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Effectiveness of the Socratic Dialogue Method in a Graduate Nursing Ethics Course: A Mixed-Methods Study
Mei-Hsiu Lee1, Szu-Mei Hsiao2, Chin-Chin Hsu3
1From Department of Nursing, Meiho University, Pingtung.
The Journal of Nursing Education
|May 20, 2026
Summary
Integrating the Socratic dialogue method into nursing ethics courses significantly improved students' critical thinking and ethical reasoning. This evidence-based teaching strategy cultivates reflective practitioners for complex clinical situations.
Area of Science:
- Nursing Education
- Medical Ethics
- Pedagogy
Background:
- Graduate-level nursing ethics courses require effective pedagogical strategies.
- Enhancing students' ethical reasoning and reflective learning is crucial for clinical practice.
Purpose of the Study:
- To evaluate the Socratic dialogue method's impact on graduate nursing students' ethical reasoning and reflective learning.
- To determine if Socratic dialogue is an evidence-based teaching strategy for nursing ethics.
Main Methods:
- A mixed-methods approach was utilized.
- Pre- and post-course critical thinking assessments were administered.
- Qualitative analysis of student reflective discussions was conducted.
Main Results:
- Significant improvements in critical thinking disposition were observed.
- Students demonstrated deeper moral reasoning and collaborative inquiry.
- Confidence in ethical decision-making increased.
Conclusions:
- The Socratic dialogue method effectively promotes reflective engagement and critical discourse in nursing ethics education.
- Nurse educators can adopt this approach to develop reflective practitioners skilled in moral reasoning.
- This method supports the cultivation of ethical competence in complex healthcare environments.
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