Investigating the Relationship between Nurses’ Moral Sensitivity and Patients’ Satisfaction with the Quality of Nursing Care
More details
Hide details
Department of Nursing, Shoushtar Faculty of Medical Sciences, Shoushtar, IRAN
MSc in Critical Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IRAN
Online publish date: 2018-02-02
Publish date: 2018-02-02
Eurasian J Anal Chem 2018;13(3):em12
Patient satisfaction is considered as an important indicator of the quality and effectiveness of health system. Moral sensitivity plays an important role in how professional responsibilities and moral decisions are made by nurses. This study aims to investigate the relationship between nurses’ moral sensitivity and patients’ satisfaction with quality of nursing care. This study is descriptive and analytic. First, nurses in internal, surgical and special wards were selected through census method. Then, patients were selected using quota sampling to the ratio of nurses from each section. Data were collected through Demographic Questionnaires, Patient Satisfaction Instrument and Moral Sensitive Questions. Data were analyzed using SPSS 23. There was a significant positive correlation between nurses’ moral sensitivity and patients’ satisfaction with quality of nursing care (P<0.05). The majority of patients (70.5%) had moderate level of satisfaction with quality of nursing care. 93.5% of nurses had high moral sensitivity. There was no statistically significant relationship between nurses’ moral sensitivity and variables of sex, location of work, marital status, type of responsibility and work shift. Relationship between patient satisfaction and type of admission ward was significant (P = 0.03). Increased moral sensitivity in nurses is effective on improving patients’ satisfaction with the quality of nursing care. It is suggested to conduct further research with larger sample size and investigate other factors affecting patient satisfaction in order to ensure the generalizability of research results.
1. Ayyazi Z, Rahimi Medise M. Business Ethics and Professional Ethics for Students of Nursing, Midwifery and Allied Health. Second, editor. Tehran: Jamee Neghar. 2015.
2. Gholami K, Ebrahimi E. Design Model of Moral Sensitivity and its Relation to the Teaching of Caring Teachers. Journal of Ethics in Science and Technology. 2014;10(1):85-94.
3. Izadi A, Imani H, Noughabi F, Hajizadeh N, Naghizadeh F. Moral Sensitivity of Critical Care Nurses in Clinical Decision Making and Its Correlation with Their Caring Behavior in Teaching Hospitals of Bandar Abbas in 2012. Iranian Journal of Medical Ethics and History of Medicine. 2013;6(2):43-56. http://ijme.tums.ac.ir/article-1-5014-en.html.
4. Robichaux C. Developing Ethical Skills: From Sensitivity to Action. Critical Care Nurse. 2012;32(2):65-72. https://doi.org/10.4037/ccn2012929.
5. Papastavrou E, Andreou P, Tsangari H, Merkouris A. Linking Patient Satisfaction with Nursing Care: The Case of Care Rationing - A Correlational Study. BMC Nursing. 2014;13(1):26. https://doi.org/10.1186/1472-6955-13-26.
6. Kusk KH, Groenkjaer M. Effectiveness of Primary Nursing in the Care and Satisfaction of Adult Inpatients: A Systematic Review Protocol. JBI Database of Systematic Reviews and Implementation Reports. 2016;14(6):14-22. https://doi.org/10.11124/JBISRIR-2016-002390.
7. Tajvidi. Nursing Ethics and Professional Relationship, Tehran: Jamee Negar. 2016.
8. Gholjeh M, Dastoor Poor M, Ghasemi A. The Relationship between Quality of Nursing Care and Patient Satisfaction in Hospitals Affiliated with the University of Medical Sciences City of Zahedan in 1392. Hakim Seyed Esmail Jorjani Journal. 2014;3(1):68-81.
9. Haile K, Awoke A, Zewdu F, Bisenebit T, Abuhay M. Adult Patient Satisfaction with Inpatient Nursing Care and Associated Factors in an Ethiopian Referral Hospital, Northeast, Ethiopia. 2016;2016:6308617. https://doi.org/10.1155/2016/6308617.
