Moral Sensitivity among Nursing and Midwifery Students and Practitioners: a Comparative Report from Iran
Background: Ethical sensitivity refers to knowledge and practice of ethical issues in a contradictory situation highlighted with self-awareness of one’s role and duty in those particular situations. According to ethics of care, the caregiver is committed to continuous learning and practicing the right options. The present study aimed to compare the moral sensitivity of midwifery and nursing students with that of nurses and midwives in Sabzevar University of Medical Sciences, Iran.
Materials and methods: In this descriptive cross-sectional study, participants were nursing students (n=60),
midwifery students (n=50), nurses (n=100) and midwives (n=38), who were selected by convenience sampling. A validated Persian version of Han’s (2010) Moral Sensitivity Questionnaire (0-100) was used for data collection (α=0.97). Descriptive and analytic statistics were applied for data analysis.
Results: The participants’ mean scores of ethical sensitivity were as follows: midwifery students (90.82±1.47), nursing students (93.06±1.12), midwives (89.76±1.21), and nurses (89.67±1.47). Based on four regression models, significant differences were observed (level of confidence: 95%): midwifery students' mean moral sensitivity score was 6.16 less than that of nursing students; midwifery students' mean score was 4.58 higher than that of midwives; midwives’ mean score was 1.83 less than that of nurses; and nurses’ mean score was 3.01 less than that of nursing students.
Conclusion: The participants' moral sensitivity can be conceived as desirable. The significance of differences may be accounted for by factors such as their role and specialty. Taking measures to sustain and strengthen the moral sensitivity in all medical and healthcare groups are recommended.
2. Bog˘a SM, Sayilan AA, Kersu O ¨,Baydem_Ir C. Perception of care quality and ethical sensitivity in surgical nurses. Nursing Ethics. 2020; 27(3): 673–685.https://doi.org/10.1177/0969733020901830
3. Borhani F, Alhani F, Mohammdi E, Abbaszadeh A. Nursing students' perception of barriers of acquiring professional ethics: A Qualitative Research: a qualitative study. Strides in Development of Medical Education. 2011;8(1):67-80.
4. Brogen S A, Rajkumari B, Laishram J, Joy A. Knowledge and attitudes of doctors on medical ethics in a teaching hospital, Manipur. Indian J Med Ethics. 2009; 6(4):194–7. DOI: https://doi.org/10.20529/IJME.2009.066
5. Rokhafrooz D, Hatami A, Hemmatipour A, Abdolahi-Shahvali E, Salehi Kamboo M. Assessing nurses' moral distress and patients' satisfaction with the observance of the patients' rights charter. Journal of Nursing and Sciences. 2017; 4 (4): 147-153. DOI: 10.4103/JNMS.JNMS_1_18
6, Farzianpour F, Rahimi Foroushani A, Shahidi Sadeghi N, Ansari Nosrati S. between’ patient’s rights charter’ and patients’ satisfaction in gynecological hospitals. BMC Health Serv Res. 2016; 16:476. DOI 10.1186/s12913-016-1679-9
7. Ranjbar M, Ahmadinejad M, Sheikholeslami SH. Patients’ Complaints and the Effective Factors in Medical and Center of Shahid Bahonar Hospital of Kerman in 2015. Evidence Based Health Policy, Management & Economics. 2017; 1(3): 158-65.
8. Shayestehfard M, Torabizadeh C, Gholamzadeh S, Ebadi A. Ethical Sensitivity in Nursing Students: Developing a –based Education. Electron J Gen Med. 2020;17(2):em195. https://doi.org/10.29333/ejgm/7812
9. Abbaszadeh A, Borhani F, Moazen Nematollahi L. The comparison of the level of moral sensitivity in nursing students and nursing staffs in Kerman in 2010. Medical Ethics. 2010;4(12):39-54.
10. Khosravani M, Borhani F, Loghmani L, Mohsenpour M. Ethical sensitivity relationship with communication skills in Iranian nursing managers. International Journal of Pharmaceutical Research. 2018; 10 (3): 143-7. https://doi.org/10.31838/ijpr/2018.10.03.064
11. Karimi Noghondar M, Tavakoli N, Borhani F, Mohsenpour M. Ethical sensitivity: A comparison between the nursing students and nurses of Azad University. Iranian Journal of Medical Ethics and History of Medicine. 2015;8(5):69-76.
12. Jafarnejad F, Hoseini BL, Mazloum SR. Comparing the Current and Desired Situation of Midwifery Students' Clinical Evaluation from Tutors' and Students' Viewpoints of Mashhad School of Nursing & Midwifery. Acta Facultatis Medicae Naissensis 2014;31(4):253- 260. DOI: 10.2478/afmnai-2014-0031
13. Han SS, Kim JH, Kim YS, Ahn S. Validation of a Korean version of the moral sensitivity questionnaire. Nursing Ethics 2010; 17(1): 99–105. DOI: 10.1177/0969733009349993
14. Hoseini M, Ebadi M, Farsi Z. The Effect of Moral Motivation Training on Moral Sensitivity in the Nurses of Military Hospitals in Mashhad, Iran. Military Caring Sciences. 2018;4(4):249-257.
15. Dalvand S, Khodadadi B, Niksima SH, Ghanei Gheshlagh R, Shirzadegan R. Moral of nurses in Shahid Madani hospital of Khorramabad in 2017. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2017;3(2):38-48.
16. Mohammadi S, Borhani F, Roshanzadeh M. Moral Sensitivity and Nurse’s Attitude toward Patients' Rights. Iranian Journal of Medical Ethics and History of Medicine. 2016;9(5):52- 62.
17. Azadehjo N, Nasrabadi T, Nasrollah S. The relationship of compassion fatigues and moral sensitivity in critical care nurses. Cardiovascular Nursing Journal. 2018; 6(4): 50-59.
18. Ferasatkish R, Shokrollahi N, Zahednezhad H. Critical care nurses’ moral sensitivity in Shahid Rajaee Heart Center Hospital. Cardiovascular Nursing Journal. 2015;4(3):36-45.
19. Kim Y, Park J, You M, Seo Y, Han S. Sensitivity to ethical issues confronted by Korean hospital staff nurses. Nursing Ethics. 2005;12(6):566-605.
20. Schluter J, Winch S, Holzhauser K, Henderson A. Nurses' moral sensitivity and hospital ethical climate: A literature review. Nursing Ethics. 2008;15(3):304-21.
21. Namadi F, Hemmati Maslakpak M, Moradi Y, Ghasemzadeh N. The effect of professional ethics education through case-based method on moral sensitivity in nursing students: a clinical trial study. The Journal of Urmia Nursing and
Midwifery Faculty. 2018;16(6):423-31.
22. Nikbakht Nasrabadi, A, Joolaee, S, ParsaYekta, Z. A new approach for teaching Nurs Ethics in Iran. Indian J Med Ethics 2009; 6(2):85–89. DOI:https://doi.org/10.20529/IJME.2009.027
|Issue||Vol 6 No 1 (2020)|
|Ethical sensitivity; Midwifery; Students; Nursing; Midwives; Nurses; Caregivers; Morals|
|Rights and permissions|
|This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.|