Do moral development levels of the nurses affect their ethical decision making? A descriptive correlational study

Arslan, Sümeyye; Öztik, Sinem Türer; Kurban, Nevin Kuzu

doi:10.1177/1477750920930375

Cited by 9 publications

(11 citation statements)

References 17 publications

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“…Most nurses who participated in this study were at the post-conventional level of moral development. This is similar to the findings of other studies, indicating that most Iranian nurses ( 28 ), Turkish nurses ( 29 ) and American nurses ( 30 ) were in the post-conventional level of moral development. However, the result of a meta-analysis showed that only expert nurses were at the post-conventional level, and that most nurses followed a uniform pattern of conventional ethical reasoning and practice ( 31 ).…”

Section: Discussionsupporting

confidence: 91%

Professional moral courage and moral reasoning among nurses in clinical environments: a multivariate model

Khatiban¹,

Falahan²,

Soltanian³

2022

jmehm

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Improving ethical practice needs recognizing the relationship between moral reasoning and moral courage among nurses. We examined factors (moral reasoning, practical consideration, moral dilemmas familiarity, and demographic and work characteristics) associated with moral courage among nurses. A cross-sectional design was run at all five hospitals affiliated to Hamadan University of Medical Sciences in west of Iran. A proportionate random sampling due to the total size of the nurse population in each hospital, 224 eligible nurses were completed the study questionnaires: demographic-work characteristics, Professional Moral Courage (PMC), and Nursing Dilemma Test. The relationships were examined by multiple regression analysis. Participants reported a more than moderate level of moral reasoning and PMC (43.21±5.98 and 56.16±10.18 respectively). The multivariate model showed the nurses’ PMC is positively predisposed with moral reasoning (β=0.21, p<0.01), but negatively with practical consideration (β=-0.16, p<0.01). More moral courage was found in the nurses who were never married (p<0.001), graduated from a public university (p<0.01), working in the critical care and emergency environments, as well as night shifts (all p<0.001). Moral reasoning is a predictor of moral courage, and both should be considered in designing nursing education to improve ethical nursing practice.

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Section: Discussionsupporting

confidence: 91%

Professional moral courage and moral reasoning among nurses in clinical environments: a multivariate model

Khatiban¹,

Falahan²,

Soltanian³

2022

jmehm

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“…In this study, familiarity scores of the majority nurses indicated that they were familiar with ethical dilemmas. Familiarity of the nurses with ethical dilemmas is considered to affect their decision making for ethical problems positively [34,42]. However, ethical decision-making of the nurses may be affected by the several factors such as policies and expectations of the institutions where they work, feeling of mastery of the medical profession, stressful environment, patient complex conditions, and the communication with patients that instead of following the rules, they listen to their inner voice [43,44].…”

Section: Discussionmentioning

confidence: 99%

The effect and comparison of training in ethical decision-making through lectures and group discussions on moral reasoning, moral distress and moral sensitivity in nurses: A clinical randomized controlled trial

Khaghanizadeh

Koohi

Ebadi

et al. 2022

Preprint

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Background: Ethical decision‑making and behavior of nurses are major factors that can affect the quality of nursing care. Moral development of nurses to making better ethical decision-making is an essential element for managing the care process. The main aim of this study was to examine and comparison the effect of training in ethical decision-making through lectures and group discussions on nurses' moral reasoning, moral distress and moral sensitivity.Methods: In this randomized clinical trial study with a pre- and post-test design, 66 nurses with moral reasoning scores lower than the average of the community were randomly assigned into three equal groups (n=22) including two experimental groups and one control group. Ethical decision-making training to experimental groups was provided through the lectures and group discussions. While, the control group did not receive any training. Data were collected using sociodemographic questionnaire, the nursing dilemma test (NDT), the moral distress scale (MDS) and the moral sensitivity questionnaire (MSQ). Unadjusted and adjusted binary logistic regression analysis was reported using the odds ratio (OR) and 95% confidence intervals.Results: In adjusted regression analysis after intervention, the nursing principled thinking (NPT) score was significantly increased in group discussions vs. lectures group (OR: 13.078, 95%CI: 3.238-15.954, P=0.008), lectures group vs. control group (OR: 14.329, 95%CI: 2.005-16.171, P<0.001) and group discussions vs. control group (OR: 18.01, 95%CI: 5.834-22.15, P<0.001). The moral sensitivity score was significantly increased in group discussions vs. lectures group (OR: 10.874, 95%CI: 6.043-12.886, P=0.005) and group discussions vs. control group (OR: 13.077, 95%CI: 8.454-16.774, P=0.002). However, the moral distress score was significantly decreased in lectures group vs. control group (OR: 0.105, 95%CI: 0.015-0.717, P=0.021) and group discussions vs. control group (OR: 0.089, 95%CI: 0.015-0.547, P=0.009). Conclusions: The results of this study indicate that ethical decision-making training is effective on empowerment of ethical reasoning. Whereas the group discussion was also effective on increasing the ethical sensitivity, it is recommended the training plan provided in this study to be held as workshop for all nurses in health and treatment centers and placed in curricular plan of nursing students.Registration: This randomized clinical trial was registered in Iranian Registry of Clinical Trials under code (IRCT2015122116163N5) in 02/07/2016.

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“…In fact, as Arslan et al . 12 defend, this a global world, and nurses “often meet humans from different cultures and values”. The communication is one of the most effective weapons of nurses.…”

Section: Discussionmentioning

confidence: 99%

Ethical problems in the nurses action in the beginning of life

Paço

Deodato

2021

Clinical Ethics

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Introduction The act of caring in nursing requires previous deliberation and decision, however this perception only arises when an ethical problem emerges. Objective: Identify ethical problems of nurses action in the area of beginning of human life Method: Exploratory and descriptive method, with a qualitative approach. Semi-structured interviews were used to collect data, who were submitted to content analysis. The sample was constituted by 26 nurses. Results 18 categories of problem areas and 56 ethical problems in early human life were identified. The results obtained are very diverse, including areas such as termination of pregnancy, informed consent or maintaining privacy. However, other problem areas also emerge and numerous new subcategories/ethical problems, including: dealing with miscarriage, extreme situations, minors’ pregnancy, serious malformations detected at birth, consent regarding care during childbirth, Non- identification of a ethical problem, nurse social recognition and non-involvement of the person in labour. Conclusion Nurses face different ethical problems that impact their lives. We intend to contribute in helping to make decisions in this field, which the outset is of hope and joy, but which hides, behind this evidence, countless situations of suffering for everyone involved. The identification of ethical problems in this field, it is the first step to reflect about theme and helping decision-making for nurses that are taking care in this area of beginning of human life, when confronted whit the same type of ethical problems.

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Do moral development levels of the nurses affect their ethical decision making? A descriptive correlational study

Cited by 9 publications

References 17 publications

Professional moral courage and moral reasoning among nurses in clinical environments: a multivariate model

Professional moral courage and moral reasoning among nurses in clinical environments: a multivariate model

The effect and comparison of training in ethical decision-making through lectures and group discussions on moral reasoning, moral distress and moral sensitivity in nurses: A clinical randomized controlled trial

Ethical problems in the nurses action in the beginning of life

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