جستجوی مقالات مرتبط با کلیدواژه "ارزش های حرفه ای" در نشریات گروه "پزشکی"

Among the hospital jobs, nursing is an example of jobs where a person spends many hours with patients. Nurses who do not have good general health will not be able to take effective care of patients. Therefore, this research was conducted with the aim of investigating the mediator role of job involvement in explaining the effect of professional ethics values and source of control on nurses' job performance.

The research was descriptive and structural equation modeling. All the nurses working in the public hospitals of Tehran in 2021 formed the statistical population of the research, 300 people were selected from among them with the multi-stage cluster random sampling method and research tools included job performance questionnaire, locus of control questionnaire, professional ethics questionnaire, and the job involvement questionnaire. Descriptive statistics, correlation coefficient and path analysis with SPSS and AMOS statistical software were used for data analysis.

Based on the results of this research, the proposed model of causal relationships between the mentioned variables had an acceptable fit. In general, in the proposed research model, the results showed that the source of control and the value of professional ethics are directly and indirectly related to job performance in nurses through job involvement (P<0.05). Also, the results showed that there is a significant relationship between internal and external sources of control with job engagement (P<0.05). This relationship between the value of professional ethics and job involvement in nurses was also significant (P<0.05).

Every organization has common values to achieve its goals and eachemploye behaves well by citing them and moving within the framework of their professional values. In other words, values show the correct way of doing work and distinguish between good and bad and will lead to rofessional performance to benefit patients.

The present study was conducted to investigate the relationship between professional values and professional behavior of nurses. 

This descriptive cross-sectional study was conducted on 150 nurses working in selected hospitals in Hamadan province using the convenience sampling method. Data collection tools included a demographic information form, Revised Nurses’ Professional Values questionnaire (NPVS-R) and professional behavior questionnaire Goze. Data analysis was performed using SPSS software version 26.

Data analysis shows that there is a positive and significant relationship between professional values and professional behavior of nurses  (r=0.454, P=0.0001). Also, the dimension of caring for professional values showed the highest correlation with the professional behavior of participants (P=0.0001, r=0.5). Simple linear regression test statistics show that the independent variable (occupational value) explains %20 of the variance of the occupational behavior variable in employed nurses. In other words, a standard deviation of a change in professional values will cause a 34% standard
deviation in the nurses’ professional behaviors variable.

Nurses provide professional values, and desirable behaviors in accordance with organizational rules and regulations, including compliance with professional standards, skills in performing job duties, and improving their scientific and practical knowledge. Managers and officials can play an important role in the professionalization of nurses and the emergence of behaviors based on the principles of the profession through educational planning and explaining the values of the nursing profession in retraining classes.

As future nurses of society, nursing students will play a vital role in ethical decisions in the treatment process. The present study was conducted to review factors associated with professional values in nursing students.

In the current narrative review, by searching the databases of Science Direct, Magiran, SID, Iran Medex, Google Scholar, Web of Sciences, and PubMed, and using the keywords “professional values” and “nursing students” (and their Persian translated words to search articles in Persian) 208 articles were included in the study. The inclusion criteria included English and Persian papers from January 2010 to May 2022. By applying inclusion and exclusion criteria and removing duplicates, the researchers examined 25 articles.

The findings showed that the most crucial components from the student’s point of view were keeping the patient’s confidentiality (care dimension) and maintaining competence in the clinical environment (trust dimension), and the least crucial were the activism and professionalism dimensions. In addition, the personal and educational factors of students influence moral values. It should be noted that increasing professional experience decreases the significance of professional values. 

Although, according to the students’ views, professional values are highly valued, understanding the importance of all dimensions of professional values requires more support. Therefore, appropriate educational planning is suggested for empowerment in all dimensions of professional values.

Nurses, as members of the therapeutic team in health care centers, are faced with challenging decisions, moral issues and problems. The purpose of this study was based on examining the mediating role of cognitive flexibility in the relationship between Professionl Values and moral sensitivity among nurses during the corona epidemic.

