Papers by Leila Homayouni

BMC Nursing, 2024
Background Academic dishonesty as a fundamental challenge in adherence of ethical principles in p... more Background Academic dishonesty as a fundamental challenge in adherence of ethical principles in providing care to patients has caused concern to the scientific community of nurses. In addition, positive professional identity and high moral competence are important for nurses to perform multiple care roles in high quality care of patients. The purpose of the present study is of investigating academic dishonesty and its relationship with moral competence and professional identity of master's and PhD nursing students. Methods This descriptive-analytical study was conducted by census method on 65 master's and PhD nursing students in Shiraz University of Medical Sciences, Iran in 2023. Data collection tools included 4 questionnaires (Demographic information, Academic Dishonesty Scale (DAS), Nurses' moral competence and Professional Identity Scale for Nursing Students (PISNS)). Data collection was done within 2 months. Descriptive and inferential analyzes including independent t-test, Pearson correlation coefficient and linear regression were used to analyze the data. The collected data were analyzed by SPSS.V.22 software. P-value less than 0.05 was considered significant. Results The average age of 65 participants was 31.5 ± 5.61 years. The majority of the participants in this study were women 48 (73.8%). There is a significant and negative correlation between academic dishonesty and moral competence (r=-0.260, P-value = 0.036). There is no significant correlation between academic dishonesty and professional identity (r = 0.154, P-value = 0.22). Also, a significant positive correlation was found between moral competence and professional identity (r = 0.294, P-value = 0.018). Conclusion Therefore, considering that the fact that students have a great impact on patient care, Researchers suggest that educational institutions should prevent the increase of academic dishonesty among students by establishing new rules and regulations.

Journal of Health Management and Information Science, 2023
Introduction: The emergence of COVID-19 and its pandemic nature has caused great fear worldwide. ... more Introduction: The emergence of COVID-19 and its pandemic nature has caused great fear worldwide. The pandemic led to economic, social, and mental health problems. Fear and anxiety are some of the main factors affecting the life and mental health of students, which can affect the caring behaviors of nurses. The aim of the present study was to determine the correlation between the fear and anxiety of COVID-19 and the nurse caring behaviors of nursing students at College of Nursing and Midwifery in Shiraz. Methods: This descriptive-analytical study was conducted on 236 nursing students in 2021 at College of Nursing and Midwifery in Shiraz. The census sampling method was used. Data collection was done using Internet links through Whats app given to the participants. The data collection tool included the fear of COVID-19 designed by Ahorsu et al. which has 7 items., the COVID-19 Disease Anxiety Scale designed by Alipour et al. which consists of 18 questions, and the Caring Behavior Inventory (CBI) designed by Wolf et al. which has 42 questions. Data collection was carried out within 2 months. Data analysis was also done in SPSS v. 21, using descriptive analysis including frequency, percentage, mean and standard deviation, and inferential statistics including Spearman's correlation coefficient. Results: The highest percentage of students had moderate (30.9%) and high (20.7%) anxiety levels represented by scores 17-29, and 30-54, respectively. 85.2% of the students were not afraid of COVID-19. There was no significant correlation between fear of COVID-19 disease and care behavior (r=0.3, P=0.644) and anxiety with care behaviors (r=-0.17, P=0.801). Conclusion: Nursing students experienced moderate and high levels of COVID-19 anxiety, while few of them were afraid of COVID-19. However, their average caring behavior was desirable. Managers and officials of the nursing profession should take measures to manage the nursing students' anxiety during the epidemic.

