American Journal of Nursing Research
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American Journal of Nursing Research. 2019, 7(5), 697-706
DOI: 10.12691/ajnr-7-5-4
Open AccessArticle

Effect of an Educational Program on Enhancing Nurses' Knowledge and Their Compliance with Ethics in Maternity Health Services

Samia I Hassan1, , Suzan El-Said Mansour1 and Samia Abdel Hakeem Hanseen Aboud2

1Woman's Health &Midwifery Nursing Department, Faculty of Nursing-Mansoura University, Egypt

2Obstetrics and Woman Health Nursing Department, Faculty of Nursing, Benha University, Egypt

Pub. Date: July 03, 2019

Cite this paper:
Samia I Hassan, Suzan El-Said Mansour and Samia Abdel Hakeem Hanseen Aboud. Effect of an Educational Program on Enhancing Nurses' Knowledge and Their Compliance with Ethics in Maternity Health Services. American Journal of Nursing Research. 2019; 7(5):697-706. doi: 10.12691/ajnr-7-5-4

Abstract

The study aimed to investigate the effect of an educational program on enhancing nurses' knowledge and their compliance with ethics in maternity health services. Design: Quasi-experimental study. Setting: The study conducted at the obstetrical and gynecological departments at the Mansoura University Hospital, Egypt. Subjects: consisted of sixty-five nurses who worked at the previous mentioned setting from January 2019-April 2019. Type of sample: Purposive sampling. Tools: Self-administered structured questionnaire, an observational checklist for the code of ethics to assess nurse’s compliance with ethics in maternity health services, likert scale to assess nurse's satisfaction & nurses’ self-reported barriers. Results: The current study results showed that there was significant improvement of the total score of knowledge after implementing the program (15.06 ±1.07) in comparison to before (11.53± 2.08). In addition, the majority of nurses were complying with the nursing code of ethics during implementation of the duty of care & health instructions for women, communication skills and reporting & equipment processing. The most common barriers facing the nurses were shortage in nursing staff, work overload and emergency situations by 63.1%, 53.8% and 49.2% respectively. There was a highly statistically significant relation between the total knowledge score & nursing code as well as there was a highly significant improvement between barriers nursing duty of care & health instructions and communication skills p ≤ 0.001. Also, there was a significant difference between barriers & post intervention equipment processing p ≤ 0.05. The majority of nurses were satisfied with the educational program. Conclusion: The majority among the studied sample had a highly significant improvement post-intervention compared to pre-intervention regarding nurse's knowledge and their compliance with nursing ethics at the maternity health services, additionally there was a highly statistically significant relation between the total knowledge score & nurses compliance with nursing code of ethics. Also, the shortage in nursing staff was the main barriers that prevented the nurses to comply with nursing ethics at maternity health services. Recommendation: Design and implement a nursing ethics protocol and guideline to enhance nurse's compliance with the ethical issue at maternity health services.

Keywords:
compliance educational program ethics maternity health services

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References:

[1]  Burkhardt M and Nathaniel A., (2008). Ethics and issues in contemporary nursing (3rd Ed). Clifton Park, NY: Centage Learning.
 
[2]  Badzek L, Henaghan M, Turner M, Monsen R., (2013). Ethical, legal, and social issues in the translation of genomics into health care. J Nurs Scholarsh. 2013 Mar; 45(1):15-24.
 
[3]  Sadr SS. (2011). Ethics and Medical Law. Journal of Medical Council of Islamic Republic of Iran.; 29(1):93-95.
 
[4]  Joolaee S, and Hajibabaei F. (2012). Patient rights in Iran: a review article. Nursing Ethics. 2012; 19(1):45-57.
 
[5]  Shahriari M, Mohammadi E, Abbaszadeh A., and Bahrami M., (2013). Nursing ethical values and definitions: A literature review. Iran J Nurs Midwifery Res. 2013 Jan-Feb; 18(1): 1–8.
 
[6]  Linda and Robert. (2010). Ethical issues relating to midwifery: Challenges in practice (2nd Ed). New York: McGraw-Hill.
 
[7]  Aderemi R.A., (2016). Ethical Issues in Maternal and Child Health Nursing: Challenges Faced by Maternal and Child Health Nurses and Strategies for decision making. International Journal of Medicine and Biomedical Research Volume 5 Issue 2.
 
[8]  Kruske S, Young K, Jenkinson B, et al. (2013). Maternity care providers’ perceptions of women's autonomy and the law. BMC Pregnancy Childbirth; 13:84-84.
 
[9]  Aronson JK, (2007). Compliance, concordance, adherence. Br J Clin Pharmacol. 2007 Apr; 63(4): 383-384
 
[10]  Hammami MM, Al-Jawarneh Y, Hammami MB, Al Qadire M., (2014). BMC Med Ethics. Jan 10; 15:3.
 
[11]  Zahedi f, Sanjari M, Aala M, Peymani M, Aramesh K, Parsapour A, BagherMaddah S, Cheraghi MA,Mirzabeigi GH, B Larijani,and VahidDastgerdi M., (2013):The Code of Ethics for Nurses. Iran J Public Health. 2013; 42(Supple1): 1-8.
 
[12]  Canadian Nurses’ Association (2008). Code of ethics for registered nurses (Ontario: CAN). Retrieved at: https://www.cna-aiic.ca/media/cna/files/en/codeofethics.pdf. accessed on March 2019.
 
[13]  Yousefzadeh S, Zohani M, Reza Mazlom S, Feyzabadi M. (2017). Knowledge and Attitude of Midwifery Students towards Observing the Ethical and Legal Standards of Patients' Rights. J Midwifery Reprod Health. 5(3). 969-987.
 
