scholarly journals The Relationship between Nurses’ Moral Sensitivity and Patients’ Satisfaction with the Care Received in the Medical Wards

2019 ◽  
Vol 9 (2) ◽  
pp. 98-103 ◽  
Author(s):  
Elham Amiri ◽  
Hossein Ebrahimi ◽  
Hossein Namdar Areshtanab ◽  
Maryam Vahidi ◽  
Mohamad Asghari Jafarabadi
Keyword(s):  
Patient Satisfaction ◽  
Quality Care ◽  
Daily Practice ◽  
Care Quality ◽  
Ethical Challenges ◽  
Moral Sensitivity ◽  
Moral Conflicts ◽  
Patients Satisfaction ◽  
Medical Wards ◽  
The Relationship

Introduction: The quality of care affects patients’ satisfaction. To provide high quality care, nurses face ethical challenges in daily practice. Moral sensitivity is the first phase in moral implementation. This study aimed to determine the relationship between nurses’ moral sensitivity and patients’ satisfaction in medical wards. Methods: In descriptive correlational study 198 nurses and 198 patients in 17 medical wards filled out the Moral Sensitivity Questionnaire (MSQ) and Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ), respectively. Nurses were sampled by the census method. For each nurse, a patient was selected randomly from the same ward. Data were analyzed using SPSS version 13. Results: The highest scores were in the dimensions of “relational orientation” and “following the rules”, and the lowest scores were in the dimensions of “autonomy” and “experiencing moral conflicts”. The highest level of patients’ satisfaction was with “nurses’ professional performance” 3.98 (1.09), and the lowest level was with “nurses’ routine work” 2.69 (1.22). There was no significant relationship between the mean of patient satisfaction and moral sensitivity of nurses. Conclusion: Considering that nurses had a higher score in dimension of “following the rules” and a lower score in dimension of “autonomy”, it seems ethical performance in the real situation is not merely due to the nurses’ moral sensitivity and it seems the complexity of the organization causes nurses face difficulties in making decisions related to clinical practice; therefore, policy makers in the health system should be able to identify barriers.

Relationship between nurses’ moral sensitivity and the quality of care

2018 ◽  
Vol 26 (4) ◽  
pp. 1265-1273 ◽  
Author(s):  
Elham Amiri ◽  
Hossein Ebrahimi ◽  
Maryam Vahidi ◽  
Mohamad Asghari Jafarabadi ◽  
Hossein Namdar Areshtanab
Keyword(s):  
Quality Of Care ◽  
Inverse Relationship ◽  
Quality Care ◽  
Care Quality ◽  
Moral Sensitivity ◽  
Medical Sciences ◽  
Mean Values ◽  
Significant Inverse Relationship ◽  
Medical Wards

Background: To provide care with high quality, nurses face a number of moral issues requiring them to have moral abilities in professional performance. Moral sensitivity is the first step in moral performance. However, its relation to the quality of care patients receive is controversial. Research objective: This study aims to determine the relationship between the moral sensitivity of nurses and the quality of care received by patients in the medical wards. Research design: A descriptive correlational study using validated tools, including Moral Sensitivity Questionnaire and the Quality Patient Quality Scale. Participants and research context: In total, 198 nurses and 198 patients in 17 medical wards of hospitals affiliated with Tabriz University of Medical Sciences, Iran. Ethical considerations: The study was reviewed and approved by the Ethics Committee of Tabriz University of Medical Sciences. Findings: The mean values of nurses’ moral sensitivity and nurses’ quality care were 136.47 ± 13.30 and 196.36 ± 44.10, respectively. There was no significant relationship between the patient care quality and nurses’ moral sensitivity ( r = −.14, p = .5). However, there was a significant inverse relationship between the dimension of “Experiencing moral conflicts” and the overall score of quality care ( r = −.50, p = .04), the dimensions of “psychosocial ( r = −.50, p = .04)” and “physical ( r = −.50, p = .03).” Conclusion: Considering the significant inverse relationship between the score of patient quality care and the dimension of moral conflict experience, it seems when nurses make moral decisions, they experience a conflict between personal and professional values in their careers and thus experience moral tension. If this tension is not resolved properly, it can provide a way for them to distance themselves from patients, thereby making nurses indifferent to moral care.

Quality care for persons experiencing dementia

2013 ◽  
Vol 20 (3) ◽  
pp. 263-272 ◽  
Author(s):  
Gerd S Sellevold ◽  
Veslemøy Egede-Nissen ◽  
Rita Jakobsen ◽  
Venke Sørlie
Keyword(s):  
Nursing Homes ◽  
Quality Care ◽  
Healthcare Providers ◽  
Ethical Challenges ◽  
Narrative Interviews ◽  
Provide Quality Care ◽  
The Relationship

The degree of success in creating quality care for people suffering from dementia is limited despite extensive research. This article describes healthcare providers’ experience with the ethical challenges and possibilities in the relationship with patients suffering from dementia and its impact on quality care. The material is based on qualitative, in-depth individual narrative interviews with 12 professional healthcare providers from two different nursing homes. The transcribed interview texts were subjected to a phenomenological–hermeneutical interpretation. To provide quality care to patients with dementia, the healthcare providers emphasized the importance of sensing and understanding the patients’ emotional and bodily expressions through sentient attentiveness and recognition of the patient as a person. They also described reciprocity of expressions in the relationship where the patient recognized them both as persons and healthcare providers. The analyses of the findings are, inter alia, discussed in light of Løgstrup’s relational philosophy of ethics.

