Improving nurses’ knowledge, attitude, and performance in relation to ethical codes through group reflection strategy

Abstract Background The most basic responsibility of nurses that even precedes their therapeutic role is respect for professional ethics in providing clinical care. The present study was conducted to determine the effect of group reflection on the knowledge, attitude and performance of nurses in rel...

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Autores principales:	Marzieh Momennasab, Marjan Ghanbari, Mozhgan Rivaz
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Group reflection Knowledge Attitude Performance Nurses Codes of ethics Nursing RT1-120
Acceso en línea:	https://doaj.org/article/0e108502bcc343fc89d0fb9e721e7d05
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spelling	oai:doaj.org-article:0e108502bcc343fc89d0fb9e721e7d052021-11-07T12:10:16ZImproving nurses’ knowledge, attitude, and performance in relation to ethical codes through group reflection strategy10.1186/s12912-021-00749-21472-6955https://doaj.org/article/0e108502bcc343fc89d0fb9e721e7d052021-11-01T00:00:00Zhttps://doi.org/10.1186/s12912-021-00749-2https://doaj.org/toc/1472-6955Abstract Background The most basic responsibility of nurses that even precedes their therapeutic role is respect for professional ethics in providing clinical care. The present study was conducted to determine the effect of group reflection on the knowledge, attitude and performance of nurses in relation to ethical codes. Methods The present blinded, before-after, educational trial was conducted on 86 nurses working at a general hospital in the south of Iran who were randomly divided into a intervention (n = 44) and a control (n = 42) group. Data were collected before and after the intervention using three tools, including a knowledge test, an attitude rating scale and a performance questionnaire. In the intervention group, the intervention given consisted of four sessions of group reflection, and the control group received a single lecture on ethical codes. Results The mean changes in the nurses’ score of knowledge after the intervention compared to before differed significantly in both intervention and control groups (P < 0.001), but there was no significant difference between the two groups in terms of the mean changes in the score of knowledge (2.73 ± 3.45 in intervention group vs. 2.57 ± 3.36 in control group, P = 0.83). Although the mean score of attitude differed significantly between the intervention and control groups in the posttest (34.7 ± 8.44 in intervention group vs. 29.95 ± 9.09 in control group, P < 0.014), the two groups were not significantly different in terms of the mean changes in the score of attitude in relation to ethical codes before and after the intervention (P < 0.14). Moreover, the two groups were significantly different in terms of the mean changes in the scores of performance in the two stages (9.07 ± 16.84 in intervention group vs. 0.67 ± 20.01 in control group, P < 0.001). Conclusion Group reflection can improve the knowledge, attitude and performance of nurses in relation to ethical codes. Although lectures can help improve nurses’ knowledge and attitude in this area, they have no significant effects on their performance. Trial registration Iranian Registry of Clinical Trials (No: IRCT2016070317546N6, registration date: 10 October 2016), https://www.irct.ir/trial/16112Marzieh MomennasabMarjan GhanbariMozhgan RivazBMCarticleGroup reflectionKnowledgeAttitudePerformanceNursesCodes of ethicsNursingRT1-120ENBMC Nursing, Vol 20, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Group reflection Knowledge Attitude Performance Nurses Codes of ethics Nursing RT1-120
spellingShingle	Group reflection Knowledge Attitude Performance Nurses Codes of ethics Nursing RT1-120 Marzieh Momennasab Marjan Ghanbari Mozhgan Rivaz Improving nurses’ knowledge, attitude, and performance in relation to ethical codes through group reflection strategy
description	Abstract Background The most basic responsibility of nurses that even precedes their therapeutic role is respect for professional ethics in providing clinical care. The present study was conducted to determine the effect of group reflection on the knowledge, attitude and performance of nurses in relation to ethical codes. Methods The present blinded, before-after, educational trial was conducted on 86 nurses working at a general hospital in the south of Iran who were randomly divided into a intervention (n = 44) and a control (n = 42) group. Data were collected before and after the intervention using three tools, including a knowledge test, an attitude rating scale and a performance questionnaire. In the intervention group, the intervention given consisted of four sessions of group reflection, and the control group received a single lecture on ethical codes. Results The mean changes in the nurses’ score of knowledge after the intervention compared to before differed significantly in both intervention and control groups (P < 0.001), but there was no significant difference between the two groups in terms of the mean changes in the score of knowledge (2.73 ± 3.45 in intervention group vs. 2.57 ± 3.36 in control group, P = 0.83). Although the mean score of attitude differed significantly between the intervention and control groups in the posttest (34.7 ± 8.44 in intervention group vs. 29.95 ± 9.09 in control group, P < 0.014), the two groups were not significantly different in terms of the mean changes in the score of attitude in relation to ethical codes before and after the intervention (P < 0.14). Moreover, the two groups were significantly different in terms of the mean changes in the scores of performance in the two stages (9.07 ± 16.84 in intervention group vs. 0.67 ± 20.01 in control group, P < 0.001). Conclusion Group reflection can improve the knowledge, attitude and performance of nurses in relation to ethical codes. Although lectures can help improve nurses’ knowledge and attitude in this area, they have no significant effects on their performance. Trial registration Iranian Registry of Clinical Trials (No: IRCT2016070317546N6, registration date: 10 October 2016), https://www.irct.ir/trial/16112
format	article
author	Marzieh Momennasab Marjan Ghanbari Mozhgan Rivaz
author_facet	Marzieh Momennasab Marjan Ghanbari Mozhgan Rivaz
author_sort	Marzieh Momennasab
title	Improving nurses’ knowledge, attitude, and performance in relation to ethical codes through group reflection strategy
title_short	Improving nurses’ knowledge, attitude, and performance in relation to ethical codes through group reflection strategy
title_full	Improving nurses’ knowledge, attitude, and performance in relation to ethical codes through group reflection strategy
title_fullStr	Improving nurses’ knowledge, attitude, and performance in relation to ethical codes through group reflection strategy
title_full_unstemmed	Improving nurses’ knowledge, attitude, and performance in relation to ethical codes through group reflection strategy
title_sort	improving nurses’ knowledge, attitude, and performance in relation to ethical codes through group reflection strategy
publisher	BMC
publishDate	2021
url	https://doaj.org/article/0e108502bcc343fc89d0fb9e721e7d05
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Improving nurses’ knowledge, attitude, and performance in relation to ethical codes through group reflection strategy

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