Ethical Competence Research Articles

Healthcare professionals' digital health competence profiles and associated factors: A cross-sectional study.

To identify healthcare professionals' digital health competence profiles and explore associated factors to digital health competence in healthcare settings. A cross-sectional study. Data were collected from 817 healthcare professionals from nine organizations with an electronic questionnaire by using Digital Health Competence instrument (42 items) and Aspects Associated with Digital Health instrument (15 items) between 1st March and 31st July 2022. K-means clustering was used to describe digital health competence profiles. Binary logistic regression analysis was used to explore associated factors. Analysis revealed three digital health competence profiles: A - high competence (n = 336), B - intermediate competence (n = 352) and C - low competence (n = 129). Between the profiles, digital health competence showed significant differences (p < .001). Recent graduation year, working in outpatient environments and leader or specialist position were associated with higher digital health competence. Organizational practices and the influence from colleagues improved competence in human-centred remote counselling, digital solutions as part of work, competence in utilizing and evaluating digital solutions and ethical competence. Support from management improved digital solutions as part of work and ethical competence. Nursing and allied health professionals working in other than outpatient environments should be specifically acknowledged when digital health competence development initiatives are designed and targeted. The positive influence from colleagues could be harnessed by enhancing their involvement in digital health competence development methods such as orientation, mentoring or coaching. Additionally, managers should take a stronger role in supporting different areas of digital health competence. This was the first study that explored healthcare professionals' digital health competence profiles and associated factors. The detection of healthcare professionals' digital health competence profiles guides the development of digital health education according to different needs in healthcare environments. The study has adhered to STROBE guidelines. No patient or public contribution.

Ethical climate, moral resilience, and ethical competence of head nurses.

The ethical competence of head nurses plays a pivotal role in nursing ethics. Ethical climate is a prerequisite for ethical competence, and moral resilience can positively influence an individual's ethical competence. However, few studies have focused on the relationship between ethical climate, moral resilience, and ethical competence among them. To investigate the relationship between ethical climate, moral resilience, and ethical competence, and examine the mediating role of moral resilience between ethical climate and ethical competence among head nurses. A quantitative, cross-sectional study. A total of 309 Chinese head nurses completed an online survey, including ethical climate questionnaire, Rushton moral resilience scale, and ethical competence questionnaire. Inferential statistical analysis includes Pearson's correlation and a structural equation model. This study received ethical approval from the Institutional Review Board of Xiangya Nursing School of Central South University (No. E2023146). Head nurses' ethical climate score positively impacted ethical competence (r = 0.208, p < .001), and ethical climate could affect ethical competence through the mediating role of moral resilience. This study emphasized the value of ethical climate in moral resilience of head nurses, ultimately leading to an enhancement in their ethical competence.

Competences and personality of the ethical manager

In this article, we will present managerial ethics, which aims to develop an individual’s ethical competence. This entails the ability to comprehend an ethical argument by identifying factual and normative arguments, as well as recognizing the ethical implications of a specific situation and proposing practical solutions to ethically relevant issues in accordance with moral principles.This article succinctly reveals the specific competencies of managerial ethics, such as ethical-gnosiological competency, deontological competency, ethical communication competency, cultural competency, and managerial ethical competency. These competencies guide the personality of the manager towards better integration in society, at work, and in the family. However, the behavior of a consistent ethical manager, who promotes freedom, development, and growth for each employee, respects their families, encourages a proper balance between work and adequate rest, protects the life, safety, and health of employees, and creates a work environment free of discrimination. The manager communicates openly with subordinates and cultivates a positive attitude towards others and their achievements. All of these characteristics are considered essential to being a consistent ethical leader.

Competencies of the public servant and their impacts: a study in Brazil

PurposeThe authors aimed to investigate whether the competencies of public servants (self-competence, teamwork competence, change competence, communication competence (CC) and ethical competence) influence their organizational commitment and indirectly their job satisfaction.Design/methodology/approachBased on a structural model from the literature, the authors conducted a survey with 463 Brazilian public servants using a questionnaire, and the authors evaluated the measurement model through confirmatory component analysis (CCA). Then, the authors used partial least squares structural equation modeling (PLS-SEM) to analyze the structural model.FindingsThe authors' results showed that the ethical competence construct tends to have a direct positive influence on the organizational commitment construct and indirectly influences the job satisfaction of public servants. On the other hand, the authors found that the self-competence, teamwork competence, change competence and CC constructs did not impact organizational commitment or job satisfaction indirectly.Originality/valueThe authors conclude that developing ethical competence in public servants is likely to increase their organizational commitment and indirectly positively affect their job satisfaction. This research tested the five dimensions of competencies under a new focus, public service, seeking to evidence their relationships with the organizational commitment and job satisfaction of public servants, filling a gap in the literature.

