Keywords
Ethical dilemma
Case study education
Nursing ethical sensitivity scale
Influencing factors
Nursing student
Submitted : 2024-04-16
Accepted : 2024-05-01
Published : 2024-05-16
Abstract
Abstract: Introduction: Nursing ethical sensitivity refers to a nurse’s capacity for thoughtful consideration of ethical issues when faced with dilemmas. In the nursing domain, ethical dilemmas arise when nurses face challenges in making sound ethical decisions during clinical practice. These challenges may stem from conflicts between personal values and professional responsibilities. Methodology: Articles downloaded from Pub Med, CNKI, and Google Scholar were reviewed. Results: After rigorous screening, a meticulous analysis was conducted, encompassing 10 articles and involving a substantial cohort of 2863 participants. Existing literature revealed variations in the ethical dilemmas faced by nurses across different departments. The ethical sensitivity of nurses also varies, with higher ethical sensitivity correlating with stronger empathetic abilities. Zhen et al. classified the causes of ethical dilemmas into four main categories: (1) Ethical dilemmas arising from personal reasons of nursing students; (2) Ethical dilemmas stemming from the actions of teachers; (3) Ethical dilemmas triggered by patients; (4) Ethical dilemmas resulting from miscellaneous reasons. Conclusion: According to literature findings, nursing ethical sensitivity was positively linked to the nurse’s ethical decision-making ability. A case study-oriented teaching program has proven effective in enhancing ethical sensitivity among nursing students.
References
Namadi F, Hemmati-Maslakpak M, Moradi Y, et al., 2019, The Effects of Nursing Ethics Education Through Case-Based Learning on Moral Reasoning Among Nursing Students. Nursing and Midwifery Studies, 8(2): 85–90.
Wang ML, 2019, Nursing Ethical Dilemmas and Responses. Journal of Jilin Medical University, 40(4): 274– 275.
Jiang LF, 2016, A Literature Review of the Theoretical Foundations of Humanistic Care Education in Nursing. Nursing Education, 34(7): 75–76.
Yu XL, Yuan CR, Qiu YQ, et al., 2013, Evaluation Methods and The Enlightenment of Nursing Ethical Decision?Making Abilities. Journal of Nursing Administration, 13(7): 494–496.
Jameton A, 1984, Nursing Practice: The Ethical Issues, Pearson College Division, United States, 8–55.
Liu H, Li W, Zhou ZC, 2014, Bibliometric Analysis on Research Status and Hotspots of Nursing Ethical Dilemmas and Decision-making. Chinese Nursing Management, 14(12): 1269–1273.
Yang HY, 2009, Exploration of Case Teaching Method in The Reform of Teaching Mode of Medical Ethics. Chinese Journal of Ethnomedicine and Ethnopharmacy, 2009(24): 61– 62.
Laurs L, Blazeviciene A, Capezuti E, et al., 2019, Moral Distress and Intention to Leave the Profession: Lithuanian Nurses in Municipal Hospitals. Journal of Nursing Scholarship, 52(2): 201–209.
Watson J, 1985, The Philosophy and Science of Nursing. Colorado Association University Press, Colorado, 11–57.
Yang LL, Chen LP, Liu JR, 2022, Research Status of Clinical Nurse Ethical Decision-Making Ability. Medicine and Philosophy, 43(7): 31.
Lusignani M, Gianni M, Re L, 2017, Moral Distress Among Nurses in Medical, Surgical, and Intensive Care Units. Nurs Manag, 25(6): 477–485.
Trautmann J, Epstein E, Rovnyak V, et al., 2015, Relationships Among Moral Distress, Level of Practice Independence, and Intent to Leave of Nurse Practitioner in Emergency Departments: Results from A National Survey. Adv Emerg Nurs, 37(2): 134–145.
Sun X, Cao FL, Yang XJ, 2013, Current Situation of Ethical Dilemma of Nurses in Tai’an City and the Influence Factors Analysis. Journal of Nursing, 28(22): 66–68.
Milliken A, 2018, Nurse Ethical Sensitivity: An Integrative Review. Nursing Ethics, 25(3): 278–303.
Choi MY, So HS, Ko E, 2019, Influences of Occupational Stress, Ethical Dilemma, and Burnout on Turnover Intention in Hospital Nurses. Journal of Korean Academy of Fundamentals of Nursing, 26(1): 42–51.
