Turkiye Klinikleri Journal of Medical Ethics-Law and History

.: RESEARCH
The Relationship Between Personal Values and Care Ethics in Nursing: Descriptive-Cross-Sectional Study
Hemşirelikte Kişisel Değerler ve Bakım Etiği İlişkisi: Tanımlayıcı-Kesitsel Çalışma
Elanur ULUDAĞa , Özlem ALBAYRAKb , Gizem DEVECİc
aDepartment of Nursing, Erzurum Technical University Faculty of Health Sciences, Türkiye
bDepartment of Nursing, Recep Tayyip Erdoğan University Faculty of Health Sciences, Türkiye
cNamık Kemal Üniversitesi Araştırma Hastanesi, Tekirdağ, Türkiye
Turkiye Klinikleri J Med Ethics. 2023;31(3):161-70
doi: 10.5336/mdethic.2022-94886
Article Language: EN
Full Text
ABSTRACT
 This study was conducted to investigate the relationship between individuals' personal values and the principles of care ethics. The descriptive-cross-sectional study was carried out between January and August 2019. Data were collected whit the form of socio-demographic characteristics and ethical questions created by the researchers in line with the literature, and a case and value scale with evaluate care ethics. It was also found that 75% of the nurses had taken ethics courses, 53% had faced ethical dilemmas, 38% of those who faced ethical dilemmas acted in line with their values. Additionally, 54% responded to the question 'how frequently do you put ethical principles into practice?' with 'generally,' while 32% responded that patients, 31% said the hospital, and 25% said physicians were factors preventing them from putting ethical principles into practice. When evaluating the hierarchy of values scale, it becomes evident that moral value ranks first, followed by religious value in the second position, and theoretical value in the seventh position. Additionally, statistically significant correlations were observed between the sub-dimensions of the scale and ethical principles: aesthetic value and confidentiality (p=0.01), religious value and first/emergency aid (p=0.00), theoretical value and autonomy (p=0.01), and justice/equality (p=0.02). Furthermore, a statistically significant positive correlation was found between political value and confidentiality (p=0.03). The present study showed that factors related to personal care are among the most important obstacles to observing professional ethics from the perspectives of nurses. As a result of the study, personal values affect care ethics practices.

Keywords: Care ethics; nursing ethics; nursing care; personal values
ÖZET
 Bu çalışma, kişisel değerler ile bakım etiği ilişkisini belirlemek amacı ile yapılmıştır. Tanımlayıcı-kesitsel türde planlanan araştırma Ocak-Ağustos 2019 tarihleri arasında gerçekleştirildi. Araştırmanın verileri araştırmacılar tarafından literatür doğrultusunda oluşturulan sosyo-demografik özellikleri ve etiğe yönelik soruların olduğu bir form, bakım etiğini değerlendirmek için bir vaka ve değerler hiyerarşisi ölçeği aracılığı ile toplanmıştır. Hemşirelerin %75'inin etik ile ilgili bir dersi aldığı, %53'ünün etik ikilem yaşadığı, etik ikilemde kalanların %38'inin etik ilkelere göre hareket ettiği, ''etik ilkeleri ne kadar pratiğe döküyorsunuz?'' sorusuna %54'ünün ''genellikle'' cevabını verdiği, ''dökemiyorsanız engel nedir?'' sorusuna %32'si hasta, %31'i hastane ve %25'i hekim kaynaklı cevaplarını vermiştir. Değerler hiyerarşisi ölçeği değerlendirildiğinde, birinci sırada ahlaki değer, ikinci sırada dinî değer ve yedinci sırada teorik değerin olduğu görülmüştür. Ayrıca ölçeğin alt boyutları ve etik ilkeler arasında vakaya göre estetik değer ile reklam yasağı (p=0,01), dinî değer ile ilk/acil yardım (p=0,00), teorik değer ile özerlik (p=0,01) ve adalet/eşitlik (p=0,02) ve siyasi değer ile reklam yasağı arasında (p=0,03) istatistiksel olarak pozitif yönde anlamlı bir ilişki saptanmıştır. Bu çalışma, bireysel bakıma bağlı faktörlerin, meslek etiği konusunda çalışan hemşirelerin bakış açılarından mesleki etiğin gözlemlenmesinin önündeki en önemli engeller arasında olduğunu göstermiştir. Araştırma sonucunda kişisel değerler bakım etiği uygulamalarını etkilemektedir.

Anahtar Kelimeler: Bakım etiği; hemşirelikte etik; hemşirelikte bakım; kişisel değerler
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