BMC nursing, 2024
Background Academic dishonesty as a fundamental challenge in adherence of ethical principles in p... more Background Academic dishonesty as a fundamental challenge in adherence of ethical principles in providing care to patients has caused concern to the scientific community of nurses. In addition, positive professional identity and high moral competence are important for nurses to perform multiple care roles in high quality care of patients. The purpose of the present study is of investigating academic dishonesty and its relationship with moral competence and professional identity of master's and PhD nursing students. Methods This descriptive-analytical study was conducted by census method on 65 master's and PhD nursing students in Shiraz University of Medical Sciences, Iran in 2023. Data collection tools included 4 questionnaires (Demographic information, Academic Dishonesty Scale (DAS), Nurses' moral competence and Professional Identity Scale for Nursing Students (PISNS)). Data collection was done within 2 months. Descriptive and inferential analyzes including independent t-test, Pearson correlation coefficient and linear regression were used to analyze the data. The collected data were analyzed by SPSS.V.22 software. P-value less than 0.05 was considered significant. Results The average age of 65 participants was 31.5 ± 5.61 years. The majority of the participants in this study were women 48 (73.8%). There is a significant and negative correlation between academic dishonesty and moral competence (r=-0.260, P-value = 0.036). There is no significant correlation between academic dishonesty and professional identity (r = 0.154, P-value = 0.22). Also, a significant positive correlation was found between moral competence and professional identity (r = 0.294, P-value = 0.018). Conclusion Therefore, considering that the fact that students have a great impact on patient care, Researchers suggest that educational institutions should prevent the increase of academic dishonesty among students by establishing new rules and regulations.

sagepub, 2016
Background: Nurses are often faced with complex situations that made them to make ethical decisio... more Background: Nurses are often faced with complex situations that made them to make ethical decisions; and to make such decisions, they need to possess the power of moral reasoning. Studies in Iran show that the majority of nursing students lack proper ethical development. Socratic teaching is a student-centered method which is strongly opposed to the lecturing method. Objectives: This study was conducted to evaluate the impacts of Socratic questioning on the moral reasoning of the nursing students. Research design: In a quasi-experimental study, Crisham's Nursing Dilemma Test was used to evaluate the results of three groups before, immediately after, and 2 months after intervention. The data were analyzed using the SPSS statistical software (v 15). Participants and research context: Through random allocation, 103 nursing students were divided into three groups. In experiment group 1 (37 students), intervention consisted of Socratic questioning-based sessions on ethics and how to deal with moral dilemmas; experiment group 2 (33 students) attended a 4-h workshop; and the control group (33 students) was not subject to any interventions. Signed informed consent forms: This research was approved by the Ethics Committee of the University. All the participants signed written informed consents. Findings: There were significant differences between experiment group 1 and experiment group 2's pretest and post-test scores on moral reasoning (p 0.001, p 0.001), nursing principled thinking (p 0.001, p 0.001), and practical considerations (p 0.001, p 0.031). Discussion: Both the teaching approaches improved the subjects' moral reasoning; however, Socratic questioning proved more effective than lecturing. Compared to other similar studies in Iran and other countries, the students had inadequate moral reasoning competence. Conclusion: This study confirms the need for the development of an efficient course on ethics in the nursing curriculum. Also, it appears that Socratic questioning is an effective method to teach nursing ethics and develop nursing students' competence of moral reasoning.

Impacts of Socratic questioning on moral reasoning of nursing students
Nursing Ethics, 2016
Background: Nurses are often faced with complex situations that made them to make ethical decisio... more Background: Nurses are often faced with complex situations that made them to make ethical decisions; and to make such decisions, they need to possess the power of moral reasoning. Studies in Iran show that the majority of nursing students lack proper ethical development. Socratic teaching is a student-centered method which is strongly opposed to the lecturing method. Objectives: This study was conducted to evaluate the impacts of Socratic questioning on the moral reasoning of the nursing students. Research design: In a quasi-experimental study, Crisham’s Nursing Dilemma Test was used to evaluate the results of three groups before, immediately after, and 2 months after intervention. The data were analyzed using the SPSS statistical software (v 15). Participants and research context: Through random allocation, 103 nursing students were divided into three groups. In experiment group 1 (37 students), intervention consisted of Socratic questioning-based sessions on ethics and how to deal...
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Papers by Leila Homayouni