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MORAL SENSITIVITY AND INTERPROFESSIONAL COLLABORATION IN NURSES: A CORRELATIONAL STUDY

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503 هرودﻢﮑﯾ و ﺖﺴﯿﺑ هرﺎﻤﺷ ،ﻢﺘﻔﻫ ﯽﭘ رد ﯽﭘ ،168 ،ﺮﻬﻣ 1402 ﯽﯾﺎﻣﺎﻣ و يرﺎﺘﺳﺮﭘ ﻪﻠﺠﻣ
ﯽﺸﻫوﮋﭘ ﻪﻟﺎﻘﻣ
ﺳﺎﺴﺣﻗﻼﺧﺍ ﺖ ﺭﺎﮑﻤﻫ ﻭ ﻪﻓﺮﺣﻱﺍ :ﻥﺍﺭﺎﺘﺳﺮﭘ ﺭﺩﮕﺘﺴﺒﻤﻫ ﻪﻌﻟﺎﻄﻣ ﮏ
ﻩﺰﻤﺣ ﻭﺮﺭﻮﭘ
١
ﺷ ،ﺴﺣﺎﻗﺁ ﺕﺍﺩﺎﺳﺎﻤ
٢*
رﺎﺗرد ﺦ ﺖﻓﺎ28/06/1402 رﺎﺗﺬﭘ ﺦ شﺮ23/07/1402
ﮑﭼﻩﺪ
ﻣﺯﻪﻨ ﻑﺪﻫ: ﺎﺑ ﺎﻨﻋ ﺶﻘﻧ ﻪﺑﻌﺗﻴﻴﻩﺪﻨﻨﮐ ﺍ ﻭ ﺖﺒﻗﺍﺮﻣ ﺮﻣﺍ ﺭﺩ ﺖﻣﻼﺳ ﺐﻗﺍﺮﻣ ﻞﻏﺎﺸﻣﻨﻤ ﻤﻫ ﻭ ﻞﻣﺎﻌﺗ ﺮﺑ ﻂﺒﺗﺮﻣ ﺭﺎﺛﺁ ﻭ ﺭﺎﻤﺭﺎﮑ ﺑﺎﻣ ﻂﺒﺗﺮﻣ ﻞﻏﺎﺸﻣ
ﺍ ﺭﺩﻤﮐ ﺪﻧﻭﺭ ﺩﻮﺒﻬﺑ ﺮﺑ ﻩﺯﻮﺣ ﻦ ﮐ ﻭ ﺎﻘﺗﺭﺍ ﻭ ﺖﺒﻗﺍﺮﻣ ﺖﻣﺪﺧﻲﻧﺎﺳﺭ ﺑ ﻪﺑ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ،ﻥﺍﺭﺎﻤﻑﺪﻫﺎﺑ ﻌﺗﻴﻴﮕﺘﺴﺒﻤﻫ ﻦ ﺳﺎﺴﺣ ﻦﻗﻼﺧﺍ ﺖ ﺎﺑ ﻥﺍﺭﺎﺘﺳﺮﭘ
ﺭﺎﮑﻤ ﻪﻓﺮﺣﻱﺍ ﻝﺎﺳ ﺭﺩ۱۴۰۲ .ﺪﺷ ﻡﺎﺠﻧﺍ
ﺵﻭﺭ ﻭ ﺩﺍﻮﻣﺭﺎﮐ: ﺻﻮﺗ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﻌﻄﻘﻣ ﻉﻮﻧ ﺯﺍ ﮕﺘﺴﺒﻤﻫ ﻭ ﻩﺩﻮﺑﻪﻧﻮﻤﻧﻴﮔﻱﺮ ﻓﺩﺎﺼﺗ ﺵﻭﺭ ﻪﺑ ﻞﻣﺎﺷ ﻭ ﺖﻓﺮﮔ ﺕﺭﻮﺻ ﻩﺩﺎﺳ۱۵۰ ﺮﭘ ﺰﮐﺍﺮﻣ ﺭﺩ ﻞﻏﺎﺷ ﺭﺎﺘﺳ
ﺵﺯﻮﻣﺁ- ﻧﺎﻣﺭﺩ ﮑﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﻪﺑ ﻪﺘﺴﺑﺍﻭ ﻼﺳﺍ ﺩﺍﺯﺁ .ﺩﻮﺑ ﻥﺍﺮﻬﺗﻌﻣﺎﻫﺭﺎ ﺩﻭﺭﻭﺳﺭﺎﻓ ﻥﺎﺑﺯ ﻪﺑ ﻂﻠﺴﺗ : ،ﻦﺘﺷﺍﺩ ﻭﺭ ﺖﻣﻼﺳﻧﺍ ، ﻞﺋﺎﺴﻣ ﻉﻮﻗﻭ ﻡﺪﻋﺶﻨﺗﺍﺯ ﺭﺩ
ﺶﺷ ﻩﺎﻣ ﻪﺘﺷﺬﮔ ﺎﻤﺗ ﻪﻌﻟﺎﻄﻣ ﺭﺩ ﺖﮐﺮﺷ ﻪﺑ ﻌﻣ .ﺩﻮﺑﺎﻫﺭﺎ :ﺝﻭﺮﺧ ﺎﺿﺭ ﻡﺪﻋ ﺎﮑﻤﻫ ﻪﻣﺍﺩﺍ ﻪﺑ ﻤﮑﺗ ﻡﺪﻋ ﻭﻪﻣﺎﻨﺸﺳﺮﭘ ﻞ .ﺩﻮﺑﻩﺩﺍﺩﺎﻫ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ
ﺳﺎﺴﺣﻗﻼﺧﺍ ﺖ ﻥﺍﺭﺎﮑﻤﻫ ﻭ ﻥﺰﺗﻮﻟ) ﻥﺍﺭﺎﺘﺳﺮﭘ۱۹۹۴(ﺭﺎﮑﻤﻫ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻪﻓﺮﺣﻱﺍ ﻥﻮﺳﺮﻔﺟ)۲۰۰۱ (ﻊﻤﺟﻱﺭﻭﺁ ﺍﻭﺭ ﺖﻬﺟ .ﺪﺷﻲﻳ ﺭﺍﺰﺑﺍ ﺭﺎﺒﺘﻋﺍ ﺵﻭﺭ ﺯﺍ ﺎﻫ
ﺭﻮﺻ ﺍﻮﺘﺤﻣ ﻭﻲﻳ ﺎﭘ ﺖﻬﺟ ﻭﻲﻳ ﺎﻔﻟﺁ ﺵﻭﺭ ﺯﺍ .ﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ ﺥﺎﺒﻧﺭﻮﮐﺰﺠﺗﻠﺤﺗﻭ ﻩﺩﺍﺩﺎﻫ ﺻﻮﺗ ﺭﺎﻣﺁ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ ﺎﺒﻨﺘﺳﺍ ﻭ ﺒﻗ ﺯﺍﻥﻮﻣﺯﺁﺎﻫ ﮕﺘﺴﺒﻤﻫ
.ﺖﻓﺮﮔ ﺕﺭﻮﺻ ﻥﻮﺳﺮ
ﻪﺘﻓﺎﺎﻫ: ﺎﺘﻧﻪﮐ ﺩﺍﺩ ﻥﺎﺸﻧ ﺞ ٦٧/٨٢ ﺳﺎﺴﺣ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺪﺻﺭﺩﻗﻼﺧﺍ ﺖ ﻭ ﺩﺎ٣٣/٨١ ﺭﺎﮑﻤﻫ ﺪﺻﺭﺩ ﻪﻓﺮﺣ ﺩﺎ ﺪﻨﺘﺷﺍﺩﻨﭽﻤﻫ .ﺭﺎﻣﺁ ﻪﻄﺑﺍﺭ ﻦ ﺭﺍﺩﺎﻨﻌﻣ
ﺳﺎﺴﺣ ﻩﺮﻤﻧ ﻦﻼﺧﺍ ﺖ ﺭﺎﮑﻤﻫ ﻭ ﻪﻓﺮﺣ ) ﺖﺷﺍﺪﻧ ﺩﻮﺟﻭ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺭﺩ۱۲۵/۰=P.(
ﻭ ﺚﺤﺑﻪﺠﻴﺘﻧﻱﺮﻴﮔ :ﺎﻨﻋ ﺎﺑ ﺕﺍﺮﺛﺍ ﻪﺑ ﺖ ﻭ ﺖﺒﺜﻣﻞﺑﺎﻗﺮﺭﺎﮑﻧﺍ ﺳﺎﺴﺣﻗﻼﺧﺍ ﺖ ﺭﺎﮑﻤﻫ ﻭ ﻪﻓﺮﺣﻱﺍ ﺭﺎﺘﺳﺮﭘ ﺖﺒﻗﺍﺮﻣ ﺮﻣﺍ ﺭﺩﻌﺳﻮﺗ ،ﺵﺯﻮﻣﺁﺎﻫ ﻪﻓﺮﺣﻱﺍ ﺭﺩ
ﻣﺯ ﻦ ﻪﻨﺪﻧﺍﻮﺗ ﺎﺑﺛﺄﺗ ﮐ ﺮﺑﺭﺎﺘﺳﺮﭘ ﺖﺒﻗﺍﺮﻣ ﺖﺍﺰﻓﺍ ،ﺎﺿﺭ ﺶﺑ ﺖﺎﻫﺎﻄﺧ ﺶﻫﺎﮐ ،ﻥﺍﺭﺎﻤ ﮑﺷﺰﭘ ﻏ ﻭ ﻩﺮﻪﺟﻮﺗﺩﺭﻮﻣ ﮔ ﺭﺍﺮﻗ.ﺩ
ﻩﮊﺍﻭﺪﻴﻠﮐﺎﻫ :ﺭﺎﮑﻤﻫ ﻪﻓﺮﺣ، ﺳﺎﺴﺣ ﻗﻼﺧﺍ ،ﺭﺎﺘﺳﺮﭘ
ﺭﺎﺘﺳﺮﭘ ﻪﻠﺠﻣ ﺎﻣﺎﻣ ﻭﻲﻳﺑ ﻩﺭﻭﺩ ، ﻭ ﺖﺴ ﻩﺭﺎﻤﺷ ،ﻢﮑﻢﺘﻔﻫﭘ ،ﭘﺭﺩ ١٦٨ ،ﺮﻬﻣ ١٤٠٢ ﺹ ،٥١٠-٥٠٣
ﻪﺒﺗﺎﮑﻣ ﺱﺭﺩﺁ :ﻥﺍﺮﻬﺗ- ﺎﻬﺘﻧﺍ ﻬﺷ ﻩﺍﺮﮔﺭﺰﺑﺭﺎﺘﺳ- ﺍﺪﻬ ﺭﺍﻮﻠﺑ ﻩﺎﮕﺸ ﻧﺍﺩ ﻥﺍﺪ ﮎﺭﺎﺼ - ﻣﻼﺳ ﺍ ﺩﺍﺯﺁ ﻩﺎﮕﺸ ﻧﺍﺩ ﻘﺤﺗ ﻭ ﻡﻮﻠﻋ ﺪﺣﺍﻭﺕﺎﻘ- ﺯﻮﻣﺁ ﮎﻮﻠﺑ ۱-
ﻪﻘﺒﻃ۵ :ﻦﻔﻠﺗ ،۰۹۱۳۸۶۱۵۳۸۴
Email: shimaaghahosseini@yahoo.com
ﻪﻣﺪﻘﻣ
ﻪﺑ ﻦﺘﺧﺍﺩﺮﭘﺕﻼﮑﺸﻣ ﺘﺷﺍﺪﻬﺑ ﻡﻮﻠﻋ ﻩﺯﻮﺣ ﮑﺷﺰﭘ ﻪﻠﻤﺟﺯﺍ
ﺪﭘﻩﺪﺎﻫ ﺘﻋﺍﺩﺎ ،ﺍﺰﻓﺍ ﺪﻨﻤﻟﺎﺳ، ﺍﺰﻓﺍ ﺭﺎﻤﺎﻫ ﺪﭘﻮﻧ
ﺪﭘﺯﺎﺑ ﺯﺍ ﻥﺍﻮﺗ ﻩﺯﻮﺣﺺﺼﺨﺗﺎﻫ ﮏﺗﻪﺘﺷﺭ ﺝﺭﺎﺧ ﺖﺳﺍ
ﺪﻨﻣﺯﺎ ﺭﺎﮑﻤﻫ ﻩﺯﻮﺣﺎﻫ ﺼﺼﺨﺗ ،ﻒﻠﺘﺨﻣ ﮑﺷﺰﭘ ﻡﻮﻠﻋ
.ﺖﺳﺍﺯﺍ ﻢﻬﻣﺮﺗ ﻑﺍﺪﻫﺍ ﮑﺷﺰﭘ ﻡﻮﻠﻋ ﻪﻌﺳﻮﺗ ﺶﻧﺍﺩﺎﻫ
ﻥﺎﻪﺘﺷﺭ ﺳﺍ ﻪﮐ ﻞﻣﺎﻌﺗ ﺐﺒﺳﻪﺘﺷﺭﺎﻫ ﻒﻠﺘﺨﻣﻣﺯﻪﻨﺎﺳ
ﺪﻨﻤﻧﺍﻮﺗ ﺪﺷﺭ ﻼﮑﺸﻣ ﻞﺣ ﻭ ﻡﻮﻠﻋﻬﺟﻭﺪﻨﭼ ﺖﻣﻼﺳﺩﻮﺷ )١.(
١
ﻮﺠﺸﻧﺍﺩ ﺮﺘﮐﺩ ﺭﺎﺘﺳﺮﭘ، ﺭﺎﺘﺳﺮﭘ ﻩﻭﺮﮔ، ﺭﺎﺘﺳﺮﭘ ﻩﺪﮑﺸﻧﺍﺩ ﺎﻣﺎﻣ ﻭﻲﻳ، ﺷﺰﭘ ﻡﻮﻠﻋ ﻣﻼﺳﺍ ﺩﺍﺯﺁ ﻩﺎﮕﺸﻧﺍﺩ ،ﻥﺍﺮﻬﺗ، ﺍ ،ﻥﺍﺮﻬﺗﺍﺮ
٢
ﺩﺎﺘﺳﺍﺭﺎ ﺭﺎﺘﺳﺮﭘ ﻩﻭﺮﮔ، ﺭﺎﺘﺳﺮﭘ ﻩﺪﮑﺸﻧﺍﺩ ﺎﻣﺎﻣ ﻭﻲﻳ، ﮑﺷﺰﭘ ﻡﻮﻠﻋ ﻣﻼﺳﺍ ﺩﺍﺯﺁ ﻩﺎﮕﺸﻧﺍﺩ ،ﻥﺍﺮﻬﺗ، ﺍ ،ﻥﺍﺮﻬﺗﻥﺍﺮ )ﻮﻧﻩﺪﻨﺴ ﻝﻮﺌﺴﻣ(
ﻪﺑﺭﻮﻃ ﺍﺭ ،ﺞﻪﻓﺮﺣﺎﻫ ،ﺭﺎﺘﺳﺮﭘ ،ﮏﺷﺰﭘ ﺯﺍ ﻢﻋﺍ ﺖﻣﻼﺳ ﺖﺒﻗﺍﺮﻣ
ﮏﺷﺰﭘﺍﺮ ﺮﮕﻪﻓﺮﺣﺎﻫ ﻠﻋﻢﻏﺭ ﻤﻫﺍ ﺭﺎﮐ ﻥﺍﻮﻨﻋ
ﻪﻋﻮﻤﺠﻣ ﺯﺍﻪﻓﺮﺣﺎﻫ ﺎﻫﺪﺣﺍﻭ ﻭ ﻟﺎﻌﻓ ﺍﺰﺠﻣﺪﻨﻨﮐﺎﻀﻋﺍ .
