Jahrom university of medical sciences Education and Ethics In Nursing ISSN: 2322-5300 2322-5300 10 1-2 2021 03 21 Letter to Editor: Research Culture and Research Misconduct Letter to Editor: Research Culture and Research Misconduct 1 3 700703 10.22034/ethic.2021.700703 FA Mohammadreza Sheikhy-Chaman PhD Student in Health Economics, Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran 0000-0002-7381-2005 Journal Article 2022 12 25 ACCORDING TO ARTICLE TYPE (LETTER TO EDITOR), NO NEED TO THIS. ACCORDING TO ARTICLE TYPE (LETTER TO EDITOR), NO NEED TO THIS.

https://ethic.jums.ac.ir/article_700703_53ee90053d4bb328e64e2cf47f2a86ef.pdf

Jahrom university of medical sciences Education and Ethics In Nursing ISSN: 2322-5300 2322-5300 10 1-2 2021 03 21 What do medical students want to learn in the Corona Crisis Curriculum? Expressing Students' Expectations and Strategies What do medical students want to learn in the Corona Crisis Curriculum? Expressing Students' Expectations and Strategies 4 11 700704 10.22034/ethic.2021.700704 FA Leili Mosalanezhad Associate Professor, Department of Medical Education, Director of Virtual Education, Jahrom University of Medical Sciences, Jahrom, Iran Shekofeh Atashpoor Assistant Professor, Research Center for Noncommunicable Diseases , Jahrom University of Medical Sciences, Jahrom, Iran 0000-0003-2777-1131 Navid Kalani Instructor, Research Center for Social Determinants of Health ,,Jahrom University of Medical Sciences, Jahrom, Iran 0000-0003-1900-4215 Journal Article 2022 12 25 Introduction: With the outbreak of new coronavirus disease, various aspects of human life have been affected. Medical students who are to serve as health care professionals in the not-so-far future are in dire need of adequate-quality education. Social distancing has transformed the teaching method of a large part of these students' courses to a virtual way. To ensure the appropriate quality of education in the pandemic course, it is important to accurately determine the challenges and needs of medical students, which was studied qualitatively in this study. Materials and Methods: This is a qualitative-analytical study that was conducted on students of Jahrom University of Medical Sciences with the aim of examining students' perceptions and requests of different dimensions of virtual education. After collecting information of students of different fields by open-ended question and answer in Navid system and social networks (WhatsApp), the results were qualitatively analyzed. Results: In the present study, 550 students of different fields of medical sciences participated in groups and stages. From the analysis of the obtained data, 5 different sections were identified. In the dimension study of the benefits expressed by the students, 11 cases were identified with the general theme of satisfaction with the easy access to the content. In the study of the disadvantages expressed by students, 19 cases were mentioned, which were often related to problems due to lack of technology infrastructure and volume of content or lack of students' time. Students' demand for quality improvement of educational content had 20 different requests that identified the needs and challenges of students. Students' learning styles during the quarantine period also had 8 cases in which the diversity seen in its items shows the need to customize education based on the student's learning style. Examination of the psychological dimensions experienced in education in the corona course led to the identification of 8 negative dimensions and 6 positive dimensions. Conclusion: The present study helped students at Jahrom University of Medical Sciences by identifying the strengths and challenges of e-learning during the corona virus pandemic. Introduction: With the outbreak of new coronavirus disease, various aspects of human life have been affected. Medical students who are to serve as health care professionals in the not-so-far future are in dire need of adequate-quality education. Social distancing has transformed the teaching method of a large part of these students' courses to a virtual way. To ensure the appropriate quality of education in the pandemic course, it is important to accurately determine the challenges and needs of medical students, which was studied qualitatively in this study. Materials and Methods: This is a qualitative-analytical study that was conducted on students of Jahrom University of Medical Sciences with the aim of examining students' perceptions and requests of different dimensions of virtual education. After collecting information of students of different fields by open-ended question and answer in Navid system and social networks (WhatsApp), the results were qualitatively analyzed. Results: In the present study, 550 students of different fields of medical sciences participated in groups and stages. From the analysis of the obtained data, 5 different sections were identified. In the dimension study of the benefits expressed by the students, 11 cases were identified with the general theme of satisfaction with the easy access to the content. In the study of the disadvantages expressed by students, 19 cases were mentioned, which were often related to problems due to lack of technology infrastructure and volume of content or lack of students' time. Students' demand for quality improvement of educational content had 20 different requests that identified the needs and challenges of students. Students' learning styles during the quarantine period also had 8 cases in which the diversity seen in its items shows the need to customize education based on the student's learning style. Examination of the psychological dimensions experienced in education in the corona course led to the identification of 8 negative dimensions and 6 positive dimensions. Conclusion: The present study helped students at Jahrom University of Medical Sciences by identifying the strengths and challenges of e-learning during the corona virus pandemic.