[14]  Farajkhoda T, Roudsari R, Abbasi M., (2013). An exploratory study to develop a practical ethical framework for reproductive health research. Iran J Reprod Med. Jan; 11(1): 31-38.
 
[15]  Kiani M, Ahmadi M, Azimi N, Majd HA. (2016). A survey on observing patient's autonomy in the labour sections of chosen hospitals of Tehran by students of medical science department. Medical Ethics Journal. 5(18): 105-16.
 
[16]  Hafez F., Mohamed H., Sobeh D., (2016). Assessment of Nurses' Knowledge and Practice Regarding Professional Ethics in Outpatient Clinics at Mansoura University Hospital. IOSR Journal of Nursing and Health Science. Volume 5, Issue 6 Ver. VII (Nov. - Dec. 2016), PP 20-28.
 
[17]  Bazrafcan L, Nabeiei P, Shokrpour N, Moadab N., (2015). Medical ethics as practiced by students, nurses and faculty members in Shiraz University of Medical Sciences. J Adv Med Educ Prof. 2015 Jan; 3(1): 33-8.
 
[18]  Farajkhoda T, Roudsari RL, Abbasi M., (2012). Ethical performance in delivery of sexual and reproductive health services: a Delphi study focused on the right of confidentiality. Iran J Reprod Med. 6: 3385-94.
 
[19]  Azimi N, Tadayon Najafabadi M, Ziagham S, Kiani M., (2014). Knowledge of students of medical science schools about retributive legal midwifery in field of medicine, Ahvaz Jundishapur University in 2013. The International Journal of Frontier Missiology. 19(2):313-319.
 
[20]  Jahanpour F, Sedighi Z, Azodi P., (2013). Assessing nurses’ knowledge, attitude and practice about professional legal. Quarterly Journal of Nursing Management. 2013; 1(4): 54-60.
 
[21]  Canadian Nurses’ Association, (2017). Code of Ethics for Registered Nurses. 2017 EDITION.50 Driveway Ottawa, Ont. K2P 1E2 CANADA. Retrieved at:https://www.cna-aiic.ca/en/nursing-practice/nursing-ethics. Accessed on January 2019.
 
[22]  Hassan ME, El –Karmalawy EM, & Hassan MA (2012). Assessment of Professional Ethics Practiced by Nurses Working in Primary Health Care Centers in Port Said. J Am Sci 2012; 8(12): 1357-1365].
 
[23]  Pavlish C, Brown-Saltzman K, Jakel P, Fine A, (2014). The nature of ethical conflicts and the meaning of moral community in oncology practice. Oncol Nurs Forum. Mar 1; 41(2):130-40.
 
[24]  Alexander, A., Wabster K., (2010). Legal issues of infusion nursing, an evidence-based approach, Louis, Mo: Souder's Elsevier, USA.
 
[25]  Belal S, Khalil HH, Elnady FG (2017). Impact of Integrated Ethics Program on Nurses Knowledge and Performance at Rural Areas in Fayoum Region, Egypt, American Journal of Nursing Science.
 
[26]  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.
 
[27]  Teytelman Y (2002). Effective nursing documentation and communication. Semin OncolNurs. 2002; 18(2):121-7.
 
[28]  Adekilekun (2010). Medical ethics in the face of emerging medico-legal issues in Nigeria. Department of Business Law, Faculty of Law, University of Ilorin, Ilorin, Nigeria. 2010; pp. 5, 8.
 
[29]  ANA, (2010). Retrieved from: http://www.nursingworld.org/MainMenuCategories/EthicsStandards/Ethics-Position-Statements/-Nursess-Role-in-Ethics-and-Human-Rights.pdf.
 
[30]  Bailes, W. B., Rachel, M. M., & Keller, S. (2014). Nursing's Ethical Responsibilities in Value-Based Purchasing. Online Journal of Health Ethics, 10(2).
 
[31]  Bijani M, Ghodsbin F, rdi Fard SJ, Fateme Shirazi etal., (2017). An evaluation of adherence to ethical codes among nurses and nursing students, J Med Ethics Hist Med. 10: 6.
 
[32]  Fashafesheh, I, Ayed A., Koni M., Hussein S and Thultheen., (2016). Midwives and Nurses Compliance with standard Precautions in Palestinian Hospitals. Open Journal of Nursing, 06-04), 294-302.
 
[33]  Mohammed G., (2015). effect of instructional supportive nursing ethics guideline on enhancing nurse's knowledge and performance, PhD. thesis, Faculty of Nursing Ain Shams University, (Maternity & Gynecology).
 
[34]  Masenyani O. Mbombi, Tebogo M. Mothiba, Rabelani N. Malema, Mokgadi Malatji (2018). The effects of absenteeism on nurses remaining on duty at a tertiary hospital of Limpopo province, vol 41, No 1.
 
[35]  Nasiriani L, Rahimparvar S, Farajkhoda T, Bahrani N., (2018). The related factors of compliance to professional codes of ethics from midwives' perspective working in healthcare centers of Tehran-Iran. The Pan African Medical Journal 30:40.
 
[36]  Faisal I, Matinnia N, Hejar A, Khodakarami Z., (2014). Why do primigravidae request caesarean section in a normal pregnancy? A qualitative study in Iran. Midwifery. 30(2): 227-33.
 
[37]  Shafipour V, Shafipour E & Ahmadi F., (2014). Barriers to Nurse-Patient Communication in Cardiac Surgery Wards: Qualitative Study, Glob J Health Sci. 2014 Nov; 6(6): 234–244.