Journals / Balıkesir Sağlık Bilimleri Dergisi / 2026 / Volume: 15 Issue: 2

Professional Commitment and Ethical Practices Related to Patient Rights Among Nurses

Hemşireler Arasında Mesleki Bağlılık ve Hasta Hakları ile İlişkili Etik Uygulamalar

Züleyha Gürdap(INONU UNIVERSITY, FACULTY OF NURSING)0000-0002-2231-8218
Zeliha Cengiz(INONU UNIVERSITY, FACULTY OF NURSING)0000-0002-3819-1717
Sibel Gülmez(INONU UNIVERSITY, FACULTY OF NURSING)0009-0006-4829-8258
Pages
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Publication Date
2026-06-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

A weak but significant positive relationship existed between professional commitment and ethical practices.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: This study aimed to examine the nurses' professional commitment levels and their ethical behaviors in protecting patient rights.
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Key Findings & Data:Materials and Methods: The study included 228 nurses from a research hospital.
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Conclusion & Impact:A weak but significant positive relationship existed between professional commitment and ethical practices.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Ethics · Patient Rights · Nursing

Abstract

Objective: This study aimed to examine the nurses' professional commitment levels and their ethical behaviors in protecting patient rights. Materials and Methods: The study included 228 nurses from a research hospital. Data were collected using the Nursing Professional Commitment Scale and the Ethical Behavior Scale for Protecting Patient Rights. Descriptive statistics, t-tests, Mann-Whitney U, Kruskal-Wallis H, ANOVA, and correlation analyses were used for data analysis. Results: The mean professional commitment score was 69.75 ± 12.69, and the mean ethical behavior score was 115.95 ± 14.94. Professional experience, clinical, and job position influenced professional commitment. Gender, marital status, experience, unit, years in the clinic, and ethics training frequency affected ethical behaviors (p <0.05). Education and experience were key resources in ethical decision-making, while knowledge gaps and disagreements with colleagues and managers were major challenges. Job satisfaction and working conditions were the main factors influencing professional commitment. A significant, positive correlation was found between professional commitment and ethical behaviors in protecting patient rights. Conclusion: Nurses showed moderate professional commitment and high ethical behavior levels. A weak but significant positive relationship existed between professional commitment and ethical practices.

Özet

Amaç: Bu araştırma, hemşirelerin mesleki bağlılık düzeyleri ile hasta haklarını korumaya yönelik etik davranışlarını incelemeyi amaçlamıştır. Gereç ve Yöntem: Çalışma, bir araştırma hastanesinde görev yapan 228 hemşire ile gerçekleştirilmiştir. Veriler, Hemşirelikte Mesleğe Bağlılık Ölçeği ve Hemşirelerin Hasta Haklarını Korumaya Yönelik Etik Davranış Ölçeği kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, t-testi, Mann-Whitney U, Kruskal-Wallis H, ANOVA ve korelasyon analizleri uygulanmıştır. Bulgular: Mesleki bağlılık puan ortalaması 69.75 ± 12.69, etik davranış puan ortalaması ise 115.95 ± 14.94 olarak bulunmuştur. Mesleki deneyim, görev yapılan klinik ve pozisyon mesleki bağlılığı etkileyen faktörlerdir. Cinsiyet, medeni durum, deneyim, çalışılan birim, klinikte çalışma süresi ve etik eğitimi sıklığı, etik davranışları etkileyen değişkenlerdir (p <0.05). Eğitim ve deneyim, etik karar verme sürecinde en sık başvurulan kaynaklar olurken, bilgi eksiklikleri ve meslektaşlar ile yöneticiler arasındaki görüş ayrılıkları en büyük zorluklar olarak belirlenmiştir. İş tatmini ve çalışma koşulları, mesleki bağlılığı en çok etkileyen faktörlerdir. Mesleki bağlılık ile hasta haklarını korumaya yönelik etik davranışlar arasında anlamlı ve pozitif bir ilişki bulunmuştur. Sonuç: Hemşirelerin mesleki bağlılıklarının orta düzeyde, hasta haklarını korumaya yönelik etik davranışlarının ise yüksek düzeyde olduğu görülmüştür. Mesleki bağlılık ile etik uygulamalar arasında zayıf ancak anlamlı bir pozitif ilişki tespit edilmiştir.