https://ethic.jums.ac.ir/article_700704_8740a118dad116ce95ac9d5d3b36507b.pdf

Jahrom university of medical sciences Education and Ethics In Nursing ISSN: 2322-5300 2322-5300 10 1-2 2021 03 21 Effect Of Clinical Team Teaching (Peer Menoring) On The Clinical Stress Of Operating Room Students Effect Of Clinical Team Teaching (Peer Menoring) On The Clinical Stress Of Operating Room Students 12 19 700705 10.22034/ethic.2021.700705 FA Maryam Tolyat Master of Nursing, Ph.D. Candidate in Nursing, Faculty of Nursing and Midwifery, Birjand University of Medical Science, Birjand, Iran 0000-0002-6216-2916 Marzieh Helal Birjandi Master of Nursing, Paramedical faculty. Birjand University of medical science, Birjand, Iran 0000-0002-2390-6548 Journal Article 2022 12 25 Introduction: Operating room students in the clinical education environment have high-stress levels that affect their learning. Considering that student stress control is of particular importance in the operating room clinical education environment; therefore, the aim of this study was to investigate the effect of clinical education team students (Peer-Mentoring plan) on the level of clinical stress in operating room students. Materials & Methods: In this quasi-experimental study, the effect of the Peer-Mentoring plan on the clinical stress of operating room students before and after the intervention was investigated. 8th-semester students of this field were used as teaching assistants to teach 4th-semester students. In the control group, trainers' education was being done in the common method. The data collection tool was a researcher-made clinical education stressors questionnaire consisting of 29 questions that its validity and reliability were confirmed. Data were analyzed using SPSS 16 software and descriptive statistical tests (mean and standard deviation) and inferential test (chi-square and independent t-test). Results: The mean total score of clinical stressors in the control group before and after the intervention was not significantly different (P = 0.783). But the mean score of total clinical stressors in the intervention group before the internship was 66.10±14.80 which decreased to 59.00± 13.51 after the intervention and paired t-test showed a significant difference (P=0.035). Conclusion: The results showed that the Peer-Mentoring approach is effective in reducing the clinical stress of operating room students. It is suggested that this method be used in the clinical education of paramedical students. Introduction: Operating room students in the clinical education environment have high-stress levels that affect their learning. Considering that student stress control is of particular importance in the operating room clinical education environment; therefore, the aim of this study was to investigate the effect of clinical education team students (Peer-Mentoring plan) on the level of clinical stress in operating room students. Materials & Methods: In this quasi-experimental study, the effect of the Peer-Mentoring plan on the clinical stress of operating room students before and after the intervention was investigated. 8th-semester students of this field were used as teaching assistants to teach 4th-semester students. In the control group, trainers' education was being done in the common method. The data collection tool was a researcher-made clinical education stressors questionnaire consisting of 29 questions that its validity and reliability were confirmed. Data were analyzed using SPSS 16 software and descriptive statistical tests (mean and standard deviation) and inferential test (chi-square and independent t-test). Results: The mean total score of clinical stressors in the control group before and after the intervention was not significantly different (P = 0.783). But the mean score of total clinical stressors in the intervention group before the internship was 66.10±14.80 which decreased to 59.00± 13.51 after the intervention and paired t-test showed a significant difference (P=0.035). Conclusion: The results showed that the Peer-Mentoring approach is effective in reducing the clinical stress of operating room students. It is suggested that this method be used in the clinical education of paramedical students.

