SELMA SABANCIOĞULLARI, Emine USLU KOL, Alper Turgay ARSLANTAŞ, Ferda ÜLKER

Hemşirelerin Etik Karar Verme Düzeyi İle Profesyonel Benlik Kavramları Arasındaki İlişkinin İncelenmesi

Amaç: Araştırma çalışan hemşirelerin etik karar verebilme düzeyleri ile profesyonel benlik kavramları arasındaki ilişkinin incelenmesi amacıyla yapılmıştır. Yöntem: Tanımlayıcı ve ilişkisel olarak yapılan araştırmanın örneklemini bir üniversite hastanesinde çalışan 358 hemşire oluşturmuştur. Veriler, Sosyodemografik Bilgi Formu, Hemşirelerde Profesyonel Benlik Kavramı Ölçeği ve “Hemşirelik Etik İkilem Testi ile toplanmıştır. Bulgular: Hemşirelerin profesyonel benlik kavramı ölçeği genel puan ortalaması 111.22±12.58, mesleki memnuniyet alt grup puan ortalaması 13.17±3.37, mesleki yetkinlik alt grup puan ortalaması 22.64±3.13, mesleki tutum ve beceri alt grup puan ortalaması 75.31±8.46 olarak saptanmıştır. Ayrıca, hemşirelerin etik ikilem testi ilkesel düşünme puan ortalaması 49.44±6.28, pratik düşünme puan ortalaması 18.17±3.80 ve aşinalık puan ortalaması 15.05±4.14’dür. Hemşirelerin profesyonel benlikleri ile ilkesel düşünme düzeyleri arasında pozitif yönde anlamlı zayıf bir ilişki (r=0.19, p<0.01) saptanırken, aşinalık düzeyleri ile negatif yönde anlamlı zayıf bir ilişki (r=- 0.19, p<0.01) saptanmıştır. Sonuç ve Öneriler: Hemşireler karşılaşmış oldukları etik sorunlar karşısında çoğunlukla etik ilkeleri dikkate alarak düşünmekle birlikte, etik karar verirken çevresel faktörlerden de etkilenmektedirler. Hemşirelerin özellikle mesleki tutum ve beceri düzeyleri etik karar verme süreçleri ile ilişkilidir. Bu bağlamda hemşirelerin profesyonel benlik kavramlarının geliştirilmesinin etik karar verme sürecini olumlu etkileyeceği düşünülmektedir

Anahtar Kelimeler:

Hemşire, Profesyonel Benlik Kavramı, Etik Karar Verme.

Examination of the Relationship between Ethical Decision Making Levels and Professional Self-Concepts of Nurses’

Objective: The study has been conducted to examine the relationship between ethical decision making levels and professional self-concepts of nurses’.Methods: Descriptive and relational study’s sample is consisted of 358 nurses working at a university hospital. Data were collected by Sociodemographic Information Form, Professional Self-Concept Scale in Nurses and "Nursing Dilemma Test ". Results: Professional Self-Concept Scale of nurses mean overall score 111.22±12.58, professional satisfaction subscale mean score 13.17±3.37, professional competence subscale mean scores 22.64±3.13 and professional attitude and skill subscale mean scores 75.31±8.46 was determined. Ethical Dilemma test’s principled thinking mean score of nurses 49.44±6.28, practical considerations 18.17±3.80 and familiarity mean score is 15.05±4.14. A positive significant weak relationship (r=0.19, p<0.01) was found between professional self concept and ethical thinking levels of nurses and a negative significant weak relationship between professional self concept and familiarity levels of nurses (r=- 0.19, p<0.01). Conclusion: Nurses mostly act according to ethical principles when they are faced with ethical issues and they are influenced by environmental factors while making an ethical decision. Professional attitude and skill levels of nurses are associated with their ethical decision making processes. In this context, developing professional self-concepts is thought to affect nurses’ ethical decision making processes positively

Keywords:

Nurse, Professional Self-Concept, Ethical Decision Making,

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Adams, K., Hean, S., Sturgis, P., & Clark, J.M. (2006). Investigating the factors influencing the professional identify of first-year health and social science students. Learning in Health and Social Care, 5(2), 55-68.
Aksu, T., & Akyol, A. (2011). İzmir’deki hemşirelerin etik duyarlılıklarının incelenmesi. Türkiye Klinikleri Journal of Medical Ethics Law and History, 19(1): 16-24.
Arda, B. (2003). Tıp etiği eğitimi. In A.D. Erdemir, Ö. Öncel, & Ş. Aksoy (Eds.), Çağdaş Tıp Etiği (pp. 17-25). Nobel Tıp Kitabevleri.
Arthur, D., & Randle, J. (2007). The professional self-concept of nurses: A review of the literature from 1992-2006. Australian Journal of Advanced Nursing, 24(3), 60-64.
Beckett, A., Gilbertson., S., & Greenwood, S. (2007). Doing the right thing: nursing students, relational practice, and moral agency. Journal of Nursing Education, 46(1),28–32.
Borhani, F., Alhani, F., Mohammadi, E., & Abbaszadeh, A. (2011). Nursing students perception of barriers of acquiring professional ethics: A Qualitative Research. Strides in Development of Medical Education, 8(1), 67-80.
Cerit, B. (2010). Hemşirelik Etik İkilem Testi’nin Geçerlik-Güvenirlik Çalışması ve Hemşirelerin Etik Karar Verebilme Düzeyi. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Dergisi, 47-67.
Cerit, B., & Dinç., L. (2012). Ethical decision-making and professional behaviour among nurses: A correlational study. Nursing Ethics, 20(2), 200–212.
Costello, C.Y. (2004). Changing clothes: gender inequality and professional socialization. National Women’s Studies Association Journal, 16(2), 138-155.
Cowin L.S., Maree J., Rhonda G.C. & Herbert W.M. (2008). Causal modeling of self-concept, job satisfaction, and retention of nurses. International Journal of Nursing Studies 45 (10), 14–49.
Cowin, L. S., & Hengstberger-Sims, C. (2006). New graduate nurse self-concept and retention: A longitudinal survey. International Journal of Nursing Studies, 43, 59-70.
Craven, F.R., & Hırnle, J.C. (1996). Ethics in Nursing, Fundamentals of Nursing Human Health and Function. (2th ed., pp. 40-41). Newyork: Lippincott-Wolters Kluwer.
Duckett, L.J. & Ryden, M.B. (1994). Education for ethical nursing. Moral development in the professions. Psychology and Applied Ethics, 51-70.
Deppoliti, D. (2008). Exploration how new registered nurses construct professional identity in hospital settings. The Journal of Continuing Education in Nursing, 39(6), 255-262.
Dinç L. & Görgülü, R.S. (2002). Teaching ethics in nursing. Nursing Ethics, 9(3), 259-268.
Fagermoen, S. (1997). Professional identity: Values embedded in meaningful nursing practice. Journal of Advanced Nursing, 25 (3), 434-441.
Fitzergland, L., & van Hooft, S. (2000). A socratic dialogue on the question' what is love in nursing? Nursing Ethics, 7(6), 481-91.
Fry, S. T., Veatch, R. M., & Taylor, C. (2010). Case Studies in Nursing Ethics. 4th ed., Jones Bartlett Learning, Washington.
Görgülü, R.S. & Dinç, L.(2007). Ethics in Turkish nursing education programs. Nursing Ethics, 14(6),741-751.
Gregg, MF., & Magilvy, J.K. (2001). Professional identity of Japanese nurses: Bonding into nursing. Nursing & Health Sciences, 3(1),47-55
Gül, Ş., Duru-Aşiret, G., Bayrak-Kahraman, B., Devrez, N., & Örnek – Büken, N. (2013). Etik dersi alan ve almayan hemşirelik öğrencilerinin etik karar verebilme düzeylerinin incelenmesi. Hemşirelikte Araştırma Geliştirme Dergisi, 1, 23-31.
Ham, K. L. A. (2002). Comparison of ethical reasoning abilities of senior baccalaureate nursing students and experienced nurses. Unpublished doctoral dissertation, The University of Memphis. Memphis, TN Hassanpoor, M., Hosseini, M., Fallahi Khoshknab, M., & Abbaszadeh, A. (2011). Evaluation of the impact of teaching nursing ethics on nurses' decision making in Kerman social welfare hospitals in 1389. International Journal of Maritime Engineering, 4(5), 58-64.
Hensel, D. (2008). The relationships among health status, healthy lifestyles, and nursing self-concept among Midwestern nurses (Doctoral dissertation). Available from ProQuest Dissertation and Thesis database.(AAT 3342474)
