Volume 30, Issue 1 (Winter 2022)
Avicenna J Nurs Midwifery Care 2022, 30(1): 1-11 |
Back to browse issues page
Ethics code: IR.UMSHA.REC.1399.1076
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Hajilo P, Torabi M, Eslami Panah M. Relationship Between Ethical Reasoning and Professional Values among Nursing Students. Avicenna J Nurs Midwifery Care 2022; 30 (1) :1-11
URL: http://nmj.umsha.ac.ir/article-1-2351-en.html
URL: http://nmj.umsha.ac.ir/article-1-2351-en.html
1- Undergraduate Student of Operating Room, Nahavand School of Paramedical Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
2- Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran , mo.torabi@umsh.ac.ir
2- Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran , mo.torabi@umsh.ac.ir
Persian Full-Text [PDF 1015 kb]
(876 Downloads)
| Abstract (HTML) (1797 Views)
Extended Abstract: (867 Views)
Background and Objective
Ethics in nursing is one of the most important issues in this profession. Given that nurses are increasingly faced with moral dilemmas daily, reasoning in ethical decision-making is an inseparable part of this profession. On the other hand, advances in technology and the development of nursing plans pose complex ethical challenges for nurses, which, if not properly responded to, can have a detrimental effect on nurses in clinical decision-making.
Ethical reasoning is a part of the moral decision-making process that shows the ability of an individual to judge and make correct and logical decisions in the face of moral problems. In other words, moral reasoning is the ability of an individual to choose the appropriate solution based on knowledge and conscience among several solutions. In nursing, an appropriate level of ethical reasoning leads to the provision of better quality care to patients and an increase in job satisfaction among nurses. Professional values are important parts of this profession, and nurses are obliged to adjust their activities in accordance with these values. This study aimed to investigate the level of ethical reasoning and attitude toward professional values among the final year nursing students of Hamadan University of Medical Sciences, Hamadan, Iran, in 2020.
Ethical reasoning is a part of the moral decision-making process that shows the ability of an individual to judge and make correct and logical decisions in the face of moral problems. In other words, moral reasoning is the ability of an individual to choose the appropriate solution based on knowledge and conscience among several solutions. In nursing, an appropriate level of ethical reasoning leads to the provision of better quality care to patients and an increase in job satisfaction among nurses. Professional values are important parts of this profession, and nurses are obliged to adjust their activities in accordance with these values. This study aimed to investigate the level of ethical reasoning and attitude toward professional values among the final year nursing students of Hamadan University of Medical Sciences, Hamadan, Iran, in 2020.
Materials and Methods
The present descriptive cross-sectional study was performed on 125 senior undergraduate nursing students by census method. Final year nurses were selected due to their greater presence in clinical settings and facing more ethical challenges compared to younger students. Informed consent was obtained from all participants and they were assured about the confidentiality of their personal information. The required data were collected through a three-part questionnaire consisting of a demographic information form, Nursing Dilemma Test, and Nurses Professional Values Scale-Revised. Questionnaires were distributed in person and electronically. Data analysis was performed in SPSS 26 software.
Results
Data analysis showed that there was no significant relationship between ethical reasoning and professional values (r=0.023, P=0.79). The mean score of students' moral reasoning was reported to be above average (46.4±6.84). Moreover, the mean score of students' professional values was obtained at a desirable level (96.84±9.28). Out of all participants, 30 (9 male and 21 female) students intended to change majors. According to the findings, the total score of students' moral reasoning was 46.4±6.84 with minimum and maximum scores of 30 and 60, indicating that students on the verge of moral education showed the necessary skills to deal with and solve moral problems in the environment. The mean score of participants' practical considerations was estimated at 23.4±08.72 with minimum and maximum scores of 12 and 3, which showed most of the environmental factors and organizational climate for moral decision-making and clinical activities of students.
