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Related Concept Videos

Ethical Dilemmas I01:17

Ethical Dilemmas I

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Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
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Critical Thinking I01:24

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Critical thinking helps decision-making and allows nurses to recognize barriers to success and find solutions to possible issues. It helps to brainstorm and implement ideas to achieve goals. Critical thinking helps acknowledge and state workflow inefficiencies while improving management techniques. Nurses understand the value of critical thinking and look for fellow nurses with critical thinking skills to upgrade their professional standards. Critical thinking can advance a nurse's career...
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Kohlberg's Theory of Moral Development01:19

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Kohlberg's theory of moral development uses the Heinz dilemma — a thought experiment in which a man, Heinz, must decide whether to steal an unaffordable drug to save his dying wife — to illustrate the evolution of moral reasoning. This framework, divided into three levels with two stages, highlights how individuals' understanding of right and wrong becomes increasingly complex.
Pre-Conventional Level
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Patient-centered Care01:13

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Ethical Issues01:27

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Nursing Ethical Principles II01:27

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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
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Using Learning Outcome Measures to assess Doctoral Nursing Education
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Evaluating moral reasoning in nursing education.

Renee McLeod-Sordjan1

  • 1Pace University, USA rmcleodsordjan@pace.edu.

Nursing Ethics
|November 15, 2013
PubMed
Summary

Ethics curricula aim to improve nursing professionalism, but graduates struggle with patient advocacy. This study explores evaluating moral reasoning using reflective journaling, the Ethics of Care Interview (ECI), and the Defining Issues Test (DIT).

Area of Science:

  • Nursing Education
  • Bioethics
  • Professional Development

Background:

  • Ethics curricula are considered essential for enhancing professionalism in healthcare practice.
  • Recent studies indicate a gap, with some graduates lacking patient advocacy and assertiveness in ethical conflicts.
  • This highlights a need to effectively evaluate the impact of ethics education on moral reasoning.

Purpose of the Study:

  • To explore and identify evaluation techniques for assessing moral reasoning, a key outcome of ethics curricula.
  • To examine how nursing students utilize care-based and justice-based moral orientations in ethical dilemmas.

Main Methods:

  • A literature review of studies published between 1995 and 2013 was conducted.
  • The study identified reflective journaling, the Ethics of Care Interview (ECI), and the Defining Issues Test (DIT) as methods for data collection.
Keywords:
Ethicsmoral reasoningnursingprofessionalism

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  • These methods aim to objectively measure care-based and justice-based moral reasoning.

    • Main Results:

    • Literature indicates that nursing students employ both care and justice moral orientations, as conceptualized by Gilligan and Kohlberg, when resolving ethical dilemmas.
    • The selected methods (reflective journaling, ECI, DIT) provide objective measures for assessing these interrelated pathways of moral reasoning.

    Conclusions:

    • Educators hold an ethical responsibility to cultivate students' clinical judgment and support their professional growth.
    • Authentic assessment strategies are recommended to effectively measure improvements in students' moral reasoning skills.