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Influences of Nursing Professionalism, Moral Sensitivity, and Critical Thinking Disposition on the Moral Courage of Nursing Students

간호대학생의 간호전문직관, 도덕적 민감성 및 비판적 사고성향이 도덕적 용기에 미치는 영향

  • Yoo, Myung Sook (College of Nursing, Research Institute of Nursing Science, Daegu Catholic University)
  • 유명숙 (대구가톨릭대학교 간호대학, 간호과학연구소)
  • Received : 2021.02.14
  • Accepted : 2021.03.01
  • Published : 2021.04.30

Abstract

Purpose: The purpose of this study was to identify the influences of nursing professionalism, moral sensitivity, and critical thinking disposition on the moral courage of nursing students. Methods: The subject included 200 nursing students from two universities located in D city of South Korea. Data were collected from June 18 to 26, 2018 by using self-reported questionnaires. The data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression analysis using the IBM SPSS 25.0 program. Results: The factors which influenced the moral courage in nursing students were moral sensitivity (β=.35, p<.001), critical thinking disposition (β=.25, p=.001), and neutral satisfaction on nursing major (β=-.16, p=.008). This model had 32.6% explanation of moral courage of nursing students. Conclusion: These results suggest that to improve moral courage in nursing students, an intervention that enhances their moral sensitivity, critical thinking, and satisfaction on nursing major should be considered.

Keywords

Acknowledgement

이 결과물은 2018년도 대구가톨릭대학교의 교내연구비 지원에 의한 것임.

