Son Sınıf Hemşirelik Öğrencilerinin Maneviyat, Manevi Bakım Algıları ve Ahlaki Duyarlılıkları: Çok Merkezli ve Kesitsel Bir Çalışma
Yıl 2022,
Cilt: 32 Sayı: 4, 390 - 396, 31.08.2022
Şengül Üzen Cura
,
Aysel Özsaban
,
Ela Yılmaz Coşkun
,
Ebru Yıldız Karadeniz
,
Esra Uslu
,
Fahri Aşkan
Öz
Amaç: Hemşireler bütüncül bakımın sağlanmasında çok önemli bir rol oynamaktadır. Ahlaki duyarlılık bu noktada hemşirelere yardımcı olabilir. Bu çalışmanın amacı, Türkiye'nin beş farklı bölgesinde eğitim gören hemşirelik son sınıf öğrencilerinin manevi bakım ve ahlaki duyarlılık algılarının incelenmesidir. Yöntem: Bu çalışma çok merkezli, tanımlayıcı ve kesitsel tasarımdadır. Araştırma verilerinin toplanmasında Maneviyat ve Manevi Bakım Derecelendirme Ölçeği ve Ahlaki Duyarlılık Anketi kullanılmıştır. Bu araştırmaya Türkiye'nin beş farklı bölgesindeki beş farklı üniversitede öğrenim gören toplam 590 hemşirelik son sınıf öğrencisi katılmıştır. Bulgular: Öğrencilerin Maneviyat ve Manevi Bakım Derecelendirme Ölçeği toplam puan ortalamaları 4.06±0.70 ve Ahlaki Duyarlılık Anketi 5.44±1.12'dir. Maneviyat ve Manevi Bakım Derecelendirme Ölçeği ile Ahlaki Duyarlılık Anketi toplam puan ortalamaları arasında anlamlı bir ilişki bulunmuştur (p<0.05). Sonuç: Etkili manevi bakım, ahlaki duyarlılığı yüksek hemşireler tarafından sağlanabilir. Hemşirelik eğitiminde maneviyat ve ahlak konuları ile ilişkili farklı ve yenilikçi eğitim uygulamalarından yararlanılması, bu konularda girişimsel ve longitudinal çalışmaların yapılması önerilebilir.
Kaynakça
- [1] Best M, Leget C, Goodhead A, Paal P. An EAPC white paper on multi-disciplinary education for spiritual care in palliative care. BMC Palliative Care 2020; 19(1): 9. https://doi.org/10.1186/s12904-019-0508-4
- [2] Yüksel KC. The effect of transcultural nursing course on students’ moral sensitivity: A Quasi-experimental study. Journal of Transcultural Nursing 2021; 1-10. https://doi.org/10.1177/10436596211063813
- [3] Donesky D, Sprague E, Joseph D. A new perspective on spiritual care: Collaborative chaplaincy and nursing practice. J Advances in Nursing Science 2020; 43(2): 147-158. https://doi: 10.1097/ANS.0000000000000298
- [4] Üzen Cura Ş. Nursing students’ spiritual orientations and their attitudes toward the principles of dying with dignity: A sample from Turkey. Journal of Religion and Health 2020; 60 (1): 221-231. https://doi.org/10.1007/s10943-020-01029-0
- [5] Vargas-Escobar LM, Guarnizo-Tole M. Effect of an educational intervention delivered to senior nursing students to strengthen spiritual care for people with chronic illness. J International Journal of Nursing Education Scholarshp 2020; 4 (17): 1. doi: 10.1515/ijnes-2019-0049
- [6] Toru F. Key point of nursing practices: Individualized care. Journal of Adnan Menderes University Health Sciences Faculty 2020; 4(1): 46-59.
- [7] Aştı TA, Karadağ A. Hemşirelik Esasları, Hemşirelik Bilimi ve Sanatı. Akademi Basın ve Yayıncılık, 2013.
- [8] Bulut HK, Meral B. Evaluation of perceptions of spiritual and spiritual care of student nurses. Gümüşhane University Journal of Health Sciences 2019; 8(4): 353-362.
