Volume 22, Issue 5 (August 2024)                   Nursing and Midwifery Journal 2024, 22(5): 389-398 | Back to browse issues page


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Feizi A, Jafari S E, Aghakhani N. RELATIONSHIP BETWEEN ETHICAL PERFORMANCE AND MORAL SENSITIVITY OF NURSING STUDENTS IN UNIVERSITIES OF WEST AZERBAIJAN PROVINCE IN 2023: A CROSS-SECTIONAL STUDY. Nursing and Midwifery Journal 2024; 22 (5) :389-398
URL: http://unmf.umsu.ac.ir/article-1-5175-en.html
1- Associate Professor of Nursing, Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
2- MSc student in nursing, Urmia University of Medical Sciences, Urmia, Iran , elhamjafaricgfns@gmail.com
3- Associate Professor of Internal and Surgical Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
Abstract:   (444 Views)
Background & Aim: Nurses are the largest group of healthcare providers and must be aware and sensitive to ethical issues to adhere to ethical principles and make correct professional decisions. Ethical performance is an essential skill in nursing that protects nurses against complex ethical issues. Identifying the relationship between ethical performance and moral sensitivity is crucial for improving the quality of healthcare and making better ethical decisions. This study aimed to understand this relationship better and identify strategies to enhance ethical performance in healthcare. Therefore, the present study was conducted to determine the relationship between ethical performance and moral sensitivity among nursing students at universities in West Azerbaijan Province.
Materials & Methods: This descriptive cross-sectional study was conducted on 500 nursing students in universities in West Azerbaijan Province. The study population included nursing students from the universities in the province (Urmia School of Nursing and Midwifery, Islamic Azad Medical Sciences University of Urmia, Khoy Medical Sciences University, and Mahabad Nursing School). A quota sampling method was used to select eligible students based on the number of students in each university. Demographic information, moral sensitivity, and ethical performance questionnaires were completed by the students and collected by the researcher. Data were analyzed using SPSS version 24.
Results: The results showed that the participants' total mean scores of moral sensitivity and ethical performance were 69.18±7.05 and 146.11±15.91, respectively. Additionally, the results indicated a significant correlation between moral sensitivity total mean score and its subscales with ethical performance (P < 0.01). The correlation between professional knowledge and ethical performance total mean score was not significant (P > 0.05).
Conclusions: The study results demonstrated that moral sensitivity has a significant relationship with ethical performance and can be considered an important and influential factor in improving students' ethical performance. These findings can help design appropriate educational programs and enhance ethical education among nursing students, promoting ethical performance.
 
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Type of Study: Research | Subject: پرستاری

References
1. Jasemi M, Rasoulgoli REZ, Khalkhali H. Effects of Teaching Nursing Codes of Ethics through Lecture on Moral Sensitivity and Moral Performance of Nursing Students-A single blind, Quasi Experimental Study. Pak J Med Health Sci 2020;14(2):1276-80. [URL:]
2. Kadkhodaie M. The effect of Success Strategies Instruction on Self-efficacy and Academic Motivation of Students in university. Res Med Educ 2017;9(1):66-58. (Persian). [URL:] [DOI:10.18869/acadpub.rme.9.1.66]
