Effects of an ethical decision-making reasoning scheme in nursing students: A randomized, open-label, controlled trial
| Autor: | Lien-Jen Hwu, Wen-Jiuan Yen, Hsiang-Chu Pai, Yen-Chiao Angel Lu |
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| Rok vydání: | 2021 |
| Předmět: |
Scheme (programming language)
Self-efficacy Male Universities education Ethical decision Morals Education law.invention Randomized controlled trial Nursing law Scale (social sciences) Intervention (counseling) Humans Female Students Nursing Prospective Studies Open label Psychology Competence (human resources) computer General Nursing Problem Solving computer.programming_language |
| Zdroj: | Nurse education today. 108 |
| ISSN: | 1532-2793 |
| Popis: | Background Previous research suggests that, to design a program to help students to develop ethical decision making, competence and courage to confront ethical dilemmas should be critical components. Purpose This study examines the effect of an ethical decision-making reasoning scheme in ethical decision making and communication self-efficacy in nursing students. Methods This study was a prospective and randomized, open-label, controlled trial design. Nursing students from a medical university served as participants. Students were randomly assigned to an intervention group (IG), which received the ethical decision-making reasoning scheme intervention, or a control group (CG), which received a standard general course. The effect was measured with the Ethical Decision-Making Scale-Revised and the Self-efficacy for Communication Scale. Analysis of covariance (ANCOVA) was used to measure between-group differences, and paired t-tests were used to measure pre- and post-IG/CG differences. Results A total of 101 nursing students were included and randomly assigned to the IG (n = 50) and CG (n = 51), and 41 IG and 43 CG students completed all aspects of the study. The findings show that there was significant improvement in self-efficacy in communication (t = 2.341, p = .024) and a decrease in difficulty in communication (t = 2.330, p = .025) in the IG. Ethical decision-making competencies improved more in the IG compared to the CG (F = 4.856, p = .034). Ethical decision-making competencies increased in both males and females, but there were no significant differences between males and females at the end of study (F = 0.264, p = .610). Conclusion These findings suggest that ethical decision-making training can improve students' confidence in communicating with patients and may help to improve students' more complex ethical decision making. |
| Databáze: | OpenAIRE |
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