ABSTRACT
To understand the concept of dignity in care and use it in practice, nurses need a clear understanding of the dignity of patients, which can help them improve quality of care and provide services of a higher standard. This study aims to clarify the concept of human dignity of patients in nursing. Walker and Avant’s method (2011) was used for this concept analysis. Published literature from 2010 to 2020 was identified using national and international databases. The full text of the included articles was reviewed. The main dimensions and attributes include valuing the patient, respecting patients’ privacy, autonomy, and confidentiality, having a positive mental image, having a sense of altruism, respecting human equality, observing patients’ beliefs and rights, adequately educating patients, and paying attention to secondary caregivers. Nurses should consider the subjective and objective aspects of dignity in their daily care activities by cultivating a deeper understanding of the concept of dignity and its attributes. In this regard, nursing tutors, managers, and policymakers in healthcare should emphasise human dignity in nursing.
ABSTRACT
The operating room is a complicated system, which coordinates the person, technology, and patient in a physical environment to achieve optimal outcomes. Therefore, improving knowledge and skills of nurses in the operating room is essential. However, the studies indicate that nursing students may not be prepared enough to practice in clinical settings. Due to the lack of students' efficiency in clinical situations, the shortage of nurse instructors, lack of education-practice cooperation, there is a need to change clinical teaching methods. The purpose of this study was to investigate the effect of peer clinical education model on the expected level of competency in operating room students. This was a pre-experimental design. All operating room freshman students, including 28 people who were passing their clinical course in the Central Sterilization Room at a teaching hospital participated in this study. At the beginning of implementing this model, the curriculum outline such as course objectives, logbook, and evaluation practices was developed. Students were divided into five groups with maximum six members in each. The peer clinical teaching method was used to teach students. At the end, the expected level of competency in operating room students was evaluated. Most students [80%] estimated their competency level to be 4 to 5 [X=3.33 +/- 0.76, CI=3.01-3.65]. They showed a maximum competency in packaging instruments for sterilizing and the minimum competency in working with chemical disinfectant solutions. In addition, over 70% of students believed that they gained necessary guidance on the packing and preparing surgical instruments and using autoclave. They were also satisfied for making communication with the head nurse, and being accepted by ward's staff. Since this educational model emphasizes on the collaboration between skillful staff during clinical training, its implementation in nursing education is recommended.
ABSTRACT
Professional values are the base of development of professional identity and commitment to the profession. However, there is limited research about professional values of nursing students in Iran. This pilot study aims to determine nursing students' perspective on professional values in Tabriz University of Medical Sciences. It was a pilot descriptive, cross sectional study. Fifty six undergraduate nursing students in their last semester were recruited by census and their perspective on professional values was assessed during 2010. Data was collected by a two-part questionnaire. The first part included demographic variables and the second part was Nursing Professional Values Scale- Revised [NPVS_R] which examines 5 dimensions [caring, activism, trust, professionalism and justice] of professional values. Data was analyzed by descriptive and nonparametric statistical tests [Mann-whitney, Kruskal-wallis] and correlation tests [Spearman's rho] using SPSS-PC [v. 13]. Mean scores of caring, activism, trust, professionalism, justice and overall dimensions was 3.55, 3.34, 3.82, 3.63, 3.72 and 3.59 respectively. The most important statements from the students' perspective were "Maintaining confidentiality of patient" and "Maintaining clinical competency". Moreover, the students rated "Participate in peer review", "Confront practitioners with inappropriate practice", and "Participate in nursing research and/or implement research findings" as least significant. There was a significant association between the age of students and their perspective on "trust" dimension of professional values [p<0.05]. Although the mean scores were within a 'fairly important' to 'important', but there is need for more programs to improve the students' knowledge about some professional responsibilities and promoting their professional performance in a wide range of professional areas associated with caring duties