This study was a descriptive-correlational study. By applying quota convenience sampling method, 220 subjects were selected among the nurses working in Khatam Al-Anbia (PBUH) hospitals in Abarkooh and Imam Khomeini (RA) towns, Abadeh town in order to participate in the study. To collect data, The Weis and Shank (2009) Professionl Values Scales, Lutzen et al. (2006) and Dennis and Vanderwall (2010) Cognitive Flexibility Questionnaires were used. The Data were analyzed through Pearson's correlation test and structural equation modeling.

Ethical Considerations: 

In this study, criteria concerned with moral principles as confidentiality, personal satisfaction and freedom of participants in cooperation or non-cooperation during the study process have been observed.

The findings of the study demonstrated that there is a positive and significant relationship between the variables of occupational values and moral sensitivity, Professionl Values and cognitive flexibility (P<0.001). Moreover, it confirmed the mediating role of cognitive flexibility in the relationship between Professionl Values and moral sensitivity among nurses during the corona epidemic (P<0.01).

Considering the findings of the present study, in order to increase Professionl Values, it is recommended that appropriate strategies in line with addressing to the principles and criteria related to this variable, including social, emotional and economic support, especially in the nursing field, should be exerted to be strengthened their moral sensitivity by affecting their cognitive flexibility.

 In patient care provision, observing ethical principles is prior to care delivery and observing professional ethics is among the essential components of the nursing profession. Considering this important fact, the present study was conducted with the aim of prioritizing and investigating the degree of observing professional ethics values from the perspective of the nurses in the selected hospitals in Yazd in 1400.

 The present study is a descriptive cross sectional study, which was conducted in 2021 in the two selected hospitals in Yazd (A, B). The samples consisted of 100 nurses, who were selected through stratified-random method. The data were collected using a researcher-made questionnaire, deriving from the 10-dimension Nursing ethical values approved by the Ministry of Health in 2011. The results were analyzed in SPSS 20 software using descriptive statistics (frequency, percentage, mean, and standard deviation).

Ethical Considerations: 

The present study has been approved by the ethics committee. Ethical considerations have been observed, including completing the written informed consent form, voluntary participation, explaining the research objectives and ensuring data confidentiality.

 Among the 10 dimensions of nursing ethical values, the nurses prioritized professional adherence (140±2.03), compassion and kindness (120±3.4) and promoting the awareness of professional regulations (115±1.3), respectively. In addition, 79% of the nurses assessed the degree of observing ethical values as good.

 Considering the priority of ethical values, paying attention to professional adherence, compassion and kindness, and promoting the awareness of professional regulations in continuous nursing education programs can be effective in improving the quality of hospital performance and the degree of patient satisfaction.

 Nursing students experience moral distress while facing complex moral problems, which has a harmful effect on nursing care. One of the factors which improve nursing performance is adherence to professional values. Therefore, this study was conducted with the aim of determining the relationship between moral distress and professional values in the nursing students of Mazandaran University of Medical Sciences.

 This descriptive correlational study included 210 nursing students from three nursing faculties of Mazandaran University of Medical Sciences, Mazandaran, Iran. The samples were selected through convenience sampling method. Data collection was done using 3 questionnaires: the demographic questionnaire, Hamric Moral Distress Scale-Revised (MDS-R) and Weis and Shank’s Nurses Professional Values Scale (NPVS). The data were analyzed through the descriptive and inferential statistical tests. SPSS software 25 was used.

Ethical Considerations:

 In this study, the standards regarding moral principles, such as confidentiality, Personal consent and the participants’ freedom to continue or quit cooperation during the study process have been observed.

 Based on the main purpose of the study, Spearman's test did not show a significant relationship between moral distress and professional values (P=0.251, r=0.08).The mean of moral distress in nursing students was (92.61±57.30) and their moral distress was low level. The mean of professional values in nursing students was (79.69±12.09), which was moderate. The students assigned the highest value to the dimension of care and the lowest value to the dimension of pragmatism. There was no significant relationship between moral distress and demographic characteristics and only gender (p=0.005) and place of residence (p=0.028) showed a significant relationship with professional values.

