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Area of Science:

  • Nursing Education
  • Medical Ethics
  • Academic Integrity

Background:

  • Academic dishonesty is a growing global concern in nursing education.
  • Existing research instruments are often non-validated, hindering international comparisons.
  • This study addresses the need for reliable data on nursing students' dishonest behaviors.

Purpose of the Study:

  • To profile dishonest behavior among Croatian nursing students in classroom and clinical settings.
  • To examine the relationship between dishonest actions in academic and practical healthcare environments.
  • To inform interventions aimed at fostering ethical conduct in future nurses.

Main Methods:

  • A quantitative, cross-sectional study was conducted.
  • The validated Croatian online version of the Nursing Student Perceptions of Dishonesty Scale was utilized.
  • Data were collected from 446 nursing students at a Croatian higher education institution.

Main Results:

  • A high prevalence of dishonest behavior was observed: 91.3% in the classroom and 32.5% in clinical settings.
  • Dishonest behavior increased with the students' year of study (p = .008).
  • Classroom dishonesty significantly correlated with clinical dishonesty, with exceptions for 'Not My Problem' and 'Non-Compliance' subscales.

Conclusions:

  • Classroom dishonesty is a significant predictor of dishonest behavior in clinical settings among nursing students.
  • Even minor dishonest acts in clinical practice can have severe, potentially fatal, consequences.
  • There is a critical need for early and continuous ethics education and support for nursing students to cultivate professional values.