https://ethic.jums.ac.ir/article_700705_a2fd2cba8933e3da952a2311ae426bb7.pdf

Jahrom university of medical sciences Education and Ethics In Nursing ISSN: 2322-5300 2322-5300 10 1-2 2021 03 21 Investigating the barriers to professional ethics in nursing practice from the perspective of hospital nurses In 1398, Imam Khomeini Sarab city Investigating the barriers to professional ethics in nursing practice from the perspective of hospital nurses In 1398, Imam Khomeini Sarab city 20 25 700706 10.22034/ethic.2021.700706 FA Reza Karimi Johani Nursing Expert, Department of Nursing, Faculty of Medical Sciences, Islamic Azad University, Sarab Branch, Sarab, Iran. 0000-0002-3637-7913 Ferydoun Karimi Johani PhD Student in Policy Making , Social Sciences Department , kharazmi University, Iran 0000-0001-5628-6528 Maryam Hamdollahi Miandoab Anesthesiology undergraduate student, Anesthesia group, Faculty of Medical Sciences, Islamic Azad University, Sarab Branch, Sarab, Iran 0000-0002-0542-027x Narges Abbasi Department of Nursing, Faculty of Medical Sciences, Islamic Azad University, Sarab Branch, Sarab, Iran 0000-0003-3419-9591 Journal Article 2022 12 25 Introduction: The cornerstone of all nursing care is professional ethics. Nursing ethics is the essence of nursing professionalism and its observance is the same as the expectations of the patients. Therefore, this study was conducted to investigate the barriers to professional ethics in nursing practice from the perspective of nurses at Imam Khomeini Hospital in Sarab (2018). Materials and Methods: This descriptive cross-sectional study was performed on 108 clinical nurses in Sarab city hospital in 2018 who were selected by simple random sampling. The data collection tools of the two questionnaires, which included demographic characteristics and a standard research questionnaire of the Barriers to observe standards of professional ethics from the perspective of nursing staff that had three areas: Management, environment, and personal care. SPSS software version 24 was used to analyze the data and in this regard, descriptive statistics (including: frequency, percentage, mean and standard deviation) were used. Results: From the nurses' point of view, the most important obstacles in the managerial dimension are the shortage of staff with an average (4.1±35.05) and insufficient moral and legal support of senior managers of nursing staff with an average (4.1±25.02), in the environmental dimension. Abnormal expectations of patients and their companions from nursing staff with a mean (4.1±10.15) and crowded wards with an average (3.1±87.22), also in the individual-care dimension, there was insufficient income or insufficient rest in the nursing staff with an average (3.1±87.24). Conclusion: Lack of staff, insufficient income or insufficient rest, and unreasonable expectations of patients and companions were identified as influential aspects in non-compliance with professional ethics. Therefore, it is hoped that the medical authorities will try to remove the existing barriers by providing appropriate solutions, to witness the observance of rights in systems valleys in a better way. Introduction: The cornerstone of all nursing care is professional ethics. Nursing ethics is the essence of nursing professionalism and its observance is the same as the expectations of the patients. Therefore, this study was conducted to investigate the barriers to professional ethics in nursing practice from the perspective of nurses at Imam Khomeini Hospital in Sarab (2018). Materials and Methods: This descriptive cross-sectional study was performed on 108 clinical nurses in Sarab city hospital in 2018 who were selected by simple random sampling. The data collection tools of the two questionnaires, which included demographic characteristics and a standard research questionnaire of the Barriers to observe standards of professional ethics from the perspective of nursing staff that had three areas: Management, environment, and personal care. SPSS software version 24 was used to analyze the data and in this regard, descriptive statistics (including: frequency, percentage, mean and standard deviation) were used. Results: From the nurses' point of view, the most important obstacles in the managerial dimension are the shortage of staff with an average (4.1±35.05) and insufficient moral and legal support of senior managers of nursing staff with an average (4.1±25.02), in the environmental dimension. Abnormal expectations of patients and their companions from nursing staff with a mean (4.1±10.15) and crowded wards with an average (3.1±87.22), also in the individual-care dimension, there was insufficient income or insufficient rest in the nursing staff with an average (3.1±87.24). Conclusion: Lack of staff, insufficient income or insufficient rest, and unreasonable expectations of patients and companions were identified as influential aspects in non-compliance with professional ethics. Therefore, it is hoped that the medical authorities will try to remove the existing barriers by providing appropriate solutions, to witness the observance of rights in systems valleys in a better way.

