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2 Kerman university medical science and health service Razi school of nursing and midwifery Title: Evaluation the effect of nursing ethical principles training on moral sensitivity in decisions -making emergency medical center personnel in rafsanjan state 2014 The Thesis to resive MS Degree of Psychiatric Nursing Education By: Nahid ghasemi rad Supprvisorer: Tahereh Ramezani Advisore: Dr.mina mobasher

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4 Abstract Introduction Catastrophe, event or calamity is an unpleasant event with the effect from natural or unnatural factors that causes a lot physical or financial damages and imposes a lot heavy economical,social and mental burdens on society and people,and the stressful conditions governing events may disorder logical and right decision making by the staff of the health systems,doctors and nurses and because of close relation with death and life of people,this stuffmore than other groups,involve in ethical issues governing stressful conditions which must consider ethical and human issues in this area. Ethical understanding is a complex process in which the life conditions of clients has been analyzed and based on that eliminated complexity and ambiguity,smooth the way for decision making. That is, hours and the staff of medical emergency need to expand their reasoning skills, understanding,analyzing ethic and decision making for the efficient ethical use. Regarding medical emergency is such a sensitive profession that its moments and ethical decision making have a vital role in these conditions,this research was done with the aim of the role of the basic nursing ethic training on ethical sensitiveness on decision makings of the medical emergency staff. Methodology This research is an imperial study and with the aim of the effect of the basic ethic training on eftical sensitiveness in decision makings ofthe medical emergency center in Rafsanjan city. In this study a control group and an interfere( trainings) were used and the units entered the groups simply and randomply.the tool of this study is demographic questioner and ethical scnsitiveness in decision makings. The data was gathered in two previous stages and two mounths after interfering.after the first stage, the workshop of nursing ethic training was held for the interfere group in three sessions of four hours and in every other waek. Meanwhile, training pamphlets were given to the interfere group and at the end of the reting, a written text was held in case( scenario) and at last after two mouths, the imtioners were filled in each two groups.the information was analyzed by using spss 20 oftqrare and independent T tests, couple T, K square and Pierson and coeffrcient hdings: Findings showed that there is a significant difference between ethical sensitiveness L decision makings of the medical emergency staff before and after interfering in the

5 interfere group. In addition ( p:0.0001) after complimenting the training plans, there is a significant difference between the ethical sensitiveness in decision makings of the medical emergency staffbetween the interfere group and the witness's.(p:0-0001) Decision and conclusion The results of this examination show that basic nursing ethic training on ethical sensitiveness is directly Related to the decision making of the medical emergency staff and leads to the expansion of the services quality..so its offered that the basic nursing ethic training plans for medical emergency staffneed to be implemented continually Keywords:Ethice principles,ethical, Ethice sensitivity in decision-making,emergency medical