Etik sorunu ayırt edebilme yeteneği olarak tanımlanan etik duyarlılık, hemşirelerin etik problemleri tanıması ve çözümleyebilmesi açısından gereklidir ve hemşirelik etik eğitimi ile gelişmeye başlamaktadır. Hemşirelik etik eğitiminin öğrencilerin etik duyarlılığına katkısı ile ilgili literatür sınırlıdır. Bu çalışmada, bakım etiği dersinin öğrenci hemşirelerin etik duyarlılık düzeylerine etkisinin belirlenmesi amaçlanmıştır. Tanımlayıcı tasarımda olan araştırma, 2017-2018 eğitim-öğretim yılında Akdeniz Üniversitesi Hemşirelik Fakültesi eğitim gören ve çalışmaya katılmayı kabul eden 205 ikinci 2. sınıf öğrencisiyle gerçekleştirilmiştir. Veriler dokuz sorudan oluşan kişisel bilgi formu ve Öğrenci Hemşireler için Modifiye Edilmiş Ahlaki Duyarlılık Ölçeği ile toplanmıştır. Çalışmaya katılan öğrencilerin %49,3'ü bakım etiği, %50,7'si deontoloji dersini almıştır. Öğrencilerin sosyodemografik ve akademik özellikleri arasında istatistiksel olarak anlamlı farklılık olmadığı saptanmıştır. "Bakım etiği" dersini alan öğrencilerin etik duyarlılık toplam ve alt boyut puanlarının "hemşirelik tarihi ve deontoloji" dersini alan öğrencilerden istatistiksel olarak anlamlı düzeyde yüksek olduğu belirlenmiştir. Öğrencilerin en yüksek puan aldıkları alt ölçek "kişiler arası oryantasyon", en düşük puan aldıkları alt ölçek "etik ikilem deneyimlemek" olarak bulunmuştur. Modern eğitim yöntemlerinin hemşirelik öğrencilerinde etik duyarlılığın geliştirilmesine etkisinin deneysel çalışmalarla incelenmesi önerilebilmektedir.
Anahtar Kelimeler: Bakım etiği dersi; etik duyarlılık; hemşirelikte etik öğretimi; öğrenci hemşireler
Ethical sensitivity, which is defined as the ability to distinguish the ethical problem, is essential for nurses to recognize and solve ethical problems and to develop with nursing ethics education. The literature on the contribution of nursing ethics education to the ethical sensitivity of students is limited. The aim of this study is to determine the effect of caring ethics course on ethical sensitivity levels of student nurses. The research in the descriptive design was conducted in the 2017-2018 academic year with 205 second year students WHO were studying in the Akdeniz University Nursing Faculty and accepted to participate in the study. The data were collected with a personal information form consisting of nine questions and a Modified Ethical Sensitivity Scale for Student Nurses. 49.3% of the students participated in the study took "Caring ethics", and 50.7% of them received "nursing history and deontology" course. There was no statistically significant difference between the students' socio-demographic and academic characteristics. It was determined that the total and sub-dimension scores of the ethical sensitivity of the students taking the "caring ethics" course were statistically significantly higher than the students who took the "nursing history and deontology". The subscales of the students with the highest scores were "interpersonal orientation", while the lowest score was found to be "experiencing the ethical dilemma." It can be suggested to examine the effect of modern educational methods on the development of ethical sensitivity in nursing students by experimental studies.
Keywords: Caring ethics course; ethical sensitivity; ethics education in nursing; student nurses
- Görgülü RS, Dinç L. Ethics in Turkish nursing education programs. Nurs Ethics. 2007;14(6): 741-52. [Crossref] [PubMed]
- Noureddine S. Development of the ethical dimension in nursing theory. Int J Nurs Pract. 2001;7(1):2-7. [Crossref] [PubMed]
- Aksu T, Akyol A. [Investigation of the moral sensibility of nurses in Izmir]. Turkiye Klinikleri J Med Ethics. 2011;19(1):16-24.