Investigating the relationship between moral sensitivity and attitude towards euthanasia in nursing students of Birjand University of Medical Sciences

2021 ◽  
pp. 147775092110162
Author(s):  
Elnaz Yazdanparast ◽  
Malihe Davoudi ◽  
Seyed Hasan Ghorbani ◽  
Amirhossein Akbarian ◽  
Hadi Ahmadi Chenari
Keyword(s):  
Nursing Students ◽  
Scientific Concept ◽  
Future Research ◽  
Cluster Sampling ◽  
Controversial Issues ◽  
Ethical Challenges ◽  
Moral Sensitivity ◽  
Medical Sciences ◽  
The Mean ◽  
The Relationship

Euthanasia is one of the most controversial issues in medical ethics and one of the ten major ethical challenges in medicine and health sciences. The present study was conducted to evaluate the relationship between moral sensitivity and attitudes toward euthanasia among nursing students at Birjand University of Medical Sciences in 2020. Birjand University of Medical Sciences has four nursing schools. Cluster sampling method was used for selection of samples. After sampling Ferdows nursing school was selected. Nursing students of Ferdows School were 156 person which 144 participated in the study based on inclusion and exclusion criteria. Students completed demographic information questionnaire, moral sensitivity questionnaire and euthanasia attitude questionnaire. Data were entered into SPSS software version 19 using descriptive and inferential statistical methods. Findings of this study showed that among nursing students, the mean score of moral sensitivity was 59.59 ± 11.21 and was moderate. The mean score of attitudes towards euthanasia was 0.981 ± 0.336. In addition, according to the results, correlation test showed that there is a significant direct but weak relationship between moral sensitivity and attitude to euthanasia in students (P < 0.01, R = 0.219). According to the findings of the present study, moral sensitivity as a scientific concept is one of the determining factors in attitudes toward euthanasia, but other factors can also affect nurses' attitudes toward euthanasia, which should be investigated and determined in future research.

scholarly journals Norwegian Nurses’ Reflections Upon Experiences of Ethical Challenges in Older People Care: A Qualitative Thematic Analysis

2021 ◽  
Vol 7 ◽  
pp. 237796082110579
Author(s):  
Linda Rykkje ◽  
Anne Lise Holm ◽  
Marit Helene Hem
Keyword(s):  
Nursing Education ◽  
Clinical Practice ◽  
Older People ◽  
Thematic Analysis ◽  
Health Care Services ◽  
Quality Care ◽  
Care Quality ◽  
Ethical Challenges ◽  
Ethical Awareness ◽  
Best Interest

Introduction Internationally, aging populations have increased needs for health care services, and often specialized care is required. However, services for older people tend to be underfunded, resulting in lack of qualified staff and poor quality care. Resource shortages lead to ethical challenges and insufficient nursing care. Therefore, quality in daily care for older people also depends upon the nurses’ ability to make complex, ethical decisions in their practice. Objectives To explore ethical challenges experienced by nurses caring for older people in clinical practice, and to provide examples of management for the challenges. Methods The data collected were written reflection notes by Norwegian continuous education students in advanced gerontology. Forty two of 83 notes were included and a thematic analysis in six steps was utilized. Findings There are three main themes: (1) meeting vulnerability, discomfort, and suffering, (2) collaboration with relatives, and (3) struggling to perform professional care. Conclusion Nurses strive to “do what is in the patients’ best interest”, and this is fostered through collaboration, professionalism, care, and presence. Nurses’ ethical competencies may develop when reflecting upon their own care performance. Building ethical competencies should be a priority in both nursing education and clinical practice. However, to improve care quality, nurses also need professional knowledge about older people care and ethical awareness should be supported by the workplace.

scholarly journals EFEK DOCTOR'S QUALITY OF CARE TERHADAP WORD OF MOUTH DAN REVISITED PATIENT YANG DIMEDIASI OLEH PATIENT SATISFACTION

2008 ◽  
Vol 1 (1) ◽  
pp. 26
Author(s):  
Wiwik Mayanti
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Word Of Mouth ◽  
Care Patient ◽  
Patients Satisfaction ◽  
The Relationship ◽  
Provide Health Care ◽  
Hospital Clinic

