Levels of Nursing Ethics Knowledge among Students without Clinical Experience

Ayu Afriani Panyuwa

doi:10.37287/ijghr.v6i1.2707

Ayu Afriani Panyuwa Faculty of Medicine and Health Sciences, Universitas Kristen Satya Wacana

DOI: https://doi.org/10.37287/ijghr.v6i1.2707

Keywords: levels of knowledge, nursing ethics, nursing practice

Abstract

Nursing ethics plays a crucial role in shaping the nursing profession, and a thorough understanding of ethical values serves as the foundation for delivering quality healthcare services. Objective: To describe the level of nursing ethics knowledge among nursing students who do not yet have clinical practice experience in hospitals. Method: This research employed a quantitative descriptive research design. Data analysis utilized a descriptive statistical approach, presenting frequency data and percentage levels of knowledge. The population in the study consists of all first-semester nursing students who have yet to undergo clinical practice. The sampling technique employed is purposive sampling. The research sample comprised 82 students lacking clinical practice experience. The questionnaire assessing nursing ethics knowledge underwent validity testing, obtaining a value of 1 > 0.355 and reliability testing with a Cronbach's alpha value of 0.961 > 0.60. The questionnaire consisted of 29 items. Results: The findings of this study indicate percentage categories for the level of nursing ethics knowledge among students as follows: (21%) abysmal, (28%) poor, (20%) fair, (18%) good, and (16%) very good. Conclusions: Innovative learning strategies, practical experiences, and in-depth curriculum studies in the field of professional ethics in nursing are important to help address the limitations of nursing ethics knowledge.

References

Abbas, A., M. T. , F. B. , & F. S. (2015). The place of ethics education in nursing in Iran. Bioethics, 5, 117–146.

Albert, J. S., Younas, A., & Sana, S. (2020). Nursing students’ ethical dilemmas regarding patient care: An integrative review. Nurse Education Today, 88, 104389. https://doi.org/10.1016/j.nedt.2020.104389

Alnajjar, P. H. A., & Abou Hashish, P. E. A. (2021a). Academic Ethical Awareness and Moral Sensitivity of Undergraduate Nursing Students: Assessment and Influencing Factors. SAGE Open Nursing, 7, 237796082110267. https://doi.org/10.1177/23779608211026715

Alnajjar, P. H. A., & Abou Hashish, P. E. A. (2021b). Academic Ethical Awareness and Moral Sensitivity of Undergraduate Nursing Students: Assessment and Influencing Factors. SAGE Open Nursing, 7, 237796082110267. https://doi.org/10.1177/23779608211026715

Ashwini K.Shetty, & Ravi Vaswani. (2022). Knowledge, attitude and practice of healthcare ethics among final year medical and nursing students at a college in South India. Biomedicine, 42(3), 511–516. https://doi.org/10.51248/.v42i3.1276

Clark, C. M. (2017). An Evidence-Based Approach to Integrate Civility, Professionalism, and Ethical Practice Into Nursing Curricula. Nurse Educator, 42(3), 120–126. https://doi.org/10.1097/NNE.0000000000000331

Doane, G., Pauly, B., Brown, H., & McPherson, G. (2004). Exploring The Heart Ofethical Nursing Practice: implications for ethics education. Nursing Ethics, 11(3), 240–253. https://doi.org/10.1191/0969733004ne692oa

Felix, Z. C., Batista, P. S. de S., Costa, S. F. G. da, Lopes, M. E. L., Oliveira, R. C. de, & Abrão, F. M. da S. (2014). Nursing care in terminality: compliance with principles of bioethics. Revista Gaúcha de Enfermagem, 35(3), 97–102. https://doi.org/10.1590/1983-1447.2014.03.46405

Fernández-Feito, A., Palmeiro-Longo, M. del R., Hoyuelos, S. B., & García-Díaz, V. (2019). How work setting and job experience affect professional nurses’ values. Nursing Ethics, 26(1), 134–147. https://doi.org/10.1177/0969733017700238

Harper, M. G., & Maloney, P. (2016). Nursing Professional Development. Journal for Nurses in Professional Development, 32(3), 171–173. https://doi.org/10.1097/NND.0000000000000255

Huynh, A., & He, H. (2018). RN-BSN Students Desire More Healthcare Ethics Education. International Journal of Nursing & Clinical Practices, 5(1). https://doi.org/10.15344/2394-4978/2018/300

