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Teaching ethics: effect on moral development

R M Krawczyk1

  • 1Boston College School of Nursing, Chestnut Hill, MA 02167-3805, USA.

Nursing Ethics
|January 1, 1997
PubMed
Summary
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An ethics course significantly improved moral judgment in nursing students. Senior students in a program with dedicated ethics instruction outperformed peers, highlighting the impact of targeted ethical training.

Area of Science:

  • Nursing Education
  • Medical Ethics
  • Developmental Psychology

Background:

  • Moral judgment development is crucial for healthcare professionals.
  • Nursing curricula vary in their integration of ethical content.
  • Understanding the impact of ethics education on moral reasoning is essential.

Purpose of the Study:

  • To assess moral judgment development in baccalaureate nursing students.
  • To compare moral judgment across different nursing programs with varying ethics content.
  • To identify the influence of ethics instruction on moral reasoning.

Main Methods:

  • A developmental cross-sectional study was conducted with 180 first-year and senior nursing students.
  • Students were enrolled in three programs with distinct ethical content integration: dedicated ethics course (A), integrated ethics (B), and no ethics content (C).
Keywords:
Bioethics and Professional EthicsEmpirical Approach

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  • Moral judgment was measured using Rest's Defining Issues Test (DIT).

    • Main Results:

    • Senior nursing students in program A, which included a dedicated ethics course, scored significantly higher on the DIT compared to other senior groups.
    • Program A's curriculum, featuring group participation and decision-making, demonstrated a positive impact on moral judgment development.
    • Differences in moral judgment were observed between programs with varying levels of ethics instruction.

    Conclusions:

    • A structured ethics course, particularly one with participatory and decision-making components, significantly enhances moral judgment development in nursing students.
    • The integration and depth of ethical content in nursing education directly influence students' moral reasoning abilities.
    • Findings suggest that specific pedagogical approaches in ethics education are more effective in fostering moral development.