Purpose This study conducted a systematic review and meta-analysis to identify trends in nursing ethics education research for Korean nursing students and nurses.
Methods: The data search was conducted in July 2020; domestic and foreign academic journals were targeted for the search. A combination of search terms was entered into major databases, and the year of publishing was limited to the last 10 years (2010~2020).
Results: The systematic review analyzed 25 experimental and 13 non-experimental studies, and education methods included lectures, discussions, role play, film-use classes related to nursing ethics, action learning, and case-based learning. The meta-analysis of 12 studies revealed that ethical education has significant differences in effect size of biomedical ethics, critical thinking, moral judgment, and moral sensitivity. A subgroup analysis of education methods showed that in addition to traditional lecture and discussion education methods, there were significant differences in the effect size of sense of biomedical ethics between the following two methods: lecture and discussion including additional methods and lecture and discussion only.
Conclusion: Ethics education for nursing students and nurses has been found to be effective in improving ethics-related competencies, and various teaching methods other than lectures and discussions must be utilized.
Citations
Citations to this article as recorded by
Development and Application of Biomedical Ethics Education e-Learning Contents for College Students Based on Scenarios Using Generative Artificial Intelligence Bon-Jin Koo Journal of Digital Contents Society.2024; 25(10): 3091. CrossRef
PURPOSE This study was done to identify the experiences of ethical issues and needs for ethics education in clinical nurses. METHODS A cross-sectional survey was used and data were collected in 2013. Participants were 428 clinical nurses working in the general units of seven medical hospitals. The Ethical Issues in Clinical Practice Tool was used. Data analysis was performed using SPSS/WIN 19.0. RESULTS 'Providing care with a possible risk to your health' was the most frequent and disturbing ethical problems for nurses. The highest helpful ethical topic was 'the patients' right, autonomy and informed consent'. The ethical issue experience was significantly different according to education level, work units, and type of employment. The necessity of ethics education was statistically different according to age, religion, level of education, duration of working as RN, position, shift type, and continuing education about nursing ethics. CONCLUSION The results of this study show that nursing educators need to provide practical ethics education based on frequent ethical issues and helpful education topics. These findings can be used in developing effective education strategies for clinical nurses and nursing organizations to improve nurses' ethical decision-making abilities.
Citations
Citations to this article as recorded by
Effects of Clinical Nurses' Ethical Climate and Ethical Nursing Competence on Moral Distress Sun Mi Ha, Yeong Ju Yoon Journal of Korean Academy of Nursing Administration.2025; 31(1): 25. CrossRef
Nurses’ intention to care of COVID-19 patients in hospitals dedicated to infectious disease in South Korea: application of the theory of planned behavior and verification of the moderating effect of ethical nursing competence Mira Mo, Seongmi Moon, Eun Kyeung Song BMC Nursing.2024;[Epub] CrossRef
The Influence of Ethical Nursing Competence and Positive Nursing Organizational Culture on Person-Centered Care in Intensive Care Unit Nurses: A Cross-Sectional Survey Jae Eun Lee, Hye-Young Jang Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 304. CrossRef
Social Influencing Factors of Clinical Nurses’ Patient Advocacy Myungji Kim, Hyunkyung Choi Journal of Korean Academy of Nursing Administration.2023; 29(4): 363. CrossRef
Nurses’ ethical decision-making during end of life care in South Korea: a cross-sectional descriptive survey Arum Lim, Sanghee Kim BMC Medical Ethics.2021;[Epub] CrossRef
Development of Ethical Nursing Competence Self-rating Scale for Clinical Nurses Borah Kang, Heeyoung Oh Korean Journal of Adult Nursing.2020; 32(5): 482. CrossRef
Emergency nurses’ experience of coping with moral distress Na Kyoung Lee, Jee-In Hwang The Journal of Korean Academic Society of Nursing Education.2020; 26(2): 176. CrossRef
Types of Perception toward Ethical Issues in Perioperative Nurses: Q-Methodological Approach Jin Nam Kim, Seok Hee Jeong Journal of Korean Academy of Nursing.2018; 48(6): 679. CrossRef
Factors Influencing Patient Privacy Protection Behavior among Nursing Students Eun Joo Lee, Hyun Sook Shin, Eun Chae Ha Journal of Korean Academic Society of Nursing Education.2018; 24(3): 225. CrossRef
Impact of Superior's Ethical Leadership as Perceived by Nurses on Nursing Performance: Mediating Effect of Faith in Supervisor Miyoung Kim, Hyung-Eun Seo, Eun-Young Doo, Won-Jin Ju Journal of Korean Academy of Nursing Administration.2017; 23(5): 483. CrossRef
Development of Hospital Nurses' Job Description based on DACUM Method: Focusing on General Ward and Intensive Care Unit Sun Mi Lee, Yeon Hee Kim, Yu Mi Shim, Jin Sun Choi, Mi Yu Journal of Korean Academy of Nursing Administration.2017; 23(5): 535. CrossRef
Operation Room Nurses' Ethical Value regarding Their Attitude and Meaning of Life about Organ Transplantation in Brain Death Hyung-Eun Seo, Miyoung Kim Korean Journal of Adult Nursing.2016; 28(4): 355. CrossRef
The Experience of Nursing Students' Moral Distress in Clinical Practice Chanhee Kim, Heeseung Choi The Journal of Korean Academic Society of Nursing Education.2016; 22(3): 355. CrossRef
PURPOSE This study was done to develop a realistic clinical case and investigate nurses' decision-making about nurses' ethical dilemmas with physicians in the fields of nursing practice. METHODS Case development and a hypothetical case study were used. Participants were 52 nurses. Data were collected in 2012 and 2013 using an open-ended questionnaire and interviews and analyzed using content analysis and descriptive statistics. RESULTS Various dilemma situations between nurses and physicians, such as violence, deathbed, medication-prescription, and physicians' incapacity-unfairness, were suggested. A clinical dilemma case about medication-prescription was developed based on nurses' experiences. Nurses' responses to the developed case situation and responses were classified into five types. Various reasons were given for making the decisions and about 56% of the nurses decided to notify their supervisor without deleting nursing records. CONCLUSION In this study, a realistic clinical dilemma case was developed, and nurses' ethical decision making was identified. These findings can be used in developing effective strategies for nurses to solve ethical dilemmas and to improve ethical decision-making abilities.
Citations
Citations to this article as recorded by
Factors Affecting Ethical Competence in Nurses* Sanghee KIM, Minjeong SEO, Doo Ree KIM Korean Journal of Medical Ethics.2023; 26(2): 151. CrossRef
Effectiveness of Conducting Interprofessional Education Virtually among Pharmacy and Medical Students Ganesh Sritheran Paneerselvam International Journal of Information and Education Technology.2022; 12(10): 1065. CrossRef
Perception of interprofessional education and educational needs of students in South Korea: A comparative study So Jung Yune, Kwi Hwa Park, Yul Ha Min, Eunhee Ji, Etsuro Ito PLOS ONE.2020; 15(12): e0243378. CrossRef
Types of Perception toward Ethical Issues in Perioperative Nurses: Q-Methodological Approach Jin Nam Kim, Seok Hee Jeong Journal of Korean Academy of Nursing.2018; 48(6): 679. CrossRef
The Effects of Critical Thinking and Clinical Decision-Making on Ethical Dilemmas by Some Dental Hygienists Hyun-Kyung Kang The Korean Journal of Health Service Management.2015; 9(1): 67. CrossRef