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Ethical Reasoning Debriefing in Disaster Simulations.

Sara Greco1, Erica J Lewis1, Julie Sanford1

  • 1James Madison University, 800 South Main Street, Harrisonburg, VA 22801, USA.

Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing
|March 24, 2019
PubMed
Summary

Disaster simulations significantly boost nursing students' confidence in ethical reasoning and preparedness for patient care coordination. This educational approach addresses deficits in current nursing curricula, enhancing critical skills for real-world emergencies.

Keywords:
Disaster planningEthicsNursing educationNursing studentsPatient simulation

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Area of Science:

  • Nursing Education
  • Medical Simulation
  • Bioethics

Background:

  • Disaster management and patient care coordination are critical nursing competencies often lacking in educational curricula.
  • Simulations offer a safe, realistic environment for nursing students to practice these skills.
  • Addressing this educational gap is vital for ethical patient care during disasters.

Purpose of the Study:

  • To evaluate the impact of a high-fidelity disaster simulation and debriefing on senior BSN students' ethical reasoning confidence.
  • To explore changes in students' perceived importance and understanding of ethical reasoning skills post-simulation.

Main Methods:

  • 90 senior BSN students participated in a 15-minute multiple-casualty disaster simulation.
  • Students received preparatory materials on the Simple Triage and Rapid Treatment (START) System and Ethical Reasoning in Action Eight Key Questions (8KQ).
  • The Survey of Ethical Reasoning (SER) measured attitudes before and after the simulation; faculty-led debriefing utilized the 8KQ framework.

Main Results:

  • A statistically significant increase in students' ethical reasoning confidence was observed post-simulation (p < 0.001).
  • The intervention positively influenced students' perceptions of ethical reasoning skills.

Conclusions:

  • Disaster simulations are effective educational tools for enhancing nursing students' ethical reasoning confidence.
  • Simulation-based learning promotes ethical preparedness crucial for disaster nursing.