Ethical pediatric nursing care and associated factors among nurses in pediatric wards in specialized children’s educational and therapeutic center in Gorgan, Iran
摘要
Ethical care involves respecting human values, professional conscience, cultural and religious beliefs, personal appearance, confidentiality, and providing high-quality nursing services. In pediatric wards, ethical challenges are often more intense and complex than in adult care, which can increase the risk of neglecting the rights of children and their families. To address this, healthcare centers employ various methods to enhance ethical care. Since there is little research on ethical pediatric care in Gorgan, northern Iran, this study aims to evaluate Ethical Pediatric Nursing Care and Associated Factors among Nurses in Pediatric.
MethodsThis cross-sectional study was conducted in 2024 among 133 nurses working in pediatric and neonatal departments in Specialized Children’s Educational and Therapeutic Center in Gorgan. According to the sampling framework and the estimated number of participants from each section, participants were selected through simple random sampling. Data were collected using a demographic-professional characteristics questionnaire and the Children’s dimensions Ethical Care Questionnaire developed by Khalili et al. (2023). Data analysis was performed using SPSS version 26 with Mann–Whitney U and Spearman correlation coefficient tests. A p-value of < 0.05 was considered statistically significant.
ResultsThe mean age of the participants was 35.30 ± 8.73 years. The mean total score of pediatric ethical care was 162.19 ± 14.39, which indicates a desirable level. Among the dimensions, the lowest and highest mean scores were observed in welfare needs (3.97 ± 0.86) and medical needs (4.53 ± 0.42), respectively. Pediatric ethical care was significantly associated with several personal and professional characteristics of nurses, including gender (p = 0.001), work shift (p = 0.042), job title (p = 0.025), employment type (p = 0.007), age (p = 0.001), and work experience (p = 0.001).
ConclusionAlthough pediatric nurses generally provided good ethical care, more attention is needed to address children’s welfare needs. Nurses should focus more on supporting the welfare of hospitalized children and infants, respecting their rights. Training programs targeting these areas are recommended to improve nurses’ performance.