Journal of Qualitative Research in Health Sciences

Document Type : Original Article

Authors

1 School of Medicine, Student Research Committee, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

2 International Relations executive, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

3 3 Department of Community Health Nursing, School of Nursing and Midwifery, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

4 Department of Pediatric Nursing, School of Nursing and Midwifery, Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

10.34172/jqr.2023.26

Abstract

Background: One of the moral challenges in the healthcare system is discrimination in providing care to patients. The present study aimed to report the experiences of nursing instructors and students regarding discrimination in nursing care.
Methods: This qualitative study was conducted using conventional content analysis through semi-structured interviews with 8 nursing instructors and 13 nursing students. The participants were selected using the purposive sampling method. Data collection continued until data saturation. Data were analyzed using Graneheim and Lundman’s proposed method. Data collection and analysis were concurrent. 
Results: According to the findings, “Discrimination paradigm,” “Discrimination as a negative concept,” and “The role of nursing instructors” (teaching moral values, being a role model, and evaluating moral standards) were identified as the main categories. 
Conclusion: According to the results of this study, nursing instructors are recommended to introduce moral topics to students, act as role models for them, and teach them how to deal with ethical challenges. 

Highlights

Roya Sadeghi (Google Scholar) (PubMed)

Zahra Hashemi (Google Scholar) (PubMed)

Fatemeh Abdoli (Google Scholar) (PubMed)

Tabandeh Sadeghi (Google Scholar) (PubMed)