Ethics rounds in the ambulance service: a qualitative evaluation

BackgroundIt is a common ethical challenge for ambulance clinicians to care for patients with impaired decision-making capacities while assessing and determining the degree of decision-making ability and considering ethical values. Ambulance clinicians’ ethical competence seems to be increasingly important in coping with such varied ethical dilemmas. Ethics rounds is a model designed to promote the development of ethical competence among clinicians. While standard in other contexts, to the best of our knowledge, it has not been applied within the ambulance service context. Thus, the aim of this study was to describe ambulance clinicians’ experiences of participating in ethics rounds.MethodsThis was a qualitative descriptive study, evaluating an intervention. Data were collected through sixteen interviews with ambulance clinicians who had participated in an intervention involving ethics rounds. The analysis was performed by use of content analysis.ResultsTwo themes describe the participants’ experiences: (1) Reflecting freely within a given framework, and (2) Being surprised by new insights. The following categories form the basis of the themes; 1a) Gentle guidance by the facilitator, 1b) A comprehensible structure, 2a) New awareness in the face of ethical problems, and 2b) Shared learning through dialogue.ConclusionIncorporating structured ethics rounds seems to create a continuous development in ethical competence that may improve the quality of care in the ambulance service. Structured guidance and facilitated group reflections offer ambulance clinicians opportunities for both personal and professional development. An important prerequisite for the development of ethical competence is a well-educated facilitator. Consequently, this type of ethics rounds may be considered a useful pedagogical model for the development of ethical competence in the ambulance service.

Doctor, let us not tell her about the porcine implant.

With the proliferation of pharmaceuticals and advances in innovative medical technologies, use of animal-derived products is widespread in the healthcare industry. The use of these products sometimes conflicts with the religious beliefs of patients. I was involved in an ethical dilemma during reoperative abdominal hernia surgery. I engaged with the patient's next-of-kin via an intraoperative phone discussion regarding the possible use of a porcine-derived biological mesh implant. Here, I reflect on the experience to help clinicians who seek ethical competence alongside clinical competence.

Self-supporting wound care mobile applications for nurses: A scoping review.

This study provides an overview of the literature to identify and map the types of available evidence on self-supporting mobile applications used by nurses in wound care regarding their development, evaluation and outcomes for patients, nurses and the healthcare system. Scoping review. Joanna Briggs Institute scoping review methodology was used. A search was performed using MEDLINE, Embase, CINAHL (via EBSCO), Web of Science, LiSSa (Littérature Scientifique en Santé), Cochrane Wounds, Érudit and grey literature, between April and October 2022, updated in April 2023, to identify literature published in English and French. Eleven studies from 14 publications met the inclusion criteria. Mostly descriptive, the included studies presented mobile applications that nurses used, among other things, to assess wounds and support clinical decision-making. The results described how nurses were iteratively involved in the process of developing and evaluating mobile applications using various methods such as pilot tests. The three outcomes most frequently reported by nurses were as follows: facilitating care, documentation on file and access to evidence-based data. The potential of mobile applications in wound care is within reach. Nurses are an indispensable player in the successful development of these tools. If properly developed and evaluated, mobile applications for wound care could enhance nursing practices and improve patient care. The development of ethical digital competence must be ensured during initial training and continued throughout the professional journey. We identified a dearth of studies investigating applications that work without Internet access. More research is needed on the development of mobile applications in wound care and their possible impact on nursing practice in rural areas and the next generation of nurses. The Preferred Reporting Items for Systematic Reviews and Meta-analysis Extension for Scoping Review guidelines were used. No patient or public contribution.