Hu J, Liu XH, 2014, A Qualitative Study of The Content of The Conceptual Framework “Nurses’ Sense of Professional Gain.” Journal of Continuing Nursing Education, 29(8): 732–735.
Yue XY, Wang XP, Tian JL, et al., 2021, Analysis on Status Quo and Influencing Factors of Ethical Sensitivity Among Nurses in Tertiary Hospitals. Journal of Nursing Science, 36(13): 51–55.
Zhou S, 2022, Analysis of Status Quo And Influencing Factors of Moral Sensitivity of Nurses in A Tertiary Grade A Children’s Hospital. Chinese Nursing Research, 36(18): 3375–3378.
Li NY, Jing Y, Wang JN, et al., 2023, Moral Courage in Pediatric Nurses Correlation between Empathy and Ethical Sensitivity. Anhui Medical Journal, 44(7): 852–856.
Wu JJ, Rong X, Liu ZF, et al., 2022, Current Status and Influencing Factors of Nursing Ethical Sensitivity Among Nurses at Palliative Care Unit. Guangxi Medical Journal, 44(3): 314–318.
Tsuruwaka M, 2017, Consulted Ethical Problems of Clinical Nursing Practice: Perspective of Faculty Members in Japan. BMC Nurs, 16(23): 1–9.
Ghazanfari MJ, Emami Zeydi A, Panahi R, et al., 2022, Moral Distress in Nurses: Resources and Constraints, Consequences, and Interventions. Clinical Ethics, 17(3): 265–271.
Zhen S, Ma S, Liu Y, 2019, A Qualitative Study of Ethical Dilemmas in Clinical Practice Among Senior Nursing Students. Industrial and Science Tribune, 18(20): 125–126.
Wu MJ, 2016, A Survey on The Current Status of Clinical Nurses’ Competence in Ethical Decision-Making in Nursing and Analysis of Related Factors, thesis, Hangzhou Normal University, 8–11.
Zhang XM, Zhang XQ, Wang Q, et al., 2019, Discussion on Humanistic Care of Nursing: From Concept, Theory to Practice. Medicine and Philosophy, 10(1): 54–56.
Yang F, Yang C, 2000, Use of the Case Study Approach in Teaching Nursing Ethics. Nurs J Chin PLA, 17(4): 19–20.
Yang F, Zhang C, 2000, Application of a Case-Based Approach to Teaching and Learning in a Nursing Ethics Course. Nurs J Chin PLA, 17(4): 20–21.
Zhen XJ, 2008, Ethical Sensitivities, dissertation, Shanghai Normal University, 8–21.
Tuvesson H, Lützén K, 2017, Demographic Factors Associated with Moral Sensitivity among Nursing Students. Nursing Ethics, 24(7): 847–855.
Wang SN, Jiang ZB, Dong PP, et al., 2022, Chinesization and Validity Test of Ethical Sensitivity Questionnaire for Nursing Students. JBengbu Med Coll, 47(5): 692–695.
Masumeh HMFN, Moradi Y, Chasemzadeh N, 2019, The Effects of Nursing Ethics Education through Case-Based Learning on Moral Reasoning among Nursing Students. Nursing and Midwifery Studies, 8(2): 85–90.
Zhang XH, 2010, The Use of Case-Based Teaching in The Teaching of Nursing Ethics. Nursing Practice and Research, 7(7): 86–87.
Zhu, L., Zhang, Z. B. & Niu, Q. (2020). Effect of Case Analysis Combined with Scene Simulation on Ethical Decision-making Competence of Higher Vocational Nursing Students. Journal of Nursing (China), 27(17): 10–14.
Miao MJ, Su PF, Lei J, 2008, Application of a Case-Based Approach to Teaching and Learning in a Nursing Ethics Course. China Medical Herald, 5(8): 95.
Su XD, Miao KK, Chen Q, 2021, Analysis of Correlation among Professional Values, Ethical Sensitivity, and Ethical Decision Making of Undergraduate Nursing Students from a University in Henan Province. Medicine and Society, 34(5): 105–110.
Chen XL, Huang FF, Li Fang, et al., 2019, Correlation Between Ethical Sensitivity and Perceived Professional Benefits in Nurses Working in 3A hospital. Journal of Nursing Science, 34(21): 89–91.