Volume 21, Issue 8 (11-2023)
Nursing and Midwifery Journal 2023, 21(8): 603-612 |
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Ethics code: IR.ZUMS.REC.1400.191
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Zirak M, Yadegari M, Nouri P. COMPARING THE ETHICAL REASONING ABILITY OF UNDERGRADUATE AND MASTER NURSING STUDENTS OF ZANJAN UNIVERSITY OF MEDICAL SCIENCES: A DESCRIPTIVE-ANALYTICAL STUDY. Nursing and Midwifery Journal 2023; 21 (8) :603-612
URL: http://unmf.umsu.ac.ir/article-1-4998-en.html
URL: http://unmf.umsu.ac.ir/article-1-4998-en.html
1- Assistant Professor, Department of Nursing, Maragheh University of Medical Sciences, Maragheh, Iran (Corresponding Author) , mohammadzirak@gmail.com
2- Assistant Professor, Department of Nursing, Faculty of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
3- MS Student in Nursing, Faculty of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
2- Assistant Professor, Department of Nursing, Faculty of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
3- MS Student in Nursing, Faculty of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
Abstract: (1655 Views)
Background & Aim: Regarding the position of ethical principles in professions such as nursing, which provides care services and is related to the patient health, the need to address the nursing students' moral reasoning ability and its improvement, which leads to making ethical decisions in clinical situations, is revealed. Therefore, the present study aimed to compare the ethical reasoning ability of undergraduate and graduate nursing students of Zanjan University of Medical Sciences.
Materials & Methods: This was a descriptive -analytical study that was conducted at Zanjan University of Medical Sciences. The participants included 87 undergraduate nursing students and 46 master's students in nursing at Zanjan University of Medical Sciences who were selected by census sampling. The data was collected using the demographic characteristics questionnaire and the nursing dilemmas test (NDT). Descriptive statistics (number, percent, mean, standard deviation, and descriptive tables) and inferential statistics (t student, ANOVA, and Pearson correlation coefficient) were used regarding data analysis. Data was analyzed using SPSS Ver.16
Results: The average ethical reasoning score of nursing master's students were 43.6±4.1 and undergraduate students was 40.6±5.1 and there is a significant difference between the moral reasoning of nursing undergraduate students and nursing master's students. It was also found that there is no significant relationship between the individual-social characteristics and the ethical reasoning ability of nursing students.
Conclusion: Findings showed that the moral reasoning ability of nursing master's students is higher compared to undergraduate students. The worrying finding is that the nursing students are not at the appropriate level of ethical reasoning. Nursing education policymakers should increase the ethical reasoning ability of nursing students in the field of solving ethical dilemmas by providing appropriate educational programs, including holding clinical ethics workshops in clinical environments, taking advantage of the experiences of experienced nurses, and using prominent ethics professors.
Materials & Methods: This was a descriptive -analytical study that was conducted at Zanjan University of Medical Sciences. The participants included 87 undergraduate nursing students and 46 master's students in nursing at Zanjan University of Medical Sciences who were selected by census sampling. The data was collected using the demographic characteristics questionnaire and the nursing dilemmas test (NDT). Descriptive statistics (number, percent, mean, standard deviation, and descriptive tables) and inferential statistics (t student, ANOVA, and Pearson correlation coefficient) were used regarding data analysis. Data was analyzed using SPSS Ver.16
Results: The average ethical reasoning score of nursing master's students were 43.6±4.1 and undergraduate students was 40.6±5.1 and there is a significant difference between the moral reasoning of nursing undergraduate students and nursing master's students. It was also found that there is no significant relationship between the individual-social characteristics and the ethical reasoning ability of nursing students.
Conclusion: Findings showed that the moral reasoning ability of nursing master's students is higher compared to undergraduate students. The worrying finding is that the nursing students are not at the appropriate level of ethical reasoning. Nursing education policymakers should increase the ethical reasoning ability of nursing students in the field of solving ethical dilemmas by providing appropriate educational programs, including holding clinical ethics workshops in clinical environments, taking advantage of the experiences of experienced nurses, and using prominent ethics professors.