Neutrosophic Personality Traits and Ethical Competencies in Palliative Care Professionals

The present study aimed to demonstrate the applicability of neutrosophic logic in investigating the relationship between the personality traits of a group of palliative care professionals and the ethical aspects inherent in their work. Neutrosophic correlation coefficients were employed to identify the most influential personality traits in the ethics of palliative care, as well as the ethical competencies with the greatest impact. The results revealed differences in personality traits, with nurses showing higher sensitivity than doctors, and doctors exhibiting greater kindness. Furthermore, varying degrees of relationships between personality traits and ethical competencies were identified. The neutrality, indeterminacy, and non-truth of the personality traits and competencies analyzed from a neutrosophic perspective allow for a more precise and nuanced evaluation of how palliative care professionals relate to patients and their families. These elements provide a solid foundation for understanding the interaction between ethical aspects and the personality traits of healthcare professionals.

PENGUKURAN KUALITAS AUDIT : ETIKA, INDEPENDENSI, DAN KOMPETENSI AUDITOR

The study of audit quality and the impact of auditor ethics, auditor independence, and auditor competence is a compelling topic for research investigations. This research aims to explore the portrayal and viewpoints regarding ethics, independence, and auditor competence, and how they affect audit quality, drawing from literature reviews and prior research. Audit quality is how an auditor assesses a company from its financial reports and accounting system and looks at possible violations committed by entities in its financial reports and accounting system. Auditor ethics, namely how auditors need to comply with the rules for ethical behavior stated in the public accountant's code of ethics. Independence is when an auditor has no conflict of interest with clients or other parties who have personal interests. Competency is the knowledge, experience and special skills that an auditor has in accordance with his profession. Ethics, independence and auditor competence have a major influence on audit quality assessment. When an auditor fulfills these three elements, the resulting audit quality will be better and gain full trust from the public and interested parties.

The Mediating Effect of Leader Resilience Profile on the Relationship Between Ethical Climate and Leadership Competence of School Heads: An Explanatory Sequential Design

The leadership competence of school heads is among the essential elements that determine the success and effectiveness of schools. The research design chosen for the study was the explanatory sequential design utilizing a survey questionnaire, IDI, and FGD as the mode of gathering data. It aimed to determine the mediating effect of leader resilience profile on the relationship between ethical climate and leadership competence of school heads, in the Division of Davao Oriental. The participants were the teachers from the public elementary and secondary schools in the Division of Davao Oriental, Philippines. The participants in the study were long-term educators with over three years of experience who willingly took part in both the quantitative and qualitative aspects of the research, including in-depth interviews and focus group discussions. The research employed various statistical methods, such as mean, standard deviation, Pearson product-moment correlation coefficient, multiple regression, and the Sobel test. The quantitative phase results revealed a very high status in ethical climate, leader resilience profile, and leadership competence of school heads. Data also showed a significant relationship between the ethical climate and leadership competence, leader resilience profile and leadership competence, and ethical climate and leader resilience profile. The mediating effect of the leader resilience profile between the relationship of school heads' ethical climate and leadership competence showed a partial but significant mediation. On the other hand, the participants' standpoints on the salient findings of the study identified four themes with the corresponding nature of data integration: holistic ethical leadership, morally aligned persevering leadership, enduring adaptive leadership and adaptability, and ethical leadership interplay are all connecting-validating nature of integration.

Identifying the Competency Model Dimensions of Faculty Members (Case Study: Farhangian Universities in Tehran)

Purpose: The objective of this study was to identify and delineate the competency model dimensions essential for faculty members at Farhangian Universities in Tehran. This research aimed to explore the specific competencies necessary to enhance the effectiveness and professional development of faculty in an educational setting. Methodology: This qualitative study employed semi-structured interviews to gather data from 29 faculty members across various departments at Farhangian Universities in Tehran. Participants were selected using purposive sampling to ensure a diverse representation of experiences and perspectives. Theoretical saturation was achieved to ensure the comprehensiveness of the data collected. Thematic analysis was used to analyse the interview transcripts and identify key themes and categories representing faculty competencies. Findings: Five main themes representing essential faculty competencies were identified: ethical competencies, scientific competencies, research competencies, communication competencies, and information technology competencies. Each theme comprised several categories detailing specific competencies, such as individual integrity, pedagogical expertise, research skills, interpersonal communication, and technological proficiency. Conclusion: The study highlighted a comprehensive set of competencies required by faculty members at Farhangian Universities in Tehran to effectively fulfill their educational roles. These competencies span across ethical considerations, scientific knowledge, research capabilities, communication skills, and technological adeptness. Addressing these competencies through targeted development programs could significantly enhance faculty performance and, consequently, student learning outcomes. Keywords: Faculty Competencies, Farhangian, Qualitative Research, Higher Education, Faculty Development, Educational Technology, Ethical Competencies, Scientific Competencies

