| چکیده انگلیسی مقاله |
Introduction: The confrontation of pediatric nurses with ethical challenges in the professional work environment is inevitable. One of the ethical dilemmas that has always been challenging for nurses is the issue of euthanasia, which is accompanied by extensive legal, religious, and cultural issues. Examining the relationship between ethical reasoning ability and attitudes towards euthanasia, which is a complex ethical challenge, informs our perspective on how nurses deal with ethical dilemmas. Therefore, this study was conducted to determine the correlation between ethical reasoning and attitudes towards euthanasia among nurses in pediatric hospitals.
Methods: This descriptive-analytical study was conducted on 194 pediatric nurses employed in children's hospitals affiliated with Tehran University of Medical Sciences. Data were collected electronically and in person using a three-part questionnaire, including a demographic information form, the Nursing Dilemma Test (NDT), and the Euthanasia Attitude Survey (EAS). The collected data were analyzed using SPSS version 26.
Results: The average score of nurses' ethical reasoning was 10.33±42.92, and the mean score for attitudes toward euthanasia was 0.12±2.65. There was no significant correlation between ethical reasoning scores and variables such as age, nursing experience, gender, marital status, education level, and participation in ethics courses, except for the workplace, which significantly influenced ethical reasoning scores. The attitude score toward euthanasia did not show a significant correlation with any of the demographic variables, except for the workplace. The Pearson correlation test results indicated a significant negative correlation between ethical reasoning scores and attitudes toward euthanasia (r=-0.60 and P<0.001).
Conclusion: The average ethical reasoning score of pediatric nurses was moderate, and they had a negative attitude toward euthanasia. The results showed that nurses with higher ethical reasoning skills had a more negative attitude toward euthanasia. Nurses in special and emergency departments had lower ethical reasoning scores and a more positive attitude toward euthanasia. Participation in nursing ethics workshops did not show a significant relationship with ethical reasoning scores and attitudes toward euthanasia, which is believed to be due to the inadequate content of the educational workshops. Based on the findings of this study, it is emphasized that comprehensive educational programs should be held to strengthen the ethical reasoning of pediatric nurses and enhance their understanding of euthanasia to ensure the quality of care. |
| نویسندگان مقاله |
اکرم سادات سادات حسینی | Akram Sadat Sadat Hoseini
Department of Pediatric Nursing and Neonatal Special Care, Tehran University of Medical Sciences, Faculty of Nursing and Midwifery, Tehran, Iran.
گروه پرستاری کودکان و مراقبت های ویژه نوزادان، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.
محمد مهدی رجبی | Mohammad Mahdi Rajabi
Department of Pediatric Nursing and Neonatal Special Care, Tehran University of Medical Sciences, Faculty of Nursing and Midwifery, Tehran, Iran.
گروه پرستاری کودکان و مراقبت های ویژه نوزادان، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.
حانیه توسلی | Hanie Tavasoli
Department of Pediatric Nursing and Neonatal Special Care, Tehran University of Medical Sciences, Faculty of Nursing and Midwifery, Tehran, Iran.
گروه پرستاری کودکان و مراقبت های ویژه نوزادان، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.
هادی رنجبر | Hadi Ranjbar
Mental Health Research Center, Iran University of Medical Sciences, School of Nursing and Midwifery, Tehran, Iran.
مرکز تحقیقات بهداشت روان، دانشگاه علوم پزشکی ایران، دانشکده پرستاری و مامایی، تهران، ایران.
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