ﺎﻫ ﺵﺯﻮﻣﺁ ﻢﻫ ﺎﺑ ﺕﺭﺪﻨﺑﺪﻨﻨ،ﺍﺮ ﺯﺍﻪﺘﺷﺭﺎﻫ ﺎﺑ ﻒﻠﺘﺨﻣ
ﻪﻣﺎﻧﺮﺑﺎﻫ ﺷﺯﻮﻣﺁ ﺕﻭﺎﻔﺘﻣﺪﻨ ًﻻﻮﺻﺍ ﺮﺘﻤﮐﺪﻨﻧﺍﻮﺗ ﻪﺑﺕﺭﻮﺻ
ﺪﻨﻨﮐ ﺭﺎﮐ. ﮑـ ﺯﺍ ﻻﺩ ﺎﮐ ﻒﻌﺿ ﻞـ ﺪﻧﺍﻮﺗ ﮎﺭﺩ
ﻌﺿﺯﺍ ﺮﮕﻪﻓﺮﺣﺎﻫ ﺪﺷﺎﺑ )۲(. ﺭﺍﺮﻗﺮﺑ ﻤﻫﺭﺎ ﻪﻓﺮﺣ ﺎﺑ
ﺎﺳ ﻭ ﻥﺎﮑﺷﺰﭘ ﻪﻓﺮﺣﺎﻫ ﮑﺷﺰﭘ ﻡﻮﻠﻋ ﻪﻠﻤﺟﺯﺍ ﺎﻇﻭﺴﺑ ﻒ ﻢﻬﻣ ﺭﺎ
ﻭﺮﻴﻫ ﻩﺰﻤﺣﺭﻮﭘ، ﺕﺍﺩﺎﺳﺎﻤﻴﺷ ﻲﻨﻴﺴﺣﺎﻗﺁ
504 هرودﻢﮑﯾ و ﺖﺴﯿﺑ هرﺎﻤﺷ ،ﻢﺘﻔﻫ ﯽﭘ رد ﯽﭘ ،168 ﺮﻬﻣ ،1402 ﯽﯾﺎﻣﺎﻣ و يرﺎﺘﺳﺮﭘ ﻪﻠﺠﻣ
ﻥﺍﺭﺎﺘﺳﺮﭘ ﻪﮐ ﺖﺳﺍﺍﺭﺎﮐﻲﻳ ﺎﻘﺗﺭﺍ ﺍﺭ ﻥﺍﺭﺎﺘﺳﺮﭘ)۳( ﺮﺘﺴﺑ ﻥﺎﻣﺯ
ﻭ ﻥﺍﺭﺎﻤﺰﻫﻪﻨﺎﻫ ﻧﺎﻣﺭﺩ ﺍﺭ ﺶﻫﺎﺪﻫﺩ ،ﻫﺎﮔﺁ ﺐﺒﺳ ﺷﺰﭘ
ﺯﺍ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻭ ﺶﻘﻧﺎﻫ ﺩﺎﻤﺘﻋﺍ ﻭ ﻩﺪﺷ ﺮﮕ ﻥﺁﺎﻫ ﺍﺭ ﺍﺰﻓﺍ
ﺪﻫﺩ )۴( ﺯﺍ ﺕﺍﺭﺎﻈﺘﻧﺍ ﺩﺎﺠ ﻌﻗﺍﻭﺮ ﻪﻓﺮﺣ ﮔﻮﻠﺟ
ﺪﻨﮐ )۵(. ﻓﺮﻃ ﻂﺑﺍﻭﺭ ﻥﺍﺪﻘﻓ ﻪﻓﺮﺣ ﺐﺳﺎﻨﻣﺪﻧﺍﻮﺗ ﺐﺒﺳ
ﮔﺩﻮﺳﺮﻓ ﻠﻐﺷ ﺮﺗ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺭﺩ ﻪﻓﺮﺣ ﺩﻮﺷ )۶(، ﺎﻫﺯﺮﻣ
ﻪﻓﺮﺣ ﻕﻮﻘﺣ ﺵﻭﺪﺨﻣ ﺍﺭﺭﺎﻀﺗ ﺍﺭ ﻥﺎﻨﻴﻴ ﺪﻨ )۷(ﺎﺘﻧ .
ﻪﻌﻟﺎﻄﻣ ﻪﮐﺭﺎﮑﻤﻫ ﻪﻓﺮﺣ ﺳﺭﺮﺑ ﻥﺎﮑﺷﺰﭘﻥﺍﺭﺎﺘﺳﺮﭘ ﺭﺩ ﺍﺭ
ﻥﺎﺸﻧ ،ﺪﻧﺩﺮﮐﺪﻫﺩ ﻪﮐﺭﺎﮑﻤﻫ ﺢﻄﺳ ﻪﻓﺮﺣ ﺎﭘﻴﻳﺮﺗ ﺪﺣ ﺯﺍ
ﺖﺳﺍ ﻩﺩﻮﺑ ﺭﺎﻈﺘﻧﺍ ﺩﺭﻮﻣ )۸ .(Zande Der Van ﻥﺍﺭﺎﮑﻤﻫ ﻭ ﺯﺍ
ﻩﺍﺭﺎﻫ ﺍﺰﻓﺍﺭﺎﮑﻤﻫ ﺶ ﻪﻓﺮﺣ ﺍﺭﺳﺎﺴﺣﻗﻼﺧﺍ ﺖ ﺩﺍﺮﻓﺍﺪﻨﻧﺍﺩ
)۹.(
ﻮﻨﻌﻣ ﺭﺎﺘﻓﺭ ﺎﺑ ﻡﺃﻮﺗ ﻭ ﻟﻮﺌﺴﻣ ،ﻥﺍﺭﺎﻤ ﺮﺛﺆﻣ ﺶﻘﻧ ﺑ ﺭﺩ ﺩﻮﺒﻬ
ﺖﺸﮔﺯﺎﺑ ﺘﻣﻼﺳ ﻤﻫ ﻪﺑ ﺩﺭﺍﺩ ﻥﺎﻧﺁ ﻟﺩ ﻪﮐ ﺖﺳﺍﻪﻓﺮﺣ
ﺭﺎﺘﺳﺮﭘ ﺎﭘ ﺮﺑ ﺖﺳﺍ ﻩﺪﺷ ﺭﺍﻮﺘﺳﺍ ﻕﻼﺧﺍ )۱۰( .ﺳﺎﺴﺣ ﻗﻼﺧﺍ
ﻪﺑﻥﺍﻮﻨﻋ ﻟﻭﺍ ﻪﻔﻟﺆﻣ ﺍﺮﺑ ﺎﻋﺭ ﮐﺮﺗ ﻕﻼﺧﺍ ﻫﺎﮔﺁ ﺯﺍ ﺮﻓﺩﺎﻌﺑﺍ ﺯﺍ ﺩ
ﻗﻼﺧﺍ ﻈﻧ ،ﺶﻣﺍﺭﺁ ،ﻞﻤﺤﺗﻴﻟﻮﺌﺴﻣﺮﻳﺬﭘ ﻤﻫﺍ ﻥﺩﺍﺩ ﻪﺑ
ﻗﻼﺧﺍ ﻞﺋﺎﺴﻣ ) ﺖﺳﺍ۱۱( .ﺳﺎﺴﺣ ﻗﻼﺧﺍ ﺯﺍﮔﮋﺎﻫﻲﻳ
ﻪﺑ ﻥﺁ ﺪﺟﺍﻭ ﺩﺮﻓ ﻪﮐ ﺖﺳﺍﺪﭘﻩﺪﺎﻫ ﻗﻼﺧﺍ ﺱﺎﺴﺣﺩﻮﺷ ﻪﮐ
ﺭﺩ ﻥﺁ ﻥﺍﺰ ﺕﺎﻌﻟﺎﻄﻣ ﺯﺍ۴۶ ) ﺪﺻﺭﺩ۱۰( ﺭﺩ ﻭﻪﻌﻟﺎﻄﻣ ﺮﮕ
ﺳﺎﺴﺣﻗﻼﺧﺍ ﺖ ﺎﭘ ﺢﻄﺳ ﺭﺩ ﻥﺍﺭﺎﺘﺳﺮﭘﻴﻳ) ﺖﺳﺍ ﻩﺪﺷ ﺵﺭﺍﺰﮔ۱۲( .
ﻪﺟﻮﺗ ﺎﺑ ﺯ ﻪﺑﺩﺎ ﺭﺎﮐ ﻢﺠﺣ ﻥﺩﻮﺑ ﺘﺨﺳ ،ﻥﺍﺭﺎﺘﺳﺮﭘ ﻭ ﺭﺎﮐ ﮕﺘﺴﺧ
ﺣﻭﺭ ﻤﺴﺟ ﻥﺍﺭﺎﺘﺳﺮﭘﺍﺰﻓﺍ ﺪﺑﺎ . ﺪﻧﻮﻟﺍﺩ ﻪﻌﻟﺎﻄﻣ ﺭﺩ
ﻥﺍﺭﺎﮑﻤﻫ ﻐﺘﻣ ﺎﺑ ﻮﺟﺩﺪﻣ ﻝﻼﻘﺘﺳﺍ ﻪﺑ ﻡﺍﺮﺘﺣﺍ ﺪﻌﺑﺎﻫﺮ ،ﻦﺳ
ﺴﻨﺟ ﻁﺎﺒﺗﺭﺍ ﻕﻼﺧﺍ ﻩﺎﮔﺭﺎﮐ ﺭﺩ ﺖﮐﺮﺷ ﻪﻘﺑﺎﺳ ﺭﺍﺩﺎﻨﻌﻣ ﺖﺷﺍﺩ
)۱۳(.
