Nursing students' experiences of ethical issues in clinical practice: A New Zealand study

Sinclair, Jac; Papps, Elaine; Marshall, Robert N.

doi:10.1016/j.nepr.2016.01.005

Cited by 41 publications

(50 citation statements)

References 27 publications

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“…Self-administered structure interviewing questionnaire was developed by the researchers based on reviewing recent and related literatures [33,9,15]. It was anonymous, written in English language and translated to Arabic language to fitting the sample criteria.…”

Section: Tool (I): Structured Questionnairementioning

confidence: 99%

Impact of Integrated Ethics Program on Nurses Knowledge and Performance at Rural Areas in Fayoum Region, Egypt

Belal¹

2017

AJNS

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Ethical standards offer a context for behavior assessment, and nursing principles which influence nurses' goals, and approaches with patient care. The aim of this study to evaluate the Impact of Integrated ethics program on nurses practices in health centers at rural areas in Fayoum region, Egypt. A quasi-experimental design with pre and post-test was utilized. Convenience sample were used to collect 70 nurses from three maternal and child health centers in Fayoum region. Two tools were used to collect the data, First: Self-administered interview questionnaire. Second: A structured practice observational check list to assess nurses' practices. The main results, there was an improvement after the nursing intervention program in all aspects. Concerning nurses' knowledge there was 88.6% of them satisfactory pre-intervention while, post program they became 100.0% have satisfactory knowledge. The present study concluded that, implementation of the integrated ethics program had an efficient improving nurses' knowledge, and practice regarding integrated ethics in the rural areas, with highly statically significant differences in all the tested items between pre/post program implementation (P< 0.001). The study recommended to establishment of in-service training programs, and continuous supervision in rural areas to raise nurses awareness regarding Integrated Ethics and motivate them.

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Section: Tool (I): Structured Questionnairementioning

confidence: 99%

Impact of Integrated Ethics Program on Nurses Knowledge and Performance at Rural Areas in Fayoum Region, Egypt

Belal¹

2017

AJNS

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“…Bullying or disrespectful remarks made by nurses toward student nurses [7] reportedly cause moral distress to student nurses [25]. This effect was also observed for other specializations, but the problem was the most serious among nurses.…”

Section: Introductionmentioning

confidence: 96%

“…Recent studies from New Zealand, Brazil, and UK have reported that the will of patients is not respected and that patient rights and privacy are not protected [7–9]. In Japan, problems related to the level of respect paid by nurses to patients has primarily been reported [5, 10, 11].…”

Section: Introductionmentioning

confidence: 99%

“…Student nurses who were the subjects of these investigations were typically at least third-year students; however, these students reportedly also experienced various ethical problems during fundamental clinical practice [14]. The results of one study regarding the experience of student nurses during clinical practice revealed that the nursing faculty offered very little support [7]. Moreover, it has been reported that student nurses tend to consult with other student nurses, family members, or friends rather than with the nursing faculty [15, 16].…”

Section: Introductionmentioning

confidence: 99%

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Consulted ethical problems of clinical nursing practice: perspective of faculty members in Japan

Tsuruwaka

2017

BMC Nurs

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BackgroundThere are several studies that have targeted student nurses, but few have clarified the details pertaining to the specific ethical problems in clinical practice with the viewpoint of the nursing faculty. This study was to investigate the ethical problems in clinical practice reported by student nurses to Japanese nursing faculty members for the purpose of improving ethics education in clinical practice.MethodThe subjects comprised 705 nursing faculty members (we sent three questionnaires to one university) who managed clinical practice education at 235 Japanese nursing universities. We performed a simple tabulation of the four items shown in the study design. 1) the details of student nurse consultations regarding ethics in clinical practice (involving the students themselves, nurses, care workers, clinical instructors, and nursing faculty members); 2) the methods of ethics education in clinical practice; 3) the difficulties experienced by the nursing faculty members who received the consultations; and 4) the relationship between clinical practice and lectures on ethics. Furthermore, the analysis was based on the idea of ethical principles, respect for persons, beneficence, and justice.ResultsThe response rate was 28% (198 questionnaires). The nursing faculty members were consulted for various problems by student nurses. The details of these consultations were characterized by the principles of respect for patient by nurses, the principles of benevolence by faculty and clinical instructors, and the principle of justice pertaining to evaluations. The results indicate that there is an awareness among the nursing faculty regarding the necessity of some sort of ethics education at clinical settings. Moreover, based on the nature of the contents of the consultations regarding the hospital and staff, it was evident that the nursing faculty struggled in providing responses. More than half of subjects exhibited an awareness of the relationship between the classroom lectures on ethics and clinical practice.ConclusionThe results suggest the need for analyzing the ethical viewpoints of student nurses, prior learning, and collaboration with related courses as part of ethics education in clinical practice.Electronic supplementary materialThe online version of this article (doi:10.1186/s12912-017-0217-3) contains supplementary material, which is available to authorized users.

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“…[6] While the current health care environment invariably raises ethical issues and dilemmas for all health professional including nurses. [7,8] Nurses everywhere have long struggled with ethical challenges in patient care. In fact, in Florence Nightingale's Notes on Nursing, she discussed ethical duties of confidentiality, communication, and the centrality of meeting patients' needs.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of ethical issues teaching program on knowledge, ethical behavior and ethical stress among nurses

Zakaria

Sleem

Seada

2016

JNEP

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Background: Innovations and technology, scarce resources and conflicting values have set expectations for nurses' ethical competence. Daily ethical issues in nursing practice attract little attention but can create stress for nurses. The aim of the study is to examine the effect of teaching program regarding ethical issues on nurses' knowledge, ethical behavior, frequency and degree of ethical stress. Subjects and methods: The study was conducted among staff nurses working at Mansoura Emergency Hospital which provides a wide spectrum of health services at Delta Region by using A Quasi-experimental design. Three tools were used for data collection namely: Ethical Issues Knowledge Questionnaire, Observational checklist for Ethical Behavior and Ethical Issues Stress scale. Results: The study findings conclude that there was a strong correlation between Knowledge of Nursing ethics and Ethical behavior after the teaching program. In addition strong correlation found between the Knowledge and frequency of ethical stress in post test. Conclusion & recommendations: Ethical issues teaching program has positive influence in improving their knowledge, reduction in the frequency and degree of stress. It is recommended that ethics training cannot take place just once in a training room, but needs on-going support at all levels of the organization. The training should include what ethics is, along with actual examples of relevant situations, and how to explore an ethical dilemma through interacting with others.

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Nursing students' experiences of ethical issues in clinical practice: A New Zealand study

Cited by 41 publications

References 27 publications

Impact of Integrated Ethics Program on Nurses Knowledge and Performance at Rural Areas in Fayoum Region, Egypt

Impact of Integrated Ethics Program on Nurses Knowledge and Performance at Rural Areas in Fayoum Region, Egypt

Consulted ethical problems of clinical nursing practice: perspective of faculty members in Japan

Effectiveness of ethical issues teaching program on knowledge, ethical behavior and ethical stress among nurses

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