https://ethic.jums.ac.ir/article_700706_ffe30cae129305c3b1c2c7a1acd97ea9.pdf

Jahrom university of medical sciences Education and Ethics In Nursing ISSN: 2322-5300 2322-5300 10 1-2 2021 03 21 Propose a model for delivering bad news based on Iranian-Islamic culture: A Hybrid study Propose a model for delivering bad news based on Iranian-Islamic culture: A Hybrid study 26 35 700707 10.22034/ethic.2021.700707 FA Akram Sadat Sadat Hoseini Associated professor of Tehran University of Medical Sciences and a member of research center of Quran, Hadith and medical sciences of TUMS. Tehran- Iran 0000-0002-8818-2384 Journal Article 2022 12 25 Introduction: Bad news can cause a strong emotional and stressful response, unpleasant feeling or behavior, it can change their attitude towards themselves or their futures. Given the importance of how to tell bad news to a patient or his/her family and its consequent effects, this study includes summarizing previous literature by conducting multidimensional research along with providing a solution for expressing bad news to patients based on Islamic religion and Iranian culture to achieve a model for this issue. Materials and Methods: This study is a hybrid study with three stages: theoretical, field work and final analysis. Results: According to this study, a model for delivering bad news based on Islamic-Iranian culture had been developed, entitled “TAT”. This model consists of three stages: 1- Team formation, preparation, and coordination for delivering bad news; 2- Notification; 3- Transcending and planning for the future, and follow-up. Conclusion: According to this model, when notifying patients, their religious attitudes and faith should be considered. Although, hardships and illnesses can make people think of transcendence, regardless of their faith level. Hence, care settings should facilitate this process of transcendence and application of spiritual support and care for patients and their families based on their wants and needs. Introduction: Bad news can cause a strong emotional and stressful response, unpleasant feeling or behavior, it can change their attitude towards themselves or their futures. Given the importance of how to tell bad news to a patient or his/her family and its consequent effects, this study includes summarizing previous literature by conducting multidimensional research along with providing a solution for expressing bad news to patients based on Islamic religion and Iranian culture to achieve a model for this issue. Materials and Methods: This study is a hybrid study with three stages: theoretical, field work and final analysis. Results: According to this study, a model for delivering bad news based on Islamic-Iranian culture had been developed, entitled “TAT”. This model consists of three stages: 1- Team formation, preparation, and coordination for delivering bad news; 2- Notification; 3- Transcending and planning for the future, and follow-up. Conclusion: According to this model, when notifying patients, their religious attitudes and faith should be considered. Although, hardships and illnesses can make people think of transcendence, regardless of their faith level. Hence, care settings should facilitate this process of transcendence and application of spiritual support and care for patients and their families based on their wants and needs.

https://ethic.jums.ac.ir/article_700707_58f1da3a6d4ccd92e1d84d0d72efb0d6.pdf

Jahrom university of medical sciences Education and Ethics In Nursing ISSN: 2322-5300 2322-5300 10 1-2 2021 03 21 Explaining the experience of patients visiting training clinics affiliated with Jahrom University of Medical Sciences regarding the presence of medical students according to content analysis Explaining the experience of patients visiting training clinics affiliated with Jahrom University of Medical Sciences regarding the presence of medical students according to content analysis 36 42 700708 10.22034/ethic.2021.700708 FA Mansour Tafvizi Medical Ethic Research Center, Jahrom University of medical sciences, Jahrom, Iran Elham Parmoz Research center for social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran Mohsen Hojat Department of Nursing, Jahrom University of medical sciences, Jahrom, Iran 0000-0003-2446-6035 Tahereh Abdian Department of Nursing, Jahrom University of medical sciences, Jahrom, Iran Mahsa Khoramkish Department of Nursing, Jahrom University of medical sciences, Jahrom, Iran Naser Hatami Student Research Committee, Jahrom University of Medical Sciences, Jahrom, Iran Navid Kalani Research center for social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran 0000-0003-1900-4215 Journal Article 2022 12 25 Introduction: Patients are the key to outpatient training for medical students all around the world, and patient satisfaction with the service received increases their cooperation and improves the process of clinical training for medical students. The presence of students at clinics is vital for their training and social role. The present study mainly aims to explain the patients’ experience of the medical students’ presence throughout their visits to the training clinics affiliated with the Jahrom University of Medical Sciences. Materials and Methods: The current research is a content analysis study. Participants included 11 patients visiting Honari and Imam Reza clinics in Jahrom chosen by purposeful sampling over May-June 2018, and data analysis was conducted using MAXQDA 10.0 software. Results: Two main themes (patient rights and students’ rights to learning), eight main classes (privacy, adaptation plan with the opposite sex, ethnicity and culture, satisfaction, necessity of students` learning, consideration of physical and mental status of the patient, the advantages of the students’ presence in physician`s office, patients’ prior awareness of the treatment process), and 30 secondary classes were extracted which amounted to 104 semantic units. Conclusion: Respecting the rights of both patients and students is an essential principle in clinical training that needs to be considered from ethical and legal points of view. This will contribute significantly to the establishment and consolidation of the dialogue on the presence of students alongside the physician. Thus, the presence of the medical student can lead to both patient and student satisfaction if the aforementioned items are taken into account. Introduction: Patients are the key to outpatient training for medical students all around the world, and patient satisfaction with the service received increases their cooperation and improves the process of clinical training for medical students. The presence of students at clinics is vital for their training and social role. The present study mainly aims to explain the patients’ experience of the medical students’ presence throughout their visits to the training clinics affiliated with the Jahrom University of Medical Sciences. Materials and Methods: The current research is a content analysis study. Participants included 11 patients visiting Honari and Imam Reza clinics in Jahrom chosen by purposeful sampling over May-June 2018, and data analysis was conducted using MAXQDA 10.0 software. Results: Two main themes (patient rights and students’ rights to learning), eight main classes (privacy, adaptation plan with the opposite sex, ethnicity and culture, satisfaction, necessity of students` learning, consideration of physical and mental status of the patient, the advantages of the students’ presence in physician`s office, patients’ prior awareness of the treatment process), and 30 secondary classes were extracted which amounted to 104 semantic units. Conclusion: Respecting the rights of both patients and students is an essential principle in clinical training that needs to be considered from ethical and legal points of view. This will contribute significantly to the establishment and consolidation of the dialogue on the presence of students alongside the physician. Thus, the presence of the medical student can lead to both patient and student satisfaction if the aforementioned items are taken into account.