- [9] Gürdoğan EP, Aksoy B, Kınıcı E. Ethical awareness of nursing students, and their relationship with professional values. Journal of Health and Nursing Management 2018; 5(3): 147-154. https://doi.org/doi:10.5222/SHYD.2018.147
- [10] Lützen K, Blom T, Ewalds-Kvist B, Winch S. Moral stress, moral climate and moral sensitivity among psychiatric professionals. Nursing Ethics 2010; 17(2): 213-224. https://doi.org/10.1177/0969733009351951
- [11] Şahiner P, Babadağlı B, Ersoy N. The moral sensitivity of nursing and midwifery students. Kocaeli University Journal of Health Science 2019; 27-31. https://doi.org/10.30934/kusbed.522406
- [12] Yeom HA, Ahn SH, Kim SJ. Effects of ethics education on moral sensitivity of nursing students. Nursing Ethics 2017; 24(6): 644-652. https://doi.org/10.1177/0969733015622060
- [13] Jalili F, Saeidnejad Z, Aghajani M. Effects of spirituality training on the moral sensitivity of nursing students: A clinical randomized controlled trial. Clinical Ethics 2020, 15(1): 1-10. https://doi.org/10.1177/1477750919898346
- [14] Ergül Ş, Bayık A. The validity and reliability of the Turkish form of the Spirituality and Spiritual Care Scale. Journal of Ege University School of Nursing 2007; 23(1): 75-87.
- [15] McSherry W, Draper P, Kendrick D. The construct validity of a rating scale designed to assess spirituality and spiritual care. International Journal of Nursing Studies 2002; 39(7): 723-734. https://doi.org/10.1016/S0020-7489(02)00014-7
- [16] Comrie RW. An analysis of undergraduate and graduate student nurses’ moral sensitivity. Nursing Ethics 2012; 19(1): 116-127. https://doi.org/10.1177/0969733011411399
- [17] Yilmaz Sahin S, Iyigun E, Acikel C. Validity and reliability of a Turkish version of the Modified Moral Sensitivity Questionnaire for student nurses. Ethics & Behavior 2015; 25(4): 351-359. https://doi.org/10.1080/10508422.2014.948955
- [18] Babamohamadi H, Ahmadpanah MS, Ghorbani R. Attitudes toward spirituality and spiritual care among Iranian nurses and nursing students: A cross-sectional study. Journal of Religion Health 2018; 57(4): 1304-1314. https://doi.org/10.1007/s10943-017-0485-y
- [19] Tiew LH, Creedy DK, Chan MF. Student nurses' perspectives of spirituality and spiritual care. Nurse Education Today 2013; 33(6): 574-579. https://doi.org/10.1016/j.nedt.2012.06.007
- [20] Daghan S. Nursing students’ perceptions of spirituality and spiritual care; an example of Turkey. Journal of Religion Health 2018; 57(1): 420-430. https://doi.org/10.1007/s10943-017-0416-y
- [21] Kavak F, Mankan T, Polat H, Sarıtaş SÇ, Sarıtaş S. Nurses' views on spiritual care. İnönü University Journal of Health Sciences 2014; 3: 21-24.
- [22] HUÇEP. Nursing National Core Education Program 2014. Access Date: 30 May 2020. http://www.hemed.org.tr/images/stories/hucep-2014-pdf.pdf. Retrieved 30 May from.
- [23] Doğan P, Tarhan M, Kürklü A. The relationship between individualized care perceptions and moral sensitivity levels of nursing students. Journal of Education and Research in Nursing 2019. https://doi.org/10.5222/head.2019.119
- [24] Ertuğ N, Aktaş D, Faydali S, Yalçin O. Ethical sensitivity and related factors of nurses working in the hospital settings. Acta Bioethica 2014; 20(2).
- [25] Maddineshat M, Yousefzadeh MR, Mohseni M, Maghsoudi Z, Ghaffari ME. Teaching ethics using games: Impact on Iranian nursing students’ moral sensitivity. Indian Journal of Medical Ethics 2019; 14-20. https://doi.org/10.20529/IJME.2018.056
- [26] Basak T, Cerit B. Comparing two teaching methods on nursing students' ethical decision-making level. Clinical Simulation in Nursing 2019; 29: 15-23. https://doi.org/https://doi.org/10.1016/j.ecns.2019.02.003
- [27] Agbim KC, Ayatse FA, Oriarewo GO. Spirituality, ethical behaviour and ethical business: the impact of relatedness. Journal of Business Management Social Sciences Research 2013, 2(9): 76-86.
