Objective:To explore the relationship between nursing professional values and ethical climate and nurses'professional quality of life.Methods:The present study is a descriptive,cross-sectional work in which 400 nu...Objective:To explore the relationship between nursing professional values and ethical climate and nurses'professional quality of life.Methods:The present study is a descriptive,cross-sectional work in which 400 nurses from various wards of hospitals in the south-east of Iran were studied.Data were collected using a questionnaire consisting of four sections:demographics,Nurses'Professional Values Scale-Revised(NPVS-R),the Hospital Ethical Climate Survey(HECS),and the Professional Quality of Life Scale(ProQOL).Results:The total mean scores for professional values were 105.29±15.60.The total mean score for the ethical climate was 100.09±17.11.The mean scores for the indexes of compassion satisfaction,burnout,and secondary traumatic stress were 45.29±8.93,34.38±6.84,and 32.15±7.02 respectively.The relationships between professional values and the indexes of compassion satisfaction(r=0.56),burnout(r=0.26),and secondary traumatic stress(r=0.18)were found to be positive and significant(P<0.001).Also,the relationships between ethical climate and the items of compassion satisfaction(r=0.60,P<0.001),burnout(r=0.15,P=0.002)were found to be positive and significant.Conclusion:An understanding of nurses'perception of professional values and improving the ethical climate at work can help nursing administrators identify more effective strategies toward increasing compassion satisfaction and lessening bumout and work-related stress.展开更多
Nurses＇ unintentional medication errors during treatment are relatively frequent and yet inevitable. Errors provoke emotions which influence the nurses＇ professional careers. Little is known about the relationship b...Nurses＇ unintentional medication errors during treatment are relatively frequent and yet inevitable. Errors provoke emotions which influence the nurses＇ professional careers. Little is known about the relationship between nurses＇ supervisors constructive listening （CL） and the emotional reactions of nurses who committed an error and its relation to patients＇ safety. Our purpose was to explore the relationship between nurses＇ perceptions regarding their supervisors＇ CL and their emotional experiences after committing an error related to patient care. Dependent variables included of guilt, empathy towards the patient, general and professional self-assessment, shame, and Negative and Positive Affect （NA/PA）. In this descriptive study, we used a snowball sampling method. Participants were asked to sign an informed-consent form and complete the questionnaire before or after work. No compensation （material or otherwise） was offered to participants. The study was approved by the ethics committee of the academic institution involved. A total of 162 nurses participated： 103 （63.6%） held a registered and 40 （25%） held a managerial role. Seniority had high variability, ranging from 3 months to 45 years （M=1 3.54, SD=0.78）. The majority of errors reported （67.7%） concerned the administration of medications. We used Structural Equation Modeling to measure relationships between the main variables （X2（9）=14.52, p=.105, CFI=.911, RMSEA=.062 （90% CI=.00-. 11）. The main findings were： a high rating of perceived supervisor＇s CL led to high state-guilt （β=. 15, p=.04）. Next, higher state-guilt led to high PA （β=.18, p=.02） and to high NA （β=.45, p〈.001）. High PA led to reporting the error （β=.17, p=.03）, whereas high NA led to a high degree of empathy towards the patient （β=.17, p=.03）. Our findings show the importance of CL, which led to reporting error and to empathy towards patients, mediated by increased state-guilt and by increased positive and negative effect. Supervisor nurses should use CL to create an atmosphere of trust which fosters the reporting of errors and improves patients＇ safety.展开更多
基金The study was funded by the Research Department at Fasa University of Medical Sciences,Fasa,Iran
文摘Objective:To explore the relationship between nursing professional values and ethical climate and nurses'professional quality of life.Methods:The present study is a descriptive,cross-sectional work in which 400 nurses from various wards of hospitals in the south-east of Iran were studied.Data were collected using a questionnaire consisting of four sections:demographics,Nurses'Professional Values Scale-Revised(NPVS-R),the Hospital Ethical Climate Survey(HECS),and the Professional Quality of Life Scale(ProQOL).Results:The total mean scores for professional values were 105.29±15.60.The total mean score for the ethical climate was 100.09±17.11.The mean scores for the indexes of compassion satisfaction,burnout,and secondary traumatic stress were 45.29±8.93,34.38±6.84,and 32.15±7.02 respectively.The relationships between professional values and the indexes of compassion satisfaction(r=0.56),burnout(r=0.26),and secondary traumatic stress(r=0.18)were found to be positive and significant(P<0.001).Also,the relationships between ethical climate and the items of compassion satisfaction(r=0.60,P<0.001),burnout(r=0.15,P=0.002)were found to be positive and significant.Conclusion:An understanding of nurses'perception of professional values and improving the ethical climate at work can help nursing administrators identify more effective strategies toward increasing compassion satisfaction and lessening bumout and work-related stress.
文摘Nurses＇ unintentional medication errors during treatment are relatively frequent and yet inevitable. Errors provoke emotions which influence the nurses＇ professional careers. Little is known about the relationship between nurses＇ supervisors constructive listening （CL） and the emotional reactions of nurses who committed an error and its relation to patients＇ safety. Our purpose was to explore the relationship between nurses＇ perceptions regarding their supervisors＇ CL and their emotional experiences after committing an error related to patient care. Dependent variables included of guilt, empathy towards the patient, general and professional self-assessment, shame, and Negative and Positive Affect （NA/PA）. In this descriptive study, we used a snowball sampling method. Participants were asked to sign an informed-consent form and complete the questionnaire before or after work. No compensation （material or otherwise） was offered to participants. The study was approved by the ethics committee of the academic institution involved. A total of 162 nurses participated： 103 （63.6%） held a registered and 40 （25%） held a managerial role. Seniority had high variability, ranging from 3 months to 45 years （M=1 3.54, SD=0.78）. The majority of errors reported （67.7%） concerned the administration of medications. We used Structural Equation Modeling to measure relationships between the main variables （X2（9）=14.52, p=.105, CFI=.911, RMSEA=.062 （90% CI=.00-. 11）. The main findings were： a high rating of perceived supervisor＇s CL led to high state-guilt （β=. 15, p=.04）. Next, higher state-guilt led to high PA （β=.18, p=.02） and to high NA （β=.45, p〈.001）. High PA led to reporting the error （β=.17, p=.03）, whereas high NA led to a high degree of empathy towards the patient （β=.17, p=.03）. Our findings show the importance of CL, which led to reporting error and to empathy towards patients, mediated by increased state-guilt and by increased positive and negative effect. Supervisor nurses should use CL to create an atmosphere of trust which fosters the reporting of errors and improves patients＇ safety.
