Impact of Integrated Ethics Program on Nurses Knowledge and Performance at Rural Areas in Fayoum Region, Egypt
American Journal of Nursing Science
Volume 6, Issue 3, June 2017, Pages: 240-250
Received: Apr. 4, 2017;
Accepted: Apr. 22, 2017;
Published: Apr. 27, 2017
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Safia Belal, Medical Surgical Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt
Hala Hassan Saied Khalil, Community Health Nursing, Faculty of Nursing, El-Fayoum University, Fayoum, Egypt
Fatma Mohamed Elnady, Administration Health Nursing, Faculty of Nursing, El-Fayoum University, Fayoum, Egypt
Ethical standards offer a context for behavior assessment, and nursing principles which influence nurses’ goals, and approaches with patient care. The aim of this study to evaluate the Impact of Integrated ethics program on nurses practices in health centers at rural areas in Fayoum region, Egypt. A quasi-experimental design with pre and post-test was utilized. Convenience sample were used to collect 70 nurses from three maternal and child health centers in Fayoum region. Two tools were used to collect the data, First: Self-administered interview questionnaire. Second: A structured practice observational check list to assess nurses' practices. The main results, there was an improvement after the nursing intervention program in all aspects. Concerning nurses' knowledge there was 88.6% of them satisfactory pre- intervention while, post program they became 100.0% have satisfactory knowledge. The present study concluded that, implementation of the integrated ethics program had an efficient improving nurses' knowledge, and practice regarding integrated ethics in the rural areas, with highly statically significant differences in all the tested items between pre/post program implementation (P < 0.001). The study recommended to establishment of in- service training programs, and continuous supervision in rural areas to raise nurses awareness regarding Integrated Ethics and motivate them.
Hala Hassan Saied Khalil,
Fatma Mohamed Elnady,
Impact of Integrated Ethics Program on Nurses Knowledge and Performance at Rural Areas in Fayoum Region, Egypt, American Journal of Nursing Science.
Vol. 6, No. 3,
2017, pp. 240-250.
Alexander, A., Wabster, K. (2010): Legal issues of infusion nursing, an evidence based approach, Louis, Mo: Souder's Elsevier, USA.
American Nurses Association (ANA), (2015): Code of Ethics for Nurses. Retrieved November, 20, 2012 Avilable at: http://www.nursing world.org/code of ethics.
Beauchamp, L. & Childress, F. (2014): Principles of biomedical ethics (6th ed.). Newyork, NY: Oxford university press.
Beauchamp. L. & Childress,. F. (2015): Principles of biomedical ethics (7th ed.). Newyork, NY: Oxford university press.
Bollig, G., Gjengedal, E., and Rosland S. (2016) Nothing to complain about? Residents’ and relatives’ views on a “good life” and ethical challenges in nursing homes, Nurse Ethics; 23(2): 142–153. Avilable at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4786778/
Bosek, M. & Savage, T. (2006): The ethical component for nursing education, Lippincott William & Wilkins, USA.
Brenda, G., & Suzannc, C., (2010): Brunner & Suddarths Textbook of Medical Surgical Nursing.12th ed., library of congress, China.
Burkhardt, M & Nathaniel, A, (2013): Ethics issues in contemporary Nursing, (4th ed)., U.S.A, ISBN, http://books.google.com.eg//books
Canadian Nursing Association (CAN), (2015): Code of Ethics for Registered Nurses, Ottawa: ISBN 978-1-55119-282-9.
Clark, P., (2010): A model for ethical decision making in cases of patient futility: Clin Nurse Spec,24(4):189.
Cllister, L., & Sudia Robinson, T.(2011): An overview of ethics in maternal-child nursing, Nursing, MCN: American Journal of Mternal and Child nursing, 36(3), 154-159
Duffy, M., (2011): Nurse patient privacy and company policy in online life. American Journal of Nursing. 111(9).65-69.
Ellis, p., (2014): Understanding ethics for nursing student, Christ Church University, USA.
Epstein, EG. T, & Delgado, S. (2010): Understanding and addressing moral distress. OJ J Nonline Journal of Issues in Nursing, 15(3). DOI: 10.3912/OJIN. VO15 Noo3 Man01.
