NURSES' ADHERENCE TO NURSING ETHICS: AN INTEGRATIVE REVIEW

Abstrak

Backgrounds: Nurses' adherence to nursing ethics is crucial for ensuring high standards of patient care and professional integrity. Ethical decision-making in nursing practice is influenced by various factors, including education, organizational support, and individual beliefs. Understanding these factors can enhance the implementation of ethical practices in nursing. This study highlights the importance of continuous ethical education and supportive supervision to enhance nurses' ethical compliance. It provides important insights that can guide nursing practice toward higher ethical standards and a deeper understanding of ethical values in the nursing profession. Objectives: This research aims to synthesize literature on the factors influencing nurses' adherence to nursing ethics and the effectiveness of educational interventions in improving ethical decision-making and behavior. Methods: A comprehensive literature search was conducted across four databases: PubMed, ScienceDirect, Proquest, and Garuda, covering the period from 2018 to 2023. Five articles meeting the inclusion criteria were selected, including quasi- experimental, qualitative, and cross-sectional studies from Iran, South Korea, Ethiopia, and Saudi Arabia. Results: The findings indicate that ethical education, particularly through scenario-based learning and group discussions, significantly enhances nurses' adherence to ethical codes and patient satisfaction. Challenges in home care practice and various factors influencing ethical behavior in nursing were also identified. Effective supervision and ongoing ethical education were highlighted as critical for maintaining high ethical standards. Conclusions: Continuous ethical education and supportive supervision play vital roles in promoting ethical behavior among nurses. These interventions contribute to better adherence to nursing ethical codes and improve overall patient care quality.