ﻧﺁﺯﺍﺎﺠﻲﻳﻪﮐ ﻑﺪﻫ ،ﻩﺯﻭﺮﻣﺍﻪﻓﺮﺣﺎﻫ ﻣﺄﺗ ،ﺖﻣﻼﺳ ﻭ ﺖﺷﺍﺪﻬﺑ
ﺘﺳﺭﺪﻨﺗ ﺩﺍﺮﻓﺍ ﺖﻣﻼﺳ ﻭ ﺖﺳﺍﻧ ﻪ ﻪﺑ ﺯﺎﻥﺎﻣﺭﺩﺎﻫ ﺷﺰﭘ
ﺭﺎﺘﺳﺮﭘ ﺖﺒﻗﺍﺮﻣ ؛ﺪﻧﺭﺍﺩﺍﺯﺍﻭﺭ ، ﻪﻓﺮﺣﺎﻫ ،ﻪﺑﻥﺍﻮﻨﻋ ﻪﻓﺮﺣﺎﻫ
ﻗﻼﺧﺍﺻﻮﺗ ،ﻓﺮﻌﻣ ﻩﺪﺷﺪﻧﺍ )۱۴( .ﺎﻋﺭﺯﺍﻮﻣ ﻗﻼﺧﺍ ،
ﻠﻣﺎﻋ ﺍﺮﺑ ﺮﺛﺆﻣ ﺘﻬﺑ ﺩﺮﮑﻠﻤﻋ ﻥﺪﺷ ﻪﺋﺍﺭﺍ ﺭﺩ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺖﺒﻗﺍﺮﻣ
ﮐﺎﺑ) ﺖﺳﺍ۱۵(. ﺴﺑﺭﺎ ﻗﻼﺧﺍ ﺕﺎﻋﻮﺿﻮﻣ ،ﻥﺍﺭﺎﺘﺳﺮﭘ ﺯﺍ ﻪﮐ ﺍﺭ
ﻃ ﺭﺩ ﺎﺑ ﺭﺎﮐﻥﺁﺎﻫ ﻪﺟﺍﻮﻣﺪﻧﻮﻣ ،ﺮﻈﻧ ﺍﺮﺑ ﺎﻣﺍ ؛ﺪﻧﺭﺍﺩ ﻥﺩﺮﮐ ﺍﺪ
ﻩﺍﺭﻞﺣ ﻥﺁﺎﻫ ﻣﺍﺪﻗﺍ ﻤﻧﺪﻨﻨﮐﻭﺮﺗ . ﺩﺮﮑﻠﻤﻋ ﻝﻮﺻﺍ ﻪﻓﺮﺣﺯﺍ ،
ﺮﻃﮐﺄﺗ ﻖ ﺮﺑ ﻧﺎﺒﻣ ﺵﺯﻮﻣﺁ ﻗﻼﺧﺍﻮﻘﺗ ﻩﺍﺭ ﺎﻬﻨﺗ ، ﻡﺩﺮﻣ ﺩﺎﻤﺘﻋﺍ ﺖ
ﻪﺑ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺖﺳﺍ )۱۶(. ﺭﺎﺘﺳﺮ ﺎﺑﺍﺮﺑ ،ﻕﻼﺧﺍ ﺮﺛﺆﻣ ﺩﺮﺑﺭﺎ
ﺕﺭﺎﻬﻣﺎﻫ ﺳﺎﺴﺣ ،ﻝﻻﺪﺘﺳﺍ ﻗﻼﺧﺍ ﺭﺩ ﺰﺠﺗﺤﺗﻭ
ﺪﻫﺩ ﻪﻌﺳﻮﺗ ﺍﺭ ﻕﻼﺧﺍ .ﺎﺣ ﺩﻮﺟﻮﻣ ﺪﻫﺍﻮﺷ ﺍ ﺯﺍ ﺖﺳﺍﺳﺎﺴﺣ ﻪ
1 Moral Sensitivity Questionnair e (MSQ)
ﻗﻼﺧﺍ ﻡﺎﺠﻧﺍ ﺭﺩ ،ﺐﻠﻏﺍ ،ﻥﺍﺭﺎﺘﺳﺮﭘ ﻥﺩﺍﺩ ﻟﻮﺌﺴﻣ ﻪﻓﺮﺣ
ﻤﺼﺗﺎﻫ ﻗﻼﺧﺍ ﺸﻘﻧ ﻥﺎﻧﺁ ﻢﻬﻣ ) ﺩﺭﺍﺩ۱۷(.
ﻲﻳﺎﺠﻧﺁﺯﺍﻪﮐ ﺭﺎﮑﻤﻫ ﻪﻓﺮﺣ ﺳﺎﺴﺣ ﻗﻼﺧﺍ ﺮﻫ ﻭﺩ
ﻐﺘﻣﺎﻫﺮ ﺮﺛﺆﻣ ﭘ ﻭ ﺖﺒﻗﺍﺮﻣ ﺮﻣﺍ ﺩﻮﺒﻬﺑ ﺭﺩ ﻪﺋﺍﺭﺍ ﺮﺘﻬﺑ ﺩﺮﺒﺸ ﻪﺑ ﺕﺎﻣﺪ
ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻭ ﺖﺳﺍ ﻥﺍﺭﺎﻤﻪﮐ ﻪﺑ ﺎﺗﻥﻮﻨﮐﺍ ﺪﻫﺍﻮﺷﻓﺎ ﻄﺑﺍﺭ ﺯ
ﺭﺎﮑﻤﻫ ﻪﻓﺮﺣ ﺳﺎﺴﺣﻗﻼﺧﺍ ﺖ ﻥﺍﺭﺎﺘﺳﺮﭘﺖﺳﺩ ﻪﺑ
ﺍ ﺍﺬﻟ ،ﺖﺳﺍ ﻩﺪﻣﺎ ﻪﻌﻟﺎﻄﻣ ﻦﻑﺪﻫﺎﺑ ﻌﺗﻴﻴ ﮕﺘﺴﺒﻤﻫ ﺳﺎﺴﺣ
ﻗﻼﺧﺍ ﺭﺎﮑﻤﻫ ﺎﺑ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻪﻓﺮﺣ ﻮﻣﺁ ﺰﮐﺍﺮﻣ ﺭﺩ ﻥﺎﻧﺁﺷﺯ-
ﻧﺎﻣﺭﺩ ﮑﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﻪﺑ ﻪﺘﺴﺑﺍﻭ ﻣﻼﺳﺍ ﺩﺍﺯﺁ ﺩ ﻥﺍﺮﻬﺗﻝﺎﺳ ﺭ
١٤٠٢ .ﺪﺷ ﻡﺎﺠﻧﺍ
ﺭﺎﮐ ﺵﻭﺭ ﻭ ﺩﺍﻮﻣ
ﺻﻮﺗ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﻉﻮﻧ ﺯﺍﻌﻄﻘﻣ - ﮕﺘﺴﺒﻤﻫ ﻕﻼﺧﺍ ﺪﮐ ﺎﺑ
IR.IAU.PS.REC.1402.207 ﺭﺩ ﻪﮐ ﺩﻮﺑ ﻥﺁ ﺳﺎﺴﺣ ﻗﻼﺧﺍ
ﺭﺎﮑﻤﻫ ﻪﻓﺮﺣ ﺭﺩ ﻞﻏﺎﺷ ﻥﺍﺭﺎﺘﺳﺮﭘﺷﺯﻮﻣﺁ ﺰﮐﺍﺮﻣ- ﻧﺎﻣﺭﺩ
ﮑﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﻪﺑ ﻪﺘﺴﺑﺍﻭ ﻣﻼﺳﺍ ﺩﺍﺯﺁ ﻥﺍﺮﻬﺗ ﻝﺎﺳ ﺭﺩ ۱۴۰۲
ﺳﺭﺮﺑ .ﺪﺷ
ﻪﻧﻮﻤﻧ ﺩﺍﺪﻌﺗﻪﻌﻟﺎﻄﻣﺩﺭﻮﻣ ﻝﻮﻣﺮﻓ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑﻪﻃﻮﺑﺮﻣ ﻖﺒ
ﺗﺎﻣﺪﻘﻣ ﻪﻌﻟﺎﻄﻣ ،۱۵۰ ﺮﻔﻧ .ﺪﻣﺁ ﺖﺳﺩ ﻪﺑﺍ ﺭﺩ ﻪﻌﻟﺎﻄﻣﻪﻧﻮﻤﻧﻱﺮﻴﮔ
ﻓﺩﺎﺼﺗ ﺵﻭﺭ ﻪﺑ ﻩﺩﺎﺳﺪﺷ ﻡﺎﺠﻧﺍ ؛ﻦﻳﺪﺑﺕﺭﻮﺻ ﺘﺳﺮﻬﻓ ﺍﺪﺘﺑﺍ ﻪﮐ
ﺭﺩ ﻞﻏﺎﺷ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻡﺎﻧﻥﺎﺘﺳﺭﺎﻤ ﻬﺗ ﺭﺎﺘﺳﺮﭘ ﺮﻫ ﻪﺑ ﺲﭙﺳ
ﻩﺭﺎﻤﺷ ﺹﺎﺼﺘﺧﺍﺖﻓﺎ ﺲﭘﻥﺁﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑﺯﺍ ﺩﺍﺪﻋﺍ ﻝﻭﺪﺟ
ﻓﺩﺎﺼﺗ ﺵﻭﺭ ﻪﺑ ﻪﻧﻮﻤﻧﻱﺮﻴﮔ ﻓﺩﺎﺼﺗ ﺭﺎﺘﺳﺮﭘ ﺮﻫ ﺭﺎﻤﺷ ،ﻩﺩﺎﺳ
ﻭ ﺏﺎﺨﺘﻧﺍﻪﻣﺎﻨﺸﺳﺮﭘﺎﻫ ﺑ ﺭﺩ ﻧﺍﺭﺎﺘﺳﺮﭘ ﻪﮐﻩﺭﺎﻤﺷﺎﻫ ﻥﺁﺎﻫ ﺖﻬ
ﻪﻧﻮﻤﻧﻱﺮﻴﮔ ﻭ ﺪﺷ ﺏﺎﺨﺘﻧﺍﻌﻣ ﺟﺍﻭﺎﻫﺭﺎ ﺩﻭﺭﻭ ﺪﻧﺩﻮﺑ ﺝﻭﺮﺧ
ﻨﭽﻤﻫ ﺎﻤﺗ ﺘﺷﺍﺩ ﻪﻌﻟﺎﻄﻣ ﺭﺩ ﺖﮐﺮﺷ ﻪﺑ،ﺪﻨ ﺩﺮﮔ ﺶﺨﭘ.