Conclusion
The results of the present study indicated that there was no significant relationship between ethical reasoning and professional values among nursing students. An extensive search of databases and literature reviews failed to find a study that directly measured the relationship between ethical reasoning and professional values. However, by examining different studies, it is possible to identify environmental factors and contexts related to each of them and create a suitable context for promoting professional values and acquiring ethical decision-making skills in the challenges of clinical settings. The findings of the present study revealed that the level of moral reasoning was above average among nursing students. Accordingly, nurses adhere to the ethical concepts of their profession and have relatively good moral development, their actions are guided by ethical principles, and they take actions based on patients' benefits, equal rights, and justice establishment. According to the results of the present study, although no significant relationship was found between the moral reasoning of nursing students and their professional values, the students had an appropriate level of moral reasoning and good knowledge of the values related to their profession. By identifying the factors affecting these two variables, it is possible to provide a good ground for promoting professional values and the ability of students' moral reasoning on the eve of graduation and play a role in improving the quality of patient care services. Although there was no significant relationship between students' moral reasoning and professional values, to raise the level of moral reasoning and institutionalize professional values in students, it is essential to have an educational plan in college.
Type of Study: Original Research |
Subject:
Education in Nursing and Midwifery
Received: 2021/07/5 | Accepted: 2021/10/2 | Published: 2022/05/15
Received: 2021/07/5 | Accepted: 2021/10/2 | Published: 2022/05/15
References
1. Martin P, Yarbrough S, Alfred D. Professional values held by baccalaureate and associate degree nursing students. J Nurs Scholarsh. 2003;35(3):291-296. [DOI] [PubMed]
2. Amiri E, Ebrahimi H, Vahidi M, Asghari Jafarabadi M, Namdar Areshtanab H. Relationship between nurses' moral sensitivity and the quality of care. Nurs Ethics. 2019;26(4):1265-1273. [DOI] [PubMed]
3. Callister LC, Luthy KE, Thompson P, Memmott RJ. Ethical reasoning in baccalaureate nursing students. Nurs Ethics. 2009;16(4):499-510. PMID: 19528105 DOI: 10.1177/0969733009104612 [DOI] [PubMed]
4. Haahr A, Norlyk A, Martinsen B, Dreyer P. Nurses experiences of ethical dilemmas: A review. Nurs Ethics. 2020;27(1):258-272. [DOI] [PubMed]
5. Chen PP, Lee HL, Huang SH, Wang CL, Huang CM. Nurses' perspectives on moral distress: AQ methodology approach. Nurs Ethics. 2018;25(6):734-745. [DOI] [PubMed]
6. Zirak M, Moghaddsiyan S, Abdollahzadeh F, Rahmani A. Moral development of nursing students of Tabriz University of Medical Sciences. J Med Ethics Hist Med. 2011;4(4):45-55. (in persian)
7. Azizi A, Sepahvani M, Mohamadi J. The effect of nursing ethics education on the moral judgment of nurses. J Nurs Educ. 2016;4(4):1-8. (in persian)
8. Goethals S, Gastmans C, de Casterlé BD. Nurses' ethical reasoning and behaviour: a literature review. Int J Nurs Stud. 2010;47(5):635-650. [DOI] [PubMed]
9. Sinclair J, Papps E, Marshall B. Nursing students' experiences of ethical issues in clinical practice: A New Zealand study. Nurse Educ Pract. 2016;17:1-7. [DOI] [PubMed]
10. Comrie RW. An analysis of undergraduate and graduate student nurses' moral sensitivity. Nurs Ethics. 2012;19(1):116-127. [DOI] [PubMed]
11. Dimitriadou M, Papastavrou E, Efstathiou G, Theodorou M. Baccalaureate nursing students' perceptions of learning and supervision in the clinical environment. Nurs Health Sci. 2015;17(2):236-242. [DOI] [PubMed]
12. Erdil F, Korkmaz F. Ethical problems observed by student nurses Nurs Ethics. 2009;16(5):589-598. [DOI] [PubMed]
13. Kim YS, Park JH, Han SS. Differences in moral judgment between nursing students and qualified nurses. Nurs Ethics. 2007;14(3):309-319. [DOI] [PubMed]
14. Rassin M. Nurses' professional and personal values. Nurs Ethics. 2008;15(5):614-630. [DOI] [PubMed]
15. Shareinia H, Khodadadi E, Nedaei H, Hosseini M. Professional and ethical values in providing nursing care from nurses’ perspective. Iran J Nurs. 2018;31(112):44-55. (in persian)
16. Ayla IA, Ozyaziciplu N, Atak M, Surenler S. Determination of professional values in nursing stu dents. Int J Caring Sci. 2018;11(1):254-261.
