Editing: research/abstract_eng/725.txt

Kannika Sillapaprommas. (2004). Psychological and social-situational correlates of ethical psychiatric nursing practices in professional nurses. Master thesis, M.Sc. (Applied Behavioral Science Research). Bangkok : Graduate School, Srinakharinwirot University. Advisor Committee: Assoc. Prof. Ngamta Vanindananda, Assoc. Prof. Dr. Orapin Choochom. This research is a comparative-correlation study with important two objectives : 1) To find the relationship between situational, psychological, psychological-situational characteristics, and ethical psychiatric nursing behavior in professional nurses . 2) To identify important predictors with each and all three aspects of ethical psychiatric nursing behavior in professional nurses. The sample consisted of 256 Buddhist professional nurses from 4 mental-health and psychological hospitals, aged between 20and59 years, with an average 10.2 years of work as registered nurses and 13.5 years of experience. Three groups of independent variables are based on the Interactionism Model, Psychological Theory of work and moral behavior. The first group was social situational condition, consisting of three variables : perceived social support from other persons in the work place, good models in the work place, received developing human activities. The second group was psychological characteristics , consisting of moral reasoning, empathy, Buddhist way of life and four principles of virtuous existence. The third group was psychological-situational characteristics, consisting of the attitude toward ethical psychiatric nursing behavior, stress from work and self efficacy with psychiatric nursing behavior. The dependent variable in this study was divided into 2 aspects : nursing process behavior and patients' human rights in relation to the behavior of nurses. Twelve instruments were employed in the data collection. Each instrument had 10-25 items, item total correlation between .23-.87, reliability between .72-.98 . Three-way, Two-way Analysis of Variance and Multiple Regression Analysis were performed on the data for testing the five hypotheses in the total sample as well as the subsamples. There are 2 major groups of findings. First, the nurses who had low amount of nursing process behavior were 1) The low family income, older nurses or long time to work in register nurse who had low favorable attitude toward ethical psychiatric nursing behavior or low Buddhist way of life and found in long time to work in register nurse group that had low favorable attitude toward ethical psychiatric nursing behavior, low Buddhist's four principles of virtuous and low perceived social support were lower amount of nursing process behavior than those with high values. 2) The low family income, young nurses, and those with short work records or low experience nurses who had fewer good models in the work place or low perceived social support. 3) The married nurses or those with long work records who had low self efficacy with psychiatric nursing behavior. 4) The older nurses who had low favorable attitude toward ethical psychiatric nursing behavior. 5) The married nurses who had high stress from work. the nurses whose behavior showed lower regard for the human rights of patients were 1) The single nurses, with low income, short working records or low experience who had a low Buddhist way of life or low perceived social support. 2) The married nurses or those with short work records who had low empathy or low self efficacy with psychiatric nursing behavior. 3) Found in high experience nurses who had low favorable attitude toward ethical psychiatric nursing behavior, low empathy or low self efficacy with psychiatric nursing behavior and high favorable attitude toward ethical psychiatric nursing behavior, low empathy or low self efficacy with psychiatric nursing behavior producing lower regard for patients' human rights. Second, ten mainly independent variables altogether predicted nursing process behavior, it was found that 36.2% of variance was predicted. The highest amount of prediction was in low experience nurses (48.4%). The lowest amount of prediction was in high experience nurses (31.6%). The important predictors were the attitude toward ethical psychiatric nursing behavior, self efficacy with psychiatric nursing behavior, Buddhist way of life and stress from work. Ten mainly independent variables altogether predicted patients' human rights adhering behavior of nurses, it was found that 56.7% of variance was predicted. The highest amount of prediction was in single nurses (69.3%). The lowest amount of prediction was in high experience nurses (45.7%). The important predictors were the attitude toward ethical psychiatric nursing behavior, empathy, Buddhist way of life, four principles of virtuous and self- efficacy with psychiatric nursing behavior. Based on the results of the present study, four relevent recommendations were given. First, the important aspects for high amount of nursing process behavior were 1) the favorable attitude toward ethical psychiatric nursing behavior. 2) self -efficacy with psychiatric nursing behavior.3) good models in the work place. 4) Buddhist way of life. 5) stress from work. and The important aspects for high amount of patients' human rights adhering behavior of nurses were 1) the favorable attitude toward ethical psychiatric nursing behavior. 2) empathy. 3) self efficacy with psychiatric nursing behavior. 4) Buddhist's four principles of virtuous. These results showed how nurses could improve nursing process behavior and behavior conforming with patients' human rights. Second, this study showed which group of nurses should be improved frist. Third, the important aspects for high amount of nursing process behavior and behavior conforming with patients' human rights were model to improve activites for other groups of psychiatric nurse. Fourth, some variance was not predicted well. The next study will review more variances from many update research to confirm than this.