Compliance Level of the Nurses’ to Ethical Codes and the Affecting Factors

Yıl 2011, Cilt: 13 Sayı: 1, 5 - 13, 01.04.2011

Ayşe Çil-akıncı Rukiye Pınar

Öz

Objective: The aim of the study was to evaluate the compliance level of the nurses to ethical codes; and the factors affecting it during nursing practices. Method: This descriptive study was made on 810 nurses who worked at state hospitals with ≥200 bed capacity in a city located in Marmara Region. Nurses’ compliance level to the ethical codes was evaluated by converting ICN code of ethics into 14 items. Result: Two items mainly complied by the nurses were “As a nurse I respect human life, honour and rights “ 87% and “I don’t make discrimination on race, religion, age, color, gender, political and social situation during the community service” 86.3% . Two items minimally complied by the nurses were “As a nurse I share responsibility with the other citizens in organizing activity to meet the health and social needs of the community” 34.3% and “As a nurse I join the studies through my professional organization so as the social and economic working conditions of the nurses to be maintained in a balanced way” 35.9% . Nurses choosing nursing profession voluntarily, being satisfied with the profession, working in polyclinic and administration, and working only at night were complied with the ethical codes more. In addition polyclinic nurses were complied with the ethical codes more. The compliance level of the nurses to ethical codes wasn’t different according to the graduated school, age, gender and duration of their nursing occupation. Conclusion: In accordance with the results it is recommended that nurses should be enlighten about nursing ethic codes and attempts should be made to increase the professional satisfaction level of the nurses so that the nurse can comply with the ethical codes.

Anahtar Kelimeler

Ethical codes, nursing, compliance level, affecting factors.

HEMŞİRELERİN ETİK KODLARA UYMA DÜZEYİ VE ETKİLEYEN FAKTÖRLER

Öz

Amaç: Çalışmanın amacı, hemşirelik uygulamaları sırasında hemşirelerinetik kodlara uyma düzeylerini ve etkileyen faktörleri değerlendirmekti. Yöntem: Bu tanımlayıcı araştırma Marmara Bölgesi’ndeki bir ilimizde yatakkapasitesi 200 ve üzerinde bulunan devlet hastanelerinde çalışan 810 hemşire üzerinde yapıldı. Hemşirelerin etik kodlara uyma düzeyi ICN’in etik kodları 14 madde haline getirilerek değerlendirildi. Bulgular: Hemşirelerin en çok uyduğu iki madde “hemşire olarak insan yaşamına, onuruna ve haklarına saygı duyarım” %87 ve “topluma hizmet verirken ırk, din, yaş, renk, cinsiyet, siyasal ve sosyal durum ayırımı yapmam” %86.3 idi. Hemşirelerin en az uyduğu iki madde “hemşire olarak, toplumun sağlık ve sosyal gereksinimlerini karşılamak için girişilen etkinliklerinsorumluluğunu diğer vatandaşlarla paylaşırım” %34.3 ve “hemşire olarak, mesleksel örgütüm aracılığı ile hemşireliğin sosyal ve ekonomik çalışmakoşullarının dengeli bir şekilde yürütülmesi için çalışmalara katılırım” %35.9 idi. Hemşirelik mesleğini isteyerek seçen, meslekten memnun olan,poliklinikte ve yönetimde çalışan, sadece gece çalışan hemşireler etik kurallara daha çok uymakta idi. Ayrıca poliklinik hemşireleri etik kurallara dahaçok uymakta idi. Mezun olunan okul, yaş, cinsiyet ve çalışma süresine görehemşirelerin etik kodlara uyma düzeyi farklılık göstermemekte idi.Sonuç: Bu bulgular doğrultusunda hemşirelerin etik kurallara uygun hareket etmeleri için etik kurallar konusunda bilgilendirilmeleri ve mesleki memnuniyet düzeylerinin artırılmasına yönelik girişimlerde bulunulması önerilmektedir

Anahtar Kelimeler

Etik kodlar, hemşire, uyma düzeyi, etkileyen faktörler

Kaynakça

• Altun I, Ersoy N(2003) Undertaking the role of patient advocate: A longitudinal study of nursing stu- dents. Nursing Ethics 10(5), 462-71.
• Biton V, Tabak N(2003) The relationship betwe- en the application of the nursing ethical code and nur- ses’ work satisfaction. International Journal of Nur- sing Practice 9(3), 140-57.
• Dinc L, Ulusoy MF(1998) How nurses approach ethical problems in Turkey. International Nursing Re- view 45(5), 137-9.
• Ersoy N, Gundogmus UN(2003) A study of the ethical sensitivity of physicians in Turkey. Nursing Et- hics 10(5), 472-84.
• Ersoy N, Goz F(2001) The ethical sensitivity of nurses in Turkey. Nursing Ethics 8(4), 299-312.
• Ersoy N, Altun I(1998) Professional and personal values of nursing in Turkey. Eubios Journal of Asian and International Bioethics 8(3), 72-83.
• Ersoy N, Altun I, Beşer A(1997) Tendency of Nurses to Undertake the Role of Patient Advocate. Eu- bios Journal of Asian and International Bioethics 7(6), 167-70.
• Esterhuizen P(2006) Is the professional code still the cornerstone of clinical nursing practice? Journal of Advanced Nursing 53(1), 104-113.
• Eilts-Kochling K, Heinze C, Schattner P, Voss M, Dassen T(2000) Knowledge of professional rules of ethics among professional nurses. Pflege 13(1), 42-6.
• Han SS, Ahn AH(2000) An analysis and evaluati- on of student nurses’ participation in ethical decision making. Nursing Ethics 7(2), 113-23.
• Meulenbergs T, Verpeet E, Schotsmans P, Gast- mans C(2004) Professional codes in a changing nur- sing context: Literature review. Journal of Advanced Nursing 46(3), 331-6.
• Tabak N, Reches R(1996) The attitudes of nurses and third and fourth year nursing students who deal with ethical issues. Nursing Ethics 3(1), 27-7.
• Tozlu A(1999) Hemşirelikte Etik. Hemşire 49(1- 2-3), 34-36.
• Dinç L(1997) Etik. In MF Ulusoy, RS Görgülü, Hemşirelik esasları: Temel, kuram, kavram, ilke ve yöntemler. (3. Baskı), Çağın Ofset, Ankara: 22-32.
• Verpeet E, Dierckx de Casterle B. Van der Arend A, Gastmans CA(2005) Nurses’ views on et- hical codes: A focus group study. Journal of Advanced Nursing 51(2), 188-95.
• Verpeet E, Meulenbergs T, Gastmans C(2003) Professional values and norms for nurses in Belgium. Nursing Ethics 10(6), 654-65.
• Varcoe C, Doane G, Pauly B, Rodney P, Storch JL, Mahoney K, McPherson G, Brown H, Star- zomski R(2004) Ethical practice in nursing: Working the in-betweens. Journal of Advanced Nursing 45(3), 316-25.
• White G(2001) The code of ethics for nurses. American Journal of Nursing 101(10), 73-5.
• ICN (2006) The ICN Code of Ethics for Nurses. Retrieved October 24, 2010 from http://www.icn.ch/ images/stories/documents/about/icncode_english.pdf
• Velioğlu P, Babadağ K(1992) Hemşirelik tarihi ve deontolojisi. TC Anadolu Üniversitesi Yayınları, Etam Yayıncılık. Eskişehir.