ﻌﻣﺎﻫﺭﺎ ﻪﻌﻟﺎﻄﻣ ﻪﺑ ﺩﻭﺭﻭ ﺳﺭﺎﻓ ﻥﺎﺑﺯ ﻪﺑ ﻂﻠﺴﺗ :ﻞﻣﺎﺷ ،ﺭﻮﺧﺮﺑﺭﺍﺩ
ﻧﺍﻭﺭ ﺖﻣﻼﺳ ﺯﺍ ، ﻞﺋﺎﺴﻣ ﻉﻮﻗﻭ ﻡﺪﻋﺶﻨﺗﺍﺯ ﺳﺎﺴﺣﺍﺮﺑﮕﻧ ﺪﻨﻧﺎﻣ
ﺰﻋ ﮒﺮﻣ ﻭ ﻕﻼﻃﻥﺍﺰ ﺶﺷ ﺭﺩ ﻩﺎﻣ ﻪﺘﺷﺬﮔ ﺎﻤﺗ ﺭﺩ ﺖﮐﺮﺷ ﻪﺑ
ﻪﻌﻟﺎﻄﻣ ﻌﻣ .ﺩﻮﺑﺎﻫﺭﺎ ﺝﻭﺮﺧ :ﻞﻣﺎﺷ ﺎﺿﺭ ﻡﺪﻋ ﺖﮐﺮﺷﻥﺎﮔﺪﻨﻨﮐ ﻪﺑ
ﺭﺎﮑﻤﻫ ﺶﻫﻭﮋﭘ ﺯﺍ ﻪﻠﺣﺮﻣ ﺮﻫ ﺭﺩﻤﮑﺗ ﻡﺪﻋ ﻭ ،ﻤﮑﺗ ﺎ ﺮﺘﻤﮐ ﻞ
٢٠ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺪﺻﺭﺩ .ﺩﻮﺑ
ﺭﻭﺁﺩﺮﮔ ﺭﺍﺰﺑﺍ ﻞﻣﺎﺷ ﺕﺎﻋﻼﻃﺍﻪﺳ ﺖﻤﺴﻗ ﺕﺎﺼﺨﺸﻣ .ﺩﻮﺑ
ﻓﺍﺮﮔﻮﻣﺩﺼﺤﺗ ﺢﻄﺳ ،ﺲﻨﺟ ،ﻦﺳ) ﻞﻣﺎﺷ ﻠﻐﺷ ﺖﻤﺳ ،ﺕﻼ ،
ﺭﺎﮐ ﺕﺎﻋﺎﺳ ﺩﺍﺪﻌﺗﺭﺎﮐ ﻪﻘﺑﺎﺳ ، ﺕﺎﻋﺎﺳ ﻭﻪﻓﺎﺿﺍﺭﺎﮐ ﻪﻣﺎﻨﺸﺳﺮﭘ .(
ﺳﺎﺴﺣﻗﻼﺧﺍ ﻥﺍﺭﺎﺘﺳﺮﭘ
١
:ﻥﺰﺗﻮﻟ ﻂﺳﻮﺗ ﻪﻣﺎﻨﺸﺳﺮﭘ
٢
2 Lützén
ﻥﺍﺭﺎﮑﻤﻫ
۱۹۹۴
ﻭﺪﺗ ﺪﺋﻮﺳ ﺭﺩ
۱۸
ﻭ (
ﺲﭘ
ﻥﺁﺯﺍ
ﻣﻮﮐ ﻂﺳﻮﺗ
ﺩﺮﮔ ﺡﻼﺻﺍ
)
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(
.
ﻟﻭﺍ ﻪﻣﺎﻨﺸﺳﺮﭘ
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ﻝﺍﺆﺳ
ﻪﮐ ﺩﻮﺑ
ﺖﻴﺳﺎﺴﺣ ﻲﻗﻼﺧﺍ ﻱﺭﺎﮑﻤﻫ ﻦﻴﺑ ﻓﺮﺣﻱﺍ ﺭﺩ ﻥﺍﺭﺎﺘﺳﺮﭘ :ﮏﻳ ﻪﻌﻟﺎﻄﻣ ﻲﮕﺘﺴﺒﻤﻫ
505 هرودﻢﮑﯾ و ﺖﺴﯿﺑ هرﺎﻤﺷ ،ﻢﺘﻔﻫ ﯽﭘ رد ﯽﭘ ،168 ﺮﻬﻣ ،1402 ﯽﯾﺎﻣﺎﻣ و يرﺎﺘﺳﺮﭘ ﻪﻠﺠﻣ
ﻠﺣﺍﺮﻣ
ﻪﺑ
۲۵
ﻝﺍﺆﺳ
ﺶﻫﺎﮐ
ﻌﺿﻭ ﻪﮐ ﺖﻓﺎ
ﻢﻴﻤﺼﺗ
ﻱﺮﻴﮔ
ﻗﻼﺧﺍ
ﻟﺎﺑ ﺕﺎﻣﺪﺧ ﻪﺋﺍﺭﺍ ﻡﺎﮕﻨﻫ ﺭﺩ ﺍﺭ ﻥﺍﺭﺎﺘﺳﺮﭘ
ﻩﺯﺍﺪﻧﺍ
ﺪﻨﮐ
ﺘﻣﺍ
ﺮﻫ ﺯﺎ
ﻝﺍﺆﺳ
ﻟ ﺵﻭﺭ ﻪﺑ
ﺕﺮﮑ
ﻪﺑ
ﺕﺭﻮﺻ
ًﻼﻣﺎﮐ
) ﻖﻓﺍﻮﻣ
۴
،(
ﴼﺘﺒﺴﻧ
ﻖﻓﺍﻮﻣ
)
۳
،(
ﴼﺘﺒﺴﻧ
) ﻒﻟﺎﺨﻣ
۲
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) ﻒﻟﺎﺨﻣ
۱
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ﺮﻈﻧ
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۰
ﺭﺩ (
ﻪﺘﻓﺮﮔ ﺮﻈﻧ
ﺩﻮﺷ
ﺑ .
ﺮﺘﺸ
ﺘﻣﺍ ﻦ
ﺯﺎ
۱۰۰
ﺮﺘﻤﮐ ﻭ
ﺘﻣﺍ ﻦ
.ﺖﺳﺍ ﺮﻔﺻ ﺯﺎ
ﺍﺮﺑﺎﻨﺑ
ﺘﻣﺍ ﺮﮔﺍ
ﻪﻧﻮﻤﻧ ﺮﻫ ﻞﮐ ﺯﺎ
۵۰
-
۰
ﺍﺭﺍﺩ ﺪﺷﺎﺑ
ﺳﺎﺴﺣ
ﻗﻼﺧﺍ ﺖ
،ﻢﮐ
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-
۵۱
ﺍﺭﺍﺩ
ﺳﺎﺴﺣ
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-
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ﺳﺎﺴﺣ
ﺯ ﺖ
ﺏﻮﺴﺤﻣ ﺩﺎ
ﺩﻮﺷ
ﺍﺭﺍﺩ ﻪﻣﺎﻨﺸﺳﺮﭘ .
۶
ﺳﺎﺴﺣ ﺪﻌﺑ
ﻗﻼﺧﺍ
ﻪﮐ ﺳﺍ
ﺕﺭﺎﺒﻋ
ﺪﻧﺍ
:ﺯﺍ
،ﻮﺟﺩﺪﻣ ﻝﻼﻘﺘﺳﺍ ﻪﺑ ﻡﺍﺮﺘﺣﺍ ﻥﺍﺰ
ﻫﺎﮔﺁ ﻥﺍﺰ
ﺑ ﺎﺑ ﻁﺎﺒﺗﺭﺍ ﻩﻮﺤﻧ ﺯﺍ
ﻣ ؛ﺭﺎﻤ
ﺶﻧﺍﺩ ﻥﺍﺰ
ﻪﻓﺮﺣ
ﻪﺑﺮﺠﺗ ،
ﺕﻼﮑﺸﻣ
ﺶﮑﻤﺸﮐ
ﺎﻫ
ﻗﻼﺧﺍ
،
ﻪﺑ
ﮔﺭﺎﮐ
ﻫﺎﻔﻣ
ﻗﻼﺧﺍ
ﺭﺩ
ﻤﺼﺗ
ﺎﻫ
ﻗﻼﺧﺍ
ﺖﻗﺍﺪﺻ
ﻫﺍﻮﺧﺮ
ﺕﺎﻌﻟﺎﻄﻣ ﺭﺩ .
ﻥﻮﮔﺎﻧﻮﮔ
ﺭﺎﺒﺘﻋﺍ
ﺎﭘ
ﻲﻳ
ﺍ ﺭﺩ ﻪﻣﺎﻨﺸﺳﺮﭘ
ﻥﺍﺮ
ﺄﺗ
ﻴﻳ
) ﺖﺳﺍ ﻩﺪﺷ
۱۲
۲۰
(
.
ﺳﺭﺮﺑ ﺖﻬﺟ
ﻪﺑ ﺖﺒﺴﻧ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻩﺎﮔﺪ
ﻤﻫ
ﺭﺎ
ﻪﻓﺮﺣ
ﻪﺑ ﺖﺒﺴﻧ ﻥﻮﺳﺮﻔﺟ ﺵﺮﮕﻧ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺯﺍ
ﺭﺎﮑﻤﻫ
ﮏﺷﺰﭘ
-
ﺭﺎﺘﺳﺮﭘ
٢
ﻩﺩﺎﻔﺘﺳﺍ
ﺪﺷ
ﻪﮐ
ﻓ ﺭﺩ
ﻔﻟﺩﻼ
ﺴﻨﭘ ﻭ
ﻧﺍﻮﻠ
ﺭﺩ
ﻝﺎﺳ
۲۰۰۱
ﻬﺗ
.ﺖﺳﺍ ﻩﺪﺷ
ﺍﺭﺍﺩ ﻪﻣﺎﻨﺸﺳﺮﭘ
۱۵
ﻝﺍﺆﺳ
ﻘﻣ ﺱﺎﺳﺍ ﺮﺑ
ﺱﺎ
ﺕﺮ
ﺰﮔﺭﺎﻬﭼ
ﻪﻨ
)
ًﻼﻣﺎﮐ
،ﻢﻘﻓﺍﻮﻣ
ﻢﻔﻟﺎﺨﻣ ،ﻢﻘﻓﺍﻮﻣ
ًﻼﻣﺎﮐ
(ﻢﻔﻟﺎﺨﻣ
.ﺖﺳﺍ
ﺩ ﺖ
ﻤﻫ ﻪﺑ ﺖﺒﺴﻧ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻩﺎﮔﺪ
ﺭﺎ
ﻪﻓﺮﺣ
ﺮﺑ
ﺘﻣﺍ ﺱﺎﺳﺍ
ﺕﺍﺯﺎ
ﻪﺑ
ﺖﺳﺩ
ﻩﺪﻣﺁ
ﻌﺿ ﺢﻄﺳ ﻪﺳ ﺭﺩ
)
۱۵
-
۳۰
ﻂﺳﻮﺘﻣ ،(
)
۳۱
-
۴۵
) ﺏﻮﺧ (
۴۶
-
۶۰
(
ﻪﻘﺒﻃ
ﻱﺪﻨﺑ
.ﺪﺷ
ﺎﭘ ﺭﺎﺒﺘﻋﺍ
ﻲﻳ
ﺭﺩ ﻪـﻣﺎﻨﺸﺳﺮﭘ
ﺩﺪﻌﺘﻣ ﺕﺎﻌﻟﺎﻄﻣ
ﺳﺭﺮﺑﺩﺭﻮﻣ
ﺄﺗ
ﻴﻳ
ﻪﺘﻓﺮﮔ ﺭﺍﺮﻗ
ﺖﺳﺍ
)
۲۲
۲۱
(
.
