Hemşirelerin Deneyimledikleri Ahlaki Sorunlar

Year 2018, , 68 - 75, 30.03.2018

Fatoş Korkmaz , Özlem Mustafbaylı Işıl Yerlikaya

https://doi.org/10.17098/amj.408966

Cited By: 1

Abstract

Giriş: Bu
çalışmada amacımız hemşirelerin deneyimledikleri ahlaki sorunları
belirlemektir. 
Materyal ve Metot: Tanımlayıcı ve
kesitsel tipteki bu çalışma, 1 Şubat-31 Mayıs 2012 tarihleri arasında
Ankara/Türkiye’de özel bir hastanede gerçekleştirilmiştir. Hastanede çalışan
256 hemşire araştırmaya katılmaya davet edilmiştir. 166 hemşire çalışmaya
katılmayı kabul etmiştir (Yanıtlanma oranı %64,80). Veriler sosyo-demografik
özellikler ve hemşirelerin sıklıkla karşılaştıkları ahlaki sorunları belirlemeye
yönelik açık uçlu soruları içeren iki bölümden oluşan soru formu ile
toplanmıştır. Veriler, niceliksel ve niteliksel olarak analiz edilmiştir.
Hemşirelerin deneyimledikleri ahlaki sorunlara yönelik cevapları yorumlayıcı
analiz ile değerlendirilmiştir. Gelen cevap içerikleri etik ilke ihlallerini
tanımlamak üzere tabakalandırılarak sunulmuştur.
Bulgular: Hemşirelerin yaş
ortalaması 29 ± 4,50 olup, hepsi kadın, %53,61’i evli ve %72,89’u lisans
düzeyinde hemşirelik eğitimi almıştır. Hemşirelerin yaklaşık olarak %86,75’i
çalıştıkları kurumda kendilerini ahlaki olarak rahatsız eden bir sorun
yaşadığını belirtmiştir. En sıklıkla deneyimlenen sorunlar; etik ilkelerin
ihlali (zarar vermeme ilkesi ihlali %32,64); hasta, hasta yakını ve doktorlar
(%32,64) tarafından uygulanan “yıldırma” ve hasta ile sağlık personeli
arasındaki uygun olmayan iletişim (%9,72) olarak sıralanmıştır. Deneyimlenen
ahlaki sorunların %39,10’unun çözümlenmiş olduğu ve hemşirelerin %50,00’sinin
çözüm süreci içinde yer aldığı bulunmuştur.
Sonuç: En sık deneyimlenen ahlaki
sorunlar; etik ilklerin ihlali, hastalar/ akrabaları ve doktorlardan
kaynaklanan "yıldırma” ve sağlık profesyonelleri (doktor, hemşire ve
diğerleri) ile hastaları arasındaki uygun olmayan iletişimdir.

Keywords

Etik, hemşirelik etiği, ahlak

Moral Problems Experienced by Nurses

Abstract

Objectives: To identify the moral problems experienced by
nurses. 
Materials and Methods: A
descriptive, cross-sectional study was conducted. Present study was conducted
at a private Turkish hospital between February 1 and May 31, 2012. All 256
nurses employed by the hospital were asked to participate in the study. A total
of 166 nurses agreed to participate (response rate = 64.80%). Data was
collected through a questionnaire that consisted of two sections:
socio-demographic characteristics and the most frequently experienced moral
problems. The data was analyzed both descriptively and quantitatively. The
nurses’ responses were thoroughly assessed via an interpretative analysis. The
contents of these responses were stratified to define specific ethical
principle violations. 
Results: Nurses’ mean age was 29 ±
4.50 years old; all were female, 53.61% were married, and 72.89% had a
Bachelor’s degree in nursing. Approximately 87.00% of the nurses had
experienced a moral problem at the hospital. The most commonly identified moral
problems were violations of ethical principles (violations of non-maleficence
32.64%), “mobbing” from patients, their relatives, or doctors (32.64%); and
problems related to inappropriate communications between healthcare
professionals and patients (9.72%). Approximately 39.10% of the moral problems
were resolved, and 50.00% of the nurses were involved in the resolution
process.
Conclusion: The most common moral
problems identified by the nurses were violations of ethical principles,
“mobbing” from patients, their relatives, and doctors; and inappropriate
communication between healthcare professionals (doctors, nurses etc) and their
patients. 

Keywords

Ethics, nursing ethics, morality

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