Ethical and Professional Values of Turkish Oncology Nurses

Abstract

Aim This study aimed to determine the values that Turkish oncology nurses believe to be a guide for oncology nursing. Method The study was conducted by Turkish Oncology Nursing Association members, attended oncology nursing certification courses or working in oncology clinics. Survey forms were sent to the participants to their postal and e-mail addresses in the association records, and the forms were also delivered by hand to the courses organized by the subject. A total of 880 forms were sent and 521 complete forms were received. As the first part of the questionnaire form, six values suggested for oncology nursing were obtained through a literature review and were included in the study along with their explanations. As the second part of the questionnaire, 10 values derived from the ethical codes of oncology nurses (National Nursing Ethical Codes) were included. The oncology nurses evaluate the importance of these values using a four-point Likert scale. Results The study included 521 oncology nurses and reported the following values to be important: innovativeness, excellence, integrity, nurse advocacy, patient advocacy, and inclusiveness. Based on their preference, the participants reported the following ethical codes to be important for oncology nursing: innovativeness, informed consent, respect for individuals, loyalty, patient education, patient benefit, accurate information, respect for decisions, fair sharing, and honesty. Conclusion The most important professional nursing values according to the perspectives of nurses in Türkiye were identified. It is advisable to update core values and ethical codes in future studies.

Keywords

• Values
• oncology nursing
• professional values
• culture

Türk Onkoloji Hemşirelerinin Etik ve Profesyonel Değerleri

Abstract

Amaç Bu çalışmanın amacı, Türk onkoloji hemşirelerinin onkoloji hemşireliğine rehber olduğuna inandıkları değerleri belirlemektir. Yöntem Araştırma, Onkoloji Hemşireliği Derneği üyeleri, onkoloji hemşireliği sertifika programına katılan ve onkoloji kliniklerinde çalışan hemşireler üzerinde yürütülmüştür. Anket formları katılımcılara dernek kayıtlarında yer alan posta, e-posta adreslerine gönderilmiş, derneğin düzenlediği kurslarda da formlar elden ulaştırılmıştır. Toplam 880 form gönderilmiş, 521 eksiksiz form alınmıştır. Anket formunun ilk bölümünde onkoloji hemşireliği için önerilen altı değer literatür taraması yapılarak elde edilmiş ve açıklamalarıyla birlikte çalışmaya dahil edilmiştir. Anketin ikinci bölümünde onkoloji hemşirelerinin etik kodlarından (Ulusal Hemşirelik Etik Kodları) elde edilen 10 değere yer verilmiştir. Onkoloji hemşireleri bu değerlerin önemini dörtlü Likert ölçeği kullanarak değerlendirmiştir. Bulgular Çalışmaya 521 onkoloji hemşiresi katılmış ve yenilikçilik, mükemmellik, dürüstlük, hemşire savunuculuğu, hasta savunuculuğu ve kapsayıcılık değerlerinin önemli olduğu bildirilmiştir. Katılımcılar, yenilikçilik, bilgilendirilmiş onam, bireye saygı, sadakat, hasta eğitimi, hasta yararı, doğru bilgi, karara saygı, adil paylaşım ve dürüstlük etik kuralların onkoloji hemşireliği için önemli olduğunu belirtmişlerdir. Sonuç Türkiye'deki hemşirelerin bakış açılarına göre en önemli mesleki hemşirelik değerleri belirlendi. Gelecek çalışmalarda temel değerlerin ve etik kodların güncellenmesi önerilmektedir.

