The Relationship Between Intensive Care Nurses’ Attitudes Toward Ethical Principles and Missed Nursing Care Yoğun Bakım Hemşirelerinin Etik İlkelere Yönelik Tutumları ile Karşılanamayan Hemşirelik Bakımı Arasındaki İlişki
Journal of Nursing Effect, cilt.19, sa.3, ss.333-349, 2026 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 19 Sayı: 3
- Basım Tarihi: 2026
- Doi Numarası: 10.46483/jnef.1426076
- Dergi Adı: Journal of Nursing Effect
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.333-349
- Anahtar Kelimeler: attitude, Ethical principle, intensive care nursing, missed nursing care, nursing care
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: Maintaining care in accordance with ethical principles in intensive care units is important for patient safety and quality of care. However, inadequacies related to workforce, material resources, and communication may lead to missed nursing care. Objectives: This study was conducted to determine intensive care nurses’ attitudes toward ethical principles and to examine their relationship with missed nursing care. Methods: This descriptive and correlational study was conducted with 267 nurses selected from a population of 873 nurses working in the intensive care units of a city hospital and a training and research hospital. Data were collected using the Nurse Information Form, the Attitudes Toward Ethical Principles Scale, and the Missed Nursing Care Services Scale. Descriptive statistics and correlation test were used to analyze the data. Results: Of the nurses, 82% were female, and their mean working duration in intensive care was 2.29±1.85 years. The mean total score of the Attitudes Toward Ethical Principles Scale was 64.79±16.80. The highest mean score was obtained from the honesty subdimension, while the lowest was obtained from the nonmaleficence subdimension. The most frequently missed care activities were ambulation/mobilization of patients, providing emotional support, and providing education for post-discharge care. Among the reasons for missed care, the highest mean score was found in the inadequate workforce resources subdimension. Honesty was positively correlated with inadequate workforce and material resources, whereas respect for autonomy and confidentiality were negatively correlated with inadequate material resources. No significant relationship was found between total scores. Conclusion: Intensive care nurses had moderate ethical attitudes, and missed nursing care was mostly associated with inadequate workforce resources. Strengthening ethics-based education and institutional care planning is recommended.