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Cite This Article

Gürdap, Z., Cengiz, Z., Gülmez, S. (2026). Professional Commitment and Ethical Practices Related to Patient Rights Among Nurses. Balıkesir Sağlık Bilimleri Dergisi, Volume: 15 Issue: 2. https://doi.org/10.53424/balikesirsbd.1635469

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References (34)

  1. Akca, S. O., Akpinar, Y. Y., & Habbani, T. (2015). Knowledge and attitudes of nurses regarding patient rights: a Corum/Turkey sample. Revista da Associação Médica Brasileira, 61, 452-457.
  2. Akutay, S., & Ceyhan, Ö. (2022). Determination of nursing students’ ethical problems in clinical teaching. Gümüşhane University Journal of Health Sciences, 11(4), 1452-1459. https://doi.org/10.37989/gumussagbil.907394
  3. Al-Hamdan, Z. M., Dalky, H., & Al-Ramadneh, J. (2017). Nurses' professional commitment and its effect on patient safety. Global Journal of Health Science, 10(1), 111.
  4. Altuntaş Çalım, G., & Elmas, S. (2023). İnformed consent in nursing practices. Akdeniz Nursing Journal, 2(2), 65-72. https://doi.org/10.59398/ahd.1298248
  5. Aydın, Y., Dikmen, Y., & Kalkan, S. C. (2017). Research on midwifery student’s ethical susceptibility on patient care practice. Journal of Contemporary Medicine, 7(2), 168-174. https://doi.org/10.16899/gopctd.326664
  6. Barluk, E. (2019). Cerrahi hemşirelerinin mesleğe bağlılık düzeylerinin hasta güvenliğine ilişkin bilgi, tutum ve davranışlarına etkisi. (Yüksek Lisans Tezi), Manisa Celal Bayar Üniversitesi, Manisa.
  7. Batı, N. (2023). Hemşirelerin etik duyarlılıkları ile hasta savunuculuk düzeyleri arasındaki ilişki. (Yüksek Lisans Tezi), Necmettin Erbakan Üniversitesi Sağlık Bilimleri Enstitüsü, Konya.
  8. Can, Ş. (2021). The relationship between the individualized care perceptions of nurses and their professional commitment: Results from a descriptive correlational study in Turkey. Nurse Education in Practice, 55, 103181. https://doi.org/10.1016/j.nepr.2021.103181
  9. Cohen, J. (2013). Statistical Power Analysis for the Behavioral Sciences (Vol. 2nd ed.). Routledge. https://doi.org/10.4324/9780203771587
  10. Çetinkaya, A., Özmen, D., & Temel, A. B. (2015). The study of reliability and validity of nursing professional commitment scale objectives. E-Journal of Dokuz Eylul University Nursing Faculty, 8(2), 54-60.
  11. Çevik, K., & Bulut, A. (2021). The relationship between professional commitment and contextual performance of nurses. Journal of Hacettepe University Faculty of Nursing, 8(3), 321-327. https://doi.org/10.31125/hunhemsire.966363
  12. Duran, S., Celik, I., Ertugrul, B., Ok, S., & Albayrak, S. (2021). Factors affecting nurses' professional commitment during the COVID-19 pandemic: A cross-sectional study. Journal of Nursing Management, 29(7), 1906-1915. https://doi.org/10.1111/jonm.13327
  13. Duru, P., Örsal, Ö., & Parlak, L. (2022). Evaluation of the relationships between nurses' forgiveness, compassion, and professional commitment. Perspectives in Psychiatric Care, 58(2), 568-577. https://doi.org/10.1111/ppc.12811
  14. Ebrahimi, H., Nikravesh, M., Oskouie, F., & Ahmadi, F. (2015). Ethical behavior of nurses in decision-making in Iran. Iranian Journal of Nursing and Midwifery Research, 20(1), 147-155.
  15. Eyüboğlu, G., Eyikara, E., Göçmen Baykara, Z., & Gül, Ş. (2022). Development, reliability and validity of the nurses' ethical behaviours for protecting patient rights scale. International Journal of Nursing Practice, 28(1), e12991. https://doi.org/10.1111/ijn.12991
  16. Gedük, E. A. (2018). Developing roles of the nursing profession. Journal of Health Science and Profession, 5(2), 253-258. Gülnar, E., Bayram, Ş., & Özveren, H. (2024). [Determining nursing students patient advocacy status. Black Sea Journal of Health Science, 7(1), 1-6. https://doi.org/10.19127/bshealthscience.1325114