10. Karaman Özlü Z, Uzun Ö. Evaluation of Satisfaction with Nursing Care of Patients Hospitalized in Surgical Clinics of Different Hospitals. International Journal of Caring Sciences. 2015;8(1):19-24.
11. Peyrovi H, Bahadori A, Ashghali-Farahani M, Haghani H. Comparison of Inpatients’ Satisfaction with Different Domains of Nursing Care. Quarterly Journal of Nursing Management. 2013;2(1):59-66. http://ijnv.ir/article-1-132-en.html.
12. Khezri L, Ravanipour M, Jahanpour F, Mirzaee K. Assessment of Patient Satisfaction with Nursing Services Provided in General Wards of University Hospitals in Bushehr 2012. Nursing Journal of the Vulnerable (NJV). 2015;2(3):36-46. http://njv.bpums.ac.ir/article-1-630-en.html.
13. Mortazavi Y, Khalil Pour A, Rabiee O, Rohi Z, Ghomi S. Patient Satisfaction From Pre and Postoperative Nursing Care in Hospitals Affiliated to Babol University Of Medical Sciences. Preventive Care in Nursing & Midwifery Journal. 2013;3(1):30-45. http://zums.ac.ir/nmcjournal/article-1-75-en.html.
14. Jafar Jalal E, Joolaee S, Hajibabaee Bahrani N. Evaluating the Relationship between Nurses’ Occupational Satisfaction and Patients’ Satisfaction with Nursing Service. Ir J Nurs Res. 2015;10:25-34. http://ijnr.ir/article-1-1478-en.html.
15. Merkouris A, Andreadou A, Athini E, Hatzimbalasi M, Rovithis M, Papastavrou E. Assessment of Patient Satisfaction in Public Hospitals in Cyprus: A Descriptive Study. Health Science Journal. 2013;7(1):28-40.
16. Agheorghiesei DT, Copoeru I. Evaluating Patient Satisfaction–A Matter of Ethics in the Context of the Accreditation Process of the Romanian Hospitals. Procedia-Social and Behavioral Sciences. 2013;82:404-10. https://doi.org/10.1016/j.sbspro.2013.06.283.
17. El-Nasser GA, Mohamed N. Patient Satisfaction with Preoperative Care and Its Relationship with Patient Characteristics. The Medical Journal of Cairo University. 2013;81(2):1-10.
18. Moghaddasian S, Abdollah-Zadeh F, Rahmani A, Salehain M, Firouzian A. Nurse-Patient Communication and Its Relation to Satisfaction with Nursing Services in View Point of Cancer Patients Hospitalized in Shahid Ghazi Hospital. Tabriz: Journal of North Khorasan University of Medical Sciences. 2013;5(2):459-66. https://doi.org/10.29252/jnkums.5.2.459.
19. Buyuk ET, Rizaral S, Güdek E. Ethical Sensitivity, Job Satisfaction and Related Factors of the Nurses Working in Different Areas. Progress in Health Sciences. 2015;5(1):138-49.
20. Freitas JSd, Silva AEBdC, Minamisava R, Bezerra ALQ, Sousa MRGd. Quality of Nursing Care and Satisfaction of Patients Attended at a Teaching Hospital. Revista latino-Americana de Enfermagem. 2014;22(3):454-60. https://doi.org/10.1590/0104-1169.3241.2437.
21. Mohamadi J, Azizi A, Dehghan Manshad S. The Relationship between Moral Sensitivity and Quality of Nursing Work Life in the City of Tabriz in 2014. Community Health. 2016;9(4):9-17.
22. Negarandeh R, Mohammadi S. Correlation between Patient Satisfaction and Quality of Caring Behaviors of Nursing Students, Journal of Nursing and Midwifery. Tehran University of Medical Sciences (Hayat). 2012;18(3):10-21. http://hayat.tums.ac.ir/article-1-19-en.html.
23. Jo KH, Kim YJ. The Impact of Nurses' Attitude toward Dignified Death and Moral Sensitivity on Their End-of-Life Care Performance. The Korean Journal of Hospice and Palliative Care. 2013;16(4):223-31. https://doi.org/10.14475/kjhpc.2013.16.4.223.
