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Instrument choice for assessing ethical sensitivity in nursing students
Ting Zhang1, Dan Su1, Xiaotong Ding2
1School of Nursing, Anhui Medical University.
Nursing Ethics
|May 28, 2025
Summary
This study systematically evaluated tools for assessing ethical sensitivity (ES) in nursing students. Most tools require revision, with only one highly recommended, highlighting the need for improved measurement in nursing education.
Area of Science:
- Nursing Education
- Bioethics
- Psychometrics
Background:
- Complex healthcare settings pose moral dilemmas for nurses and students, impacting professional growth and well-being.
- Ethical sensitivity (ES) is crucial for nurses to navigate ethical challenges and make sound decisions.
- Developing ES in nursing students is essential for their professional development.
Purpose of the Study:
- To systematically evaluate existing instruments measuring moral sensitivity (MS) or ethical sensitivity (ES) in nursing students.
- To provide recommendations for appropriate research tools for future studies.
- To assess the quality and psychometric properties of MS/ES measurement tools.
Main Methods:
- Systematic literature search across nine databases up to November 2024.
- Independent screening of studies by two researchers (English/Chinese).
- Evaluation of tool development/validation using COnsensus-based Standards for the Selection of Health Measurement INstruments (COSMIN) guidelines.
Main Results:
- 13 assessment tools for nursing students' MS/ES were included.
- Only one tool received an 'A' rating; four received a 'C' rating (not recommended).
- Eight tools received a 'B' rating, indicating potential for assessing MS and ES.
Conclusions:
- Most MS/ES assessment tools for nursing students need further revision to improve quality.
- Future research should detail tool development/validation and enhance data analysis methods per COSMIN guidelines.
- Enhanced psychometric properties of MS/ES tools are necessary for reliable assessment in nursing education.
Keywords:
Ethical sensitivityinstrumentsmoral sensitivitynursing studentspsychometric propertiessystematic reviewMore Related Videos
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