Original scientific paper

BIOETHICAL DECISION-MAKING IN CLINICAL NURSING PRACTICE

AIDA KAPO orcid.org/0000-0001-9332-7042 ; Clinical Center of the University of Sarajevo, Discipline of Gynecology and Obstetrics, Obstetrics Department, Sarajevo, Bosnia and Herzegovina; Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
AMER OVČINA ; Clinical Center of the University of Sarajevo, Discipline of Gynecology and Obstetrics, Obstetrics Department, Sarajevo, Bosnia and Herzegovina; Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
ERNELA EMINOVIĆ ; Clinical Center of the University of Sarajevo, Discipline of Gynecology and Obstetrics, Obstetrics Department, Sarajevo, Bosnia and Herzegovina; Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
HADŽAN KONJO ; Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
SUADA BRANKOVIĆ ; Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
AMELA SALIHOVIĆ ; Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzegovina

Abstract

Introduction: Nursing as a profession and vocation is understood as humanity, altruism and dedication. Nurses possess 4 types of responsibilities: human, legal, ethical and professional, within which protective models are oriented to the well-being of the patient. The values, rules and principles within nursing practice are regulated by codes of ethics. Aim: To determine the infl uence of knowledge, positive attitude and love for the profession, as well as practices based on high moral and ethical principles in graduate nurses on making ethical decisions in work with patients. Material and methods: The study was conducted among 106 graduate nurses of the Clinical Center of the University of Sarajevo. The study was descriptive, transverse according to the cross-sectional type. The study was conducted in the period from June 1, 2019 to September 30, 2019. Statistical data processing was performed using the χ2-test, Fisher test, Mann-Whitney U test, and other tests. Results: The majority of respondents (89.4%) stated that they chose nursing profession out of love and desire to help sick people. The largest number of respondents make ethical decisions independently in the implementation of appropriate health care (84%), 62.3% are considered religious, but 77.7% of them believe that religiosity does not affect ethical decision making. Half of the respondents stated that they were in a situation to act as a legal protector for patients in case they noticed that they could be harmed. The majority of respondents (84%) did not have a situation to make wrong ethical decision in their practice. Conclusion: Our study confi rms that in order to make ethical decisions in working with patients, graduate nurses must have quality knowledge, a positive attitude and love for the profession, and a practice based on high moral and ethical principles.

Keywords

knowledge; attitudes; practice, nurse; ethical decisions

Hrčak ID:

280164

URI

https://hrcak.srce.hr/280164

Publication date:

7.7.2022.

Article data in other languages: croatian

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