DOI QR코드

DOI QR Code

Factors Affecting Ethical Sensitivity Among Nursing Students: Secondary Data Analysis

  • 투고 : 2021.11.15
  • 심사 : 2021.12.07
  • 발행 : 2021.12.31

초록

Ethical sensitivity is a basic competency required for nursing students to work as professionals who will care patients in the clinical field after graduation. Therefore, efforts are needed to improve the knowledge on ethical sensitivity in undergraduate education. This study aimed to identify the demographic characteristics that influence ethical sensitivity among nursing students. This study was a secondary analysis that referred to a previous work measuring ethical sensitivity in nursing students. The participants were 128 nursing students, who had experienced clinical practicums. Among the participants, those who were third-year (t=2.345, 95% CI=[1.24, 14.64], p=0.021), female (t=2.635, 95% CI=[3.65, 25.69], p=0.009) and were satisfaction with major (t=-2.389, 95% CI=[-16.54, -1.50], p=0.019) consistently reported significantly higher mean scores on ethical sensitivity. The explanatory power of the model was 13.3%. Gender (Exp (B)=0.875, 95% CI=[0.804, 0.952], p=0.002) and year at universtiy were the strongest predictors of ethical sensitivity (Exp (B)=0.921, 95% CI=[0.873, 0.971], p=0.002). Based on the results, an appropriate ethics education that considers the following issues should be provided for undergraduate nursing students: both genders' perspectives, seniors' further development, and students experiencing low satisfaction with their major. Future nursing education should consider these individual demographic characteristics to develop nursing students' ethical sensitivity that will further affect their ethical behavior and ultimately improve the quality of nursing.

키워드

과제정보

This research was supported by Hallym University Research Fund, 2021 (HRF-202110-001)

참고문헌

  1. Jang KS, Lee MH, Kim IS, et al., Ethics and Profession of Nursing. Seoul: Hyunmoon, South Korea, 2013.
  2. Kim J. M, Hong SK. "The relationships between moral self-concept ethical sensitivity, and empathy in college students," Korean Journal of Medical Ethics, Vol. 20, pp.317-329, 2017. https://doi.org/10.35301/ksme.2017.20.3.317
  3. Lutzen K, Blom T, Ewalds-Kvist B, Winch S. "Moral stress, moral climate and moral sensitivity among psychiatric professionals," Nurs Ethics. Vol. 17, pp.213-224, 2010. https://doi.org/10.1177/0969733009351951
  4. Han SS. "The Moral distress experienced by hospital nurses," Journal of the Korean Bioethics Association. Vol. 6, pp.31-47, 2005.
  5. Lim MH. "Converged study of influencing factors on perceived ethical confidence in nurses," Journal of the Korea Convergence Society. Vol. 8, pp.75-84, 2017.
  6. Kim MS. "Influence of moral sensitivity and ethical values on biomedical ethics awareness of nursing students," Journal of Korean Academic Society of Nursing Education. Vol. 21, pp.382-392, 2015. https://doi.org/10.5977/JKASNE.2015.21.3.382
  7. Seo HE. "Concept analysis of nursing students' ethical competence," Journal of the Korea Academia-Industrial Cooperation Society. Vol. 19, pp.398-407, 2018. https://doi.org/10.5762/KAIS.2018.19.1.398
  8. An GJ. "Moral sensitivity of nursing students in Korea: A review of literature," Journal of Chengju University Medicine Society. Vol. 7, pp.9-15, 2018.
  9. Hong SK, Kim SM. "Ethical sensitivity related to college life: Focusing on one college students," Journal of the Korea Society of Nursing Research. Vol. 2, pp.67-71, 2018.
  10. Solum EM, Maluwa VM, Tveit B, Severinsson E. "Enhancing students' moral competence in practice: Challenges experienced by Malawian nurse teachers," Nurs Ethics, Vol. 23, pp.685-697, 2016. https://doi.org/10.1177/0969733015580811
  11. Min HY, Kim Y, Lee JM. "Validity and reliability of the Korean Version of the ethical sensitivity questionnaire for nursing students," Journal of Korean Academic of Community Health Nursing. Vol. 31, No. 4, pp.503-513, 2020. https://doi.org/10.12799/jkachn.2020.31.4.503
  12. Kim YK, Joung MY. "Influence of nursing professionalism and campus environment on the perception of ethical sensitivity among nursing students," J Korean Acad Soc Nurs Educ. Vol. 25, pp.115-124, 2019. https://doi.org/10.5977/JKASNE.2019.25.1.115
  13. Alexander KA, Jemmott LS, Teitelman AM, D'Antonio P. "Addressing sexual health behavior during emerging adulthood: A critical review of the literature," J Clin Nurs. Vol. 24, pp.4-18, 2015 https://doi.org/10.1111/jocn.12640
  14. American Educational Research Association, American Psychological Association, National Council on Measurement in Education. Standards for Educational and Psychological Testing. Washington, DC: American Psychological Association; 2014.
  15. Rest JR. A psychologist looks at the teaching of ethics [the Hastings Center report]. The Hastings Center Report. Vol. 12, pp.29-36, 1982. https://doi.org/10.2307/3560621
  16. Muslichah M, Wiyarni W, Maria E. "The effect of ethical sensitivity on ethical decision making with religiosity as moderating variable," Int Rev Manag Mark. Vol. 8, pp86, 2018.
  17. Joung MY. Development of Ethical Sensitivity Scale for Clinical Nurses [Unpublished doctoral dissertation]. Busan, Republic of Korea: Pusan National University, 2017.
  18. Eom SH, Kim SS. "Factors associated with nurses' moral sensitivity," J Korean Acad Psychiatr Ment Health Nurs. Vol. 27, pp.199-207, 2018 https://doi.org/10.12934/jkpmhn.2018.27.3.199
  19. Tuvesson H, Lutzen K. "Demographic factors associated with moral sensitivity among nursing students," Nurs Ethics. Vol. 24, pp.847-855, 2017 https://doi.org/10.1177/0969733015626602
  20. You D, Maeda Y, Bebeau MJ. "Gender differences in moral sensitivity: A meta-analysis," Ethics Behav. Vol. 21, pp.263-282, 2018. https://doi.org/10.1080/10508422.2011.585591
  21. Kim YS, Kang SW, Ahn JA. "Moral sensitivity relating to the application of the code of ethics," Nurs Ethics. Vol. 20, pp.470-478, 2013. https://doi.org/10.1177/0969733012455563
  22. Kim YS, Park JW, You MA, Seo YS, Han SS. "Sensitivity to ethical issues confronted by Korean hospital staff nurses," Nurs Ethics. Vol. 12, pp.595-605, 2005. https://doi.org/10.1191/0969733005ne829oa
  23. Baykara ZG, Demir SG, Yaman S. "The effect of ethics training on students recognizing ethical violations and developing moral sensitivity," Nurs Ethics. Vol. 22, pp.661-675, 2015. https://doi.org/10.1177/0969733014542673
  24. Choi HJ, Lee SO. "Effects of nursing work environment, job satisfaction, and organizational commitment on retention intention of clinical nurses," The Korean Society of Health Service Management. Vol. 12, pp.27-39, 2018. https://doi.org/10.12811/kshsm.2018.12.3.027
  25. Ko HJ, Kim JH. "Relationships among nursing work environment, job embeddedness, and turnover intention in nurses," J Korean Acad Nurs Adm. Vol. 22, pp.279-291, 2016. https://doi.org/10.11111/jkana.2016.22.3.279