Análisis crítico y líneas para la mejora de los modelos de evaluación de la competencia ética y cívica en el aprendizaje-servicio

Análisis crítico y líneas para la mejora de los modelos de evaluación de la competencia ética y cívica en el aprendizaje-servicio

Evaluation of Pre-service Teachers’ Digital Competence in Limpopo Province, South Africa

Digital technology can potentially improve the quality of education in rural communities by creating conducive conditions for collaboration among learners, providing interactive learning tools and offering opportunities for personalised learning experiences. The pre-service teachers are a critical human resource in improving the quality of education. Therefore, this study investigated the perceptions of pre-service teachers’ technical, pedagogical, attitudinal and ethical digital competence and their readiness to use digital technologies to enhance their teaching practices in Limpopo Province in South Africa. The theoretical framework that guided the study was the Pedagogical, Ethical, Attitudinal and Technical model (PEAT). This descriptive study used a quantitative approach by employing a cross-sectional survey design. A conveniently selected sample of 123 pre-service teachers participated in the study. The research instrument used to collect data was a Questionnaire of Pre-service Teachers’ Digital Competence. The quantitative data collected were analysed using descriptive statistics. The study's findings were that preservice teachers had positive attitudes towards digital technologies, perceived themselves as having high technical digital competence and perceived ICT use in school as contributing positively to learning. They had lower perceptions regarding their competences in using specific digital technologies in teaching and their knowledge of ethical issues. They had the lowest perceptions in the university's role in preparing them for integrating digital technologies into teaching. These findings underscore the necessity of teacher educators to explore new strategies to enhance student teachers' digital competences.

Validation and analysis of the metric properties of the Leadership Virtues Questionnaire in work and organizational psychologists and individuals who perform leadership functions in Chile.

The literature on leadership and personal competencies exhibits limitations in terms of construct definition, behavior specifications and valid theory-based measuring strategies. An explanatory design with latent variables and the statistical software SAS 9.4 were used for the validation and adaptation to Spanish of the Leadership Virtues Questionnaire applied to work and organizational psychologists and people who exercise leadership functions in Chile. The levels of agreement between judges for the adaptation to the Spanish language and the confirmatory factor analysis of first order with four dimensions shows insufficient statistical indices for the absolute, comparative and parsimonious adjustments. However, a second-order confirmatory factor analysis with two dimensions presents a satisfactory fit for the item, model, and parameter matrices. The measurement of Virtuous Leadership would provide relevant inputs for further evaluation and training based on ethical competencies aimed at improving management, which would, in turn, allow for its treatment as an independent variable to generate an ethical organizational culture.

The essence, structure and ways of forming the professional and ethical competencies of future teachers at the master's level

The essence, structure and ways of forming the professional and ethical competencies of future teachers at the master's level

Cross-cultural adaptation of the Scale of Perception of Respect for and Maintenance of the Dignity of the Inpatient (CuPDPH) to Brazilian Portuguese and its psychometric properties—A multicenter cross-sectional study

ObjectiveTo adapt the Scale of Perception of Respect for and Maintenance of the Dignity of the Inpatient (CuPDPH) to the Brazilian language and culture and to assess its psychometric properties. ResultsThe scale was evaluated by 15 experts, and 239 patients from three tertiary hospitals in Rio de Janeiro. All participants signed a consent form. Data have shown adequacy of the model (KMO=0.839, Bartlett's test of sphericity: χ2(171) = 2241.3, p = 0.000010), good adjusted content validity (CVCa ≥ 0.90), internal consistency and reliability, such as α = 0.927. DiscussionCuPDPH is a rating scale on observable professional attitudes. Illnesses change lives and impose adaptation to a new situation, perceived as depersonalization, leading patients to try to regain control of their lives. Patients expressed “ill will” to fill out the scale. Psychiatric patients’ scale filling time was higher than others. A sample from three Rio de Janeiro third-level hospitals may not reflect the country's population; also, this adaptation may not comprise all linguistic variations of Brazilian Portuguese and Portuguese-speaking countries. ConclusionThe Portuguese version of the Scale of Perception of Respect for and Maintenance of the Dignity of the Inpatient (CuPDPH), a 19-item, six-component version is a reliable instrument to measure the perception of internal medicine, surgical, and psychiatric patients on the maintenance of their dignity in Rio de Janeiro, Brazil. This knowledge could be used in advancing research on patients’ perception of dignity, as well as professional ethical competencies, staff-patient relationship skills, and leadership development in medical and other healthcare professional education.