- Zafarnia N, Abbaszadeh A, Borhani F, Ebadi A, Nakhaee N. Moral competency: metacompetence of nursing care. Electron Physician. 2017;9(6):4553-62. [Crossref] [PubMed] [PMC]
- Watson J. Values in nursing. Human Caring Science: A Theory of Nursing. 2nd ed. Sudbury, MA: Jones & Bartlett Learning; 2011. p.41-6.
- Jormsri P, Kunaviktikul W, Ketefian S, Chaowalit A. Moral companente in nursing practice. Nurs Ethics. 2005;12(6):582-94. [Crossref] [PubMed]
- Başak T, Uzun Ş, Arslan F. [Investigation of the moral sensibility of intensive care nurses]. Gulhane Med J. 2010;52(2):76-81.
- Park M, Kjervik D, Crandell J, Oermann MH. The relationship of ethics education to moral sensitivity and moral reasoning skills of nursing students. Nurs Ethics. 2012;19(4): 56880. [Crossref] [PubMed]
- Dinç L, Görgülü RS. Teaching ethics in nursing. Nurs Ethics. 2002;9(3):259-68. [Crossref] [PubMed]
- Grady C, Danis M, Soeken KL, O?Donnell P, Taylor C, Farrar A, et al. Does ethics education influence the moral action of practicing nurses and social workers? Am J Bioeth. 2008;8(4):4-11. [Crossref] [PubMed] [PMC]
- Akbaş M, Tuncer İ, Kadıoğlu S. [The status of ethical education at undergraduate level nursing schools]. DEUHYO ED. 2014;7(3):206-11.
- Gül Ş, Genç-Kuzuca İ, Yalım NY. [The ideas of nurses about the reflection of ethic edu cation in their professional life]. Turkish Journal of Bioethics. 2016;3(2):85-97. [Crossref]
- Comrie RW. An analysis of undergraduate and graduate student nurses? moral sensitivity. Nurs Ethics. 2012;19(1):116-27. [Crossref] [PubMed]
- Ahn SH, Yeom HA. Moral sensitivity and critical thinking disposition of nursing students in Korea. Int J Nurs Pract. 2014;20(5):482-9. [Crossref] [PubMed]
- Borhani F, Abbaszadeh A, HoseinabadiFarahani MJ. Moral sensitivity and its dimensions in Iranian nursing students. J Med Ethics Hist Med. 2016;9:19. [PubMed] [PMC]
- Karaca T. [The moral sensibility of nursing students]. HSP. 2018;5(1):24-30. [Crossref]
- Akca NK, Şimşek N, Arslan DE, Sentürk S, Akça D. [Moral sensitivity among senior nursing students in Turkey]. International Journal of Caring Sciences. 2017;10(2):1031-9.
- Şahin SY, Iyigun E, Acikel C. Validity and reliability of a Turkish version of the modified moral sensitivity questionnaire for student nurses. Ethics & Behavior. 2015;25(4):351-9. [Crossref]
- Aydın-Er R. [Attitudes to patient rights of students at the beginning and end of nursing education: Kocaeli sample]. Turkiye Klinikleri J Med Ethics. 2012;20(3):139-45.
- Nolan PW, Markert D. Ethical reasoning observed: a longitudinal study of nursing students. Nurs Ethics. 2001;9(3):243-58. [Crossref] [PubMed]
- Yeom HA, Ahn SH, Kim SJ. Effects of ethics education on moral sensitivity of nursing students. Nurs Ethics. 2017;24(6):644-52. [Crossref] [PubMed]
- Lin CF, Lu MS, Chung CC, Yang CM. A comparison of problem-based learning and conventional teaching in nursing ethics education. Nurs Ethics. 2010;17(3):373-82. [Crossref] [PubMed]
- Khatiban M, Falahan SN, Amini R, Farahanchi A, Soltanian A. Lecture-based versus problem-based learning in ethics education among nursing students. Nurs Ethics. 2018 Jan 1. [Crossref]
- Kyle G. Using anonymized reflection to teach ethics: a pilot study. Nurs Ethics. 2008;15(1):6-16. [Crossref] [PubMed]
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