The Development Model to Enhance Professional Nursing Morality and Ethical Behaviors at Nakornping Hospital, Chiang Mai Province
Keywords:
morality and ethical behaviors, model of morality and ethical behaviors promotion, Moral and ethical behaviors of registered nursesAbstract
The objectives of this research and development were to develop model of enhancing professional nursing morality and ethical behaviors at Nakornping Hospital and to study outcomes of enhancing professional nursing morality and ethical behaviors. This model was composed with 5 steps: 1st Step: Analyzed the situation, 2nd Step: Development of morality and ethical model, 3nd Step: Improvement the morality and ethical model, 4th Step: Implementation morality and ethical model in real situation, and 5th Step: Evaluation of a morality and ethical model. The sample group were composed with 2 groups; the first group were 260 registered nurses, developed the model of enhancing morality and ethical behaviors of the registered nurse, and the administrators nurses, practices nurses who had evaluated the morality and ethical behaviors of the nurses. The second groups were 560 persons who had received the nursing services and were selected by inclusion criteria. Data were analyzed by descriptive statistics, compared the difference means of behavioral score with one - way repeated analysis of variance and content analysis.
The results of the study shown that the model for promoting morality and ethical behaviors of the nursing professionals composed of 3 components; learning from doing, self-reflection and practicing to control their own behaviors’. The model was led by the nurses, the representatives from each unit. Outcomes of using the model for promoting morality and ethical behaviors found that the score of ethical behaviors of registered nurses after using this model by the nurse - evaluator were higher than prior to using the model statistically significance. (P < .05) But the score of ethical behaviors of registered nurses after using this model by services recipients evaluator were lower than prior to using the model statistically significance. (P = .03) Base on the results, it concluded that model was developed to enhance professional by participation all level of nurses were increased the ethical behaviors scores of professional nurses, but outcomes of services recipients with satisfied were decreased. Because of the situation of COVID-19 outbreaks affected to relationship in nursing services. Therefore, next development should be taken the reflection of the nursing services recipients to analysis and solve problems according to their needs.
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