References
1. Johnstone M-J. Bioethics: a nursing perspective: Elsevier Health Sciences; 2022. [Google Book]
2. Ghadermazi M, Shamsaei F, Sadeghian E. Investigation of ethical reasoning and related factors in nursing students of Hamadan University of Medical Sciences in 2020. J Nurs Edu 2021;10(2): 33-41. (Persian) [Google Scholar]
3. Bandman EL, Bandman B. Nursing Ethics Through the Life Span: McGraw-Hill/Appleton & Lange; 1990. [URL]
4. Badri Gargari RG, Mahmoodi F, Soltani N, Laripour R. Investigating and comparison the ethical reasoning level of nursing students Aja university of medical sciences with nurses working in one of their affiliated hospitals. Mil Caring Sci 2020;7(1): 46-52. (Persian). https: //doi.org/10.29252/mcs.7.1.46 [DOI:10.29252/mcs.7.1.46]
5. Hemmati Maslakpak, Ghasemzadeh N. The effect of professional ethics education through case-based method on moral sensitivity in nursing students: a clinical trial study. J Urmia Nurs Midwifery Fac 2018;16(6): 423-31. (Persian) [Google Scholar]
6. Zirak M, Hasankhani H, Parizad N. The ethical reasoning ability of nurses and nursing students: a literature review. Iran J Med Ethics Hist Med 2015;7(6): 15-28. (Persian) [Google Scholar]
7. Esmaelzadeh F, Abbaszadeh A, Borhani F, Peyrovi H. Ethical sensitivity in nursing ethical leadership: a content analysis of Iranian nurses experiences. Open Nurs J 2017;11: 1-13. https: //doi.org/10.2174/1874434601711010001 [DOI:10.2174/1874434601711010001] [PMID] []
8. Dehghani A, Eslamiakbar R, Rahimi E, Abbasi Jahromi A, Khaki S. Evaluation of the facilitating factors of professional ethics compliance in nursing practice. J Clin Nurs Midwifery 2017;6. (Persian) [Google Scholar]
9. Zirak M, Moghaddsiyan S, Abdollahzadeh F, Rahmani A. Moral development of nursing students of Tabriz University of Medical Sciences. Iran J Med Ethics Hist Med 2011;4(4): 45-55. (Persian) [Google Scholar]
10. Sari D, Baysal E, Celik GG, Eser I. Ethical decision making levels of nursing students. Pak J Med Sci 2018;34(3): 724-9. https: //doi.org/10.12669/pjms.343.14922 [DOI:10.12669/pjms.343.14922] [PMID] []
11. Yasaghi Z, Sanagoo A, Behnampour N, Nasiri H, Roshandel G, Jouybari L. Comparing Ethical Reasoning of Nurses Working in the Intensive Care Units and Nursing Students in Dealing with Ethical dilemmas. Iran J Med Educ 2022;22: 65-73. (Persian) [Google Scholar]
12. Butts JB, Rich KL. Nursing ethics: Across the curriculum and into practice: Jones & Bartlett Learning; 2022. [URL]
13. Zirak M. Comparison of ethical reasoning in nursing students and nurses in Tabriz University of Medical Science. [MS thesis]. Tabriz University of Medical Sciences; 2011. (Persian) [Google Scholar]
14. Suliman M, Abdalrhim A, Tawalbeh L, Aljezawi M. The impact of online synchronous versus asynchronous classes on nursing students' knowledge and ability to make legal and ethical decisions. Nurse Educ Today 2022;109: 105245. https: //doi.org/10.1016/j.nedt.2021.105245 [DOI:10.1016/j.nedt.2021.105245] [PMID]
15. Mohamadi J, Azizi A. Effectiveness of nursing ethics education on ethical reasoning nurses. Iran J Nurs 2015;28(96): 50-7. (Persian) https: //doi.org/10.29252/ijn.28.96.50 [DOI:10.29252/ijn.28.96.50]
16. Amiri R, Gaeeni M, Ahmari TH, Momenyan S. The Relationship between moral reasoning and the caring behavior of nurses in emergency departments of Qom, 2015. Iran J Emerg Care 2017;1(3): 1-10. (Persian) [Google Scholar]
17. Pai H-C, Hwu L-J, Lu Y-C, Yen W-J. Effects of an ethical decision-making reasoning scheme in nursing students: A randomized, open-label, controlled trial. Nurse Educ Today 2022;108: 105189. https: //doi.org/10.1016/j.nedt.2021.105189 [DOI:10.1016/j.nedt.2021.105189] [PMID]