https://ethic.jums.ac.ir/article_700708_c5ee2016aaea3a0c6ab9bbe220d54c80.pdf

Jahrom university of medical sciences Education and Ethics In Nursing ISSN: 2322-5300 2322-5300 10 1-2 2021 03 21 Review of towards the Ethical Challenges Experienced by Nurses providing care to patients with COVID-19 Review of towards the Ethical Challenges Experienced by Nurses providing care to patients with COVID-19 43 53 700709 10.22034/ethic.2021.700709 FA Malihe Davoodi Ph.D. Student in Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran 0000-0002-6860-3794 Abbas Heydari Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran Journal Article 2022 12 25 Introduction: It is essential to analyze stresses and ethical problems regarding the severe ethical dilemmas caused by COVID-19 and relevant care. In this case, a review approach provides an outstanding insight into this topic. The extant research aimed at reviewing the common and emerged ethical challenges and dilemmas during the COVID-19 pandemic. Materials and Methods: An integrative review was done through the database (e.g., Google Scholar, PubMed, Web of Science, and Scopus) based on the Mesh and keywords mentioned in associated articles. This study was conducted by using logical operators (AND, NOT, OR) among the researches published since 30 January 2020. In the next step, results were extracted from the reviewed eligible texts and papers. Results: The most common ethical dilemmas included lack of patient-centered and empathic care, discrimination, lack of attention to patient autonomy and family-centered care, irresponsibility, as well as conflicts between professional commitment and personal responsibilities. All of the challenges mentioned above may cause ethical harm, mental-emotional consequences, moral stress, lack of psychological adjustment, and disrespect. Therefore, nurses can promote their skills, innovation, and creativity while coping with such challenges. Self-care strategies, structural supports, and professional interventions would mitigate the negative implications while increasing positive ones. Conclusion: Nurses may face many problems in making ethical decisions while caring for patients who suffer from COVID-19. Therefore, some effective coping strategies must be designed to encounter these challenges and support nurses during the crisis. Introduction: It is essential to analyze stresses and ethical problems regarding the severe ethical dilemmas caused by COVID-19 and relevant care. In this case, a review approach provides an outstanding insight into this topic. The extant research aimed at reviewing the common and emerged ethical challenges and dilemmas during the COVID-19 pandemic. Materials and Methods: An integrative review was done through the database (e.g., Google Scholar, PubMed, Web of Science, and Scopus) based on the Mesh and keywords mentioned in associated articles. This study was conducted by using logical operators (AND, NOT, OR) among the researches published since 30 January 2020. In the next step, results were extracted from the reviewed eligible texts and papers. Results: The most common ethical dilemmas included lack of patient-centered and empathic care, discrimination, lack of attention to patient autonomy and family-centered care, irresponsibility, as well as conflicts between professional commitment and personal responsibilities. All of the challenges mentioned above may cause ethical harm, mental-emotional consequences, moral stress, lack of psychological adjustment, and disrespect. Therefore, nurses can promote their skills, innovation, and creativity while coping with such challenges. Self-care strategies, structural supports, and professional interventions would mitigate the negative implications while increasing positive ones. Conclusion: Nurses may face many problems in making ethical decisions while caring for patients who suffer from COVID-19. Therefore, some effective coping strategies must be designed to encounter these challenges and support nurses during the crisis.