17. Bijani M, Tehranineshat B, Torabizadeh C. Nurses', nursing students', and nursing instructors' perceptions of professional values: A comparative study. Nurs Ethics. 2019; 26(3):870-883. [DOI] [PubMed]
18. Donmez RO, Ozsoy S. Factors influencing development of professional values among nursing students. Pak J Med Sci. 2016;32(4):988-993. [DOI] [PubMed]
19. Fernández-Feito A, Basurto-Hoyuelos S, Palmeiro-Longo MR, García-Díaz V. Differences in professional values between nurses and nursing students: a gender perspective. Int Nurs Rev. 2019;66(4):577-589. [DOI] [PubMed]
20. Poorchangizi B, Borhani F, Abbaszadeh A, Mirzaee M, Farokhzadian J. The importance of professional values from nursing students' perspective. BMC Nurs. 2019;18(1):26. [DOI] [PubMed]
21. Kaya H, Işik B, Şenyuva E, Kaya N. Personal and professional values held by baccalaureate nursing students. Nurs Ethics. 2017;24(6):716-731. [DOI] [PubMed]
22. Crisham P. Measuring moral judgment in nursing dilemmas. Nurs Res. 1981;30(2):104-110. [PubMed]
23. Borhani F, Fazljoo S, Abbaszadeh A. Moral Reasoning Ability in Nursing Students of Shahid Sadoughi University of Medical Sciences. Iran J Nurs. 2014;27(90):102-109 .(in persian)
24. Weis D, Schank MJ. An instrument to measure professional nursing values. J Nurs Scholarsh. 2000;32(2):201-204. [DOI] [PubMed]
25. Parvan K, Hosseini F, Zamanzadeh V. Professional Values from Nursing Student's Perspective in Tabriz University of Medical Sciences: a Pilot Study. Iran J Nurs. 2012;25(76):28-41. (in persian)
26. Weis D, Schank MJ. Development and psychometric evaluation of the Nurses Professional Values Scale--Revised. J Nurs Meas. 2009;17(3):221-231. [DOI] [PubMed]
27. Kurt F, Atay S, Arikan D. The level of ethical decision-making of nursing students. Turkiye Klinikleri J Med Ethics-Law History. 2013;21:79-87. [DOI] [PubMed]
28. Sari D, Baysal E, Celik GG, Eser I. Ethical decision making levels of nursing students. Pak J Med Sci. 2018;34(3):724-729. [DOI] [PubMed]
29. Badri Gargari R, Mahmoodi F, Soltani N, Laripour R. Investigating and comparison the ethical reasoning level of nursing students aja university of medical sciences with nurses working in one of their affiliated hospitals. Military Caring Sciences. 2020;7(1):46-52. (in persian) [DOI]
30. Fazljoo S, Abbaszadeh A, Loghmani L. Comparison of moral reasoning of nursing students and nurses in Meybod city in facing with dilemmas. Med Ethics J. 2018;12(43):1-9. (in persian)
31. Baysal E, Sari D, Erdem H. Ethical decision-making levels of oncology nurses. Nurs Ethics. 2019;26(7-8):2204-2212. [DOI] [PubMed]
32. Hoseini Fs, Parvan K, Zamanzadeh V. Professional values of the nursing students’ perspective in type 1 universities of medical sciences. Quarterly Journal of Nursing Management. 2012;1(1):69-82. (in persian)
33. Shahriari M, Baloochestani E. Applying professional values: the perspective of nurses of Isfahan hospitals. J Med Ethics Hist Med. 2014;7:1.
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Articles Copyright © The Author(s).
Owned by Hamadan University of Medical Sciences.
Published by UMSHA Press
Journal Tel: +9881 38380150
Publisher Tel: +988138381795
Website: http://nmj.umsha.ac.ir
Email: managingeditornmj
gmail.com
