Designing a Clinical Ethics Education Program for Nurses Based on the ADDIE Model

Abstract

Background and PurposeThe ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model enables educators to create programs using a systematic approach designed to meet learner's needs. The purpose of this study was to develop and evaluate a clinical ethics education program for nurses to improve their ethical confidence, ethical competence, and moral sensitivity.MethodsThe study was conducted in three steps. In the first step, a seven-session ethics program was developed using the ADDIE model. The themes of each session were as follows: (a) sharing individual ethical issues in clinical settings; (b) understanding a process involved in ethical decision-making; (c) identifying ethical issues in end-of-life care; (d) identifying ethical issues in family caregiving; (e) learning communication skills; (f) developing ethical leadership skills; and (g) reflecting to build self-awareness of the significance of practicing clinical ethics. The second step involved the delivery of the program. In the third step, using a mixed methods design, the effects of the program were evaluated through a quantitative survey administered both before and after completion of the program and focus group interviews.ResultsThe seven-session ethics program based on the ADDIE model improved ethical confidence, ethical competence, and moral sensitivity in nurses.Implications for PracticeThe ADDIE model can be an effective tool in nursing education, offering an established structure for developing educational programs. In order to validate the effectiveness of the ethics program, it is necessary to conduct repeated measure studies and further studies at the institutional level.

Embedding Nursing Ethics Within Teaching Strategies in Nurse Residency Programs

“…In a study by Stolt et al (2018), educational interventions such as lectures, small-group discussions, workshops, and ethics rounding had various levels of success for learning content. Active, multimodal education had the highest success in learning engagement (Kim et al, 2020; Lang, 2008; Stolt et al, 2018). However, for learning engagement in ethics education, reflection, repetition, and affective teaching strategies are evidence-based methods with clear advantages and disadvantages.…”

“…Role-play, in which two or more learners act out an ethical dilemma, inspires development of ethical reasoning and moral agency (Robichaux et al, 2022; Wall, 2021). It can be used as an isolated strategy or in conjunction with simulation, is best practiced in live classes, and is ideal for teaching empathy and compassion (Kim et al, 2020; Robichaux et al, 2022; Weber, 1992).…”

“…Evidence by Wall (2021) suggests stories may be an effective teaching strategy to increase immediate ethics knowledge and even report a statistically significant improvement in knowledge over time. A well-constructed, realistic story (Kim et al, 2020) can set the stage by demonstrating all areas of ethical conflict and should be told from the patient's perspective. The National League for Nursing has audio stories available online, which could be implemented by NPD NRP coordinators (Molloy, 2022).…”

Effect of the tutorial training programme based on ADDIE model on research capacity of clinical nurses: a quasi-experimental study

“…How to carry out research ability training effectively needs to be solved. The ADDIE model is a learner-centered instructional design model, which includes ve stages: analysis, design, development, implementation and evaluation (Kim et al, 2020). Especially, its analysis stage requires a comprehensive analysis of learning needs, characteristics and other situations of learners.…”

“…The advantages of systematicness, integrity and dynamics of the model have made some achievements in nursing research training and education practice (Henshall et al, 2022;Markaki et al, 2020;Rajaguru et al, 2022). Those ADDIE model-based training programs improved ethical con dence, ethical competence, moral sensitivity and cultural competence in nurses (Kim et al, 2020;Sung & Park, 2021). Besides, a high degree of satisfaction was also found among the nurses involved in this kind of training regarding improvements in their management skills and their professional behavior (Fernandes et al, 2020).…”