Tertiary hospital nurses’ ethical sensitivity and its influencing factors: A cross-sectional study

2021 ◽  
pp. 096973302110051
Author(s):  
Xue Lei Chen ◽  
Fei Fei Huang ◽  
Jie Zhang ◽  
Juan Li ◽  
Bi Yun Ye ◽  
...  
Keyword(s):  
Data Storage ◽  
Family Communication ◽  
Cross Sectional Study ◽  
Ethical Sensitivity ◽  
Sectional Study ◽  
Moral Sensitivity ◽  
Cross Sectional ◽  
Factors Influencing ◽  
Tertiary Hospitals

Background: High ethical sensitivity positively affects the quality of nursing care; nevertheless, Chinese nurses’ ethical sensitivity and the factors influencing it have not been described. Research objectives: The purpose of this study was to describe ethical sensitivity and to explore factors influencing it among Chinese-registered nurses, to help nursing administrators improve nurses’ ethical sensitivity, build harmony between nurses and patients, and promote the patients’ health. Research design: This was a descriptive, cross-sectional study. Participants and research context: We recruited 500 nurses from several departments in three tertiary hospitals. The Chinese Moral Sensitivity Questionnaire–Revised version and the Jefferson Scale of Empathy-Health Professionals were used to assess the nurses’ ethical sensitivity and empathy ability, respectively. Fifteen sociodemographic variables were included in the questionnaires. Ethical considerations: Informed consent was obtained from the participants regarding participation and data storage and handling. This program has been examined and supported by the research center of medical ethics and professional ethics of Guilin Medical University. The Approval No. was 2016RWYB04. The whole research process is conducted strictly according to ethical requirements. Results: The valid response rate was 84.40% ( n = 422). The total score of Chinese Moral Sensitivity Questionnaire–Revised was 35.82 ± 8.17. The subscale scores of moral responsibility and strength and sense of moral burden were 21.50 ± 4.91 and 14.33 ± 3.98, respectively. Significant differences were found among age groups, gender, years of working, category of profession, and quality of family communication regarding nurses’ ethical sensitivity ( p < 0.05). Regression analysis showed that the main factors influencing nurses’ ethical sensitivity were gender, years of working, quality of family communication, career satisfaction, and empathic ability. Discussion: Our findings suggest that Chinese nurses’ ethical sensitivity in tertiary hospitals in Guilin is at a medium level. Conclusion: The director of nursing schools and hospitals in China should pay attention to nurses’ ethical sensitivity and should intensify education and training to improve nurses’ ethical sensitivity. Further studies should focus on interventions aimed at improving Chinese nurses’ ethical sensitivity.

scholarly journals Quality of Life and Bariatric Surgery: Cross-Sectional Study and Analysis of Factors Influencing Outcome

2016 ◽  
Vol 26 (12) ◽  
pp. 2849-2855 ◽  
Author(s):  
Michał Robert Janik ◽  
Tomasz Rogula ◽  
Ilona Bielecka ◽  
Andrzej Kwiatkowski ◽  
Krzysztof Paśnik
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing

scholarly journals Factors influencing quality of life in children with atopic dermatitis and their caregivers: a cross-sectional study

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Xiaomeng Xu ◽  
Louise Sandra van Galen ◽  
Mark Jean Aan Koh ◽  
Ram Bajpai ◽  
Steven Thng ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Atopic Dermatitis ◽  
Disease Severity ◽  
Emotional Distress ◽  
Cross Sectional Study ◽  
Sociodemographic Characteristics ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing

Abstract Better understanding of atopic dermatitis’ effect on quality of life could enhance current management and therapeutic strategies. Studies investigating factors related to the health-related quality of life (HRQOL) of children with atopic dermatitis and their caregivers are limited. This cross-sectional study included 559 children (<16 years) with atopic dermatitis and their caregivers. Disease severity was associated with infants’ HRQOL (moderate: IRR: 1.42, 95% CI 1.20–1.67; severe: IRR: 1.72, 95% CI 1.32–2.24). Age and disease severity were associated with children’s HRQOL (age: IRR: 0.99, 95% CI 0.98–1.00; moderate: IRR: 1.08, 95% CI 1.02–1.14). Quality of life subdomains itching/scratching, emotional distress and sleep disturbance were most reported and increased with higher disease severity. Both caregivers’ mental and physical health were negatively affected by children’s HRQOL (physical: IRR: 0.99, 95% CI 0.99–1.00; mental: IRR: 0.98, 95% CI 0.97–0.99). Sociodemographic characteristics (gender, ethnicity, educational attainment of carers, number of children) did not demonstrate significance in children’s HRQOL model. In conclusion, current atopic dermatitis diagnostics and treatment have to be extended to the factors influencing both children’ as their caregivers’ quality of life and adapting management accordingly. Itching/scratching, emotional distress and sleep disturbance deserve attention. Sociodemographic characteristics in children’s HRQOL models also merit attention in further research.

