Faculty of Nursing, Alexandria University, Egypt; College of Nursing,King Saud bin Abdul-Aziz University for Health Sciences, Kingdom of Saudi Arabia.
Faculty of Nursing, Alexandria University, Egypt.
Nurs Ethics. 2019 May;26(3):845-858. doi: 10.1177/0969733017722825. Epub 2017 Sep 11.
Ascertaining the relationship between ethical ideology, moral judgment, and ethical decision among academic nurse educators at work appears to be a challenge particularly in situations when they are faced with a need to solve an ethical problem and make a moral decision.
This study aims to investigate the relationship between ethical ideology, moral judgment, and ethical decision as perceived by academic nurse educators.
A descriptive correlational research design was conducted at Faculty of Nursing, Alexandria University. All academic nurse educators were included in the study (N = 220). Ethical Position Questionnaire and Questionnaire of Moral Judgment and Ethical Decisions were proved reliable to measure study variables.
Approval was obtained from Ethics Committee at Faculty of Nursing, Alexandria University. Privacy and confidentiality of data were maintained and assured by obtaining subjects' informed consent.
This study reveals a significant positive moderate correlation between idealism construct of ethical ideology and moral judgment in terms of recognition of the behavior as an ethical issue and the magnitude of emotional consequences of the ethical situation (p < 0.001; p = 0.031) respectively. Also, there is a positive significant moderate correlation between relativism construct of ethical ideology and overall moral judgment (p = 0.010). Approximately 3.5% of the explained variance of overall moral judgment is predicted by idealism together with relativism.
The findings suggest that variations in ethical position and ideology are associated with moral judgment and ethical decision.
Organizations of academic nursing education should provide a supportive work environment to help their academic staff to develop their self-awareness and knowledge of their ethical position and promoting their ethical ideologies and, in turn, enhance their moral judgment as well as develop ethical reasoning and decision-making capability of nursing students. More emphasis in nursing curricula is needed on ethical concepts for developing nursing competencies.
在工作中确定学术护士教育者的伦理意识形态、道德判断和伦理决策之间的关系似乎是一项挑战,尤其是在他们需要解决伦理问题并做出道德决策的情况下。
本研究旨在调查学术护士教育者所感知的伦理意识形态、道德判断和伦理决策之间的关系。
在亚历山大大学护理学院进行了描述性相关性研究设计。研究纳入了所有学术护士教育者(N=220)。伦理立场问卷和道德判断与伦理决策问卷已被证明可用于测量研究变量。
已获得亚历山大大学护理学院伦理委员会的批准。通过获得研究对象的知情同意,维护和确保了数据的隐私和机密性。
本研究揭示了伦理意识形态的理想主义结构与道德判断之间存在显著的正中等相关,表现在对行为是否为伦理问题的认识以及伦理情境的情感后果的严重程度上(p<0.001;p=0.031)。此外,伦理意识形态的相对主义结构与整体道德判断之间存在正显著中等相关(p=0.010)。理想主义和相对主义共同预测了整体道德判断的约 3.5%的可解释方差。
研究结果表明,伦理立场和意识形态的变化与道德判断和伦理决策有关。
学术护理教育组织应提供支持性的工作环境,以帮助其学术人员发展自我意识和对自身伦理立场的了解,并促进其伦理意识形态,从而提高他们的道德判断能力以及培养护理学生的伦理推理和决策能力。护理课程需要更加重视伦理概念,以培养护理能力。