Fant, C. (2010): Ethical Dilemmas in Nursing. Nurse Together. Retrieved November 20, 2012 from: http://www.nursetogether.com/ career/career/career-Article/ itemed / 2520.aspx.
Fowler, M., (2010): Guide to the code of Ethics for Nursing Interpretation and Application. Silver spring MD: American Nurses Association.
Gastman, C. (2016): The care perspective in health care ethics. In A., J Davise, V. Tschuding, L. de Reave (Eds), Essentials of teaching and learning in nursing ethics (pp, 135-148). London, England: living stone.
Gosnell, K, &Cooper, K,. (2015): Foundations and adult health Nursing, (7th ed), Elsevier¬/Mosby. Canada, ISBN978-0-323-10001-4.
Hamrin E, Potdar N, Anand R. Ethical values in health care: An Indian-Swedish co-operation. Nurs Ethics. 2002;9:439–47. [PubMed]
Hariharanet et. al (2006): Ethics Education in Advanced Practice Nursing: Respect for human dignity, Nursing education perspectives, 28(4).196.
Han, S., & Ahn, S., (2000): An analysis and evaluation of student nurses' participation in ethical decision making. Nursing Ethics, 7(2).113-123.
Hassan, M., (2015): Assessment of professional ethics practiced by nurses working in primary health care centers in Port Said. Journal of American science 2012; 8(12). http://www.jofamericanscience.org.
Helmy. F, & Soliman, S., (2014): student's knowledge, student's attitudes, nursing ethics, patient's right issues: The New Egyptian Journal of Medicine 29(6).
Horton K, Tschudin V, Forget A. The value of nursing: A literature review. Nurs Ethics. 2007;14:716–40. [PubMed].
Hudoson, A., & Melanie, (2013): Professional issues in speech- language pathology and audiology, (4th ed.), Delmar Cengage learning, USA.
Huerta, C, & Maville, J, (2013): Health promotion in nursing, (3th ed.), Delmar Cengage Learning. USA, ISBN13-978-1-111-64046-0.
Ibrahim, W. (2015): Professional ethical practices by nurses working in maternal and child health centers, faculty of nursing Alexandria University.
Mohammed, N., (2014): professional ethical practices versus client perception in community health centers. Faculty of Nursing Ain Shams University, (112).
Murray, H. & Mckinney, E. (2014): Foundations of maternal newborn and women's Health Nursing (6th ed). U.S.A, ISBN: 978-1-4557-3306-4.
Nejad et al. (2013): Nurses awareness of patients' rights in a teaching hospital in community health centers. Faculty of medicin Ain Shams University, (112).
Pitblado, JR (2005): "So, what do we mean by "rural," "remote" and "northern"?". The Canadian Journal of Nursing Research 37 (1): 163–8.
Rich, K. (2013): Public health nursing ethics, nursing ethics; across the curriculum and into practice. (3th ed.). Burlinglon, MA: Jones & Bartlett learning.
Sinclair, J., (2015): New Zealand nursing students' experience of ethical issues in clinical practice, Master of Nursing, Eastern Institute of Technology, Taradal New Zealand.
Smith, A., Bensink, M., Armfield, N., Stillman, J., & Affery, L. (2015): elemedicine and rural health care applications. Journal of Postgraduate Medicine. 2005; 51: 286-293.
Suasan, J., & Cherry, B. (2014): Contemporary Nursing Issues, Trend, Management. (6th ed.). Elsevier Mosby, USA.
Thompson, J. E. (2007): professional ethics, In L. A. Ament. (Ed), professional issues in midwifery (PP. 277-300) SUDBURY. MA: Jones and Bartlett.
Victoria Department of Education and Early Childhood Development, (2014): Maternal and Child health services; Victoria, ISBN 978-0-7594-0761-9 http://www.education. vic.gov.au / child hood / professional /health / pages /Mch policy.
World Health Organization (WHO), (2014): Country Cooperation Strategy for WHO and Egypt, Printed by WHO Regional office for the Eastern Mediterranean, Cairo. Available at: www.emro.who.int/programmes/maternal-and-childhttp://en.wikipedia.org/wiki/Rural_area.
Yoost, B, & Crawford, L., (2013): Fundamentals of nursing active learning for collaborative practice's, Elsevier¬/Mosby., USA, ISBN978-0-323-29.