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How cultural humility and ethical sensitivity shape ethical decision-making competence
Shaimaa Mohamed Amin1,2,3, Haitham Mokhtar Mohamed Abdallah4,5, Mohamed H R Atta6,7
1Department of Community, Psychiatric, and Mental Health Nursing, College of Nursing, Qassim University, Buraydah, Saudi Arabia.
Nursing Ethics
|July 18, 2026
Summary
Cultural humility and ethical sensitivity significantly enhance nursing students' ethical decision-making competence. Ethical sensitivity partially mediates the positive impact of cultural humility on students' ability to make sound ethical choices.
Area of Science:
- Nursing Education
- Bioethics
- Cross-Cultural Healthcare
Background:
- Ethical decision-making in nursing is complex in diverse settings.
- Cultural humility and ethical sensitivity are crucial for competent ethical decision-making.
- Existing research lacks comprehensive analysis of these factors in nursing students.
Purpose of the Study:
- To examine the relationship between cultural humility, ethical sensitivity, and ethical decision-making competence in Egyptian undergraduate nursing students.
- To investigate the mediating role of ethical sensitivity in the relationship between cultural humility and ethical decision-making competence.
Main Methods:
- A descriptive cross-sectional survey design was employed.
- 900 undergraduate nursing students from three Egyptian universities participated.
- Validated Arabic versions of the Cultural Humility Scale, Ethical Sensitivity Questionnaire, and Ethical Decision-Making Competence Scale were used.
Main Results:
- Students exhibited moderate-to-high levels of cultural humility and ethical sensitivity.
- Cultural humility positively correlated with both ethical sensitivity and decision-making competence.
- Both cultural humility and ethical sensitivity were significant predictors of ethical decision-making competence, with ethical sensitivity partially mediating the relationship.
Conclusions:
- Cultural humility directly and indirectly improves nursing students' ethical decision-making competence via enhanced ethical sensitivity.
- Integrating cultural humility and ethical sensitivity into nursing curricula can bolster moral awareness, ethical reasoning, and culturally competent practice.
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