3. Tural Buyuk E, Rizaral S, Güdek E. Ethical sensitivity, job satisfaction and related factors of the nurses working in different areas. Prog Health Sci 2015;5(1):138-49. [URL:]
4. Suhonen R, Stolt M, Habermann M, Hjaltadottir I, Vryonides S, Tonnessen S, et al. Ethical elements in priority setting in nursing care: A scoping review. Int J Nurs Stud 2018;88:25-42. [PMID: 30179768] [DOI:10.1016/j.ijnurstu.2018.08.006]
5. Molterer K, Hoyer P, Steyaert C. A practical ethics of care: Tinkering with different 'goods' in residential nursing homes. J Bus Ethics 2020;165:95-111. [URL:] [DOI:10.1007/s10551-018-04099-z]
6. Amiri E, Ebrahimi H, Areshtanab HN, Vahidi M, Jafarabadi MA. The relationship between nurses' moral sensitivity and patients' satisfaction with the care received in the medical wards. J Caring Sci 2020;9(2):98. (Persian). [PMID: 32626672] [DOI:10.34172/JCS.2020.015] [PMCID: PMC7322405]
7. Amiri E, Ebrahimi H, Vahidi M, Asghari Jafarabadi M, Namdar Areshtanab H. Relationship between nurses' moral sensitivity and the quality of care. Nurs Ethics 2019;26(4):1265-73. (Persian). [PMID: 29334818] [DOI:10.1177/0969733017745726]
8. Pavlish C, Brown-Saltzman K, So L, Wong J. SUPPORT: an evidence-based model for leaders addressing moral distress. J Nurs Adm 2016;46(6):313-20. [PMID: 27214334] [DOI:10.1097/NNA.0000000000000351]
9. Anari M, Salehi S, Shahriari M. Comparison of nurses' job performance based on nursing ethics in intensive care unit with public wards in Isfahan in 1398. Educ Ethics Nurs 2021;10(1):54-62. (Persian) [URL:]
10. Goli R, Jasemi M, Esmaeili R, Khalkhali H. Nursing codes of ethics education based on lecture on moral performance of nursing students: a quasi-experimental study. Nurs Midwifery J 2020;18(5):369-78. (Persian) [URL:]
11. Hamid S. Ethical issues faced by nurses during nursing practice in district Layyah, Pakistan. Divers Equal Health Care 2016;13(4). (Persian). [URL:] [DOI:10.21767/2049-5471.100068]
12. Mohajjel Aghdam A, Hassankhani H, Zamanzadeh V, Khameneh S, Moghaddam S. Nurses' Performance on Iranian Nursing Code of Ethics from Patients' Perspective. Iran J Nurs 2013;26(84):1-11. (Persian) [PMID: 25276730] [DOI: 10.5681/jcs.2013.027 Abstract]
13. Thorup CB, Rundqvist E, Roberts C, Delmar C. Care as a matter of courage: vulnerability, suffering and ethical formation in nursing care. Scand J Caring Sci 2012;26(3):427-35. [PMID: 22070455] [DOI:10.1111/j.1471-6712.2011.00944.x]
14. Baykara ZG, Demir SG, Yaman S. The effect of ethics training on students recognizing ethical violations and developing moral sensitivity. Nurs Ethics 2015;22(6):661-75. [PMID: 25096245] [DOI:10.1177/0969733014542673]
15. Mohammadi S, Borhani F, Roshanzadeh M. Moral Sensitivity and Nurse's Attitude toward Patients' Rights. Iran J Med Ethics Hist Med 2017;9(5). (Persian) [URL:]
16. Izadi A, Imani H, Noughabi F, Hajizadeh N, Naghizadeh F. Moral sensitivity of critical care nurses in clinical decision making and its correlation with their caring behavior in teaching hospitals of Bandar Abbas in 2012. Iran J Med Ethics Hist Med 2013;6(2):43-56. (Persian) [URL:]
17. Dehghani M, Mousazadeh N, Hakimi H, Hajihosseini F, Faghih M, Mohseni R. Relationship between moral sensitivity and moral intelligence in nurses working in intensive care units. J Mazandaran Univ Med Sci 2020;30(184):148-84. (Persian) [URL:]
18. Seyedi T, Habibi H, Pishgooie SAH, Rajaei N. Factors affecting nurses moral sensitivity. A Narrative Review Article. J Sch Army Nurs 2021;20(2):53-60. (Persian) [URL:]