18. Ranjbar H, Joolaee S, Vedadhir A, Abbasszadeh A, Bernstein C. An evolutionary route for the moral development of nursing students: a constructivist grounded theory. J Nurs Res 2018;26(3): 158-67. https: //doi.org/10.1097/jnr.0000000000000224 [DOI:10.1097/jnr.0000000000000224] [PMID]
19. Borhani F, Abbaszadeh A, Hoseinabadi-Farahani MJ. Moral sensitivity and its dimensions in Iranian nursing students. J Med Ethics Hist Med 2016;9(19): 1-7. (Persian) [PMID]
20. De Casterlé BD, Izumi S, Godfrey NS, Denhaerynck K. Nurses' responses to ethical dilemmas in nursing practice: meta-analysis. J Adv Nurs 2008;63(6): 540-9. https: //doi.org/10.1111/j.1365-2648.2008.04702.x [DOI:10.1111/j.1365-2648.2008.04702.x] [PMID]
21. Zirak M, Mogadasian S, Abdullahzadeh F, Rahmani A. Comparison of ethical reasoning in nursing students and nurses in Tabriz University of medical science. Adv Nurs Midwifery 2012;22(77): 1-9. (Persian) [Google Scholar]
22. Ham K. Principled thinking: a comparison of nursing students and experienced nurses. J Contin Educ Nurs 2004;35(2): 66-73. https: //doi.org/10.3928/0022-0124-20040301-08 [DOI:10.3928/0022-0124-20040301-08] [PMID]
23. Crisham P. Measuring moral judgment in nursing dilemmas. Nurs Res 1981;30(2): 104-10. https: //doi.org/10.1097/00006199-198103000-00012 [DOI:10.1097/00006199-198103000-00012] [PMID]
24. Hajilo P, Torabi M, Eslami Panah M. Relationship Between Ethical Reasoning and Professional Values among Nursing Students. Avicenna J Nurs Midwifery Care 2022;30(1): 1-11. (Persian) https: //doi.org/10.32592/ajnmc.30.1.1 [DOI:10.32592/ajnmc.30.1.1]
25. Safavi F, Yousefi Z, Bavani SM, Khodadadi E. The Relationship Between Nurses' Ethical Reasoning with the Quality of Nursing Care. Int J Appl Basic Med Res 2022;12(3): 196-202. https: //doi.org/10.4103/ijabmr.ijabmr_637_21 [DOI:10.4103/ijabmr.ijabmr_637_21] [PMID] []
26. Amini R, Khatiban M, Farahanchi A, Soltanian A, Falahan S. Moral Development in Nursing Students of Hamedan University of Medical Sciences. J Clin Res Paramed Sci 2016;5(2): e81464. [Google Scholar]
27. Baysal E, Sari D, Erdem H. Ethical decision-making levels of oncology nurses. Nurs Ethics 2019;26(7-8): 2204-12. https: //doi.org/10.1177/0969733018803662 [DOI:10.1177/0969733018803662] [PMID]
28. Rejeh N, Heravi KM, Borhani F, Khatooni A, Zirak M. Master of science nursing students' reasoning abilities in tehran medical science universities in dealing with ethical dilemmas. Med Ethics J 2014;8(28): 143-65. (Persian) [URL]
29. Krawczyk RM. Teaching ethics: effect on moral development. Nurs Ethics 1997;4(1): 57-65. https: //doi.org/10.1177/096973309700400107 [DOI:10.1177/096973309700400107] [PMID]
30. Abbaszadeh a, Torabi M, Borhani F, Shamsaei F. The place of ethics education in nursing in Iran. Bioeth J 1394;5(17): 117-46. (Persian) [URL]
31. Sabet Sarvestani R, Jeihooni AK, Fereidouni Z, Moradi Z, Amirkhani M, Karimi S. The Effect of Teaching Ethical Principles through Role Playing on Nursing Students Internship Skills. Teb Tazkiyeh 2017;26(3): 159-70. (Persian) [URL]
32. Afshari G, Assadi Hovyzian S, Hesam S, Arjmand R, Homayouni S, Hassimi L, et al. Investigating the effect of retraining courses (by presenting periodic seminars and posters) on nurses' moral development. J Educ Ethics Nurs 2021;10(3&4): 1-12. (Persian) [URL]
33. Raqavi J. The Relationship between Ethics and Religion from the View Points of Allama Tabatabai and Shahīd Moṭaharī. Ethic Reflec 2020;1(3): 47-64. (Persian) [Google Scholar]
34.
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