Ethical Decision Making Levels of Nursing Students

Sarı, Dilek; Baysal, Ebru; Çelik, Gül Güneş; Eşer, İsmet

doi:10.12669/pjms.343.14922

Cited by 37 publications

(46 citation statements)

References 12 publications

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“…Consistent with various related research results, our findings revealed that students adhere to ethical principles when making moral decisions. 33,44 The practical consideration scores in the NDT show that environmental factors—including number of patients, amount of resources, institutional policies, perceived administrative support, and physician control—are all taken into account when making decisions about ethical problems. 33 In this study, the decrease of practical consideration scores in the standardized patient group in our study suggests that students were unable to control factors arising from the standardized patient and/or the practice setting.…”

Section: Students’ Moral Sensitivitymentioning

confidence: 99%

Effects of using standardized patients on nursing students’ moral skills

2020

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Background: Nurses and nursing students increasingly confront ethical problems in clinical practice. Moral sensitivity, moral reasoning, and ethical decision-making are therefore important skills throughout the nursing profession. Innovative teaching methods as part of the ethics training of nursing students help them acquire these fundamental skills. Aim: This study investigated the effects and potential benefits of using standardized patients in ethics education on nursing baccalaureate students’ moral sensitivity, moral reasoning, and ethical decision-making by comparing this method with in-class case analyses. Research design: This is a quasi-experimental study. Participants and research context: The sample comprised 89 students in Hacettepe University’s Faculty of Nursing. Following lectures describing the theoretical components of ethics, students were randomly assigned to two working groups, one using standardized patients and the other using in-class case analyses. Data were collected using the Moral Sensitivity Questionnaire, Rest’s Defining Issues Test, and the Nursing Dilemma Test. All data were analysed using IBM SPSS Statistics Version 23. Ethical considerations: Ethical approval and official permission were obtained. All participating students completed informed consent forms. Findings: According to the results, the moral sensitivity of students in the standardized patient group significantly improved over time compared to those in the case analysis group, while the mean scores of students in both groups for moral reasoning and ethical decision-making were not statistically significant. Conclusion: Based on our results, we recommend the use of both standardized patients and case analysis as appropriate teaching methods in ethics education.

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Section: Students’ Moral Sensitivitymentioning

confidence: 99%

Effects of using standardized patients on nursing students’ moral skills

2020

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“…Demirsoy et al () reported that nurses aged 26‐38 were deficient in their ability to evaluate ethical problems in line with ethical principles. In the study of Sari et al (), second‐year students had higher scores in the ethical decision‐making process than fourth‐year students. This situation was thought to since recently graduated and ethically trained students were more up‐to‐date.…”

Section: Discussionmentioning

confidence: 97%

“…The nurses with a Bachelor’s degree were more likely to detect ethical violations than those with other levels of education. It has been stated that when faced with ethical problems, nursing students studying at the undergraduate level were capable of making decisions by ethical principles (Sari et al ). It can be argued that this result was due to the ethics training received during their undergraduate nursing education.…”

Section: Discussionmentioning

confidence: 99%

Social media use and ethics violations: Nurses’ responses to hypothetical cases

Demiray

Çakar

AÇIL

et al. 2019

International Nursing Review

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Aim This study aimed to evaluate nurses’ ability to evaluate ethical violations to hypothetical case studies involving social media use. Background Inappropriate use of social media necessitates health institutes, academic institutes, nurses and educators to consider occupational ethical principles while creating a policy and guide on the usage of social media. Method The data were collected confidentially from the nurses working at a university hospital in Turkey, using the Personal Information Form and the Ethic Case Form. The study was carried out using descriptive and inferential analysis. Findings Analysis of the data showed that the majority of the nurses had received training in ethics, used WhatsApp social media application most often, spent less than an hour a day on social media platforms and used social media to follow daily posts. Analyses of the ethical case evaluations showed that nurses’ level of education and ethics training status was influential on their Case 1 evaluations and the length of time they had worked was effective in Case 2 evaluations. When Case 3 evaluations of nurses were analysed according to ethics training, statistically significant differences were found. The analyses of the Case 4 and Case 5 evaluations showed that no statistically significant differences were found according to nurses’ descriptive characteristics. Conclusion The study determined that education level, ethical training status, the source of ethics training and the duration of their work in the profession were effective regarding the case evaluation of the nurses. Implications for nursing and health policy Nursing policymakers, educators, administrators and clinicians need to cooperate in the development of ethical awareness and creation of solutions to violations, the preparation of guidelines for social media use.

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“…And ethical character is a person's ability to overcome fatigue and di culties when implementing ethical actions [10]. Insu cient EDM competence can not only result in undesired outcomes, but also trap the decision-makers into ethical con icts [11].…”

Section: Introductionmentioning

confidence: 99%

Ethical Decision-Making of Health Professionals Caring for HIV-Infected People in Hunan, China: A Qualitative Study

Huang¹,

Koniak‐Griffin²,

Wang³

et al. 2020

Preprint

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Abstract Background: Numerous ethical issues surged the moment AIDS was discovered. As advocates of HIV-infected people, health professionals encounter many ethical dilemmas in clinical practice. However, it remains unclear how health professionals solve these issues. To explore the ethical decision-making experiences of health professionals who care for HIV-infected people in Hunan Province, China, and to discuss the strategies for enhancing ethical decision-making competence in AIDS care. Methods: This descriptive qualitative research adopted semi-structured, in-depth interview and thematic analysis. Participants were recruited by purposive sampling. In total, twenty-two participants completed the interview. Results: Three themes emerged from data analyses of the interviews: (1) common ethical dilemma experienced by health professionals, (2) factors influencing ethical judgment, (3) ethical motivations. Conclusion: About two thirds of informants failed to recall ethical dilemmas experienced in their clinical practice. Emotions, gender, occupation, and difficulty balancing different roles may influence the ethical judgments of health professionals. In the ethical decision-making process, most informants took other people’s interests into consideration and conformed to law and professional codes of conduct. However, negative attitudes towards HIV-infected people still exist among a few professionals. Furthermore, some informants showed a misunderstanding of ethical principles. And the fear of medical disputes (conflicts with families and others) was experienced by many informants, influencing their ethical behaviors. Hence, more efforts are needed to eliminate negative attitudes towards HIV-infected patients. This study underscores the importance of continuing ethical education for HIV/AIDS-related professionals to enhance their ethical decision-making competence. Moreover, sound governmental laws may promote ethical behavior in AIDS care.

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Ethical Decision Making Levels of Nursing Students

Cited by 37 publications

References 12 publications

Effects of using standardized patients on nursing students’ moral skills

Effects of using standardized patients on nursing students’ moral skills

Social media use and ethics violations: Nurses’ responses to hypothetical cases

Ethical Decision-Making of Health Professionals Caring for HIV-Infected People in Hunan, China: A Qualitative Study

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