ﺍﻭﺭ ﺖﻬﺟ
ﻲﻳ
ﺭﻮﺻ ﺭﺎﺒﺘﻋﺍ ﺵﻭﺭ ﺯﺍ ﺭﺍﺰﺑﺍ
ﺍﻮﺘﺤﻣ ﻭ
ﻲﻳ
.ﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ
ﺍ ﺭﺩ
ﺭﺍﺰﺑﺍ ﺶﻫﻭﮋﭘ ﻦ
ﻩﺩﺎﻔﺘﺳﺍﺩﺭﻮﻣ
ﻂﺳﻮﺗ
ﺗ ﮏ
۱۲
ﺭﺎﺘﺳﺮﭘ ﺺﺼﺨﺘﻣ ﻥﺎﺳﺭﺪﻣ ﺯﺍ ﻞﮑﺸﺘﻣ ﻩﺮﻔﻧ
ﺗﺎﺳﺍ ،
ﮑﺷﺰﭘ
ﺳﺎﻨﺸﻧﺍﻭﺭ
ﺳﺭﺮﺑﺩﺭﻮﻣ
ﺯﺭﺍ
ﺑﺎ
ﺣﻼﺻﺍ ﺕﺍﺮﻈﻧ ﺖﻓﺮﮔ ﺭﺍﺮﻗ
ﺩﺎﻬﻨﺸ
ﺎﻫ
ﺩﺮﮔ ﻝﺎﻤﻋﺍ
ﺎﭘ .ﺪ
ﻲﻳ
ﺎﻔﻟﺁ ﺵﻭﺭ ﺎﺑ ﻪﻣﺎﻨﺸﺳﺮﭘ
ﻭ ﺥﺎﺒﻧﺭﻮﮐ
ﺲﭘ
ﺯﺍ
ﺗﺎﻣﺪﻘﻣ ﻪﻌﻟﺎﻄﻣ ﻡﺎﺠ
ﻭﺭ ﺮﺑ
۲۰
ﻌﺗ ﺭﺎﺘﺳﺮﭘ
ﻴﻴ
ﺮﺿ ﻭ ﺪﺷ ﻦ
۹۱
/
۰
ﺍﺮﺑ
ﺳﺎﺴﺣ ﻪﻣﺎﻨﺸﺳﺮﭘ
ﻗﻼﺧﺍ
ﺮﺿ
۹۴
/
۰
ﺍﺮﺑ
ﺭﺎﮑﻤﻫ ﻪﻣﺎﻨﺸﺳﺮﭘ
ﻪﻓﺮﺣ
.ﺪﻣﺁ ﺖﺳﺩ ﻪﺑ
ﻮﺼﺗ ﺯﺍ ﺲﭘ
ﺡﺮﻃ ﺐ
ﺸﻫﻭﮋﭘ ﺖﻧﻭﺎﻌﻣ ﺭﺩ
ﮑﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ
ﻣﻼﺳﺍ ﺩﺍﺯﺁ
ﻥﺍﺮﻬﺗ
ﻩﺯﺎﺟﺍ ﺐﺴﮐ
ﻪﻧﻮﻤﻧ
ﺯﺍ
ﻡﺮﺘﺤﻣ ﺖﺳﺎ
ﻥﺎﺘﺳﺭﺎﻤﻴﺑ
ﺎﻫ
ﻘﻘﺤﻣ
ﻪﺑ ﻡﺍﺪﻗﺍ ﻦ
ﻊﻤﺟ
ﺭﻭﺁ
ﻩﺩﺍﺩ
ﺎﻫ
ﺩﻮﻤﻧ ﻪﻌﻟﺎﻄﻣ
.ﺪﻧ
ﺯﺍ ﻞﺒﻗ ﻪﮐ ﺖﺳﺍ ﺮﮐﺫ ﻪﺑ ﻡﺯﻻ
ﻊﻤﺟ
ﺭﻭﺁ
ﻩﺩﺍﺩ
ﺎﻫ
ﻟﺎﻄﻣ ﻪﻣﺎﻨﺸﺳﺮﭘ
ﻪﺑ ﻪﻌ
ﺄﺗ
ﻴﻳ
ﻤﻠﻋ
ﺳﺭ
ﻗﻼﺧﺍ ﻩﺯﺎﺟﺍ ﻭ ﺪ
ﻪﻧﻮﻤﻧ
ﻤﮐ ﺯﺍ
ﻪﺘ
ﻪﻘﻄﻨ
ﮑﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﺶﻫﻭﮋﭘ ﺭﺩ ﻕﻼﺧﺍ
ﻣﻼﺳﺍ ﺩﺍﺯﺁ
ﺐﺴﮐ ﻥﺍﺮﻬﺗ
ﺍﺮﺑ .ﺪﺷ
ﻊﻤﺟ
ﺭﻭﺁ
ﻩﺩﺍﺩ
ﺎﻫ
ﻌﻣ ﺪﺟﺍﻭ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺍﺪﺘﺑﺍ
ﺎﻫﺭﺎ
ﺭﻭ
ﺩﻭ
ﺎﺳﺎﻨﺷ ،ﻪﻌﻟﺎﻄﻣ
ﻲﻳ
.ﺪﺷ
ﻪﻤﻫ ﺍﺪﺘﺑﺍ ﺭﺩ
ﻥﺍﺭﺎﺘﺳﺮﭘ
ﻡﺎﺠﻧﺍ ﻑﺪﻫ ﺯﺍ
ﺶﻫﻭﮋﭘ
ﻩﺎﮔﺁ
ﺪﺷ
ﺪﻧ
ﺭﺩ ﺯﺍ ﻞﺒﻗ
ﺖﻓﺎ
ﻡﺮﻓ ،ﻪﻣﺎﻨﺸﺳﺮﭘ
ﺖﻳﺎﺿﺭ
ﻪﻣﺎﻧ
ﻗﻼﺧﺍ
ﺮﭘ ﺍﺭ
ﺪﻧﺩﺮﮐ
ﻪﺑ ﺲﭙﺳ ﻭ
ﻥﺁ
ﺎﻫ
ﻤﻃﺍ
ﻥﺎﻨ
ﻃﺍ ﻪﮐ ﺪﺷ ﻩﺩﺍﺩ
ﺕﺎﻋﻼ
ﻪﻧﺎﻣﺮﺤﻣ ًﻼﻣﺎﮐ ﻞﺻﺎﺣ
ﻩﺩﻮﺑ
ﺘﺧﺍ ﺭﺩ ﻭ
ﺭﺎ
ﺼﺨﺷ
ﻩﺩﺍﺩ ﺭﺍﺮﻗ
ﺪﻫﺍﻮﺨﻧ
ﺪﺷ
ﻨﭽﻤﻫ
ﻤﻃﺍ ﻝﻮﺼﺣ ﺖﻬﺟ
ﻥﺎﻨ
ﺎﻋﺭ ﺯﺍ
ﺕﺎﮑﻧ
ﻗﻼﺧﺍ
،
ﻪﻣﺎﻨﺸﺳﺮﭘ
ﺎﻫ
ﻪﺑ
ﺕﺭﻮﺻ
ﻡﺎﻧ
ﻥﺍﺭﺎﺘﺳﺮﭘ
ﺯﻮﺗ
ﺩﺮﮔ
ﺩﻮﺧ ﺎﺗ
ﻤﮑﺗ
ﺎﻤﻧ ﻞ
ﻘﻘﺤﻣ ﻪﺑ ﻭ ﺪﻨ
.ﺪﻨﻫﺩ ﺲﭘ ﻦ
ﺘﺳﺩ ﺖﻬﺟ
ﺑﺎ
ﺎﺘﻧ ﻪﺑ
،ﺶﻫﻭﮋﭘ
ﻩﺩﺍﺩ
ﺎﻫ
ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ
ﻡﺮﻧ
ﺭﺍﺰﻓﺍ
SPSS
ﻪﺨﺴﻧ
۱۷
ﺩﺭﻮﻣ
ﺰﺠﺗ
ﻠﺤﺗﻭ
ﻥﻮﻣﺯﺁ ﺯﺍ .ﺖﻓﺮﮔ ﺭﺍﺮﻗ
ﻤﺳﺍ ﻑﻭﺮﮔﻮﻤﻠﮐ
ﺳﺭﺮﺑ ﺖﻬﺟ ﻑﻮﻧﺮ
ﻥﺩﻮﺑ ﻝﺎﻣﺮﻧ
ﻩﺩﺍﺩ
ﺎﻫ
.ﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ
ﺳﺭﺮﺑ ﺖﻬﺟ
ﺑ ﻪﻄﺑﺍﺭ
ﺳﺎﺴﺣ ﻦ
ﻗﻼﺧﺍ ﺖ
ﺭﺎﮑﻤﻫ ﻭ
ﻪﻓﺮﺣ
ﻱﺍ
ﮕﺘﺴﺒﻤﻫ ﻥﻮﻣﺯﺁ ﺯﺍ ﻥﺍﺭﺎﺘﺳﺮﭘ
ﺩﺮﮔ ﻩﺩﺎﻔﺘﺳﺍ ﻥﻮﺳﺮ
ﺢﻄﺳ .ﺪ
ﺭﺍﺩﺎﻨﻌﻣ
ﻡﺎﻤﺗ ﺭﺩ
ﻥﻮﻣﺯﺁ
ﺎﻫ
۰۵
/
۰
ﺭﺩ
ﻪﺘﻓﺮﮔ ﺮﻈﻧ
.ﺪﺷ
ﻪﺘﻓﺎ
ﺎﻫ
ﻪﺘﻓﺎ
ﺎﻫ
ﻪﮐ ﺩﺍﺩ ﻥﺎﺸﻧ
ﮕﻧﺎ
ﻨﺳ
ﻥﺍﺭﺎﺘﺳﺮﭘ
٩٩
/
٧
±
٩٧
/
٢٦
ﻨﭽﻤﻫ .ﺩﻮﺑ ﻝﺎﺳ
ﻣ ﻦ
ﮕﻧﺎ
ﺭﺎﮐ ﺖﻋﺎﺳ ﻦ
ﻩﺎﻣ ﺭﺩ ﻥﺍﺭﺎﺘﺳﺮﭘ
١٣
/
٢٢
±
٣
/
١١٦
ﮕﻧﺎ
ﺖﻋﺎﺳ
ﻪﻓﺎﺿﺍ
ﺭﺎﮐ
ﻥﺎﻧﺁ
٩٩
/
٩
±
٧
/
٥٤
ﺎﺳ .ﺩﻮﺑ
ﮔﮋ
ﺎﻫ
ﻓﺍﺮﮔﻮﻣﺩ
ﻩﺭﺎﻤﺷ ﻝﻭﺪﺟ ﺭﺩ ﮏ
١
.ﺖﺳﺍ ﻩﺪﺷ ﻩﺩﺭﻭﺁ
ﻝﻭﺪﺟ)١(: ﺯﻮﺗﻐﺘﻣ ﻊﺎﻫﺮ ﻓﺍﺮﮔﻮﻣﺩﻥﺍﺭﺎﺘﺳﺮﭘ ﮏ
ﺪﺻﺭﺩ
ﻧﺍﻭﺍﺮﻓ
ﻩﻭﺮﮔ
ﺎﻫ
ﻐﺘﻣ
٣٣
/
٣٩
٥٩
ﺩﺮﻣ
ﺲﻨﺟ
٦٧/٦٠ ٩١
٣٣/٨٩ ۱۳۴ ﺳﺎﻨﺷﺭﺎﮐ ﺼﺤﺗﺕﻼ
٣٣
/
٧
١١
ﺳﺎﻨﺷﺭﺎﮐ
ﺪﺷﺭﺍ
1 Comrie
2 Jefferson Scale of Attitudes toward Physician-Nurse
Collaboration
ﻭﺮﻴﻫ ﻩﺰﻤﺣﺭﻮﭘ، ﺕﺍﺩﺎﺳﺎﻤﻴﺷ ﻲﻨﻴﺴﺣﺎﻗﺁ
506 هرودﻢﮑﯾ و ﺖﺴﯿﺑ هرﺎﻤﺷ ،ﻢﺘﻔﻫ ﯽﭘ رد ﯽﭘ ،168 ﺮﻬﻣ ،1402 ﯽﯾﺎﻣﺎﻣ و يرﺎﺘﺳﺮﭘ ﻪﻠﺠﻣ
ﺪﺻﺭﺩ
ﻧﺍﻭﺍﺮﻓ
ﻩﻭﺮﮔ
ﺎﻫ
ﻐﺘﻣ
٣٣
/
٣
٣
ﺮﺘﮐﺩ
٣٣
/
٩٣
۱۴۰
ﺭﺎﺘﺳﺮﭘ
ﻠﻐﺷ ﺖﻤﺳ
٦٧
/
٢
٤
ﺭﺎﺘﺳﺮﭘﺮﺳ
٤ ٦ (ﺖﺑﺎﺛ ﺢﺒﺻ ﺭﺎﺘﺳﺮﭘ) ﻒﺘﺳﺍ
٣٣
/
٥٧
۸۶
ﺲﻧﺍﮊﺭﻭﺍ
ﺭﺎﮐ ﺶﺨﺑ
٣٣
/
١٣
٢٠
ﻠﺧﺍﺩ
٣٣
/
٩
١٤
ﺣﺍﺮﺟ
٣٣
/
١٣
٢٠
ﻩﮋ
٦٧/٦ ١٠ ﻥﺎﮐﺩﻮﮐ
۳۳
/
۱۷
۲۶
۱
-
۲
ﻝﺎﺳ
ﺭﺎﮐ ﻪﻘﺑﺎﺳ
٣٤
٥١
٥
-
٢
ﻝﺎﺳ
٣٣
/
٢٥
٣٨
١٠
-
٥
ﻝﺎﺳ
