to medicine have not been greatly discussed. This paper aims to balance clear ethical discussion and sound science and so provide nanotechnologists and biotechnologists with tools to assess ethical problems in nanomedicine.


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