How Does Mentoring Affect Self-Efficacy?: An Investigation on Turkish Principals

Mentoring is one of the professional development tools supporting school principals. Thanks to mentoring, principals can overcome the problems they confront and meet the expectations of different stakeholders. Thus, principals are able to perform more effectively in schools. Mentoring has become a formal process for principals in various countries for a long time. Moreover, several researchers from different countries focus on the various impacts of mentoring on principals. One of these is the self-efficacy of principals. Mentoring has the potential to enhance the principals' self-efficacy. However, it is difficult to note that mentoring and its influence on principals' self-efficacy have been analyzed thoroughly. In this context, this phenomenological study aims to overcome the current inadequacy. The study data was collected based on criterion and snowball sampling from eight principals working in Kahramanmaraş province. MAXQDA 2020 was utilized for data analysis. The results revealed that mentoring plays a critical role in the self-efficacy beliefs of principals. In other words, it develops principals' managerial, instructional, and ethical competencies. This finding significantly contributes to the literature on principals' professional development, professional learning, and self-efficacy. Several suggestions have been offered for policymakers and researchers about the formalization of mentoring and the details of its implementation.

Assessing the Impact of Strategic and Ethical Entrepreneurship Competence, and Network Competence on the Sustainable Growth of SMEs in South Tangerang City, Indonesia

Assessing the Impact of Strategic and Ethical Entrepreneurship Competence, and Network Competence on the Sustainable Growth of SMEs in South Tangerang City, Indonesia

Ethical Leadership: The Role of Ethical Competencies in Doctoral Supervision Context in Canada

Due to the influence factor in leader-follower relationships, leadership is an ethical undertaking by nature. In doctoral supervision, ethics are a critical competency, especially since it is an authoritative leadership context based on positional power. Doctoral supervisors have the power to impact their students’ well-being and performance, which means that ethics and ethical leadership could be the most important competency that can make the difference in effective supervision. In this chapter, we examined the nature of ethics and ethical leadership in doctoral supervision based on the supervisors’ and doctoral students’ lived experiences and perspectives. Data analysis of the participant’ responses revealed the importance of key ethical competencies in the context of graduate supervision: commitment, stewardship, honesty, justice/fairness, benevolence, nonmaleficence, respect, and autonomy. The data have shown that these competencies are vital within the doctoral supervision context as they can help maintain students’ well-being and enhance their performance. Findings suggest that attention to ethical practices is key to the development of positive supervisory relationships and the implementation of successful doctoral programs.

An Empirical Investigation on Healthcare Professionals' Work Ethic and Ethical Attitudes: The Impact of Leadership Qualities on Ethics Construct and Professional Behaviors

The ability to act ethically is essential for providing high-quality treatment, yet there is a dearth of qualitative research on healthcare practitioners' perceptions of ethical competence. In this study, the ethical competence of healthcare practitioners was examined in the context of student healthcare. The way healthcare is delivered is changing, calling for adjustments to descriptions of and frameworks for ethical leadership. The purpose of this study was to evaluate the relationships between various leadership styles and healthcare professionals' conceptions of and attitudes toward work ethics. Participants in a cross-sectional study that employed the snowball sampling technique were healthcare professionals. The survey used in this study was divided into two sections: the first section collected data on the sociodemographic characteristics of the participants, and the second section contained three validated assessment scales, including inquiries about work ethics, ethical attitudes for public health professionals, and leadership abilities. Higher work ethics and a higher intrinsic work motivation subscale were significantly correlated with high leadership administrative skills (Beta = 6.04, p = 0.019 and Beta = 2.55, p 0.001, respectively). However, a lower intrinsic work motivation subscale was associated with higher leadership conceptual skills (Beta = 1.07, p = 0.027). Stronger leadership and administrative skills were found to be significantly correlated with higher ethical attitudes scores (Beta = 28.39, p 0.001). The work ethic in the delivery of various public health services is significantly improved by higher administrative leadership. Leadership abilities can considerably predict an individual's ethical attitude and professional behavior and are not restricted to a particular profession, experience, or stage of a person's career in the healthcare industry