- [28] Hassanian ZM, Shayan A. The mediating effect of ethical climate on religious orientation and ethical behavior. Nursing Ethics 2019; 26(4): 1114-1127. https://doi.org/10.1177/0969733017738133
- [29] White JH, Peirce AG, Jacobowitz W. The relationship amongst ethical position, religiosity and self-identified culture in student nurses. Nursing Ethics 2019; 26(7-8): 2398-2412. https://doi.org/10.1177/0969733018792738
- [30] Gurdogan EP, Kurt D, Aksoy B, Kınıcı E, Şen A. Nurses’ perceptions of spiritual care and attitudes toward the principles of dying with dignity: A sample from Turkey. Death studies 2017; 41: 180-187. https://doi.org/10.1080/07481187.2016.1231242
- [31] Simpson R. Men in caring occupations: Doing gender differently. Springer, 2009.
- [32] Temmuz G. Being a male nurse in Turkey: Advantages and disadvantages. Ankara University SBF Journal 2017; 72(1): 35-76.
- [33] Alas R, Mousa M. Organizational culture and workplace spirituality. International Journal of Emerging Research in Management Technology 2016; 5(3): 285-314.
- [34] Narayanasamy A. The impact of empirical studies of spirituality and culture on nurse education. Journal of Clinical Nursing 2006, 15(7): 840-851. https://doi.org/10.1111/j.1365-2702.2006.01616.x
- [35] Özveren H, Gülnar E, Özden D. Determination of the factors that affect the choice of career of the nursing students. Turkish Journal of Clinics Laboratory 2017; 8(2): 57-64. https://doi.org/10.18663/tjcl.320040
- [36] Ağyar E, Anyar Kutluk F, Cengiz E. The investigation of the attitudes of vocational school students studying in accounting department towards professional ethics (Akdenız Universıty Case). Journal of Yasar University 2012; 7(25).
- [37] Aydoğan A, Ceyhan Ö. Ethical sensitivities of health personnel working in the emergency. Acibadem University Journal of Health Sciences 2018; 10(2):182-189. https://doi.org/10.31067/0.2018.73
- [38] Cil Akinci A, Pinar R. Compliance level of the nurses’ to ethical codes and the affecting factors. Journal of Research Development in Nursing 2011; 13(1): 5-13. Retrieved from https://dergipark.org.tr/tr/download/article-file/984397
Spirituality, Spiritual Care Perceptions and Moral Sensitivity of Senior Nursing Students: A Multicenter and Cross-Sectional Study
Yıl 2022,
Cilt: 32 Sayı: 4, 390 - 396, 31.08.2022
Şengül Üzen Cura
,
Aysel Özsaban
,
Ela Yılmaz Coşkun
,
Ebru Yıldız Karadeniz
,
Esra Uslu
,
Fahri Aşkan
Öz
Aim: Nurses play a crucial role in providing holistic care. Moral sensitivity can help nurses at this point. The objective of this study was to investigate the perception of spiritual care and moral sensitivity of senior nursing students receiving education in five different regions of Turkey. Method: This study used a multicenter, descriptive and cross-sectional survey design. Data were collected with the Spirituality and Spiritual Care Rating Scale and the Moral Sensitivity Questionnaire in the research. A total of 590 senior nursing students, studying in five different universities in five different regions of Turkey, participated in this research. Results: The mean total score of students on the Spirituality and Spiritual Care Rating Scale was 4.06±0.70 and Moral Sensitivity Questionnaire was 5.44±1.12. There was a significant relationship between the mean total scores on the Spirituality and Spiritual Care Rating Scale and the Moral Sensitivity Questionnaire (p<0.05). Conclusion: Effective spiritual care can be provided by nurses who show high moral sensitivity. It is recommended to benefit from different and innovative educational practices related to spirituality and moral sensitivity in nursing education, and to conduct interventional and longitudinal studies on these issues.
