Clients’ Expectation and Perception towards Ethical Behaviour in Nursing Practice of Community Health Nurse in Primary Care Unit

Main Article Content

Wipanun Muangsakul
Chanida Mattavangkul

Abstract

            The descriptive research aimed to study the level of expectations, perceptions and the difference between the level of expectations and perceptions of clients regarding ethical behaviour in nursing practice of community health nurses in Primary Care Unit. The data were collected by using questionnaires. The multi-stage random sampling was used for study area selection including Nonthaburi, Samut Sakhon, and Nakhon Pathom. 444 sample were selected by purposive sampling according to inclusion criteria. Descriptive statistics (i.e. frequencies, percentage, mean, and standard deviation) and inferential statistics (i.e. Paired t-test) were used for analyzing the data.
            The result revealed that the clients had a good level of expectations (M = 4.11, SD = 0.74). For each subscale, it was found that the highest mean score was non-maleficence (M = 4.27, SD = 0.81). For ethical behaviour expected by clients, the highest mean score asked about any drug or other drug allergy history before receiving any medication (M = 4.30, SD = 0.88), checked your name-surname every time before receiving the medicine (M = 4.29, SD = 0.87) and the lowest mean score was their own participation in medical planning (M = 3.78, SD = 0.98). The perception of the clients were very high (M = 4.26, SD = 0.63). For each subscale, it was found that the highest mean score was non-maleficence as well (M = 4.42, SD = 0.69) and ethical behaviour perceived by clients with the highest mean score was checked name-surname every time before receiving the medicine (M = 4.45, SD = 0.75), asked about any drug or other drug allergy history before receiving any medication (M = 4.44, SD = 0.77) and the lowest mean score was their own participation in medical planning (M = 4.26, SD = 0.63). It showed respect for autonomy of the clients. The mean score of perceptions of ethical behaviour was higher than expectations and the score with less perceptions was their own participation in medical planning (M = 3.91, SD = 0.92). Statistical significance at the level of 0.001 including the difference between expectations and perceptions in all aspects (P-E = 0.15). The gap of difference between the level of expectations and perceptions showed ethical behaviour in respect for autonomy was the least different (0.12). The second was beneficence (0.13) and justice (0.17) had the greatest difference between expectations and perceptions.
            Recommendations, community health nurses should perform nursing activities that apply non-maleficence, which is needed by the most clients and should develop the respect for autonomy, so that clients can receive information about medical care, concerning about the patient's individuality and the rights of patients as well.

Downloads

Download data is not yet available.

Article Details

Section
Research Article

References

1. Collette Straughair. Exploring compassion: implications for contemporary nursing. Part 1. British Journal of Nursing 2013;21(3):160-4.

2. Suwannachart P. Using science and art in nursing practice. [Internet]. [cited 2019 March 15]. Available from: http://www.natne.or.th/images/01_Event/18112559/003.pdf. (in Thai).

3. Sirilai S. Ethics for nurses. 13th ed. Bangkok: Chulalongkorn University Printing House; 2013. (in Thai).

4. Bureau of Policy and Strategy, Office of the Permanent Secretary, Ministry of Public Health. Social expectations for registered nurses. [Internet]. [cited 2019 March 9]. Available from: http://wops.moph.go.th/ops/thp/images/stories/Report_pics/Thai_Report/HighLight/Y54/May/Issue_13.pdf (in Thai).

5. Deepisansakul P. Expectation and perception of the clients about the science quality of the hospital. Veridian E-Journal 2013;6(1):573-92. (in Thai).

6. Thongjam R, Phrakhrubhavanabodhikun. Ethics in nursing practice. Journal of Graduate MCU KhonKaen Campus 2020;7(1):29-44. (in Thai).

7. Auttawang P, Jai-Karn T. Title ethical behaviors and nursing service behaviors of registered nurses of Pong hospital, Phayao province. Nursing Public Health and Education Journal 2013;14(2):43-51. (in Thai).

8. Supamanee T, Thana K. Social media networking: consideration for nurses. Nursing Journal 2015;42(2):164-8. (in Thai).

9. Burea of health service system development, Department of Health Service Support, Ministry of Public Health. Quality criteria for primary service network (Primary Care Award: PCA). 2552. [Internet]. [cited 2019 March 17]. Available from: http://koonnapab.chiangmaihealth.go.th/gallery/stdPCA.pdf. (in Thai).

10. Srisupan V, Chanthai K. Guide for nursing practice of Tambon Health Promoting Hospital. Bangkok: Golden Point; 2013. (in Thai).

11. Aungwattana S. Community nursing: nursing process. Chiang Mai: Smart Coating and Services; 2017. (in Thai).

12. Yuenyong N. The ethical behaviour of the professional nurses. Pathumthani University Academic Journal. 2009;1(1):110-23. (in Thai).

13. Suksabai W, Thongsuk S. Patients’ perception on moral characteristics of nurses in Ramathibodi Hospital. Rama Nurs J 2009;15(1):60-75. (in Thai).