https://ethic.jums.ac.ir/article_700709_46a1f53703e567419fc930cc014c4c2d.pdf

Jahrom university of medical sciences Education and Ethics In Nursing ISSN: 2322-5300 2322-5300 10 1-2 2021 03 21 A comparative study on nurses' job performance based on nursing ethics in intensive care and general care units in Isfahan in 2019 A comparative study on nurses' job performance based on nursing ethics in intensive care and general care units in Isfahan in 2019 54 62 700710 10.22034/ethic.2021.700710 FA Mahnaz Anari Master student of community health nursing Islamic Azad University, Isfahan Branch (Khorasgan), Islamic Azad University, Isfahan Branch (Khorasgan) 0000-0003-1213-9838 Shayesteh Salehi Associate professor, Commumity Health Research Center, Islamic Azad University, Isfahan Branch (Khorasgan), Isfahan, Iran Mohsen Shahriari Professor, Nursing and Midwifery Care Research Center, Medical Surgical Care Nursing Department, School of Nursing and Midwifery.Isfahan University of Medical Sciences, Isfahan, Iran 0000-0002-7833-0187 Journal Article 2022 12 25 Introduction: Ethical performance is one of the main components in providing holistic and high-quality care to clients. Thus, given the importance of the issue of nursing ethics, the present study was conducted with the aim of comparing the job performances of nurses based on nursing ethics in intensive care and general care units. Materials and Methods: The present study was a cross-sectional study. A total number of 160 nurses working in intensive care and general care units in selected hospitals of Isfahan were selected by a convenience sampling method. The research tool was a standard questionnaire used for measuring the job performance of nurses based on nursing ethics that its validity and reliability have been already confirmed. The collected data were analyzed at the level of 5% error using SPSS version 22 software and independent t-test and multivariate variance. Results: The best job performance of nurses in the public sector was in the components of nurse and society, nurse and providing clinical services and the weakest performance was in the component of nurse, education and research. Among intensive care unit nurses, the best job performance of nurses was in the components of nurse and providing clinical services and the weakest performance was in the component of nurse and colleague. The mean score of nurses' job performance based on nursing ethics in intensive care units was higher (p<0.001). Conclusion: Nurses' job performance based on nursing ethics was observed at a higher level in intensive care unit nurses than in general care unit nurses. Therefore, it is recommended that public sector nurses become more familiar with the nursing codes of ethics. Introduction: Ethical performance is one of the main components in providing holistic and high-quality care to clients. Thus, given the importance of the issue of nursing ethics, the present study was conducted with the aim of comparing the job performances of nurses based on nursing ethics in intensive care and general care units. Materials and Methods: The present study was a cross-sectional study. A total number of 160 nurses working in intensive care and general care units in selected hospitals of Isfahan were selected by a convenience sampling method. The research tool was a standard questionnaire used for measuring the job performance of nurses based on nursing ethics that its validity and reliability have been already confirmed. The collected data were analyzed at the level of 5% error using SPSS version 22 software and independent t-test and multivariate variance. Results: The best job performance of nurses in the public sector was in the components of nurse and society, nurse and providing clinical services and the weakest performance was in the component of nurse, education and research. Among intensive care unit nurses, the best job performance of nurses was in the components of nurse and providing clinical services and the weakest performance was in the component of nurse and colleague. The mean score of nurses' job performance based on nursing ethics in intensive care units was higher (p<0.001). Conclusion: Nurses' job performance based on nursing ethics was observed at a higher level in intensive care unit nurses than in general care unit nurses. Therefore, it is recommended that public sector nurses become more familiar with the nursing codes of ethics.

https://ethic.jums.ac.ir/article_700710_1cc1df2cbdebdd5db9290b51afcfaac0.pdf

Jahrom university of medical sciences Education and Ethics In Nursing ISSN: 2322-5300 2322-5300 10 1-2 2021 03 21 A report on the challenge of ethical decision-making based on the principle of confidentiality in relation to a pregnant client addicted to drug A report on the challenge of ethical decision-making based on the principle of confidentiality in relation to a pregnant client addicted to drug 63 67 700711 10.22034/ethic.2021.700711 FA Ameneh Masoodi MSc in Nursing, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran. Forough Faroughi MSc in Nursing, Faculty member, School of Nursing and Midwifery, Golestan University of Medical Science, Gorgan, Iran Foruzan Akrami PhD in Medical Ethics, Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran 0000-0002-5001-0085 Leila Jouybari PhD in Nursing, Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran. 0000-0003-2113-318x Akram Sanagoo Associate Professor, PhD in Nursing, Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran. 0000-0002-4769-4703 Journal Article 2022 12 25 Introduction: Confidentiality is an ethical principle with a long history in medicine. It can be considered as the duty of the medical community to keep secrets that are provided to the medical team in accordance with the profession. The aim of this study is to report on the challenge of ethical decision-making based on the principle of confidentiality in relation to a pregnant client addicted to drugs. Reporting the Case: The case is a 26-year-old woman who was found to be pregnant after being transferred to a camp to quit drugs, so her family returned her home, and her first husband, took care of the child assuming that the child belongs to her. At the mother's visit to the health center, the pregnancy was confirmed at 15 weeks, while the client was addicted to crystal meth and asked the health center staff not to inform her husband that the pregnancy is the result of his intercourse with another young man. Conclusion: The ethical challenge of this study is to keep the patient's secrets confidential, while respecting human dignity and the patient's right to health care, without accusing and discriminating against routine and special care during pregnancy according to the patient's condition. In this regard, being doubtful on observing the principle of confidentiality or deception of the patient's ex-husband, observing the confidentiality was preferred. Introduction: Confidentiality is an ethical principle with a long history in medicine. It can be considered as the duty of the medical community to keep secrets that are provided to the medical team in accordance with the profession. The aim of this study is to report on the challenge of ethical decision-making based on the principle of confidentiality in relation to a pregnant client addicted to drugs. Reporting the Case: The case is a 26-year-old woman who was found to be pregnant after being transferred to a camp to quit drugs, so her family returned her home, and her first husband, took care of the child assuming that the child belongs to her. At the mother's visit to the health center, the pregnancy was confirmed at 15 weeks, while the client was addicted to crystal meth and asked the health center staff not to inform her husband that the pregnancy is the result of his intercourse with another young man. Conclusion: The ethical challenge of this study is to keep the patient's secrets confidential, while respecting human dignity and the patient's right to health care, without accusing and discriminating against routine and special care during pregnancy according to the patient's condition. In this regard, being doubtful on observing the principle of confidentiality or deception of the patient's ex-husband, observing the confidentiality was preferred.

