fa بررسی توانایی استدلال اخلاقی در موقعیت های بالینی و ارتباط آن با شهامت اخلاقی در دانشجویان پرستاری دانشگاه علوم پزشکی بابل تخصصي Special پژوهشي Research <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:"><span style="color:#000099">سابقه</span></span></span></span></b><b> </b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:"><span style="color:#000099">و هدف: </span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">اخلاق جزء اصلی حرفه</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">&shy;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">ی پرستاری است و دانشجویان پرستاری روزانه با موقعیت &shy;های پیچیده</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">&shy;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">ای مواجه می</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">&shy;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">شوند که برای پاسخ درست به آن‌ها نیازمند برخورداری از توانایی استدلال و شهامت اخلاقی می</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">&shy;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">باشند. مطالعه حاضر با هدف بررسی ارتباط بین استدلال اخلاقی و شهامت اخلاقی در بین دانشجویان پرستاری در محیط&shy;های بالینی انجام شد.<b><span style="color:#000099"></span></b></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:"><span style="color:#000099">مواد و روش&shy;ها:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:"> مطالعه حاضر از نوع همبستگی-مقطعی است که در سال </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">١٤٠٢</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:"> بر روی ١١١ دانشجوی پرستاری در دانشگاه علوم پزشکی بابل انجام شد که به روش نمونه&shy; گیری سرشماری وارد مطالعه شدند. برای جمع &shy;آوری داده&shy;ها از سه پرسشنامه استفاده شد که شامل ویژگی&shy; های جمعیت شناختی دانشجویان پرستاری، آزمون معضلات اخلاقی پرستاری (</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">NDT) Nursing Dilemma Test</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">) </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">و پرسشنامه شهامت اخلاقی </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Professional Moral</span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Courage (PMC)</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:"> بود. پرسشنامه&shy; ها جهت تکمیل، در دانشکده پرستاری در اختیار دانشجویان قرار گرفت. تجزیه و تحلیل داده&shy; ها با استفاده از نرم&shy; افزار آماری </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">spss</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:"> نسخه</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">٢١، آمار توصیفی و آمار استنباطی انجام گرفت.<b><span style="color:#000099"></span></b></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:"><span style="color:#000099">یافته‌ها:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:"> نتایج نشان داد که میانگین نمره توانایی استدلال اخلاقی ٦/٣ </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span cambria="" style="font-family:">&plusmn;</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">٢٣/٤٤</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:"> و شهامت اخلاقی ٥/٨ </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span cambria="" style="font-family:">&plusmn;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">٥٩/٢٧ بود. بین توانایی استدلال اخلاقی و شهامت اخلاقی رابطه معناداری وجود نداشت </span></span></span></span></span></span></span></span></div> <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">(٤٨٦/=٠</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">P value</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:">).<b><span style="color:#000099"></span></b></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:"><span style="color:#000099">نتیجه‌گیری:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:"> با توجه به یافته‌های به‌دست‌آمده از مطالعه، دانشجویان پرستاری در سطح مطلوبی از استدلال و شهامت اخلاقی قرار داشتند. لذا پیشنهاد می&shy; شود تا دانشکده&shy; های پرستاری با تکیه بر این نقطه قوت دانشجویان سعی در ارتقاء، عمق بخشیدن و کاربردی کردن این دو مقوله در آموزش بالینی داشته باشند تا دانشجویان در آینده شغلی خود اخلاق‌مداری را سرلوحه خود قرار دهند.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:"><span style="color:#000099">واژه‌های کلیدی:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span 2="" mitra="" style="font-family:"> استدلال اخلاقی، معضلات اخلاقی، شهامت اخلاقی، دانشجویان پرستاری، پرستاری.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"2 Mitra""></span></span></span></span></span></span></span></span><br> &nbsp;</div> <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:14.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:#000099">Background and Objective:</span></span></b> <span new="" roman="" style="font-family:" times="">Ethics is the main part of the nursing profession, and nursing students are confronted daily with complex situations that require moral reasoning ability and courage to answer them correctly. The aim of the present study was to investigate the relationship between moral reasoning and moral courage among nursing students in clinical settings.<span style="color:#000099"></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:14.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:#000099">Methods:</span></span></b> <span new="" roman="" style="font-family:" times="">This correlational cross-sectional study was conducted on 111 nursing students of Babol University of Medical Sciences in 2023 using a census. The data were collected using three questionnaires including the demographic characteristics of nursing students, the Nursing Dilemma Test (NDT) and the Professional Moral Courage (PMC) questionnaire. The questionnaires were administered to nursing faculty students for completion. Data were analyzed using SPSS21, descriptive statistics and inferential statistics.<span style="color:#000099"></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:14.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:#000099">Findings:</span></span></b> <span new="" roman="" style="font-family:" times="">The results showed that the mean scores of moral reasoning ability and moral courage were 23.44&plusmn;6.3 and 59.27&plusmn;5.8, respectively. There was no significant relationship between moral reasoning ability and moral courage (P value = 0.486).<span style="color:#000099"></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:14.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:#000099">Conclusion:</span></span></b> <span new="" roman="" style="font-family:" times="">According to the results, nursing students had favorable levels of moral reasoning ability and moral courage. Therefore, it is suggested that nursing schools rely on this strength of students and try to improve, deepen, and apply these two categories in clinical education so that students put ethics at the top of their list in their future careers.<span style="color:#000099"></span></span></span></span></span><br> &nbsp;</div> استدلال اخلاقی, معضلات اخلاقی, شهامت اخلاقی, دانشجویان پرستاری, پرستاری. Moral reasoning, Moral dilemmas, Moral courage, Nursing students, Nursing 65 73 http://cjhaa.mubabol.ac.ir/browse.php?a_code=A-10-223-1&slc_lang=fa&sid=1 Mobarakeh Abbasi Firoozjah مبارکه عباسی فیروزجاه abbasimobarakeh@gmail.com 10031947532846002999 10031947532846002999 No Babol University of Medical Sciences دانشگاه علوم پزشکی بابل Abbas Shamsalinia عباس شمسعلی نیا abbasshamsalinia@yahoo.com 10031947532846003000 10031947532846003000 No Babol University of Medical Sciences دانشگاه علوم پزشکی بابل Sepideh Mohamadi سپیده محمدی sepidmohamadi@yahoo.com 10031947532846003001 10031947532846003001 Yes Babol University of Medical Sciences دانشگاه علوم پزشکی بابل Tajmohammad Arazi تاج محمد آرازی tajmohamadarazi@gmail.com 10031947532846003002 10031947532846003002 No