19. Bayattork R, Alikhah A, Alitaneh F, Mostafavian Z, Farajpour A. Moral Intelligence and Its Relative Demographic Factors in Medical and Nursing Students Studying at Islamic Azad University of Mashhad. Iran J Med Ethics Hist Med 2018;11(1):353-64. [URL:]
20. Motlagh FG, Nobahar M, Raiesdana N. The relationship of moral intelligence and social capital with job satisfaction among nurses working in the emergency department. Int Emerg Nurs 2020;52:100911. [PMID: 32827936] [DOI:10.1016/j.ienj.2020.100911]
21. Bagheri M, Shahriari M, Hassanvand P, Mohammadi Pelarti A, Ghanavatpour A. The Relationship between Moral Sensitivity and Professional Behaviour and Its Comparison in First‐and Last‐Year Undergraduate Nursing Students. Nurs Res Pract 2023;2023(1):5368045. (Persian). [PMID: 38047000] [DOI:10.1155/2023/5368045] [PMCID: PMC10689067]
22. Lützén K, Nordin C, Brolin G. Conceptualization and instrumentation of nurses' moral sensitivity in psychiatric practice. Int J Methods Psychiatr Res 1994;4(4):241-8. [URL:] [DOI:10.1037/t60329-000]
23. Hassanpoor M, Hosseini M, Fallahi Khoshknab M, Abbaszadeh A. Evaluation of the impact of teaching nursing ethics on nurses' decision making in Kerman social welfare hospitals in 1389. Iran J Med Ethics Hist Med 2011;4(5):58-64. (Persian) [URL:]
24. Alnajjar P, Hend Abdu, Abou Hashish P, Ebtsam Aly. Academic ethical awareness and moral sensitivity of undergraduate nursing students: assessment and influencing factors. SAGE Open Nurs 2021;7:23779608211026715. [PMID: 34263030] [DOI:10.1177/23779608211026715] [PMCID: PMC8243134]
25. Zanjani SE, Shadnoush N, Khoshgoftar Z, Mashˆa S, Goshki ES. Introduction to codes of ethics for nursing students in Iran. Med Ethics J 2014;8(26):11-30. (Persian) [URL:]
26. Jasemi M, Goli R, Zabihi RE, Khalkhali H. Educating ethics codes by lecture or role-play; which one improves nursing students' ethical sensitivity and ethical performance more? A quasi-experimental study. J Prof Nurs 2022;40:122-9. [PMID: 35568451] [DOI:10.1016/j.profnurs.2021.11.002]
27. Momennasab M, Homayoon Z, Torabizadeh C. Critical Care Nurses' Adherence to Ethical Codes and Its Association with Spiritual Well‐Being and Moral Sensitivity. Crit Care Res Pract 2023;2023(1):8248948. [PMID: 37197156] [DOI:10.1155/2023/8248948] [PMCID: PMC10185430]
28. Chen Q, Su X, Liu S, Miao K, Fang H. The relationship between moral sensitivity and professional values and ethical decision-making in nursing students. Nurse Educ Today 2021;105:105056. [PMID: 34265538] [DOI:10.1016/j.nedt.2021.105056]
29. Kim Y-S, Kang S-W, Ahn J-A. Moral sensitivity relating to the application of the code of ethics. Nurs Ethics 2013;20(4):470-8. [PMID: 23166142] [DOI:10.1177/0969733012455563]
30. SadeGHI K, Alavi A. The relationship between moral knowledge, sensitivity and performance of nurses working in emergency units. J Bioethics 2019;8(30):35-44. (Persian) [URL:]
31. Luo Z, Tao L, Wang CC, Zheng N, Ma X, Quan Y, Zhou J, Zeng Z, Chen L, Chang Y. Correlations between moral courage, moral sensitivity, and ethical decision-making by nurse interns: a cross-sectional study. BMC Nurs 2023;22(1):260. [PMID: 37553653] [DOI:10.1186/s12912-023-01428-0] [PMCID: PMC10408053]
32. Smith CQ, Williams I, Leggett W. A matter of (good) faith? Understanding the interplay of power and the moral agency of managers in healthcare service reconfiguration. Soc Sci Med 2024;342:116553. [PMID: 38199008] [DOI:10.1016/j.socscimed.2023.116553]

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