14. Arpanantikul M, Prapaipanich W, Senadisai S, Orathai P. Nursing administrators’ perception of Thai registered nurses’ professional ethics. Thai Journal of Nursing Council 2014;29(2):5-20. (in Thai).

15. Paz LG, Kostova B, Lopez-Pinac JA, Solans-Julind P, Navarro-Rubiob MD, Almiralla AS. A Rasch analysis of patients’ opinions of primary health care professionals’ ethical behaviour with respect to communication issues. Fam Pract 2015;32(2):237-43.

16. Pena MM, Da Silva EMS, Tronchin DMR, Melleiro MM. The use of the quality model of Parasuraman, Zeithaml and Berry in health service. 2013; DOI: 10.1590/S0080-623420130000500030.

17. Rukdee R. Professional nurses’ service behaviour perceived by inpatients of Charoensin hospital, Sakon Nakhon province. [Master’s Thesis, Faculty of Nursing]. Burapha University; 2013. (in Thai).

18. Aphisoontharangkoon U. Factors associated with quality of nursing service of outpatients at a selected private hospital in Nakhonratchasima. [Master’s Thesis, Faculty of Nursing]. Burapha University; 2016. (in Thai).

19. Chuen-im W, Sitakalin P, Prasertchai A. Client expectations and perceptions of service quality at personnel healthcare unit. Rama Nurs J 2015;21(1):122-38. (in Thai).

20. Thailand Nursing and Midwifery Council. Handbook of ethics for nursing organizations: guideline and practices. 2nd ed. Nonthaburi: Golden Point; 2015. (in Thai).

21. Yamane T. Statistics: an introductory analysis. 2nd ed. New york: Harper and Row Publication; 1967.

22. Khangsri D, Awiphan R, Suwannaprom P. Participation of primary health care personnel in the development process for drug dispensing and counseling services. Thai Journal of Pharmacy Practice 2013;5(2):91-107. (in Thai).

23. Yaipong C, Sitthiworanan C. Needs for competency improvement in drug dispensing and counseling services among service providers of sub-district health promoting hospitals in Kanchanaburi. Thai Journal of Pharmacy Practice 2020;12(2):505-18. (in Thai).

24. Lambhan N. Customer expectation of service quality providing by sub-district health promoting hospital, Trang province. [Master’s Thesis, Faculty of Health and Sports Science]. Thaksin University; 2011. (in Thai).

25. Wangthong A, Wangthong A, Watsen T, Suttarangsri W. Clients’perspectives on humanized nursing care within a multicultural context: a case study of Nongjik District, Pattani province. Nursing Journal of the Ministry of Public Health 2014;23(3):35-44. (in Thai).

26. Thanwong T, Pensirinapa N. Factors related to medical care usage of chronic disease patients at sub-district health promoting hospitals in Khao Yoi health network, Petchaburi province. Journal of Safety and Health 2016;9(31):26-36. (in Thai).

27. Pongboriboon U. Ethical principles in the nursing profession. In: Wongsree C, Pongboriboon U, editors. Laws and professional ethics of nursing and other laws. Bangkok: N P Press limited partnership; 2014. (in Thai).

28. Thailand Nursing and Midwifery Council. Guideline for Nursing Practice of Tambon Health Promoting Hospital. Bangkok: Golden Point; 2013. (in Thai).

29. Chaichana J, Prachusilpa G. A study of professional nurse roles in sub-district health promotion hospital. Journal of The Royal Thai Army Nurses 2018; 19(Suppl December):193-202. (in Thai).

30. Fry ST, Johnstone MJ. Ethics in nursing practice: a guide to decision making. 2nd ed. Switzerland: Blackwell Science; 2002.

31. Bureau of Primary Health system Support, Office of the Permanent Secretary, Ministry of Public Health. Guidelines for establishing primary care units and primary care networks According to the Primary Health System Act 2019 for the Office of the Permanent Secretary, Ministry of Public Health. [Internet]. [cited 2020 April 20]. Available from: https://drive.google.com/file/d/1o7xE8a5b7MOQr9BkjLxMQirBoLcJHlhk/view. (in Thai).

32. Rattanajarana S, Karaked K, Wongudom R. Nursing: the perspectives of hospitalized patients. Journal of Nursing and Education 2015;8(4):140-52. (in Thai).

33. Lertpunjasub P, Stiramon O. Conflict analysis and management among registered nurses in admission system at the hospital A. Journal of Social Sciences & Humanities 2017;43(2):47-63. (in Thai).

34. Yutitham Y. Problems relating to the protection of personal data in the medical treatment of patients. Academic Journal Phranakhon Rajabhat University 2013;4(2):71-80. (in Thai).

35. Choeisuwan V, Dolsamer K, Kwansawaitham N, Supanam S, Phabthong K, Panngamm W. The Evaluation of Bachelor of Nursing Science Program (Revised Curriculum B.E. 2551), Royal Thai Navy College of Nursing. Royal Thai Navy Medical Journal 2017;44(3):1-18. (in Thai).