Keywords

• Değerler
• onkoloji hemşireliği
• mesleki değerler
• kültür

References

1. Shaw HK, Degazon C. Integrating the core Professional values of nursing: A profession, not just a career. Journal of Cultural Diversity. 2008;15(1): 44-50.
2. Acaroğlu R. Reliability and Validity of Turkish Version of the Nurses Professional Values Scale – Revised. Florence Nightingale Hemşirelik Dergisi, 2014;22(1), 8–16. (In Turkish)
3. Martin P, Yarbrough S, Alfred D. Professional values held by accalaureate and associate degree nursing students. Journal of Nursing Scholarship. 2003;35(3): 291-296.
4. Fahrenwald NL, Bassett SD, Tschetter L, Carson PP, Whıte L, Wınterboer V J Teaching core nursing values. Journal of Professional Nursing, 2005; 21(1): 45-61.
5. Weis D, Schank MJ. Development and Psychometric Evaluation of the Nurses Professional Values Scale—Revised. Journal of Nursing Measurement. 2009; 17(3): 221-231.
6. Sahin Orak N, Ecevit Alpar Ş. Validity and reliability of the Nurses’ Professional Values Scale’s Turkish version. MÜSBED. Marmara Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2012; 2(1), 22–31. (In Turkish).
7. Ersoy N. Nursing and ethics. The Bulletin of Nursing, 1994; 12: 33-37(In Turkish).
8. Kav S. Nursing of Cancer Patients; Oncology Nursing. In:Murat Tuncer editors. Cancer Control in Turkey. Ankara: Onur Matbaacılık Ltd, Şti.; 2008. p.399-408.

9. Mission, Vision and Values . Oncology Nursing Society.April 2012. [cited 2016 May 21] Available from: https://www.ons.org/search?search_api_views_fulltext=values.
10. EONS Strategic Plan (internet). European Oncology Nursing Society 2011-2013 strategy. [cited 2016 May 21] Avaliable: (http://www.cancernurse.eu/about_eons/strategy.html).
11. Nursing Mission, Vision, (internet). Values and Philosophy.Moffitt Cancer Center. [cited 2016 May 23] Avaliable:https://moffitt.org/about-moffitt/medical/nursing/mission-vision-values-and-philosophy/
12. The OSUCCC-James Nursing Values (internet).The Ohio State University Compherensive Cancer Center. . [cited 2016 May 23] Avaliable:(https://cancer.osu.edu/cancer-specialties/nursing).
13. Ersoy N, Altun İ. Professional and personal values of nursing in Turkey. Eubios J Asian Int Bioeth.1998; 8: 72–75.
14. Orak NŞ. The Nurses Professional Values and İnfluentail Factors in İstanbul City. Marmara Üniversitesi Sağlık Bilimleri Enstitüsü. 2005.
15. Cetinkaya-Uslusoy E, Paslı-Gürdogan E, & Aydınlı A. Professional values of Turkish nurses: A descriptive study. Nursing Ethics.2015; 24(4): 493–501.
16. Erkus G, Dinc L. Turkish Nurses' perceptions of professional values. Journal of Professional Nursing. 2018;34(3):226-232.
17. Pang D, Senaratana W, Kunaviktikul W, Klunklin A, &McElmurry BJ. Nursing values in China: The expectations of registered nurses. Nursing & Health Sciences. 2009; 11(3): 312–317.
18. Rassin RM. Values grading among nursing students–Differences between the ethnic groups. Nurse Education Today. 2010;30(5): 458–463.
19. Shahriari M, Mohammadi E, Abbaszadeh A, Bahrami M. Nursing ethical values and definitions: A literature review. Iranian Journal of Nursing And Midwifery Research. 2013; 18(1): 1-8.
20. Wros PL, Doutric D, Izumi S. Ethical concerns: Comparison of values from two cultures. Nursing & Health Sciences, 2004;6(2), 131–140.
21. Khalil RB. Attitudes, beliefs and perceptions regarding truth disclosure of cancer-related information in the Middle East: a review. Palliative & supportive care, 2013; 11(1), 69-78.
22. Shih FJ, Lin YS, Smith C, Liou YM, Chiang HH. Lee SH, & Gau ML. Perspectives on professional values among nurses in Taiwan. Journal of Clinical Nursing. 2009;18(10): 1480–1489.
23. Rassin, M. Nurses' professional and personal values. Nursing Ethics. 2008; 15(5): 614-630.