scholarly journals Quality of life of the HIV patients in Agra: a cross sectional study

2018 ◽  
Vol 5 (5) ◽  
pp. 1869
Author(s):  
Sunil K. Meena ◽  
Sunil K. Misra ◽  
Shailendra S. Chaudhary
Keyword(s):  
Quality Of Life ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
People Living With Hiv ◽  
Sectional Study ◽  
Hiv Patients ◽  
Cross Sectional ◽  
Factors Influencing ◽  
Modifiable Factors

Background: With antiretroviral therapy (ART) for human immunodeficiency virus infection (HIV) coming into picture, quality of life (QOL) has gained importance. Knowledge on the factors affecting QOL would be helpful in making important policy decisions and health care interventions. The aim of this study is to assess the quality of life of people living with HIV and to identify the factors influencing their QOL.Methods: The Cross-sectional study was done among 160 HIV patients registered with ART Centre, at SNMC Agra (UP), India. QOL was assessed using HIV specific WHOQOLHIV-BREF questionnaire which has six domains. Association were find out by using chi square test for categorical variables and ANOVA were used for comparisons means scores among continuous variables. Correlation between continuous quantitative variables was found out by Pearson correlation coefficient.Results: Mean age of the study subjects was 37.89 years and 61.2% of the participants were males. Quality of life score was highest in level of independence domain (12.79±2.28) and lowest in SRPB domain (10.51±3.63). A significant negative correlation (-0.49) was observed between age and physical domain. Male Subjects had significant better mean score in social and environmental domain. Family support associated with social relationship and psychological domain. Higher CD4 count is associated with better in psychological and SRPB domain. Younger age, female gender, rural background, shorter duration of HIV, non-intake of ART were the high risk factors of poor QOL.Conclusions: Interventions such as ART, family, vocational and peer counselling would address these modifiable factors influencing QOL, thereby improving the QOL of PLWH.

scholarly journals Multicentre cross-sectional study on adverse events and good practices in maternity wards in Brazil and Mexico: same problems, different magnitude

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e030944
Author(s):  
Kelienny de Meneses Sousa ◽  
Isac Davidson Santiago Fernandes Pimenta ◽  
María Fernández Elorriaga ◽  
Pedro Jesus Saturno-Hernandez ◽  
Tatyana Maria Silva de Souza Rosendo ◽  
...  
Keyword(s):  
Adverse Events ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Process Measures ◽  
Good Practices ◽  
Tertiary Hospitals ◽  
Quality Of Delivery

ObjectiveTo evaluate the quality of delivery care in maternity wards in Brazil and Mexico based on good practices (GP) and adverse events (AE), in order to identify priorities for improvement.DesignA multicentre cross-sectional study with data collection from medical records between 2015 and 2016 to compare indicators of maternal and neonatal GP and EA based on the Safe Childbirth Checklist and standardised obstetric quality indicators. Two Brazilian and five Mexican maternity wards participated in the study. Descriptive statistics and χ2tests were performed to assess performance and significant differences between the hospitals investigated.SamplingWe analysed 720 births in Brazil and 2707 in Mexico, which were selected using a systematic random sampling of 30 medical records every fortnight for 12 2-week periods in Brazil and 18 2-week periods in Mexico. We included women and their newborns, excluding those with congenital malformations.ResultsThe Mexican hospitals showed greater adherence to GP (58.2%) and a lower incidence of AE (12.9%) than the participating institutions in Brazil (26.8% compliance with GP and 16.0% AE). In spite of these differences, the relative importance of particular quality problems and type of AE are similar in both countries. Tertiary hospitals, caring for women at higher risk, have significantly (p<0.001) higher rates of AE (27.2% in Brazil and 29.6% in Mexico) than institutions attending women at lower risk, where the frequency of AE ranges from 4.7% to 11.2%. Differences were significant (p<0.001) for most indicators of GP and AE.ConclusionData from outcome and process measures revealed similar types of failures in the quality of childbirth care in both countries and indicate the need of rationalising the use of antibiotics for the mother and episiotomy, encouraging greater adherence to partograph and to the use of magnesium sulfate for the treatment of severe preeclampsia/eclampsia.

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