Development of Nursing Codes of Ethics in Home Care: Protocol for a Mixed Methods Study



Arab M¹ ; Shahriari M² ; Keshavarzian A^{3, 6} ; Keshvari M⁴ ; Abbaszadeh A⁵ Show Affiliations
Source: Pakistan Journal of Medical and Health Sciences Published:2020

Abstract

Background: Home care nurses face many ethical challenges in the provision of quality care. Although, many studies have been conducted on ethical issuesin the hospital environment and ethical support in nursing, there are a limited number ofstudies on ethical issues and moral support outside of the hospital to provide long-term care, such as home care. Aim: To develop codes of ethics for home care through a mixedmethods study. Methods: This study is to be conducted based on a 4-step sequential exploratory mixed methods study. In the first step, a qualitative study will be conducted by participation of the individuals involved in home care using content analysis in order to identify the ethical values of home care nursing. In the second step, to obtain credible scientific documentation, the systematic review will be based on the review and dissemination guidance applied by University of York, England. The third step will be designed by integrating the findings of qualitative studies and systematic review, drafting the original codes extracted by a nominal expert groupbenefitingfrom the specialists in qualitative studies in the fields of ethics andnursing, as well as the experts from organizations and professional institutes in the field of home careinside the country. Then, in the fourth stage, the codes will be validated through a nationwide survey of care providers tobe ultimately made available to the beneficiary group. Conclusion: The findings of this mixedmethodsstudy will beobtained as the ethical codes of home care nursing. Compiling these codes will serve as a guide tool for home care nurses and other members of the health team and can reduce ethical issues such as costs, morbidities, and mortalities and ultimately leadsto promoted community health by developing ethical competence forimproving the quality of home care. © 2020 Lahore Medical And Dental College. All rights reserved.