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