Relation between Clinical Decision Making and Professional Values among Nurses at Critical Care Units (original) (raw)
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Perception Of Staff Nursesregarding Professional Values At Ain Shams Specialized Hospital
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Bangladesh Journal of Medical Science
Objectives: In order to deal with professional ethical issues successfully, nurses and other providers of clinical care need to rely on professional values that are meant to guide their professional decision-making, actions and behaviors .These values form the basis of nursing. Accordingly, the present study aims to investigate nurses' perception of professional values in the hospitals affiliated with Jahrom University of Medical Sciences. Method: In this descriptiveanalytical study, 100 nurses employed at the university hospitals of Jahrom were selected through simple convenience sampling. To examine the subjects' perception of professional values, the researchers used a two-part questionnaire: part one consisted of questions about the personal and social characteristics of the subjects; part two was the Nurses Professional Values Scale-Revised. The latter consists of 26 items based on American Nurses Association Code of Ethics for Nurses and addresses the following areas: caring (9 items), activism (5 items), trust (5 items), professionalism (4 items) and justice (3 items).Answers are scored based on a 5-point Likert scale: the answer choices "Not important" and "Very important" are assigned 1 point and 5 points respectively. The score range is between 26 and 130-higher scores indicate the respondent's greater familiarity with professional values. Findings: The participants of the study consisted of 99 nurses who were selected from the various parts of the university hospitals of Jahrom. The participants' mean scores for caring, activism, trust, professionalism, justice and total perception of professional values were found to be 32.15,15.47, 17.37, 13.32,10.66 and 88.98 respectively. The results of the study showed that there was not a significant relationship between the age, gender and marital status of nurses on one hand and their professional values scores on the other (P=0.7). Conclusion: There is need for effective programs to enhance nurses' awareness of certain of their professional duties and improve their professional performance in a wide range of professional areas alongside their duties as care-givers.
2018
Background: Decision making is esteemed as single of the core traits of human being for a critical care nurse and vital aspect of the performance of critical care nursing. Critical care nurses are continually faced by way of situations where they have to create well clinical decisions. Aim: This study was conducted to investigate clinical decision-making Experience of the critical care nurses’ and its effect on their Job satisfaction. Subjects and method: A descriptive exploratory research design was used. Purposive sample of all nurses were included in this study. It included 60 nurse worked in Damanhur teaching governmental hospitals from ICU and CCU units. Data were collected through using two modificated tools from; Michael, 2007 and Alzahrany (2010) which the first Tool includes nurse's job satisfaction sheet and the second tool contains nurse's clinical decision making experience quesionnaire. Results: The study discovered that the majority of the nurses were satisfied...
Hospital practices and research, 2019
Background: A professional is an individual who prefers a profession, is specially qualified in its technical aspects, and makes a living with the profession. Objective: This research was conducted to determine the professional values of nurses and the factors affecting them. Methods: This descriptive research evaluated a sample of 97 nurses working in a private hospital in Ankara, Turkey. Data was collected using the demographic form and professional values scale (PVS). Results: Among the nurses in the study sample, 43% had a graduate degree, 84.5% were staff nurses, and 37.2% were surgery, obstetrics, and cardiovascular surgery nurses. The mean score of professional values of nurses in this study was determined to be 4.20 ± 0.55. It was determined that professional values of nurses in the 34-year and older group, including male nurses, those usually working the day shift, those who chose the profession, those with memberships in associations, and those who participated in scientific meetings/seminars, had higher scores for professional values, but this finding was statistically insignificant (P > 0.05). Conclusion: The professional values of nurses was found to be above the middle level. In this light, it can be recommended, especially to managers, that training on professional values should be planned for nurses. It is also recommended that nurses receive undergraduate education and other comprehensive studies. In order to achieved a desired position in nursing, nurses must update regularly their scientific knowledge, participate in scientific meetings/seminars, and become members of professional associations.