 Although no significant relationship was found between moral distress and professional values in the intern nursing students, the nursing students' attention to the care dimension of professional values reflects the students' attention to the importance of care as the main professional duty of nursing, which can affect their performance.

In nursing, an appropriate level of ethical reasoning leads to the provision of better quality care to patients and an increase in job satisfaction among nurses. Professional values are important parts of this profession, and nurses are obliged to adjust their activities in accordance with these values. This study aimed to investigate the level of ethical reasoning and attitude of professional values in final year nursing students of Hamadan University of Medical Sciences, Hamadan, Iran, in 2020.

The present descriptive cross-sectional study was performed on 125 senior undergraduate nursing students by census method. The data collection tool was a three-part questionnaire consisting of a demographic information form, Nursing Dilemma Test, and Nurses Professional Values Scale-Revised
Questionnaire. Questionnaires were distributed in person and electronically. Data analysis was performed in SPSS 26 software.

Data analysis showed that there was no significant relationship between ethical reasoning and professional values (r=0.023, P=0.79). The mean score of students' moral reasoning was reported to be above average (46.4±6.84). Moreover, the mean score of students' professional values was obtained at a desirable level (96.84±9.28).

Although there was no significant relationship between students' moral reasoning and professional values, to raise the level of moral reasoning and institutionalize professional values in students, it is essential to have an educational plan in college.

Considering the large number of nursing students and the need for their skills training as an internship in the field under the supervision of clinical nurses, evaluating their performance plays an essential role. Therefore, this study was conducted to evaluate the current status of clinical performance evaluation of nursing students in the clinical field.

The present study is descriptive-cross-sectional. In order to answer the research questions, the required information has been collected through library and field methods. The sampling method was census. In order to evaluate the clinical performance of nursing students in the 7th and 8th semesters, a descriptive cross-sectional study was performed. All students of the 7th and 8th semesters of nursing were selected and there were 145 people who all participated in the study with satisfaction. The clinical performance evaluation checklist of Ismaili nursing students and colleagues in 2013 was used. This questionnaire has 28 questions in three areas of nursing process with 12 questions, professionalism with 9 questions and ethical principles with 7 questions. SPSS statistical software version 20 was used for data analysis. Descriptive statistics were used to present and describe table preparation information, percentage calculation, mean and standard deviation.

Ethical Considerations:

 Ethical considerations have been observed in all stages of research, including the study and collection of data, their documentation, analysis and publication.

The results showed that the mean and standard deviation of the total performance appraisal of 7th and 8th semester nursing students is .5 ±2.03 which is in the average range. The highest mean score of performance evaluation was related to the dimension of students' ethics with an average of 6 ± 2.3 and the lowest mean score was related to the scope of the nursing process with 5±2. The mean score of the professional behavior range was .6±2.1. Findings showed that 7th and 8th semester nursing students are moderate in their performance evaluation.

Paying attention to the moral principles and the importance to the clients and their needs is one of the basic principles of ethics that students should consider.

Professional nursing values, the major form of professional practice. Although much research has been done in this regard, However, in the available sources, no study was found that examined the professional values in operating rooms. Therefore, the present study was conducted to investigate the operating room nurses perception of professional values.

In this cross-sectional descriptive study was done in 2017. 110 participants in the study included operating room nurses from 7 educational centers affiliated to Golestan University of Medical Science. Data were collected using the Shank and Weiss Nursing Value Scale. Data were analyzed using SPSS / 18 software using descriptive and inferential statistics.

The mean score of professional values was 61/14±05/103. The highest professional value was in the care dimension with an average of 39/5±33/38 and the lowest professional value was in the justice dimension with an average of 06/2±59/12. Also, in the study of demographic variables, the mean of professional values in people with different educations was significantly different. (P<0.05).

This study shows that operating room nurses done great importance on professional values in patient care. In some dimensions, such as care, this rate was high. But in some dimensions, such as justice, it was so low that it needs more support, so it is necessary to pay attention and emphasize on teaching all aspects of professional values.

