Duckett L, Rowan-Boyer M, Ryden M B, Crisham P, Savik K, Rest J R
School of Nursing, University of Minnesota, Minneapolis.
Nurs Res. 1992 Nov-Dec;41(6):324-31.
Discussions in the nursing literature about the usefulness of Kohlberg's theory of moral reasoning for women and nurses, and assertions about the level of moral reasoning scores of nurses have been clouded by inaccuracies and misperceptions. In this article, theoretical and measurement issues related to moral reasoning are clarified and a critical review of the literature is provided about the moral reasoning of nursing students and nurses as measured by the Defining Issues Test (DIT). The review indicates the need for greater rigor in studies of moral reasoning among nurses and the need for accuracy in interpreting and reporting moral reasoning scores. The data show that the moral reasoning of nurses, like that of other groups, tends to increase with formal education. Nurses' scores are usually comparable to, and sometimes higher than, scores of their academic peers.
护理文献中关于科尔伯格道德推理理论对女性和护士的实用性讨论，以及有关护士道德推理分数水平的断言，一直被不准确和误解所掩盖。本文澄清了与道德推理相关的理论和测量问题，并对使用界定问题测试（DIT）测量的护理专业学生和护士的道德推理进行了文献综述。该综述表明，护士道德推理研究需要更高的严谨性，以及在解释和报告道德推理分数时需要准确性。数据显示，护士的道德推理与其他群体一样，往往随着正规教育而提高。护士的分数通常与学术同龄人相当，有时甚至更高。