۳۴/۲۳ ۳۵ ﺯﺍ ﺮﺘﺸ۱۰ ﻝﺎﺳ
) ﻥﺍﺭﺎﺘﺳﺮﭘ ﺮﺜﮐﺍ٦٧/٨٢ ﺳﺎﺴﺣ (ﺪﺻﺭﺩ ﻗﻼﺧﺍ ﺩﺎ
ﻨﭽﻤﻫ .ﺪﻨﺘﺷﺍﺩ ) ﻥﺍﺭﺎﺘﺳﺮﭘ ﺮﺜﮐﺍ٣٣/٨١ ﺭﺎﮑﻤﻫ (ﺪﺻﺭﺩ ﻪﻓﺮﺣﻱﺍ
ﻻﺎﺑﻲﻳ .ﺪﻨﺘﺷﺍﺩ ﻟﺎﺣ ﺭﺩ ﻪﮐ ﺖﺳﺍ٦٧/٠ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺪﺻﺭﺩ
ﺳﺎﺴﺣ ﻗﻼﺧﺍ ﻢﮐ٦٧/١٨ ﺭﺎﮑﻤﻫ ﺪﺻﺭﺩ ﻪﻓﺮﺣﻱﺍ ﺎﭘﻴﻳ
ﺪﻨﺘﺷﺍﺩ ﻩﺭﺎﻤﺷ ﻝﻭﺪﺟ)٢.(
ﻝﻭﺪﺟ)٢(: ﺯﻮﺗﻪﺒﺗﺭﺪﻨﺑ ﺳﺎﺴﺣ ﻩﺮﻤﻧﻗﻼﺧﺍ ﺖ ﺭﺎﮑﻤﻫ ﻭ ﻪﻓﺮﺣ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺭﺩ
ﺪﺻﺭﺩ
ﻧﺍﻭﺍﺮﻓ
ﺳﺎﺴﺣ
ﻗﻼﺧﺍ ﺖ
۶۷
/
۰
۱
ﻢﮐ
)
۵۰
-
۰
(
۶۷
/
۱۶
۲۵
ﻂﺳﻮﺘﻣ
)
۷۵
-
۵۱
(
۶۷
/
۸۲
۱۲۴
) ﺩﺎ
۱۰۰
-
۷۶
(
ﺪﺻﺭﺩ
ﻧﺍﻭﺍﺮﻓ
ﻤﻫ
ﺭﺎ
ﻪﻓﺮﺣ
۶۷
/
۱۸
۲۸
) ﻢﮐ
۳۰
-
۱۵
(
۰
۰
) ﻂﺳﻮﺘﻣ
۴۵
-
۳۱
(
۳۳
/
۸۱
۱۲۲
) ﺩﺎ
۶۰
-
۴۶
(
۱۰۰
۱۵۰
ﻞﮐ ﻊﻤﺟ
ﺎﺘﻧﻟﺎﻧﺁ ﺞﮕﺘﺴﺒﻤﻫ ﺭﺎﻣﺁ ﻪﻄﺑﺍﺭ ﻥﻮﺳﺮ ﺭﺍﺩﺎﻨﻌﻣ ﺳﺎﺴﺣ ﻩﺮﻤﻧ ﻦﻗﻼﺧﺍ ﺖ ﺭﺎﮑﻤﻫ ﻭ ﻪﻓﺮﺣ ) ﺩﺍﺪﻧ ﻥﺎﺸﻧ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺭﺩ۱۲۵/۰=P (
ﻩﺭﺎﻤﺷ ﻝﻭﺪﺟ)۳.(
ﻝﻭﺪﺟ)٣(: ﮕﺘﺴﺒﻤﻫ ﺳﺎﺴﺣ ﻩﺮﻤﻧﻗﻼﺧﺍ ﺖ ﺭﺎﮑﻤﻫ ﻭ ﻪﻓﺮﺣ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺭﺩ
ﺳﺎﺴﺣ
ﻗﻼﺧﺍ ﺖ
ﻐﺘﻣ
۲۱۵/۰ =r
۱۲۵
/
۰
=
p ﺎﮑﻤﻫ ﻪﻓﺮﺣ
ﻭ ﺚﺤﺑﻪﺠﻴﺘﻧﻱﺮﻴﮔ
ﺎﺘﻧ
ﺭﺎﮑﻤﻫ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺮﺜﮐﺍ ﻪﮐ ﺩﺍﺩ ﻥﺎﺸﻧ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ
ﻪﻓﺮﺣ ﺩﺎ ﺎﺘﻧ ﺎﺑ ﻮﺴﻤﻫ .ﺪﻨﺘﺷﺍﺩ ﻪﻌﻟﺎﻄﻣ ﺭﺩ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ
ﺖﻴﺳﺎﺴﺣ ﻲﻗﻼﺧﺍ ﻱﺭﺎﮑﻤﻫ ﻦﻴﺑ ﻓﺮﺣﻱﺍ ﺭﺩ ﻥﺍﺭﺎﺘﺳﺮﭘ :ﮏﻳ ﻪﻌﻟﺎﻄﻣ ﻲﮕﺘﺴﺒﻤﻫ
507 هرودﻢﮑﯾ و ﺖﺴﯿﺑ هرﺎﻤﺷ ،ﻢﺘﻔﻫ ﯽﭘ رد ﯽﭘ ،168 ﺮﻬﻣ ،1402 ﯽﯾﺎﻣﺎﻣ و يرﺎﺘﺳﺮﭘ ﻪﻠﺠﻣ
ﺮﭘ) ﻥﺍﺭﺎﮑﻤﻫ ﻭ ﺩﺍﺰ٢٠٢١ﺭﺎﮑﻤﻫ ﻥﺎﮑﺷﺰﭘ ﺎﺑ ﻥﺍﺭﺎﺘﺳﺮﭘ ( ﺑﻮﺧ ﺭﺩ
ﺶﺨﺑﺎﻫ ﺖﺒﻗﺍﺮﻣ) ﺪﻨﺘﺷﺍﺩ ﻩﮋ٢٢ .(ﺎﺘﻧﺭﻮﻧﺎﮐﻭﺍ ﻪﻌﻟﺎﻄﻣ
١
) ﻥﺍﺭﺎﮑﻤﻫ۲۰۱۶( ﻪﮐ ﺩﺍﺩ ﻥﺎﺸﻧﻫﻭﺮﮔ ﺭﺎﮐ ﺭﺎﮑﻤﻫ ﻪﻓﺮﺣ
ﺖﺳﺍ ﻢﮐ ﻥﺎﮑﺷﺰﭘ ﺎﺑ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺭﺩ ﺚﻋﺎﺑ ﻪﮐﺩﻮﺷ ﻥﺍﺭﺎﻤ ﺽﺮﻌﻣ ﺭﺩ
ﻄﺧﻞﺑﺎﻗﻬﺟﻮﺗ ﺭﺍﺮﻗﺪﻧﺮ )۲۳(ﺳﺎﭘ ﺶﻫﻭﮋﭘ ﺭﺩ . ،ﻥﺍﺭﺎﮑﻤﻫ ﻭ ﺭﺎ
ﻩﺎﮔﺪﻥﺍﺭﺎﺘﺳﺮﭘ ﺖﮐﺭﺎﺸﻣﻩﺪﻨﻨﮐ ﺍﺭﺭﺎﮑﻤﻫ ﻪﺑ ﺖﺒﺴﻧ ﻪﻓﺮﺣ
ﺪﻧﺩﺮﮐ ﺵﺭﺍﺰﮔ ﻂﺳﻮﺘﻣ)۲۴( .ﻪﻌﻟﺎﻄﻣ ﺭﻭﺮﻣ ﻪﮐ ﺩﺍﺩ ﻥﺎﺸﻧ٣٧
ﺳﺁ ﻪﺑ ﺮﺠﻨﻣ ﺕﺎﻫﺎﺒﺘﺷﺍ ﻭ ﺎﻫﺎﻄﺧ ﺯﺍ ﺪﺻﺭﺩﺑ ﻪﺑ ﺐﺷﺎﻧ ﺭﺎﻤ ﻒﻌﺿ ﺯﺍ
ﺭﺎﮑﻤﻫ ﻭ ﻁﺎﺒﺗﺭﺍ ﺭ ﻪﻓﺮﺣ ﺖﺳﺍ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻭ ﻥﺎﮑﺷﺰﭘ)۲۵(.
ﻪﺘ ﺭﻭﺮﺿ ﺖﺳﺍ ﻪﻧﻮﻤﻧﺎﻫ ﻥﺍﺭﺎﺘﺳﺮﭘ ،ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ
ﺭﺩ ﻞﻏﺎﺷﻥﺎﺘﺳﺭﺎﻤﺎﻫ ﺪﻧﺩﻮﺑ ﺩﺍﺯﺁ ﻩﺎﮕﺸﻧﺍﺩ ﻪﻌﺑﺎﺗ ﺎﺠﻧﺁﺯﺍﻲﻳﻪﮐ ﺩﺍﺪﻌﺗ
ﺭﺩ ﻥﺍﺭﺎﻤﻧﺎﻣﺭﺩ ﺰﮐﺍﺮﻣ ﻦ ﺭﺎﮐ ﻢﺠﺣ ﺐﺒﺳ ﺍﺬﻟ ،ﺖﺳﺍ ﻢﮐ ﻭ ﻢﮐ
ﺑ ﺮﺘﻬﺑ ﻁﺎﺒﺗﺭﺍ ﻪﻓﺮﺣ ﺩﻮﺷ ﺪﻧﺍﻮﺗ ﻠﻣﺎﻋ
ﻢﻬﻣ ﺭﺩ ﺒﺗ
ﺎﻐﻣﺕﺮ ﺎﺘﻧ ﻪﻌﻟﺎﻄﻣ ﺎﺑ ﺎﻣ ﻪﺘﻓﺎﺎﻫ ﺎﺳ ﻘﺤﺗﺕﺎﻘ ﻩﺪﺷ ﻡﺎﺠﻧﺍ .ﺪﺷﺎﺑ
ﺎﺘﻧﺍﺭﺍﺩ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻪﮐ ﺩﺍﺩ ﻥﺎﺸﻧ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﺳﺎﺴﺣ
ﻗﻼﺧﺍ .ﺪﻨﺘﺴﻫ ﺩﺎﻪﺘﻓﺎﺎﻫ ﻪﻌﻟﺎﻄﻣ ﺳﺭﺮﺑ ﻪﺑ ﻪﮐ ﺳﺎﺴﺣ
ﻗﻼﺧﺍ ﺩﺮـﻓ ﺕﺎﺼﺨﺸﻣ ﺎﺑ ﻥﺁ ﻁﺎﺒﺗﺭﺍ ﻭ ﻠﻐﺷ ﻭ ٢٠٠ ﺎﺷ ﺭﺎﺘﺳﺮﭘ ﻞﻏ
ﺭﺩﺶﺨﺑﺎﻫ ﻠﺧﺍﺩ ﻥﺎﺘﺳﺭﺎﻤﺎﻫ ﺮﺒﺗ ﮐﺎﺣ ﺩﻮﺑ ﻪﺘﺧﺍﺩﺮﭘ ﺯﺍ
ﻪﮐ ﺖﺳﺍﺳﺎﺴﺣﻗﻼﺧﺍ ﻭ ﺩﺭﺍﺩ ﺭﺍﺮﻗ ﻂﺳﻮﺘﻣ ﺢﻄﺳ ﺭﺩ ﻥﺍﺭﺎﺘﺳﺮ
ﻩﺮﻤﻧ ﻥﺎﻧﺁﺟﺩﺪﻣ ﻝﻼﻘﺘﺳﺍ ﻪﺑ ﻡﺍﺮﺘﺣﺍ ﺪﻌﺑ ﺭﺩ ﻴﻳ ﺩﻮﺑ)۲۶( .