Professional values are standards for action and provide a framework for evaluating professional behavior. Understanding the perception of professional values by nurses is an important step towards effective decision-making and improving patient care quality. Given the different perspectives of understanding the importance and application of professional values in nursing students, this study aimed to investigate the professional values from the perspective of nursing students at the selected military medical university.

This analytical cross-sectional study was performed on 134 students of a military nursing college in Tehran, Iran were selected through simple convenience sampling in 2019. Data were collected using a two-part questionnaire that included demographic variables and Nursing Professional Values Scale-Revised (NPVS-R) 26-item in the five dimensions (caring, activism, trust, professionalism, and justice). Data were analyzed using SPSS 16.

Mean scores of caring, activism, trust, professionalism, justice and overall dimensions were 4.10±0.62, 3.81±0.70, 4.01±0.70, 3.86±0.81, 4.13±0.69 and 3.99±0.58 respectively. From the students' perspective, justice and activism were the most important and least important aspects of professional values, respectively. There was a significant correlation between age, gender, marital status and level of education with professional values (P<0.05).

Although professional values from nursing students’ perspective were very important, understanding the importance of certain aspects of the professional values which are related to the nurses’ nonclinical tasks, participate in activities of scientific associations and professional nursing policy decisions requires further support. Therefore, it is recommended that appropriate educational planning is required to enhance the overall area of nursing professional values.

The medical science profession is not only limited to acquiring the required knowledge and skills but it also requires specific human attributes that are necessary to pursue this profession. Nurses have a responsibility to make and act on their professional values based on their profession. The purpose of the present study was to standardize the Nursing Professional Values Questionnaire.

In this correlational survey study, 220 students of semester six to eight of Mashhad Nursing and Midwifery Faculty in 2015 were enrolled in the study through the census method. The construct validity of this assay was determined by factor analysis. Factor analysis and confirmatory factor analysis were used to analyze the factors of the nursing professional values questionnaire. Exploratory factor analysis, principal components, Scree test, and varimax orthogonal rotation method were used.

Confirmatory and exploratory factor analysis were used in factor analysis of the nursing professional values questionnaire. Exploratory factor analysis, principal components, Scree test, and varimax orthogonal rotation method were used. Finally, according to the significant results of the Kaiser- Meyer- Alkin test and Bartlett's sphericity Olkin; three factors were obtained. These three subscales include the subscales of care, professionalism, and pragmatism.

According to the results of this study, the modified version of the Professional Values Questionnaire is a necessary form to measure the professional values of students. This questionnaire is somewhat different from the one developed by Weis and Schank and has fewer questions that prevent the tester from being tired. Therefore, this questionnaire is suitable for assessing nurses' professional values.

Nursing professional values, guiding actions that are necessary for development of nursing profession. It can used as a basis for decision-making in professional nursing procedures. However, there is limited research about this matter in Iran. Therefore, the present study was conducted with the aim of observance of professional values in the clinical nurses.

In this cross-sectional study, 260 nurses who working in hospitals affiliated to Kerman University of Medical Sciences were selected using stratified random sampling method. Data were collected using a two-part questionnaire that included demographic variables and Nursing Professional Values Scale - Revised (NPVS-R) questionnaire ,with the reliability and validity 0.92 of the tool. Data were analyzed using descriptive (mean and standard deviation) and analytic statistical tests (Mann-Whitney, Kruskal-Wallis) using SPSS software version 19.

 The total average score of nurses' professional values was 102.70±16.64 and the highest mean score was allocated to each of the dimensions of care (4.21±0.48), justice (4.13±1.37), trust (4.11±0.82), professionalism (3.80±0.95) and activism(3.52±0.70) .There was a statistically significant difference between the mean scores of the employment status and type of ward with total mean score of professional values, however, there was no significant relationship with other variables (significant level p <0.05).

According to the results, the status of nurses is nearly favorable for professional values. therefore, activities for internalization and promotion of nursing professional values is necessary.