Hisar, F., & Karadag, A. (2010). Determining the professional behaviour of nurse executives. International Journal of Nursing Practice, 16 (4), 335-341.
Jahanbin, I., Badiyepeyma, Z., Sharif, F., Ghodsbin, F., & Keshavarzi, S. (2012). The impact of teaching professional selfconcept on clinical performance perception in nursing students. Life Science Journal. 4, 9.
Kim, K., Han, Y., & Kim, J. (2015). Korean nurses’ ethical dilemmas, professional values and professional quality of life. Nursing Ethics, 22(4) 467–478.
Lacobucci, T.A., Daly, B.J., Lindell, D., & Quinn Griffin, M. (2012). Professional values, self-esteem, and ethical confidence of baccalaureate nursing students. Nursing Ethics, 20(4), 479–490.
Leddy, S., & Pepper, J.M. (1993). Conceptual Basis of Professional Nursing. (3rd ed., pp. 24-28). Philadelphia: Lippincott.
LeDuc, K., Kotzer, A.M. (2009). Bridging the gap: a comparison of the professional nursing values of students, new graduates, and seasoned professionals. Nurs Educ Perspect 30: 279–284.
Leners, D.W., Roehrs. C., Piccone, A. (2006). Tracking the development of professional values in undergraduate nursing students. J Nurs Educ 45: 504–511.
Lin, Y.H., Liching, S.W., Yarbrough, S., Alfred, D., Martin, P. (2010). Changes in Taiwanese nursing student values during the educational experience. Nurs Ethics 30: 646–654.
Mlinar, S., Tušak, M., & Karpljuk, D. (2009). Self-concept in ıntensive care nurses and control group. Nursing Ethics, 16 (3), 328-339.
Numminen, O., Arend, A.V.D. & Leino-Kilpi, H. (2009.) Nurse educators’ and nursing students’ perspectives on teaching codes of ethics. Nursing Ethics, 16(1), 69-82.
Parandavar, N., Rahmanian, A., & Jahromi, Z.B. (2016). A study of the relationship between nurses’ professional selfconcept and professional ethics in hospitals affiliated to Jahrom University of Medical Sciences, Iran. Global Journal of Health Science 8(4), 82-88.
Paulsen, J.E. (2011). Ethics of caring and professional roles. Nursing Ethics, 18(2), 201–208
Pekcan, H. S. (2007). Yalova ili ve çevresinde görev yapan hekimlerin ve hemşirelerin etik duyarlılıkları. Yayınlanmamış Yüksek Lisans Tezi, Marmara Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul.
Sabancıogulları, S., & Dogan, S. (2015). Relationship between job satisfaction, Professional identity and intention to leave the profession among nurses in Turkey. Journal of Nursing Management, 23, 1076–1085.
Sabanciogullari, S., Dogan, S., & Bircan, H. (2011). Klinik hemşireleri için profesyonel benlik kavramı ölçeği; geliştirilmesi, güvenirlik, geçerliliği. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, 3(1),16–28.
Siebens, K., Casterlé, D.B., Abraham, I., Dierckx, K., Braes, T., Darras, E et al. (2006). The professional self-image of nurses in belgian hospitals: a cross-sectional questionnaire survey. İnternational Journal of Nursing Studies, 43(1),71- 82.
Strasen, L. (1992). The İmage of Professional Nursing; Strategies for Action. (1 rd ed., p.61-63). London: J.B. Lippincott Company.
Torun, S. (2016). Bir grup yüksek lisans öğrencisinin etik ikilemleri değerlendirme ve aşinalık durumları. IJLFS, 1, (Dec 2016), 81-92.
Tosun, H. (2005). Sağlık bakım uygulamalarında deneyimlenen etik ikilemlere karşı hekim ve hemşirelerin duyarlılıklarının belirlenmesi. Yayınlanmamış Doktora Tezi, İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul. Ulrich, C.M., Taylor, C., Soeken, K., O'Donnell, P., Farrar, A., Danis, M., et. al. (2010). Everyday ethics: ethical issues and stress in nursing practice. Journal of Advanves Nursing, 66(11), 2510–25.
Yılmaz Kurt, F., Atay, S., Arıkan, D. (2013). Hemşirelik öğrencilerinin etik karar verebilme düzeyi. Türkiye Klinikleri J Med Ethics, 21(2):79-87.
Yurttaş, A., Kaşıkçı, M., Ağaçdiken S, Kavuran, E., Şirin, M. (2014). Hemşirelerin ve hemşirelik öğrencilerinin etik karar verme düzeylerinin karşılaştırılması. Türkiye Klinikleri J Med Ethics, 22(1):1-8.
Wood, M. (2005). Nursing ethics education: Are we really delivering the Good(s)? Nursing Ethics, 12(1), 6-18.