Kaynakça
- [1] Best M, Leget C, Goodhead A, Paal P. An EAPC white paper on multi-disciplinary education for spiritual care in palliative care. BMC Palliative Care 2020; 19(1): 9. https://doi.org/10.1186/s12904-019-0508-4
- [2] Yüksel KC. The effect of transcultural nursing course on students’ moral sensitivity: A Quasi-experimental study. Journal of Transcultural Nursing 2021; 1-10. https://doi.org/10.1177/10436596211063813
- [3] Donesky D, Sprague E, Joseph D. A new perspective on spiritual care: Collaborative chaplaincy and nursing practice. J Advances in Nursing Science 2020; 43(2): 147-158. https://doi: 10.1097/ANS.0000000000000298
- [4] Üzen Cura Ş. Nursing students’ spiritual orientations and their attitudes toward the principles of dying with dignity: A sample from Turkey. Journal of Religion and Health 2020; 60 (1): 221-231. https://doi.org/10.1007/s10943-020-01029-0
- [5] Vargas-Escobar LM, Guarnizo-Tole M. Effect of an educational intervention delivered to senior nursing students to strengthen spiritual care for people with chronic illness. J International Journal of Nursing Education Scholarshp 2020; 4 (17): 1. doi: 10.1515/ijnes-2019-0049
- [6] Toru F. Key point of nursing practices: Individualized care. Journal of Adnan Menderes University Health Sciences Faculty 2020; 4(1): 46-59.
- [7] Aştı TA, Karadağ A. Hemşirelik Esasları, Hemşirelik Bilimi ve Sanatı. Akademi Basın ve Yayıncılık, 2013.
- [8] Bulut HK, Meral B. Evaluation of perceptions of spiritual and spiritual care of student nurses. Gümüşhane University Journal of Health Sciences 2019; 8(4): 353-362.
- [9] Gürdoğan EP, Aksoy B, Kınıcı E. Ethical awareness of nursing students, and their relationship with professional values. Journal of Health and Nursing Management 2018; 5(3): 147-154. https://doi.org/doi:10.5222/SHYD.2018.147
- [10] Lützen K, Blom T, Ewalds-Kvist B, Winch S. Moral stress, moral climate and moral sensitivity among psychiatric professionals. Nursing Ethics 2010; 17(2): 213-224. https://doi.org/10.1177/0969733009351951
- [11] Şahiner P, Babadağlı B, Ersoy N. The moral sensitivity of nursing and midwifery students. Kocaeli University Journal of Health Science 2019; 27-31. https://doi.org/10.30934/kusbed.522406
- [12] Yeom HA, Ahn SH, Kim SJ. Effects of ethics education on moral sensitivity of nursing students. Nursing Ethics 2017; 24(6): 644-652. https://doi.org/10.1177/0969733015622060
- [13] Jalili F, Saeidnejad Z, Aghajani M. Effects of spirituality training on the moral sensitivity of nursing students: A clinical randomized controlled trial. Clinical Ethics 2020, 15(1): 1-10. https://doi.org/10.1177/1477750919898346
- [14] Ergül Ş, Bayık A. The validity and reliability of the Turkish form of the Spirituality and Spiritual Care Scale. Journal of Ege University School of Nursing 2007; 23(1): 75-87.
- [15] McSherry W, Draper P, Kendrick D. The construct validity of a rating scale designed to assess spirituality and spiritual care. International Journal of Nursing Studies 2002; 39(7): 723-734. https://doi.org/10.1016/S0020-7489(02)00014-7
- [16] Comrie RW. An analysis of undergraduate and graduate student nurses’ moral sensitivity. Nursing Ethics 2012; 19(1): 116-127. https://doi.org/10.1177/0969733011411399
- [17] Yilmaz Sahin S, Iyigun E, Acikel C. Validity and reliability of a Turkish version of the Modified Moral Sensitivity Questionnaire for student nurses. Ethics & Behavior 2015; 25(4): 351-359. https://doi.org/10.1080/10508422.2014.948955
- [18] Babamohamadi H, Ahmadpanah MS, Ghorbani R. Attitudes toward spirituality and spiritual care among Iranian nurses and nursing students: A cross-sectional study. Journal of Religion Health 2018; 57(4): 1304-1314. https://doi.org/10.1007/s10943-017-0485-y
- [19] Tiew LH, Creedy DK, Chan MF. Student nurses' perspectives of spirituality and spiritual care. Nurse Education Today 2013; 33(6): 574-579. https://doi.org/10.1016/j.nedt.2012.06.007
- [20] Daghan S. Nursing students’ perceptions of spirituality and spiritual care; an example of Turkey. Journal of Religion Health 2018; 57(1): 420-430. https://doi.org/10.1007/s10943-017-0416-y
- [21] Kavak F, Mankan T, Polat H, Sarıtaş SÇ, Sarıtaş S. Nurses' views on spiritual care. İnönü University Journal of Health Sciences 2014; 3: 21-24.