Keywords

  1. Fadakar Davarani MM, Aghabozorgi Davarani MM, Daliri L. A study on perceived discrimination from implementation of the health reform program among employees of training organizations in Rafsanjan city, 2015. Health Dev J. 2018;7(1):23-32. doi: 22062/jhad.2020.91273. [Persian].
  2. Nyblade L, Stangl A, Weiss E, Ashburn K. Combating HIV stigma in health care settings: what works? J Int AIDS Soc. 2009;12:15. doi: 1186/1758-2652-12-15.
  3. Greenwald AG, Pettigrew TF. With malice toward none and charity for some: ingroup favoritism enables discrimination. Am Psychol. 2014;69(7):669-84. doi: 1037/a0036056.
  4. Dehghan Nayeri N, Karimi R, Sadeghee T. Iranian nurses and hospitalized teenagers’ views of dignity. Nurs Ethics. 2011;18(4):474-84. doi: 1177/0969733011403552.
  5. Holmström IK, Kaminsky E, Höglund AT, Carlsson M. A survey of nursing teachers’ awareness of discrimination and inequity in telephone nursing care. BMC Nurs. 2021;20(1):240. doi: 1186/s12912-021-00762-5.
  6. Sadeghi T, Dehghan Nayyeri N. Patients’ dignity: patients’ and nurses’ perspectives. Iran J Med Ethics Hist Med. 2009;3(1):9-20. [Persian].
  7. Lyneham J, Levett-Jones T. Insights into registered nurses’ professional values through the eyes of graduating students. Nurse Educ Pract. 2016;17:86-90. doi: 1016/j.nepr.2015.11.002.
  8. Mosallanejad L, Dehghani A, Sanagoo A. The explanation of tendency or lack of tendency to patient care from university students’ experience: a qualitative research. Mod Care J. 2013;10(1):53-62. [Persian].
  9. Borhani F, Alhani F, Mohammadi I, Abbaszadeh A. Perception of nursing teachers about nursing students’ professional ethical competency: a qualitative study. Scientific Journal of Forensic Medicine. 2010;16(3):165-73. [Persian].
  10. Day RA, Field PA, Campbell IE, Reutter L. Students’ evolving beliefs about nursing: from entry to graduation in a four-year baccalaureate programme. 1995. Nurse Educ Today. 2005;25(8):636-43. doi: 1016/j.nedt.2005.09.003.
  11. Yekefallah L, Dehghankar L, Shafaee M, Mohamadi S, Moradi M. ICU students’ experiences of an effective clinical instructor: a phenomenological study. J Qual Res Health Sci. 2021;10(2):124-33. doi: 22062/jqr.2021.193588.0. [Persian].
  12. Kyle G. Using anonymized reflection to teach ethics: a pilot study. Nurs Ethics. 2008;15(1):6-16. doi: 1177/0969733007083931.
  13. Nouhi E, Seyed Bagher Maddah S, Abbaszadeh A. Collaborative learning experiences of nursing students in the clinical learning setting: a qualitative study. J Qual Res Health Sci. 2021;10(1):300-11. doi: 22062/jqr.2021.91600. [Persian].
  14. Bahadir-Yilmaz E. The relationship between nursing students’ professional values and their attitudes towards the elderly people: a cross-sectional study. Nurse Educ Today. 2018;70:8-12. doi: 1016/j.nedt.2018.08.007.
  15. Zeighami Mohamadi S, Zeinali E, Esmaily H, Nikbakht Nasrabadi AR. Nurse’s perspective about discrimination in nursing care of patients with AIDS. Iran Journal of Nursing. 2011;24(71):28-41. [Persian].
  16. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-12. doi: 1016/j.nedt.2003.10.001.
  17. Abtan AA, Rahnama M, Noori Sanchooli H, Naderifar M. Burn patients’ experiences of hospitalization: a content analysis study. J Qual Res Health Sci. 2022;11(2):92-8. doi: 22062/jqr.2021.193741.0. [Persian].
  18. Sadeghi T, Dehghan Nayeri N, Abbaszadeh A. Factors influencing intraoperative waiting time according to the experience of Iranian families. J Perianesth Nurs. 2016;31(3):217-25. doi: 1016/j.jopan.2014.08.146.
  19. Omidvar S. Knowledge level and attitude of midwifery and nursing students regarding AIDS, Babol, 2000. J Babol Univ Med Sci. 2003;5(5):37-41. [Persian].
  20. Chen WT, Han M, Holzemer WL. Nurses’ knowledge, attitudes, and practice related to HIV transmission in northeastern China. AIDS Patient Care STDS. 2004;18(7):417-22. doi: 1089/1087291041518247.
  21. Kermode M, Holmes W, Langkham B, Thomas MS, Gifford S. HIV-related knowledge, attitudes and risk perception amongst nurses, doctors and other healthcare workers in rural India. Indian J Med Res. 2005;122(3):258-64.
  22. Sayles JN, Wong MD, Kinsler JJ, Martins D, Cunningham WE. The association of stigma with self-reported access to medical care and antiretroviral therapy adherence in persons living with HIV/AIDS. J Gen Intern Med. 2009;24(10):1101-8. doi: 1007/s11606-009-1068-8.
  23. Valizadeh L, Zamanzadeh V, Ghahramanian A, Aghajari P. Exploring the consequences of culturally sensitive care in pediatric nursing: a qualitative study. J Hayat. 2017;23(1):59-73. [Persian].
  24. Tavakkoli SN, Montazeri M. Justice: comparative study of medical ethics and the Islamic moral teachings. Bioethics Journal. 2013;3(9):11-30.
  25. Reis C, Heisler M, Amowitz LL, Moreland RS, Mafeni JO, Anyamele C, et al. Discriminatory attitudes and practices by health workers toward patients with HIV/AIDS in Nigeria. PLoS Med. 2005;2(8):e246. doi: 1371/journal.pmed.0020246.
  26. Borhani F, Alhani F, Mohammadi E, Abbaszadeh A. Nursing students perception of barriers of acquiring professional ethics: a qualitative research. Stride Dev Med Educ. 2011;8(1):67-80. [Persian].
  27. Görgülü RS, Dinç L. Ethics in Turkish nursing education programs. Nurs Ethics. 2007;14(6):741-52. doi: 1177/0969733007082114.
  28. Donaldson JH, Carter D. The value of role modelling: perceptions of undergraduate and diploma nursing (adult) students. Nurse Educ Pract. 2005;5(6):353-9. doi: 1016/j.nepr.2005.05.006.
  29. Wagner P, Hendrich J, Moseley G, Hudson V. Defining medical professionalism: a qualitative study. Med Educ. 2007;41(3):288-94. doi: 1111/j.1365-2929.2006.02695.x.
  30. Pourama A, Azizzadeh Forouzi M, Asadabadi A. Professional values from nursing students’ perspective in Kerman province: a descriptive study. Iran J Med Ethics Hist Med. 2015;7(6):79-88. [Persian].
  31. Michal Rassin RN. Values grading among nursing students - differences between the ethnic groups. Nurse Educ Today. 2010;30(5):458-63. doi: 1016/j.nedt.2009.10.006.