ﻨﭽﻤﻫﺎﺘﻧ ﻦﺮﺷ ﻪﻌﻟﺎﻄﻣ ﺞ ﻝﺎﺳ ﺭﺩ ﺶﻧﺍﺭﺎﮑﻤﻫ ﻭ١٣٩٩ ﻬﺷ ﺭﺩ
ﻪﮐ ﺩﺍﺩ ﻥﺎﺸﻧ ﻥﺎﺷﺎﮐﺳﺎﺴﺣﻗﻼﺧﺍ ﻂﺳﻮﺘﻣ ﺪﺣ ﺭﺩ ﻥﺍﺭﺎﺘﺳﺮﭘﻮﺑ
)۲۷(. ﻪﺘﻓﺎﺎﻫ ﻪﻌﻟﺎﻄﻣ ﻪﮐ ﺩﺍﺩ ﻥﺎﺸﻧ ﺮﮕ٧٧ ﺎﺘﺳﺮﭘ ﺪﺻﺭﺩ ﻥﺍﺭ
ﺑ ﺭﺩ ﻞﻏﺎﺷﻬﺷ ﻥﺎﺘﺳﺭﺎﻤﻧﺪﻣ ﺪ ﻡﺮﺧﺩﺎﺑﺁ ﺳﺎﺴﺣﻗﻼﺧﺍ ﻂﺳﻮﺘﻣ
ﺪﻨﺘﺷﺍﺩ)۱۳( .ﺟﻮ ﺭﺩ ﺕﺎﻓﻼﺘﺧﺍ ﻥﺍﻮﺗ ﻥﺎﺩﺮـ ﻪﮐ
ﻥﺍﺭﺎﺘﺳﺮﭘ ﺳﺎﺴﺣ ﻗﻼﺧﺍ ﺎﺑ ﺍﺭ ﺩﻮﺧﻩﻮﺎﻫ ﺗﻭﺎﻔﺘﻣ ﻥﺎﺸﻧ
ﺪﻨﻫﺩ ﻢﻬﻣﺮﺗ ،ﻪﻤﻫ ﺯﺍﺴﻣ ﻦﻠﺌﺳﺎﺴﺣ ﻪﮐ ﺖﺳﺍ ﻪ ﻗﻼﺧﺍ،
ﻩﺪﻩﺪ ﺩﺪﻌﺘﻣ ﻞﻣﺍﻮﻋ ﻪﮐ ﺖﺳﺍ ﺪﻧﺭﺍﺩ ﺶﻘﻧ ﻥﺁ ﺭﺩ.
ﻨﭽﻤﻫﺎﺘﻧ ﺭﺎﻣﺁ ﻪﻄﺑﺍﺭ ﺎﻣ ﺶﻫﻭﮋﭘ ﺭﺍﺩﺎﻨﻌﻣ ﻩﺮﻤﻧ
ﺳﺎﺴﺣﻗﻼﺧﺍ ﺖ ﺭﺎﮑﻤﻫ ﻭ ﻪﻓﺮﺣ .ﺩﺍﺪﻧ ﻥﺎﺸﻧ ﺍﺭ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺭﺩ
ﻮﺠﺘﺴﺟ ﺭﺩ ،ﻥﻮﺘﻣﻪﻌﻟﺎﻄﻣ ﻪﮐﻐﺘﻣ ﻭﺩ ﻦﺳﺭﺮﺑ ﻢﻫ ﺭﺎﻨﮐ ﺭﺩ ﺍﺭ
،ﺪﻨﮐ .ﺪﺸﻧ ﺖﻓﺎﺍﺎﺑﻝﺎﺣ ﻨﭼ ﻥﺍﻮﺗ ﺳﺎﺴﺣ ﻪﮐ ﺩﺮﮐ ﻥﺎ
ﻗﻼﺧﺍ ﻧﺎﮐﺭﺍ ﺯﺍ ﻪﮐ ﺖﺳﺍﺪﻧﺍﻮﺗ ﻭﺭ ﺮﺑ ﺖﺒﻗﺍﺮﻣﺛﺄﺗ .ﺩﺭﺍﺬﮕﺑ
ﻪﺑﺭﻮﻃﻪﮐ ﺳﺎﺴﺣ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻪﭼ ﺮﻫﻼﺧﺍ ﺖ ﺮﺗﻻﺎﺑ ﻨﺷﺎﺑ ﻪﺘﺷﺍﺩ
ﺮﺘﻬﺑ ﺖﺒﻗﺍﺮﻣ ﺕﺭﻮﺻﺩﺮﻨﭽﻤﻫ .ﺭﺎﮑﻤﻫ ﻪﻓﺮﺣ
ﻪﻠﻤﺟﺯﺍ ﮋﺗﺍﺮﺘﺳﺍﺎﻫ ﻠﮐ ﺏﻮﺴﺤﻣ ﺕﺎﻃﺎﺒﺗﺭﺍ ﺭﺩﺩﻮﺷ ﻪﮐ
ﺎﻫﺎﻄﺧ ﺑ ﺮﺑ ﻩﺩﺭﺍﻭ ﻞﻗﺍﺪﺣ ﻪﺑ ﺍﺭ ﺭﺎﻤﺪﻧﺎﺳﺭ )۲۸ ﻪﺑ ﻥﺁ ﺶﻘﻧ ﺍﺬﻟ .(
ﻬﺳ ﻅﺎﺤﻟ ﺭﺩ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻭ ﻥﺎﮑﺷﺰﭘ ﻥﺪﺷ ﻢﺼﺗﻢﻴﻤﻱﺮﻴﮔ ﺛﺄﺗ ﻥﺁ
ﺑ ﺮﺑﺍ ﺶﻫﺎﮐ ﻭ ﺭﺎﻤﺷﻮﺧﺎﻧ ﺩﺎﺠ ﺭﺩ ﻫﺍﺍﺰﺴﺑ ﻲﻳ ﺍﺮﺑ .ﺩﺭﺍﺩ
ﺭﺎﮑﻤﻫ ﺮﻫ ﻂﺳﻮﺘﻣ ﺪﺣ ﺭﺩﻌﺿ ﺎﻌﻧﺍﻮﻣ ،ﻒ ﺍﺮﺑ ﺭﺩ ﻥﺁ
ﺎﺑ ﻪﮐ ﺖﺳﺍ ﻩﺪﺷ ﻪﺘﻓﺮﮔ ﺮﻈﻧ.ﺩﺩﺮﮔ ﻊﻔﺗﺮﻣ ﺪ
ﻮﮕﺨﺳﺎﭘﻲﻳ ﻧ ﻪﺑﺎﻫﺯﺎ ﭘ ﻭ ﻒﻠﺘﺨﻣﺑ ﻩﺪﻀﺣ ﻭﺮﮔ ﺭﺩ ﻥﺍﺭﺎ ﺭﻮ
ﺘﺒﻗﺍﺮﻣ ﻢﺘﺴ ﻮﭘﺪﺷﺎﺑ ﮔﺭﺩ ﺮﺻﺎﻨﻋ ﻭ ﻞﻏﺎﺸﻣ ﻡﺎﻤﺗ ﻪﮐﺩ ﺮ ﻥﺁ ﺭ
ﺩﺮﮑﻠﻤﻋ ﺪﺟﺍﻭ ﺳﺎﺴﺣ ﻗﻼﺧﺍ ﺪﻨﺷﺎﺑ .ﻲﻳﺎﺠﻧﺁﺯﺍﻪﮐ
ﺭﺎﮑﻤﻫ ﺖ ﻪﻓﺮﺣﻱﺍ ﺭﺩ ﻞﻣﺎﻋ ﺖﻣﻼﺳ ﺐﻗﺍﺮﻣ ﻞﻏﺎﺸﻣ
ﻌﺗﻴﻴﻩﺪﻨﻨﮐ ﻲﻳ ﺍ ﺮﻣﺍ ﺭﺩﻨﻤ ﮐ ﻭﺑ ﺯﺍ ﺖﺒﻗﺍﺮﻣ ﺖ ﻥﺍﺭﺎﻤﺪﺷﺎﺑ
ﺍﺯﺍﻭﺭ ﺎﻫﺭﺎﮑﻫﺍﺭ ﺫﺎﺨﺗﺍ ﺐﺳﺎﻨﻣﻪﻠﻤﺟﺯﺍ ﺵﺯﻮﻣﺁﺎﻫ ،ﺮﻤﺘﺴﻣ
ﻩﺭﻭﺎﺸﻣﺎﻫ ﻠﻐﺷ ﻗﻼﺧﺍ ،ﻩﺎﮔﺭﺎﮐ ﻠﻤﻋ ،ﺎﻫﺭﺎﮐﻭﺯﺎﺳ ﮕﻧﺍ
ﻮﻘﺗ ﺎﻘﺗﺭﺍ ﺩﻮﺒﻬﺑ ﻪﺑ ﺳﺎﺴﺣﻗﻼﺧﺍ ﺭﺎﮑﻤﻫ
ﻪﻓﺮﺣﻱﺍ ﭘ ﺖﺳﺩ.ﺩﺮﮐ ﺍﺪ
ﺩﻭﺪﺤﻣﺎﻫ ﺶﻫﻭﮋﭘ
ﺯﺍﺩﻭﺪﺤﻣﺎﻫ ﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﻥﺍﻮﺗ ﺎﺷﺍ ﻢﮐ ﻪﻧﻮﻤﻧ ﻢﺠﺣ ﻪﺑ ﻩﺭ
،ﺩﺮﮐﭘ ﺍﺬـﻟ ﺩﺎﻬﻨـﺸﺩﻮﺷ ﻬﺑﺎـــﺸﻣ ﺕﺎـــﻌﻟﺎﻄﻣ ﻢـﺠﺣ ﺎـﺑ ﻪـﻧﻮﻤ
ﺮﺗﻻﺎـﺑ .ﺩﻮﺷ ﺎﺠﻧﺍﻨﭽﻤﻫ ﺕﺎﻋﻼﻃﺍ ﻊﻤﺟﺭﻭﺁﻩﺪﺷ ﺭﺩ ﻦــ
ﺮﺑ ﻪــﻌﻟﺎﻄﻣ ﺵﺭﺍﺰــﮔ ﺩﻮــﺧ ﺱﺎــﺳﺍ ــﻫﺩ ﺩﻮـﺑ ﻥﺍﺭﺎﺘﺳﺮﭘﻨﺑﺍﺮﺑ
ﻥﺍﻮﺗ ﺪﻌﺑ ﺕﺎﻌﻟﺎﻄﻣ ﺭﺩ ﺯﺍﺵﻭﺭﺎﻫ ﺮــﮕ ﺯﺭﺍﺑﺎــ ـﻨﻧﺎﻣ ﺪــ
ﻭ ﺭﺎـــﺘﻓﺭ ﻩﺪﻫﺎـــﺸﻣﺎـ ﮏﭼﺖﺴ ﻩﺩﺎﻔﺘﺳﺍﺮﮐ. ﻨﭽﻤﻫﻤﺘﺣﺍ ﻝﺎ
ﺭﺎﮑﻤﻫ ﻢﮐﺖﮐﺭﺎﺸﻣﻥﺎﮔﺪﻨﻨﮐ ﺿﻮﺗ ﺎﺑ ﻪﮐ ﺖﺷﺍﺩ ﺩﻮﺟﻭﻗﺩ ﺭﺩ ﻖ
ﺭﺎﮑﻤﻫ ﺶﻫﻭﮋﭘ ﻑﺍﺪﻫﺍ ﺩﺭﻮﻣ .ﺪﺷ ﺐﻠﺟ ﻥﺎﻧﺁ
ﻧﺍﺩﺭﺪﻗ ﻭ ﺮﮑﺸﺗ
ﺸﻫﻭﮋﭘ ﺡﺮﻃ ﺯﺍ ﻪﺘﻓﺮﮔﺮﺑ ﻪﻟﺎﻘﻣ ﻦ ﮑﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﺯﺁ ﺩﺍ
ﻣﻼﺳﺍ ﻥﺍﺮﻬﺗ ﺖﺳﺍﺎﻤﺣ ﻪﮐﻟﺎﻣ ﺖ ﻮﻨﻌﻣ ﻭ ﻘﺤﺗ ﺡﺮﻃﺗﺎﻘ ﺍﺭ
ﺪﻨﺘﺷﺍﺩ ﻩﺪﻬﻋ. ﻥﺍﺭﺎﺘﺳﺮﭘ ﻡﺎﻤﺗﺖﮐﺮﺷﻩﺪﻨﻨﮐ ﺩﺭﺪﻗ ﻪﻌﻟﺎﻄﻣ ﺭﺩﻧﺍ
ﺩﻮﺷ.
ﺽﺭﺎﻌﺗ
ﻊﻓﺎﻨﻣ
ﭻﻴﻫ
ﻧﻮﮔ
ﺩﺎﻀﺗ
ﺽﺭﺎﻌﺗ
ﻲﻌﻓﺎﻨﻣ
ﺭﺩ
ﺹﻮﺼﺧ
ﮋﭘ
ﺶﻫﻭ
ﻡﺎﺠﻧﺍ
ﻩﺪﺷ
ﺮﺿﺎﺣ
ﺩﻮﺟﻭ
ﺖﺷﺍﺪﻧ
.