- [22] HUÇEP. Nursing National Core Education Program 2014. Access Date: 30 May 2020. http://www.hemed.org.tr/images/stories/hucep-2014-pdf.pdf. Retrieved 30 May from.
- [23] Doğan P, Tarhan M, Kürklü A. The relationship between individualized care perceptions and moral sensitivity levels of nursing students. Journal of Education and Research in Nursing 2019. https://doi.org/10.5222/head.2019.119
- [24] Ertuğ N, Aktaş D, Faydali S, Yalçin O. Ethical sensitivity and related factors of nurses working in the hospital settings. Acta Bioethica 2014; 20(2).
- [25] Maddineshat M, Yousefzadeh MR, Mohseni M, Maghsoudi Z, Ghaffari ME. Teaching ethics using games: Impact on Iranian nursing students’ moral sensitivity. Indian Journal of Medical Ethics 2019; 14-20. https://doi.org/10.20529/IJME.2018.056
- [26] Basak T, Cerit B. Comparing two teaching methods on nursing students' ethical decision-making level. Clinical Simulation in Nursing 2019; 29: 15-23. https://doi.org/https://doi.org/10.1016/j.ecns.2019.02.003
- [27] Agbim KC, Ayatse FA, Oriarewo GO. Spirituality, ethical behaviour and ethical business: the impact of relatedness. Journal of Business Management Social Sciences Research 2013, 2(9): 76-86.
- [28] Hassanian ZM, Shayan A. The mediating effect of ethical climate on religious orientation and ethical behavior. Nursing Ethics 2019; 26(4): 1114-1127. https://doi.org/10.1177/0969733017738133
- [29] White JH, Peirce AG, Jacobowitz W. The relationship amongst ethical position, religiosity and self-identified culture in student nurses. Nursing Ethics 2019; 26(7-8): 2398-2412. https://doi.org/10.1177/0969733018792738
- [30] Gurdogan EP, Kurt D, Aksoy B, Kınıcı E, Şen A. Nurses’ perceptions of spiritual care and attitudes toward the principles of dying with dignity: A sample from Turkey. Death studies 2017; 41: 180-187. https://doi.org/10.1080/07481187.2016.1231242
- [31] Simpson R. Men in caring occupations: Doing gender differently. Springer, 2009.
- [32] Temmuz G. Being a male nurse in Turkey: Advantages and disadvantages. Ankara University SBF Journal 2017; 72(1): 35-76.
- [33] Alas R, Mousa M. Organizational culture and workplace spirituality. International Journal of Emerging Research in Management Technology 2016; 5(3): 285-314.
- [34] Narayanasamy A. The impact of empirical studies of spirituality and culture on nurse education. Journal of Clinical Nursing 2006, 15(7): 840-851. https://doi.org/10.1111/j.1365-2702.2006.01616.x
- [35] Özveren H, Gülnar E, Özden D. Determination of the factors that affect the choice of career of the nursing students. Turkish Journal of Clinics Laboratory 2017; 8(2): 57-64. https://doi.org/10.18663/tjcl.320040
- [36] Ağyar E, Anyar Kutluk F, Cengiz E. The investigation of the attitudes of vocational school students studying in accounting department towards professional ethics (Akdenız Universıty Case). Journal of Yasar University 2012; 7(25).
- [37] Aydoğan A, Ceyhan Ö. Ethical sensitivities of health personnel working in the emergency. Acibadem University Journal of Health Sciences 2018; 10(2):182-189. https://doi.org/10.31067/0.2018.73
- [38] Cil Akinci A, Pinar R. Compliance level of the nurses’ to ethical codes and the affecting factors. Journal of Research Development in Nursing 2011; 13(1): 5-13. Retrieved from https://dergipark.org.tr/tr/download/article-file/984397