Ethical Decision-Making Model by Hospital Nurses Providing Nursing Care to COVID-19 Patients.
| Autor: | Bita Aty, Yoany Maria Vianney, Tat, Florentianus, Herwanti, Elisabeth, Banase, Emiliandry Febryanti T. |
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| Předmět: |
RESEARCH
CLUSTER sampling COVID-19 ETHICAL decision making MATHEMATICAL models RESEARCH methodology CROSS-sectional method MULTIPLE regression analysis COMPARATIVE studies CRONBACH'S alpha THEORY HOSPITAL nursing staff RESEARCH funding DESCRIPTIVE statistics QUESTIONNAIRES CHI-squared test DATA analysis software STATISTICAL correlation |
| Zdroj: | Africa Journal of Nursing & Midwifery; 2022 Special Issue, Vol. 24, p1-17, 17p |
| Abstrakt: | Nurses often experience ethical dilemmas in decision-making while providing nursing care to clients, especially COVID-19 patients. This study aimed to identify an ethical decision-making model used by hospital nurses in East Nusa Tenggara (ENT) Province, Indonesia, in providing nursing care to COVID-19 patients. This article is based on a research and development cross-sectional study. The population comprised 330 hospital nurses who provided nursing care to COVID-19 patients in ENT. The sample was derived via two-stage cluster sampling and consisted of 175 respondents. The research was conducted from January to June 2022. The independent variables were consequences of actions, deontological ethics, intuition, and the stigma towards COVID-19 patients. Furthermore, the sub-variables of deontological ethics were generosity, justice, autonomy, honesty, and obedience. Meanwhile, the dependent variable was ethical decision-making. Data was collected using questionnaires as instruments. The authors analyed the data partially with chi-square and simultaneously with multiple logistic regression tests. There were correlations between the consequences of action and ethical decision-making (p=0.003). In addition, there were correlations between generosity, justice, autonomy, honesty, and obedience and ethical decision-making (p=0.001). Furthermore, there was a correlation between intuition and ethical decision-making (p=0.0001). Moreover, there was a correlation between the stigma towards COVID-19 patients and ethical decision-making (p=0.0001). Multiple logistic linear test results showed that the significant variables in the ethical decisionmaking model were generosity (p=0.0001), autonomy (p=0.0001), justice (p=0.001), and honesty (p=0.0001). In conclusion, generosity, autonomy, justice, and honesty have a 40% influence on ethical decision-making by hospital nurses in East Nusa Tenggara in providing nursing care to COVID-19 patients. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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