https://ethic.jums.ac.ir/article_700711_91020de08c454bd9056d6d8cc427aa75.pdf

Jahrom university of medical sciences Education and Ethics In Nursing ISSN: 2322-5300 2322-5300 10 1-2 2021 03 21 perception of operating room nurses'of Golestan University of Medical Sciences From professional values in 2017 perception of operating room nurses'of Golestan University of Medical Sciences From professional values in 2017 68 75 700712 10.22034/ethic.2021.700712 FA Ali Akbar Aghaeenezhad MSc in nursing education, faculty member, laboratory sciences Research Center, School of Paramedical Sciences, Golestan University of Medical Sciences, Gorgan, Iran 0000-0001-5043-6716 Javad Goleij BSc in nursing, Gorgan army hospital. Zahra Royani Ph.D student in nursing , Nursing and Midwifery school, Golestan University of Medical Sciences, Gorgan, Iran Zahra Sabzi Associate Professor, Nursing and Midwifery school, Golestan University of Medical Sciences Gorgan, Iran 0000-0001-8320-9528 Masoomeh Mahdavifar Department of Nursing, Faculty of Nursing and Midwifery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran 0000-0002-7740-5802 Journal Article 2022 12 25 Introduction: Professional nursing values account for a major part of professional performance. Although this field has been investigated in plenty of research, no research has been found in the available literature that examines professional values in operating rooms. Therefore, the present study aimed to investigate perioperative nurses' perception of professional values. Materials and Methods: This descriptive cross-sectional study was conducted on 110 participants consisting of perioperative nurses from seven educational centers affiliated to Golestan University of Medical Sciences in 2017. Data were collected using the Nurses Professional Values Scale-Revised (NPVS-R) of Schank and Weis and analyzed by descriptive and inferential statistics using SPSS/18 software. Results: The mean score of professional values was 103.05 ± 14.61. The highest (38.33 ± 5.39) and the lowest (12.59 ± 2.06) average professional values belonged to the care and justice dimensions. In the study of demographic variables, the mean of professional values was significantly different in people with different education levels (P< 0.05). Conclusion: Altogether, this study demonstrated that professional values are of paramount importance in the views of perioperative nurses in terms of patient care. This importance was high in some dimensions, such as the care dimension while it was low in others, such as justice, which requires more support. Therefore, it is necessary to pay attention and emphasize the education in all dimensions of professional values. Introduction: Professional nursing values account for a major part of professional performance. Although this field has been investigated in plenty of research, no research has been found in the available literature that examines professional values in operating rooms. Therefore, the present study aimed to investigate perioperative nurses' perception of professional values. Materials and Methods: This descriptive cross-sectional study was conducted on 110 participants consisting of perioperative nurses from seven educational centers affiliated to Golestan University of Medical Sciences in 2017. Data were collected using the Nurses Professional Values Scale-Revised (NPVS-R) of Schank and Weis and analyzed by descriptive and inferential statistics using SPSS/18 software. Results: The mean score of professional values was 103.05 ± 14.61. The highest (38.33 ± 5.39) and the lowest (12.59 ± 2.06) average professional values belonged to the care and justice dimensions. In the study of demographic variables, the mean of professional values was significantly different in people with different education levels (P< 0.05). Conclusion: Altogether, this study demonstrated that professional values are of paramount importance in the views of perioperative nurses in terms of patient care. This importance was high in some dimensions, such as the care dimension while it was low in others, such as justice, which requires more support. Therefore, it is necessary to pay attention and emphasize the education in all dimensions of professional values.