:ﻲﻗﻼﺧﺍ ﺕﺎﻈﺣﻼﻣ
ﻪﻌﻟﺎﻄﻣ
ﺍﺭﻮﺷ ﺭﺩ
ﺸﻫﻭﮋﭘ
ﮑﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ
ﺩﺍﺯﺁ
ﻣﻼﺳﺍ
ﻥﺍﺮﻬﺗ
ﻕﻼﺧﺍ ﺪﮐ ﺎﺑ
IR.IAU.PS.REC.
1402.207
ﻮﺼﺗ
ﻩﺪﺷ
.ﺖﺳﺍ
1 O'connor
ﻭﺮﻴﻫ ﻩﺰﻤﺣﺭﻮﭘ، ﺕﺍﺩﺎﺳﺎﻤﻴﺷ ﻲﻨﻴﺴﺣﺎﻗﺁ
508 هرودﻢﮑﯾ و ﺖﺴﯿﺑ هرﺎﻤﺷ ،ﻢﺘﻔﻫ ﯽﭘ رد ﯽﭘ ،168 ﺮﻬﻣ ،1402 ﯽﯾﺎﻣﺎﻣ و يرﺎﺘﺳﺮﭘ ﻪﻠﺠﻣ
References:
1. Khazaee-Pool M, Zarghani M. The Position of
Interdisciplinary Studies in Medical Sciences and
Health System in Iran; Where Are We and Where Will
We Go? A Policy Brief. J Mazandaran Univ Med Sci
2023;33(221):179-18. (Persian)
2. Jafaei Dalooei R, Karimi Moonaghi H, Yamani N,
Irajpoor A R, Saadatyar F S. Interprofessional
Education: the Strategy to Improve Health Care. Res
Med Edu 2015;7(1):54-62. (Persian).
https://doi.org/10.18869/acadpub.rme.7.1.54
3. Nickelsen NCM, Elkjaer B. Shifting boundaries in
telecare-the nurse-doctor relationship. J Workplace
Learn 2017;29(7/8):588-600.
https://doi.org/10.1108/JWL-03-2017-0024
4. Chua WL, Legido-Quigley H, Jones D, Hassan NB,
Tee A, Liaw SY. A call for better doctor-nurse
collaboration: A qualitative study of the experiences of
junior doctors and nurses in escalating care for
deteriorating ward patients. Aust Crit Care
2020;33(1):54-61.
https://doi.org/10.1016/j.aucc.2019.01.006
5. Lee Y-J, Hwang J-I. Relationships of Nurse-Nurse
Collaboration and Nurse-Physician Collaboration with
the Occurrence of Medical Errors. J Korean Acad
Nurs Adm 2019;25(2):73-82.
https://doi.org/10.11111/jkana.2019.25.2.73
6. House S, Havens D. Nurses' and physicians'
perceptions of nurse-physician collaboration: a
systematic review. J Nurs Admin 2017;47(3):165-71.
https://doi.org/10.1097/NNA.0000000000000460
7. Xue Y, Ye Z, Brewer C, Spetz J. Impact of state nurse
practitioner scope-of-practice regulation on health car e
delivery: Systematic review. Nurs Outlook
2016;64(1):71-85.
https://doi.org/10.1016/j.outlook.2015.08.005
8. Keshmiri F. Assessment of the interprofessional
collaboration of hea lthcare team members: validation
of Interprofessional Collaborator Assessment Rubric
(ICAR) and pilot study. J Milit Med 2019;21(6):647 -
56. (Persian)
9. Van Der Zande M, Baart A, Vosman F. Ethical
sensitivity in practice: finding tacit moral knowing. J
Adv Nurs 2014;70(1):68-76.
https://doi.org/10.1111/jan.12154
10. Farasatkish R, Shokrollahi N, Zahednezhad H. Critical
care nurses' moral sensitivity in Shahid Rajaee Heart
Center Hospital. Iran J Cardiovasc Nursing
2015;4(3):36-45. (Persian)
11. Nazan Kilic Akca PhD R, Simsek N, Dilek Efe Arslan
PhD R, Senturk S, Akca D. Moral sensitivity among
senior nursing students in Turkey. Int J Caring Sci
2017;10(2):1031.
12. Izadi A, Imani H, Noughabi F, Hajizadeh N,
Naghizadeh F. Moral sensitivity of critical care nurses
in clinical decision making and its correlation with their
caring behavior in teach ing hospitals of Bandar Abbas
in 2012. Iran J Med Ethics Hist Med 2013;6(2):43-56.
(Persian)
13. dalvand S, Khodadadi B, Niksima SH, Ghanei
Gheshlagh R, Shirzadegan R. Moral of nurses in
Shahid Madani hospital of Khorramabad in 2017.
SJNMP. 2017;3(2):38-48. [Persian].
https://doi.org/10.29252/sjnmp.3.2.38
14. Yeom H-A, Ahn S-H, Kim S-J. Effects of ethics
education on moral sensitivity of nursing students.
Nurs Ethics 2017;24(6):644-52.
https://doi.org/10.1177/0969733015622060
15. Milliken A. Nurse ethical sensitivity: An integrative
review. Nurs Ethics 2018;25(3):278-303.
https://doi.org/10.1177/0969733016646155
16. Lee HL, Huang S-H, Huang C-M. Evaluating the
effect of three teaching strategies on student nurses'
moral sensitivity. Nurs Ethics 2017;24(6):32-43.
https://doi.org/10.1177/0969733015623095
17. Maddineshat M, Yousefzadeh MR, Mohseni M,
Maghsoudi Z, Ghaffari ME. Teaching ethics using
games: Impact on Iranian nursing students' moral
ﺖﻴﺳﺎﺴﺣ ﻲﻗﻼﺧﺍ ﻱﺭﺎﮑﻤﻫ ﻦﻴﺑ ﻓﺮﺣﻱﺍ ﺭﺩ ﻥﺍﺭﺎﺘﺳﺮﭘ :ﮏﻳ ﻪﻌﻟﺎﻄﻣ ﻲﮕﺘﺴﺒﻤﻫ
509 هرودﻢﮑﯾ و ﺖﺴﯿﺑ هرﺎﻤﺷ ،ﻢﺘﻔﻫ ﯽﭘ رد ﯽﭘ ،168 ﺮﻬﻣ ،1402 ﯽﯾﺎﻣﺎﻣ و يرﺎﺘﺳﺮﭘ ﻪﻠﺠﻣ
sensitivity. Ind Med Ethics 2019;4(1):14-20.
https://doi.org/10.20529/IJME.2018.056
18. Lützén K, Nordin C, Brolin G. Conceptualization and
instrumentation of nurses' moral s ensitivity in
psychiatric practice. Int J Methods Psychiatr Res
1994;4(4):241-48. https://doi.org/10.1037/t60329-000
19. Comrie RW. Identifying and measuring baccalaureate
and graduate nursing students' moral sensitivity
[dissertation]. South Illinois Univ Carbondale;2006.
20. Hassanpoor M, Hosseini M, Fallahi Khoshknab M,
Abbaszadeh A. Evaluation of the impact of teaching
nursing ethics on nurses' decision making in Kerman
social welfare hospitals in 2011. Iran J Med Ethics Hist
Med 2011;4(5):58-64. (Persian).
21. Hojat M, Mangione S, Kane GC, Gonnella JS.
Relationships between s cores of the Jefferson s cale of
physician empathy (JSPE) and the interpersonal
reactivity index (IRI). Med Teacher 2005;27(7):625-8.
(Persian). https://doi.org/10.1080/01421590500069744
22. Parizad N, Lopez V, Jasemi M, Gharaaghaji Asl R,
Taylor A, Taghinejad R. Job stress and its relationship
with nurses' autonomy and nurse-physician
collaboration in intensive care unit. J Nurs Manag
2021;29(7):2084-91.
https://doi.org/10.1111/jonm.13343
23. O'connor P, O'dea A, Lydon S, Offiah g, Scott J,
Flannery A, et al. A mixed-methods study of the causes
and impact of poor teamwork between junior doctors
and nurses. Int J Qual Health Care 2016;28(3):339-45.
https://doi.org/10.1093/intqhc/mzw036
24. Pasyar N, Sharif F, Rambod M. Nurses and Physicians'
Collaborative Behaviors in Intensive Care Units. Sadra
Med Sci J 2017;5(4):239-250. (Persian)
25. DeKeyser Ganz F, Engelberg R, Torres N, Curtis JR.
Development of a Model of Interprofessional Shared
Clinical Decision Making in the ICU: A Mixed-
Methods Study. Crit Care Med 2016;44(4):680-9.
https://doi.org/10.1097/CCM.0000000000001467
26. Amiri E, Ebrahimi H, Vahidi M, Asghari Jafarabadi M,
Namdar Areshtanab H. Moral sensitivity and its
relationship with demographic and professional
characteristics of nurses working in medical wards of
hospitals affiliated to Tabriz University of Medical
Sciences. Hayat 2017; 23(4): 295-306. (Persian)
27. Sharifi N, Gilasi H, Gholami H, Shar ifi A, Norouz H.
Moral sens itivity of nurses working in hospitals
affiliated to Kashan University of Medical Sciences.
Feyz 2020;24(6):685-690. (Persian)
28. Aghamohammadi D, Dadkhah B, Aghamohammadi M,
Nasiri E. Inter Professional Collaboration: Attitude of
Nurses and Physicians of Ardabil's Intensive Care
Units. J Health Care 2018;20(1):18-29. (Persian).
https://doi.org/10.29252/jhc.20.1.18
Nursing and Midwifery Journal, Vol 21 (07), October, 2023
510 هرودﻢﮑﯾ و ﺖﺴﯿﺑ هرﺎﻤﺷ ،ﻢﺘﻔﻫ ﯽﭘ رد ﯽﭘ ،168 ﺮﻬﻣ ،1402 ﯽﯾﺎﻣﺎﻣ و يرﺎﺘﺳﺮﭘ ﻪﻠﺠﻣ
Original Article
MORAL SENSITIVITY AND INTERPROFESSIONAL
COLLABORATION IN NURSES: A CORRELATIONAL STUDY
Hero Hamzehpour
1
,
Shima Sadat Aghahosseini
2
*
Received: 25 August, 2023; Accepted: 07 October, 2023
Abstract
Background & Aim: Concerning the determining role of health care professions in patient care and
safety and the effects of interaction and collaboration between related professions on improving the
quality and quantity of care and improving service to patients, this study was conducted to determine
the correlation between moral sensitivity and interprofessional collaboration in 2023.
Materials & Methods: This is a descriptive study with a cross-sectional-correlation design. The
sampling was done by simple random method and included 150 nurses working in teaching hospitals
affiliated with Tehran Islamic Azad University of Medical Sciences. Inclusion criteria were the ability
to speak Persian, mental health, absence of stressful issues in the last six months, and willingness to
participate in the study. Exclusion criteria were lack of satisfaction to continue cooperation and failure
to complete the questionnaire. Data were collected using nurses' moral sensitivity questionnaire (Lützén
et al. 1994) and the Jefferson Scale of Attitudes toward Physician-Nurse Collaboration (Jefferson 2001).
Face and content validity methods were used to validate the instruments, and Cronbach's alpha was used
for reliability. Data analysis was done using descriptive and inferential statistics such as Pearson
correlation tests.
Results: The results showed that 82.67% of nurses had high moral sensitivity, and 81.33% had a lot of
interprofessional collaboration. There was also no significant statistical relationship between nurses'
moral sensitivity score and interprofessional collaboration (p=0.125).
Conclusions: Considering the positive and undeniable effects of moral sensitivity and interprofessional
collaboration in nursing care, developing professional training in this field can affect the quality of
nursing care, increase patient satisfaction, and reduce medical errors.
Keywords: Interprofessional Collaboration, Moral Sensitivity, Nurses
Address: Shahid Sattari Highway - University Square, Shohdai Hesarak Blvd., Islamic Azad University,
Science and Research Unit - Educational Block 1 - 5th Floor, Tehran, Iran
Tel: 09138615384
Email:shimaaghahosseini@yahoo.com.
This is an open-access article distributed under the terms of the Creative Commons Attribution-noncommercial 4.0 International
License which permits copy and redistribute the material just in noncommercial usages, as long as the original work is properly
cited.
1
Ph.D Candidate, Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic
Azad University, Tehran, Iran
2
Assistant Professor, Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences,
Islamic Azad University, Tehran, Iran. (Corresponding Author)
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