The Relationship Between Subjective Compliance with Isolation Precautions and Moral Sensitivity in Novice Nurses: Cross-sectional Study

Overview

Journal BMC Nurs

Publisher Biomed Central

Specialty Medical Education

Date 2024 Jan 24

PMID 38267937

Authors

Hanife Tiryaki Sen

Sehrinaz Polat

Leyla Afsar Dogrusoz

Affiliations

Soon will be listed here.

Abstract

Background: Increasing compliance with isolation precautions is important in reducing hospital-acquired infections and their consequences. It is not possible to achieve and maintain nurse compliance through supervision, control, pressure, or training. Therefore, nurses must personally demand compliance with isolation precautions. This study aimed to determine the relationship between compliance with isolation precautions and the moral sensitivity levels of nurses who have just started working.

Methods: This study employed a descriptive and cross-sectional research design. The study population consisted of 456 new nurses recruited during the pandemic. All of the new nurses who volunteered to participate in the study and completed the questionnaires completely were included in the study and 398 nurses constituted the sample of the study. Data were collected from 398 out of 456 novice nurses who agreed to participate in the study. The population coverage rate was 87.28%. Participants were selected using convenience sampling method. The data collection tools included an Introductory Information Form, The Isolation Compliance Precautions Scale (TIPCS), and the Moral Sensitivity Questionnaire (MSQ). Descriptive statistics, correlation analyses, and regression models were used to analyze data.

Findings: The mean score of the MSQ was high (mean ± SD = 90.49 ± 25.94; median (P25-P75) = 84 (range, 74-97), and the score for TIPCS was high (mean ± SD = 79.29 ± 7.68; median (P25-P75) = 82 (range, 76-85)). No correlation was found between MSQ and TIPCS (p > 0.05). According to the regression analysis, although the MSQ did not correlate with TIPCS, compliance with isolation measures was found to increase as the conflict subscale of moral sensitivity increased (β= -0.36, CI= -0.55 to -0.16; p < 0.001). Choosing the profession willingly had a positive correlation with compliance with isolation measures (β = 5.3, CI = 2.4 to 8.3; p < 0.001). In addition, starting the profession at an early age had a positive correlation with compliance with isolation measures (β= -0.49, CI= -0.8 to -0.17; p = 0.002).

Conclusion: The conflict sub-dimension of moral sensitivity is an important factor in nurses' compliance with isolation measures, and conducting necessary training and other studies to improve nurses' moral sensitivity may increase their compliance with isolation measures.

References

Lutzen K, Johansson A, Nordstrom G . Moral sensitivity: some differences between nurses and physicians. Nurs Ethics. 2001; 7(6):520-30. DOI: 10.1177/096973300000700607. View

McCauley L, Kirwan M, Matthews A . The factors contributing to missed care and non-compliance in infection prevention and control practices of nurses: A scoping review. Int J Nurs Stud Adv. 2024; 3:100039. PMC: 11080416. DOI: 10.1016/j.ijnsa.2021.100039. View

Jang S, Kim E, Lee H . Moral sensitivity and person-centred care among mental health nurses in South Korea: A cross-sectional study. J Nurs Manag. 2022; 30(7):2227-2235. DOI: 10.1111/jonm.13554. View

Bahegwa R, Hussein A, Kishimba R, Hokororo J, German C, Ngowi R . Factors affecting compliance with infection prevention and control standard precautions among healthcare workers in Songwe region, Tanzania. Infect Prev Pract. 2022; 4(4):100236. PMC: 9424571. DOI: 10.1016/j.infpip.2022.100236. View

Zhang N, Li J, Xu Z, Gong Z . A latent profile analysis of nurses' moral sensitivity. Nurs Ethics. 2019; 27(3):855-867. DOI: 10.1177/0969733019876298. View

Taylan S, Ozkan I, Sahin G . Caring behaviors, moral sensitivity, and emotional intelligence in intensive care nurses: A descriptive study. Perspect Psychiatr Care. 2020; 57(2):734-746. DOI: 10.1111/ppc.12608. View

Al-Faouri I, Okour S, Alakour N, Alrabadi N . Knowledge and compliance with standard precautions among registered nurses: A cross-sectional study. Ann Med Surg (Lond). 2021; 62:419-424. PMC: 7858679. DOI: 10.1016/j.amsu.2021.01.058. View

Basar Z, Cilingir D . Evaluating ethical sensitivity in surgical intensive care nurses. Nurs Ethics. 2018; 26(7-8):2384-2397. DOI: 10.1177/0969733018792739. View

Ohnishi K, Kitaoka K, Nakahara J, Valimaki M, Kontio R, Anttila M . Impact of moral sensitivity on moral distress among psychiatric nurses. Nurs Ethics. 2018; 26(5):1473-1483. DOI: 10.1177/0969733017751264. View

10.

Arli S, Bakan A . Nurses' compliance with isolation precautions and the affecting factors. Appl Nurs Res. 2017; 38:175-178. DOI: 10.1016/j.apnr.2017.10.014. View

11.

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. DOI: 10.1016/j.nedt.2021.105056. View

12.

Suliman M, Aloush S, Aljezawi M, ALBashtawy M . Knowledge and practices of isolation precautions among nurses in Jordan. Am J Infect Control. 2017; 46(6):680-684. PMC: 7132704. DOI: 10.1016/j.ajic.2017.09.023. View

13.

Amiri E, Ebrahimi H, Vahidi M, Jafarabadi M, Areshtanab H . Relationship between nurses' moral sensitivity and the quality of care. Nurs Ethics. 2018; 26(4):1265-1273. DOI: 10.1177/0969733017745726. View

14.

Bahrieni F, Azodi P, Hajivandi A, Seddighi Z, Jahanpour F . The effect of durability of knowledge transfer through reminiscence on the moral sensitivity of nurses. BMC Nurs. 2022; 21(1):305. PMC: 9644455. DOI: 10.1186/s12912-022-01060-4. View

15.

Khodaveisi M, Oshvandi K, Bashirian S, Khazaei S, Gillespie M, Masoumi S . Moral courage, moral sensitivity and safe nursing care in nurses caring of patients with COVID-19. Nurs Open. 2021; 8(6):3538-3546. PMC: 8242869. DOI: 10.1002/nop2.903. View

16.

Kassa A, Tadesse S, Walelign F, Kebede N . Compliance with standard precaution of infection prevention practice and associated factors among health care workers in Ethiopia: Mixed method study. Health Sci Rep. 2022; 5(5):e830. PMC: 9470010. DOI: 10.1002/hsr2.830. View

17.

Sharma A, Pillai D, Lu M, Doolan C, Leal J, Kim J . Impact of isolation precautions on quality of life: a meta-analysis. J Hosp Infect. 2020; 105(1):35-42. DOI: 10.1016/j.jhin.2020.02.004. View

18.

Afrasiabifar A, Mosavi A, Dehbanizadeh A, Khaki S . Nurses' caring behaviour and its correlation with moral sensitivity. J Res Nurs. 2022; 26(3):252-261. PMC: 8895006. DOI: 10.1177/1744987120980154. View