https://ethic.jums.ac.ir/article_700712_978dcf84dc3bb868c6d21d185c37cb30.pdf

Jahrom university of medical sciences Education and Ethics In Nursing ISSN: 2322-5300 2322-5300 10 1-2 2021 03 21 A cross-sectional study on the effect of Islamic work ethic on the administrative health system with the mediating role of nurses' spiritual capital during Covid-19 pandemic (2020) A cross-sectional study on the effect of Islamic work ethic on the administrative health system with the mediating role of nurses' spiritual capital during Covid-19 pandemic (2020) 76 86 700713 10.22034/ethic.2021.700713 FA Mohammad Amin Torabi Department of Management, Economics and Accounting, Payame Noor University, Tehran, Iran 0000-0001-6780-0246 Orkideh Hamedi Assistant Professor, Department of Management, Economics and Accounting, Payame Noor University, Tehran, Iran Seyedeh Masoumeh Ghamkhari Assistant Professor, Department of Management, Economics and Accounting, Payame Noor University, Tehran, Iran Journal Article 2022 12 25 Introduction: Fear and anxiety due to possible infection with Covid-19 has created a high and destructive psychological burden that can lead to mental disorders, lack of right performing of tasks, poor communication with patients, anger and rage, weakened immune system, and reduced body's ability to fight diseases in people of society, including the health care group (nurses, physicians, etc.). For this purpose, the present study was conducted to investigate the effect of Islamic work ethic on the administrative health system with the mediating role of nurses' spiritual capital in hospitals in Hamadan. Materials and Methods: The present study was an applied research in terms of aim and descriptive-cross-sectional in terms of data collection method. The statistical population included nurses of hospitals in Hamadan. Data collection tools included standard Yousef (2001) Islamic work ethic questionnaire with four dimensions of (precision work, humanitarian work, independence and social utility), Howie and Feldman administrative (1996) health questionnaire with three dimensions (structural, cognitive, and relational), and Zohar and Marshall (2004) spiritual capital questionnaire with four dimensions (spiritual value, morality, importance and influence). Content validity, convergent validity, and divergent validity were used to assess validity and Cronbach's alpha, factor loads and composite reliability tests were used to assess the reliability of the questions. Results: Results revealed that Islamic ethics among nurses of hospitals in Hamadan has a positive and significant effect (β = 59%, p<0.01) on administrative health. Also, the spiritual capital of nurses has a significant positive effect on administrative health (β=83%, p<0.01), and spiritual capital plays a positive mediating role in the relationship between Islamic ethics and administrative health (β=63%, p<0.01). Conclusion: It can be concluded that the basic components of Islamic ethics including trust in God, humility towards the people, honesty and fulfillment of one's promise can create more spiritual solidarity among organizational human resources including hospital nurses who are the basic element of medical staff and healthy and ethical nurses in a hospital setting pursue transcendent and positive thoughts, and this positive and responsible sense prevents them from involving in unhealthy administrative behaviors. Introduction: Fear and anxiety due to possible infection with Covid-19 has created a high and destructive psychological burden that can lead to mental disorders, lack of right performing of tasks, poor communication with patients, anger and rage, weakened immune system, and reduced body's ability to fight diseases in people of society, including the health care group (nurses, physicians, etc.). For this purpose, the present study was conducted to investigate the effect of Islamic work ethic on the administrative health system with the mediating role of nurses' spiritual capital in hospitals in Hamadan. Materials and Methods: The present study was an applied research in terms of aim and descriptive-cross-sectional in terms of data collection method. The statistical population included nurses of hospitals in Hamadan. Data collection tools included standard Yousef (2001) Islamic work ethic questionnaire with four dimensions of (precision work, humanitarian work, independence and social utility), Howie and Feldman administrative (1996) health questionnaire with three dimensions (structural, cognitive, and relational), and Zohar and Marshall (2004) spiritual capital questionnaire with four dimensions (spiritual value, morality, importance and influence). Content validity, convergent validity, and divergent validity were used to assess validity and Cronbach's alpha, factor loads and composite reliability tests were used to assess the reliability of the questions. Results: Results revealed that Islamic ethics among nurses of hospitals in Hamadan has a positive and significant effect (β = 59%, p<0.01) on administrative health. Also, the spiritual capital of nurses has a significant positive effect on administrative health (β=83%, p<0.01), and spiritual capital plays a positive mediating role in the relationship between Islamic ethics and administrative health (β=63%, p<0.01). Conclusion: It can be concluded that the basic components of Islamic ethics including trust in God, humility towards the people, honesty and fulfillment of one's promise can create more spiritual solidarity among organizational human resources including hospital nurses who are the basic element of medical staff and healthy and ethical nurses in a hospital setting pursue transcendent and positive thoughts, and this positive and responsible sense prevents them from involving in unhealthy administrative behaviors.

https://ethic.jums.ac.ir/article_700713_b80286461d20e8c652926af03cf498c3.pdf