References

  1. Kim YK, Joung MY. Influence of nursing professionalism and campus environment on the perception of ethical sensitivity among nursing students. The Journal of Korean Academic Society of Nursing Education. 2019;25(1):115-124. http://dx.doi.org/10.5977/jkasne.2019.25.1.115
  2. Escolar-Chua RL. Moral sensitivity, moral distress, and moral courage among baccalaureate Filipino nursing students. Nursing Ethics. 2018;25(4):458-469. https://doi.org/10.1177/0969733016654317
  3. Noh YG, Jung MS. A study of moral judgment and ethical decision making and ethical dilemmas experienced in practice by nursing students. Journal of the Korea Academia-Industrial cooperation Society. 2013;14(6):2915-2925. https://doi.org/10.5762/KAIS.2013.14.6.2915
  4. Yeun EJ, Kwon YM, Ahn OH. Development of a nursing professional values scale. Journal of Korean Academic of Nursing. 2005;35(6):1091-1100. https://doi.org/10.4040/jkan.2005.35.6.1091
  5. Jang GS, Lee MH, Kim IS, Kim SH, Shin MJ, Ha NS, et al. Ethics & profession of nursing. 3rd ed. Seoul: Hyunmoonsa; 2017. p.184-186.
  6. Lim SM. Factors influencing nursing professional value of nursing students. Journal of Convergence for Information Technology. 2020;10(5):51-59. https://doi.org/10.22156/CS4SMB.2020.10.05.051
  7. Kim YK, Joung MY. Influence of nursing professionalism and campus environment on the perception of ethical sensitivity among nursing students. The Journal of Korean Academic Society of Nursing Education 2019;25(1):115-124. https://doi.org/10.5977/jkasne.2019.25.1.115
  8. Lutzen K, Dahlqvist V, Eriksson S, Norberg A. Developing the concept of moral sensitivity in health care practice. Nursing Ethics. 2006;13(2):187-196. https://doi.org/10.1191/0969733006ne837oa
  9. Facione NC, Facione PA, Sanchez CA. Critical thinking disposition as a measure of competent clinical judgment: The development of the California critical thinking disposition inventory. Journal of Nursing Education. 1994;33(8): 345-350. https://doi.org/10.3928/0148-4834-19941001-05
  10. Yoon J. Development of an instrument for the measurement of critical thinking disposition : in nursing. [dissertation], Seoul: The Catholic University of Korea; 2004. p. 3-5.
  11. Kim MS. Influence of moral sensitivity and ethical values on biomedical ethics awareness of nursing students. The Journal of Korean Academic Society of Nursing Education. 2015; 21(3):382-392. https://doi.org/10.5977/jkasne.2015.21.3.382
  12. Zhang Z, Luk W, Arthur D. Wong T. Nursing competencies: personal characteristics contributing to effective nursing performance. Journal of Korean Academic Nursing. 2001; 33(4):467-474. https://doi.org/10.1046/j.1365-2648.2001.01688.x
  13. Numminen O, Katajisto J, Leino-Kilpi H. Development and validation of nurses' moral courage scale. Nursing Ethics. 2018;26(7-8):2438-2455. https://doi.org/10.1177/0969733018791325
  14. Gallagher A. Moral distress and moral courage in everyday nursing practice. Online Journal of Issues in Nursing. 2011;16(2):8. https://doi.org/10.3912/OJIN.Vol16No02PPT03
  15. Hanifi N, Moqaddam M, Ghahremani Z. Factors related to moral courage of nursing students in Zanjan. Preventive Care in Nursing & Midwifery Journal. 2019;9(1):22-28. https://doi.org/10.29252/pcnm.9.1.22
  16. Bickhoff L, Sinclair PM, Levett-Jones T. Moral courage in undergraduate nursing students: a literature review. Collegian. 2017;24(1):71-83. https://doi.org/10.1016/j.colegn.2015.08.002
  17. Yun HY, Kim SK, Jang HE, Hwang SW, Kim SH. The influence of moral distress and moral sensitivity on moral courage in nursing students. Korean Journal of Medical Ethics. 2018;21(4):360-376. https://doi.org/10.35301/ksme.2018.21.4.64
  18. Sekerka LE, Bagozzi RP, Charnigo R. Facing ethical challenges in the workplace: conceptualizing and measuring professional moral courage. Journal of Business Ethics. 2009;89(4):565-579. https://doi.org/10.1007/s10551-008-0017-5
  19. Moon SJ, Kim DS. Convergence study of reliability and validity testing for professional moral courage scale translated in Korean. Journal of the Korea Convergence Society. 2017;8(3):151-161. https://doi.org/10.15207/JKCS.2017.8.3.151
  20. Moon SJ, Anh SH. An explanatory model of moral courage as a concept of nursing practice domain. Korean Journal of Medical Ethics. 2019;22(4):341-358. https://doi.org//10.35301/ksme.2019.22.4.341
  21. Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G*Power 3.1:tests for correlation and regression analyses. Behavior Research Methods. 2009;41: 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  22. Han SS, Kim MH, Yun EK. Factors affecting nursing professionalism. The Journal of Korean Academic society of Nursing Education. 2008;14(1):73-79. https://doi.org/10.5977/JKASNE.2008.14.1.073
  23. Han SS, Kim JH, Kim YS, Ahn SH. Validation of a Korean version of the moral densitivity questionnaire. Nursing Ethics. 2010;17(1):99-105. https://doi.org/10.1177/0969733009349993
  24. Kim HW, Yoo MS. The influences of nursing professionalism and emotional intelligence on the clinical performance ability in nursing students. The Korean Journal of Health Service Management. 2020;14(2):41-54. https://doi.org/10.12811/kshsm.2020.14.2.041
  25. Choi HJ. Mediating effects of nursing professionalism between image of nurses and satisfaction with nursing as a major among nursing student. The Korean Journal of Health Service Management. 2016;10(4):225-237. https://doi.org/10.12811/kshsm.2016.10.4.225
  26. Kim CH, Kim JY. Influence of nursing students' clinical practice learning environment, self-leadership, and clinical practice belonging on nursing professionalism. The Journal of Korean Academic Society of Nursing Education. 2019; 25(1):5-16. https://doi.org/10.5977/jkasne.2019.25.1.5
  27. Lim MH. Effects of moral sensitivity and critical thinking disposition on perceived ethical confidence in nursing students. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(9):610-618. https://doi.org/10.5762/KAIS.2016.17.9.610
  28. Kim JI. Critical thinking disposition, professional self-concept and moral sensitivity in nursing students. Journal of the Korea Academia-Industrial cooperation Society. 2015;16(9): 6053-6060. https://doi.org/10.5762/KAIS.2015.16.9.6053
  29. Lee HJ. Convergence study on nursing students' stress and satisfaction with clinical practice. Journal of the Korea Convergence Society. 2016;7(4):75-83. http://dx.doi.org/10.15207/JKCS.2016.7.4.075
  30. LeBlanc RG. Digital story telling in social justice nursing education. Public Health Nursing. 2017;34(4):395-400. https://doi.org/10.1111/phn.12337