<p class="Style15"><em>A doctor must strive to provide health care as best as they could in order to create satisfied patient. </em><em>The objective of this research is to investigate the effect of quality of care from the doctor and patient </em><em>satisfaction in hospital, clinic. And the effect of patient satisfaction on word of mouth, then patient </em><em>satisfaction can create revisited patient. A theoretical framework was developed to test the relationship among the study construct. The design of this research applies to hos</em><em>p</em><em>ital, clinic and the questionnaires </em><em>were spread away to 100 respondents or patients from 2 hospita</em><em>l</em><em> in Jakarta, bekasi and by using </em><em>purpose sampling. The result of the research conclude that doctor'</em><em>s</em><em> quality of care has a significant </em><em>effect to patient satisfaction, and patients satisfaction hasn't a sig</em><em>n</em><em>ificant effect to word of mouth but patient satisfaction has a significant effect to revisited patient.</em></p><p class="Style1"><strong><em>Keyword: doctor's quality of care, patient satisfaction, word of m</em></strong><strong><em>o</em></strong><strong><em>uth, revisited patient.</em></strong></p>

Moral sensitivity and moral distress in Iranian critical care nurses

2015 ◽  
Vol 24 (4) ◽  
pp. 474-482 ◽  
Author(s):  
Fariba Borhani ◽  
Abbas Abbaszadeh ◽  
Elham Mohamadi ◽  
Erfan Ghasemi ◽  
Mohammad Javad Hoseinabad-Farahani
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Moral Distress ◽  
Quality Care ◽  
Critical Care Nurses ◽  
Moderate Level ◽  
Moral Sensitivity ◽  
Medical Sciences ◽  
Ethical Considerations ◽  
The Relationship

Background: Moral sensitivity is the foremost prerequisite to ethical performance; a review of literature shows that nurses are sometimes not sensitive enough for a variety of reasons. Moral distress is a frequent phenomenon in nursing, which may result in paradoxes in care, dealing with patients and rendering high-quality care. This may, in turn, hinder the meeting of care objectives, thus affecting social healthcare standards. Research objective: The present research was conducted to determine the relationship between moral sensitivity and moral distress of nurses in intensive care units. Research design: This study is a descriptive-correlation research. Lutzen’s moral sensitivity questionnaire and Corley Moral Distress Questionnaire were used to gather data. Participants and research context: A total of 153 qualified nurses working in the hospitals affiliated to Shahid Beheshti University of Medical Sciences were selected for this study. Subjects were selected by census method. Ethical considerations: After explaining the objectives of the study, all the participants completed and signed the written consent form. To conduct the study, permission was obtained from the selected hospitals. Findings: Nurses’ average moral sensitivity grade was 68.6 ± 7.8, which shows a moderate level of moral sensitivity. On the other hand, nurses also experienced a moderate level of moral distress (44.8 ± 16.6). Moreover, there was no meaningful statistical relationship between moral sensitivity and moral distress (p = 0.26). Discussion: Although the nurses’ moral sensitivity and moral distress were expected to be high in the intensive care units, it was moderate. This finding is consistent with the results of some studies and contradicts with others. Conclusion: As moral sensitivity is a crucial factor in care, it is suggested that necessary training be provided to develop moral sensitivity in nurses in education and practical environments. Furthermore, removing factors that contribute to moral distress may help decrease it in nurses.

Is quality important to our patients? The relationship between surgical outcomes and patient satisfaction

2017 ◽  
Vol 27 (1) ◽  
pp. 48-52 ◽  
Author(s):  
Kristel Lobo Prabhu ◽  
Michelle C Cleghorn ◽  
Ahmad Elnahas ◽  
Alvina Tse ◽  
Azusa Maeda ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Elective Surgery ◽  
Quality Care ◽  
Short Term ◽  
Improvement Program ◽  
Level Of Satisfaction ◽  
Ordered Logistic Regression ◽  
American College Of Surgeons ◽  
The Relationship ◽  
Satisfaction Surveys

BackgroundWith greater transparency in health system reporting and increased reliance on patient-centred outcomes, patient satisfaction has become a priority in delivering quality care. We sought to explore the relationship between patient satisfaction and short-term outcomes in patients undergoing general surgical procedures.MethodsSatisfaction surveys were distributed to patients following discharge from the general surgery service at an academic hospital between June 2012 and March 2015. Short-term clinical outcomes were obtained from the American College of Surgeons National Surgical Quality Improvement Program database. Patients rated their level of satisfaction on a 5-point Likert scale, and ordered logistic regression model was used to determine predictors of high patient satisfaction.Results757 patient satisfaction surveys were completed. The mean age of patients surveyed was 52.2 years; 60.0% of patients were female. The majority of patients underwent a laparoscopic procedure (85.9%) and were admitted as inpatients following surgery (72%). 91.5% of patients rated satisfaction of 4–5, and 95.0% said they would recommend the service. The odds of overall satisfaction were lower in patients who had complications (OR: 0.52, 95% CI 0.31 to 0.87) and 30-day readmission (OR: 0.35, 95% CI 0.17 to 0.70). Having elective surgery was associated with higher odds of satisfaction (OR: 1.62, 95% CI 1.07 to 2.47).ConclusionsWe found a significant association between patient satisfaction and both 30-day readmission and the occurrence of postoperative surgical complications. Given this association, further study is warranted to evaluate patient satisfaction as a healthcare quality indicator.

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