Jafree, S. R., Zakar, R., Fischer, F., & Zakar, M. Z. (2015). Ethical violations in the clinical setting: the hidden curriculum learning experience of Pakistani nurses. BMC Medical Ethics, 16(1), 16. https://doi.org/10.1186/s12910-015-0011-2

Kim, S., Seo, M., & Kim, D. R. (2018). Unmet Needs for Clinical Ethics Support Services in Nurse: Based on focus group interviews. Nursing Ethics, 25(4), 505–519. https://doi.org/10.1177/0969733016654312

Kim, Y. J. (2022). Factors Influencing Ethical Sensitivity of Nursing Students. Crisis and Emergency Management: Theory and Praxis, 12(4), 1–7. https://doi.org/10.14251/jscm.2022.4.1

Kucukkelepce, G. E., Dinc, L., & Elcin, M. (2020). Effects of using standardized patients on nursing students’ moral skills. Nursing Ethics, 27(7), 1587–1602. https://doi.org/10.1177/0969733020935954

Lechasseur, K., Caux, C., Dollé, S., & Legault, A. (2018a). Ethical competence: An integrative review. Nursing Ethics, 25(6), 694–706. https://doi.org/10.1177/0969733016667773

Lechasseur, K., Caux, C., Dollé, S., & Legault, A. (2018b). Ethical competence: An integrative review. Nursing Ethics, 25(6), 694–706. https://doi.org/10.1177/0969733016667773

Lee, W., Choi, S., Kim, S., & Min, A. (2020). A Case-Centered Approach to Nursing Ethics Education: A Qualitative Study. International Journal of Environmental Research and Public Health, 17(21), 7748. https://doi.org/10.3390/ijerph17217748

Nash, R., & Harvey, T. (2017). Student Nurse Perceptions Regarding Learning Transfer Following High-Fidelity Simulation. Clinical Simulation in Nursing, 13(10), 471–477. https://doi.org/10.1016/j.ecns.2017.05.010

Ngozika Ugwu, S., Ogbonnaya, N. P., Chijioke, V. C., & Esievo, J. N. (2023). Causes and effects of theory-practice gap during clinical practice: the lived experiences of baccalaureate nursing students. International Journal of Qualitative Studies on Health and Well-Being, 18(1). https://doi.org/10.1080/17482631.2023.2164949

Nora, C. R. D., Deodato, S., Vieira, M. M. da S., & Zoboli, E. L. C. P. (2016). ELEMENTS AND STRATEGIES FOR ETHICAL DECISION-MAKING IN NURSING. Texto & Contexto - Enfermagem, 25(2). https://doi.org/10.1590/0104-07072016004500014

Nursalam. (2015). Manajemen Keperawatan: Aplikasi dalam Praktik Keperawatan Profesional. Salemba Medika.

Nurunnabi, A. S. M., Rahim, R., Alo, D., Mamun, A. Al, Kaiser, A. M., Mohammad, T., & Sultana, F. (2022). Experiential Learning in Clinical Education Guided by the Kolb’s Experiential Learning Theory. International Journal of Human and Health Sciences (IJHHS), 6(2), 155. https://doi.org/10.31344/ijhhs.v6i2.438

Palese, A., Gonella, S., Destrebecq, A., Mansutti, I., Terzoni, S., Morsanutto, M., Altini, P., Bevilacqua, A., Brugnolli, A., Canzan, F., Ponte, A. D., De Biasio, L., Fascì, A., Grosso, S., Mantovan, F., Marognolli, O., Nicotera, R., Randon, G., Tollini, M., … Dimonte, V. (2019). Opportunity to discuss ethical issues during clinical learning experience. Nursing Ethics, 26(6), 1665–1679. https://doi.org/10.1177/0969733018774617

Ramos, F. R. S., Brehmer, L. C. de F., Vargas, M. A., Trombetta, A. P., Silveira, L. R., & Drago, L. (2015). Ethical conflicts and the process of reflection in undergraduate nursing students in Brazil. Nursing Ethics, 22(4), 428–439. https://doi.org/10.1177/0969733014538890

Tlili, A., Wang, H., Gao, B., Shi, Y., Zhiying, N., Looi, C.-K., & Huang, R. (2023). Impact of cultural diversity on students’ learning behavioral patterns in open and online courses: a lag sequential analysis approach. Interactive Learning Environments, 31(6), 3951–3970. https://doi.org/10.1080/10494820.2021.1946565