24. Mohammadi S, Borhani F, Roshanzadeh M. Moral Sensitivity and Delivering Bad News Skills: A Study on Critical Care Unit Nurses. Medical Ethics Journal. 2016;10(37):7-16. https://doi.org/10.21859/mej-10377.
25. Bentzen G, Harsvik A, Brinchmann BS. Values that Vanish into Thin Air: Nurses' Experience of Ethical Values in Their Daily Work, Nursing research and practice. 2013. https://doi.org/10.1155/2013/939153.
26. Dehghani A, Mosalanejad L, Dehghan-Nayeri N. Factors Affecting Professional Ethics in Nursing Practice in Iran: A Qualitative Study. BMC Medical Ethics. 2015;16(61). https://doi.org/10.1186/s12910-015-0048-2.
27. Azizi-Fini I, Mousavi MS, Mazroui-Sabdani A, Adib-Hajbaghery M. Correlation between Nurses’ Caring Behaviors and Patients’ Satisfaction. Nursing and Midwifery Studies. 2012;1(1):36-40. https://doi.org/10.5812/nms.7901.
28. Ertuğ N, Aktaş D, Faydali S, Yalçin O. Ethical Sensitivity and Related Factors of Nurses Working in the Hospital Settings. Acta Bioethica. 2014;20(2):265-70. https://doi.org/10.4067/S1726-569X2014000200014.
29. Farasatkish R, Shokrollahi N, Zahednezhad H. Critical Care Nurses’ Moral Sensitivity in Shahid Rajaee Heart Center Hospital. Iranian Journal of Cardiovascular Nursing. 2015;4(3):36-45. http://journal.icns.org.ir/article-1-351-en.html.
30. Baghaei R, Moradi Y, Aminolshareh S, Zareh H. The Ethical Sensitivity of Nurses in Decision Making in Ayatollah Taleghani Hospital. Journal of Urmia Nursing and Midwifery Faculty. 2014;11(11):595-605. http://unmf.umsu.ac.ir/article-1-1700-en.html.
31. Sadrollahi A, Khalili Z. A Survey of Professional Moral Sensitivity and Associated Factors among the Nurses in West Golestan Province of Iran. Iranian Journal of Medical Ethics and History of Medicine. 2015;8(3):61-5. http://ijme.tums.ac.ir/article-1-5491-en.html.
32. Chan AW, Cheung HY. Cultural Dimensions, Ethical Sensitivity, and Corporate Governance. Journal of Business Ethics. 2012;110(1):45-59. https://doi.org/10.1007/s10551-011-1146-9.
33. Woodbine G, Porter S, Saat M. Does Religiosity Influence Ethical Sensitivity. An Investigation on Malaysia Future Accountants Malaysian Accounting Review. 2009;8:17-41.
34. Tang WM, Soong CY, Lim WC. Patient Satisfaction with Nursing Care: A Descriptive Study Using Interaction Model of Client Health Behavior. International Journal of Nursing Science. 2013;3(2):51-6. https://doi.org/10.5923/j.nursing.20130302.04.
35. Sadeghi A, Adeli Z, Shamsaei F, Moghim Beigi A. Relationship between Nurses’ Moral Intelligence and Patients’Satisfaction from Nursing Care. Quarterly Journal of Nursing Management. 2015;4(3):65-75. http://ijnv.ir/article-1-339-en.html.
36. Motaghed Z, Mahboobi-Ardakan P, Meskarpour-Amiri M. Comparative Study of Patients’ Satisfaction with Nursing Service in Major Units of Selected Training Hospitals in Tehran. Surgery. 2016;1(1):33-6. https://doi.org/10.20286/hpr-010133.
37. Sultana A, Anwar B, Naseer O, Kulsoom A. Level of Satisfaction of Admitted Patients. Journal of Rawalpindi Medical College (JRMC). 2016;20(1):59-62.
38. Ndambuki J. The Level of Patients’ Satisfaction and Perception on Quality of Nursing Services in the Renal Unit, Kenyatta National Hospital Nairobi. Kenya: Open Journal of Nursing. 2013;3(2):186-194. https://doi.org/10.4236/ojn.2013.32025.