Professional values comprise a significant part of the nursing profession. Learning the concept of these values and creating conditions for developing and completing them are necessary. The aim of this study was to examine the professional and ethical values in providing nursing care from the nurses’ perspective.
This descriptive, cross-sectional study was performed on 150 nurses in Shiraz’s Shahid Chamran Hospital who were selected by convenience sampling in 2015. The data was collected through a two-part questionnaire comprised of the nurses’ demographic information and Shank and Weise’s Nursing Professional Values Scale-Revised (NPVS-R) which measured five aspects (caring, activism, professionalism, trust and justice) in a five-point Likert scale (from unimportant to highly important). The collected data were analyzed using descriptive statistics (mean and standard deviation).
Among the components of nursing professional values, the highest mean score was related to “justice” at 3. 91±0. 79 and the lowest mean score was related to “activism” at 3. 31±0. 74. The total mean score of the questionnaire was 3. 72±0. 53. The aspects of the professional values were prioritized from the nurses’ perspective as justice, caring, trust, professionalism and activism respectively.
The results show that nurses consider those nursing values important which directly relate to their job. Therefore, understanding the importance of certain aspects of the professional values which are related to the nurses’ indirect tasks requires further support, and it is necessary that all of the aspects of professional and ethical values should be taught during the nursing education.

The quality of nursing cares and nurses’ performance in patient care dimension is affected by the professional values. Studies have shown that a person's personality has an important role in professional values. This research aimed to investigate any probable relationship between personality characteristics and professional values among nurses. This descriptive study was conducted on 200 nurses working in educational hospitals of Ahwaz University of Medical Sciences in 2014. Nurses were randomly selected and fulfilled demog raphical checklist, NEO Personality Inventory and Nursing Professional Values Scale- Revised (NPVS-R). Data was analyzed using t-test, one -way ANOVA and Pearson's correlation test. Findings showed a significant relationship between the sex and some personality characteristics (p<0.05), whereas any significant relationship was observed between demographical charactristics and professional values (p>0.05). There was a significant and inverse relationship between neuriticism and some professional values. In addition, a significant and positive relationship was observed between extroversion, agreeableness and conscientiousness and some professional values (p<0.05). However, it was seen any significant relationship between openness and professional values (p>0.05). The results of this study showed that there is a significant relationship between some personality characteristics and some professional values of nurses. So, these characteristics should be considered in employing nurses.

Professional values are fundamental elements of nursing practice that often are taught informally. Therefore it is important to assess the students’ perspective in this area. Purpose of the present study was to determine the perspective of nursing students about the importance of nurses’ professional values in medical universities of type 1 as institutions with the highest level of educational service. This analytical- descriptive research utilized a one-stage cluster sampling method to investigate the professional values of 131 graduated nursing students in three medical universities of type 1 in their last semester in 2011. For data collection, a two-part, self- report questionnaire was used which included demographic variables and the standard tool of Nursing Professional Values Scale- Revised (NPVS-R) developed by Weis and Schank. This instrument consisted 26-item in the five dimensions (caring, activism, trust, professionalism and justice) at five- point Likert-Scale format (from not important to very important). Internal consistency reliability (Cronbach’s alpha) was (α= 0.92). Statistical analysis was performed using descriptive statistics (mean and standard deviation), inferential non-parametric statistics (Mann-Whitney and Kruskal-Wallis tests) and Spearman’s rho correlation coefficient in SPSS 13. Mean scores of caring, activism, trust, professionalism, justice and overall dimensions according to five- point Likert-Scale was 3.52, 3.19, 3.76, 3.48, 3.74 and 3.52 respectively. Two of the top NPVS-R statements in the students were “Maintain competency in area of practice” (trust dimension) and “Maintain confidentiality of patient”(caring dimension). Additionally, the students rated “Participate in peer review”(professionalism dimension) and “Participate in activities of professional nursing associations and research” (activism dimension) in the lowest statements. There was significant relationship between gender, economic conditions of family and the total average with student’s perspective on professional values (p<0.05). Although the total mean scores of nursing students were in the range of ‘fairly important’ to ‘important’ in the Likert Scale, but the most graduating students are not aware about the importance of some values’ dimensions and statements related to their non-clinical tasks. However, appropriate planning and teaching methods is required to enhance the overall area of nursing professional values.