2016
Background & Aim: Nursing practice is influenced by nurses' precived professional values. A small number of studies have been focused to measure professional values in nursing, whereas most of them focused on measuring values of nursing students. This study aimed to explore how nurses prioritize professional values. Methods & Materials: In this cross-sectional study, the professional values of nurses who were working at hospitals affiliated to Tehran University of Medical Sciences, Tehran, Iran, were investi-gated. A simple random sampling method was used and 127 nurses randomly selected to participate in this study. A two-part questionnaire was used to collect the data. The first part included demographic variables and the second part included the Nursing Professional Values Scale-Revised (NPVS-R). Results: The mean scores of the NPVS-R items on the five point Likert-type scales ranged from 2.89 to 4.32. The most five important professional values statements identified by parti...
2015
Background & Aim: Nurses professional values are standards for action and provide a frame-work for evaluating behaviors. This paper is the report of a study designed to assess the psycho-metric properties of the Turkish version of the Nurses Professional Values Scale- Revised (NPVS-R) . Methods & Materials: This methodological study was carried out a university hospital in Izmir, the third most populous city in Turkey. The sample consisted of 228 nurses, who were recruited from January to August 2008. Data were collected with a socio-demographic form (11 questions) and the Turkish version of the NPVS-R (26 items). Many researchers in various countries have used NPVS-R to identify the professional values of nurses or nursing students. Content validity, construct validity, internal consistency, and reliability were assessed. A P < 0.050 was considered as statistically significant. Results: Responses to the NPVS-R were subjected to exploratory and confirmatory factor analy-sis. Prin...
Psychometric properties of Nurses Professional Values Scale-Revised: An Iranian version
2020
Background Professional values are the basis of development of professional identity and commitment. Evaluation of professional values provides critical information regarding effective strategies for their integration in professional performance and clinical learning. The present study aimed to determine the psychometric properties of Nurses Professional Values Scale-Revised (NPVS-R) in Iranian population. Methods This methodological study was conducted on 439 students in the last semester of nursing selected from Iran’s universities using stratified single-stage cluster sampling. After back translation, its face, content, and construct validity were assessed. Its reliability was also evaluated by determining Cronbach’s alpha using internal consistency method. All analyses were performed using the SPSS statistical software, version 19. Results Considering face validity, all items’ impact scores were above 1.5. Regarding content validity, CVR and CVI of all components were > 0.6 a...
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Nursing research and practice, 2011
This study analyzed nurses' perceptions of clinical decision making (CDM) in their clinical practice and compared differences in decision making related to nurse demographic and contextual variables. A cross-sectional survey was carried out with 2095 nurses in four hospitals in Norway. A 24-item Nursing Decision Making Instrument based on cognitive continuum theory was used to explore how nurses perceived their CDM when meeting an elective patient for the first time. Data were analyzed with descriptive frequencies, t-tests, Chi-Square test, and linear regression. Nurses' decision making was categorized into analytic-systematic, intuitive-interpretive, and quasi-rational models of CDM. Most nurses reported the use of quasi-rational models during CDM thereby supporting the tenet that cognition most often includes properties of both analysis and intuition. Increased use of intuitive-interpretive models of CDM was associated with years in present job, further education, male gen...
Applying professional values: the perspective of nurses of Isfahan hospitals
Journal of medical ethics and history of medicine, 2014
Applying professional values is an important issue in nursing practice. It is also crucial to find out nurses' perspectives toward ethical and professional values in the clinical environment. For this purpose, we aimed to utilize a standard tool to survey perspectives on applying these values in nursing care in hospitals of Isfahan, Iran. This is a descriptive-analytical study in which 150 nurses working in hospitals of Isfahan, Iran in 2010 were recruited by quota convenience sampling, and their perspectives on professional values were assessed. Data were collected by the Nurses Professional Values Scale (NPVS) and analyzed using SPSS Software version 16 applying descriptive and interpretive statistics. In the present study, 84% of the participants were female and 88% had bachelor's degree in nursing. The average age was 34.2 (SD=7.3), and the average years of working in a hospital were 11 (SD=7.3). No significant association was present between demographic characteristics ...