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Ethical Decision-Making and Moral Co...

Hittle, Stacey R.

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Ethical Decision-Making and Moral Courage: Senior-Level Nursing Students' Journey to Moral Competence.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Ethical Decision-Making and Moral Courage: Senior-Level Nursing Students' Journey to Moral Competence./
作者:	Hittle, Stacey R.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2024,
面頁冊數:	128 p.
附註:	Source: Dissertations Abstracts International, Volume: 85-12, Section: B.
Contained By:	Dissertations Abstracts International85-12B.
標題:	Nursing. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30997085
ISBN:	9798382815213

Ethical Decision-Making and Moral Courage: Senior-Level Nursing Students' Journey to Moral Competence.
Hittle, Stacey R.

Ethical Decision-Making and Moral Courage: Senior-Level Nursing Students' Journey to Moral Competence. - Ann Arbor : ProQuest Dissertations & Theses, 2024 - 128 p.

Source: Dissertations Abstracts International, Volume: 85-12, Section: B.

Thesis (Ed.D.)--The University of Alabama, 2024.

Moral courage is needed to contribute to an ethical clinical environment and positive patient outcomes. According to the Nursing Code of Ethics, nurses act as moral agents, speak up for the vulnerable, question care decisions, and advocate (ANA, 2015). Nursing education must deliver content that addresses the ethical needs of nursing students. Consequently, students who cannot speak up in ethical scenarios may become nurses who lack the courage to advocate in the clinical environment.{A0}This qualitative, descriptive study explored the ethically challenging clinical experiences of ten prelicensure baccalaureate senior-level nursing students, which employed rich picture creation and semi-structured interviews. Findings suggested that students are experiencing ethical dilemmas in the clinical environment and can recognize morally distressing situations. Rich pictures created by participants gave compelling accounts of their experiences and insight into their psyche. Ethical dilemmas ranged from predicaments with medication administration or withholding medications to patient deterioration with rescue delays, end-of-life issues, communication deficits, bullying, unprofessional behaviors, lack of support, and unmet patient needs.{A0}The data suggested that students struggle with having the moral courage to speak up and lacked power. Many participants struggled with unwelcoming and toxic environments with unsupportive nurses and some clinical faculty who lacked role-modeling behaviors. The{A0}participants articulated a genuine desire to care for patients; however, most did not have the courage to speak up when patient care was affected.{A0}Moral courage and advocacy can be learned (Parks-Leduc et al.,2021; Kleemola et al., 2020). Therefore, nursing education is responsible for empowering students to prepare and respond to ethical situations during clinical rotations and beyond as they transition to practice. Better onboarding of clinical faculty is required to support student needs and role model ethically appropriate behaviors.The data also revealed that some clinical environments may compromise patient needs and that ethically questionable behaviors were exposed. There must be a call to action to uncover and address these distressing findings. Students need nurses whom they can emulate and who embrace the core beliefs and philosophies of the profession. The clinical environment must have ethical and competent nurses who embody the profession.

ISBN: 9798382815213Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Clinical education

Ethical Decision-Making and Moral Courage: Senior-Level Nursing Students' Journey to Moral Competence.
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