  17. Kavuran, E., Ulaş, A. H., & Kaşıkçı, M. K. (2022). Determining the effect of creative drama on nursing students’ knowledgeof patient rights. Health and Society, 32(1), 167-174.
  18. Kolawole, I. O. (2017). Nurses' perception and patients' validation of nurses' advocacy roles in promotion of surgical patients' safety and rights in three hospitals, Ibadan, Nigeria. West African Journal of Nursing, 28(1), 66-84.
  19. Kotan, G., & Özcan, A. (2024). The relationship between work stress and professional commitment levels in nurses. Abant Journal of Health Sciences and Technologies, 4(3), 97-106.
  20. Maluwa, V. M., Maluwa, A. O., Mwalabu, G., & Msiska, G. (2021). Assessment of ethical competence among clinical nurses in health facilities. Nursing Ethics, 29(1), 181-193. https://doi.org/10.1177/09697330211010259
  21. Mpouzika, M., Karanikola, M., Panayiotou, E., Raftopoulos, V., Middleton, N., & Papathanassoglou, E. (2021). Nurses' attitudes and knowledge regarding patient rights: a systematic review. Revista da Escola de Enfermagem da USP, 55, e03678. https://doi.org/10.1590/S1980-220X2019037603678.
  22. Nabi Foodani, M., Abbasi Dolatabadi, Z., Goudarzian, A. H., Mosazadeh, H., & Poortaghi, S. (2024). Factors effective in lowering professional commitment in nursing and strategies to address them: a scoping review. SAGE Open Nursing, 10, 23779608241299291. https://doi.org/10.1177/23779608241299291
  23. Parsapoor, A., Mohammad, K., Afzali, H. M., Ala’eddini, F., & Larijani, B. (2012). Necessity of observing patient’s rights: a survey on the attitudes of patients, nurses and physicians. Journal of Medical Ethics and History of Medicine, 5, 2.
  24. Rizalar, S., & Baltaci, N. (2020). Ethical decision-making levels of nurses and it’s affecting factors. Internation Journal of Caring Sciences, 13(1), 42-52.
  25. Rushton, C. H., Swoboda, S. M., Reller, N., Skarupski, K. A., Prizzi, M., Young, P. D., & Hanson, G. C. (2021). Mindful ethical practice and resilience academy: equipping nurses to address ethical challenges. American Journal of Critical Care, 30(1), e1-e11. https://doi.org/10.4037/ajcc2021359
  26. Şenoğlu, A., Alan, S., Gökyıldız Sürücü, Ş., & Akça, E. (2019). Examining the ethical sensitivity of midwifery and nursing students. Journal of Midwifery and Health Sciences, 2(2), 38-44.
  27. Soysal, A., & Kuşcu, F. N. (2018). Patient rights: an application on unıversıty students. Gümüşhane University Journal of Health Sciences, 7(1), 101-110.
  28. Sucu Dağ, G., Dicle, A., & Saka, O. (2012). Decision making in clinical nursing: decision-making models and affecting factors. Journal of Education and Research in Nursing, 9(1), 52-59.
  29. Tarhan, M., Akbudak, M., & Kale, A. (2022). Yeni mezun hemşirelerin iş yeri zorbalığı algıları ile mesleki bağlılık düzeyleri arasındaki ilişkinin belirlenmesi. Sağlık ve Hemşirelik Yönetimi Dergisi, 9(2),217-229.
  30. Tuna, R., & Sahin, S. (2021). The effect of attitude towards work on professional commitment. Nursing Ethics, 28(7-8), 1359-1374. https://doi.org/10.1177/0969733021999770
  31. Uysal, A., & Demirci Karakurt, P. (2020). The effect of nurses’ profession commitment situation to tendency of making medical error. Turkish Journal of Family Medicine and Primary Care, 14(3), 349-361.
  32. Ying, Z., Yan, S., Wei, H., & Huimin, S. (2024). Analysis of the current situation and influencing factors of icu nurses' ethical behavior in protecting patient rights [J]. Medicine & Philosophy, 45(20), 44-47, 58. https://doi.org/10.12014/j.issn.1002-0772.2024.20.10
  33. Younas, A., Rasheed, S. P., Sundus, A., & Inayat, S. (2020). Nurses' perspectives of self‐awareness in nursing practice: A descriptive qualitative study. Nursing & Health Sciences, 22(2), 398-405.
  34. Zhao, L., Su, Y., Jiang, N., Zhou, F., Liao, L., & Liu, Y. (2022). Changes in professional commitment of undergraduate nurse students before and after internship: a longitudinal study. BMC Medical Education, 22(1), 282. https://doi.org/10.1186/s12909-022-03364-0