37503Atatürk University, Turkey.
4914London South Bank University, UK; Barts Health, UK.
Nurs Ethics. 2020 Nov;27(7):1542-1555. doi: 10.1177/0969733020922875. Epub 2020 May 21.
Midwives are required to make ethical decisions with the support of respective codes of professional ethics which provide a framework for decision making in clinical practice. While each midwife should be ethically aware and sensitive to the ever-changing issues within reproduction, few empirical studies have examined the views of student midwives in relation to reproductive ethical dilemmas.
The aim of this study was to explore midwifery students' reactions to a number of ethical dilemmas relating to women's experiences of reproductive decision making.
A series of focus groups were conducted with midwifery students who were asked to discuss five culturally significant scenarios including issues of knowledge acquisition regarding methods of family planning, removal or insertion of an intrauterine device, and abortion.
A University in Turkey was the setting for this study.
Purposeful sampling was adopted which resulted in five focus groups with a total of 57 midwifery students.
The study was reviewed and granted formal ethical approval by an ethical committee at the Faculty of Health Science in Atatürk University. The head of the Faculty of Health Science approved the investigation. The participants received both oral and written information about the study and they gave their consent.
Five themes were identified from the analysis of the focus group data related to all five scenarios. These themes were 'the right to information', 'choice and protection', 'parental rights and welfare of the women', 'make a decision' and 'women rights and sexual abuse'.
This study has shown that while students respected women's choice, they also expressed great ambivalence in some situations when personal values conflict with dominant societal beliefs and professional ethics. A focus on ethics education to include human rights is suggested as a means to enable students to explore their own social-value judgements, and as a means to limit the possible development of ethical confusion and moral distress.
助产士需要在各自的职业道德准则的支持下做出伦理决策，这些准则为临床实践中的决策提供了框架。虽然每个助产士都应该对生殖领域不断变化的问题有伦理意识和敏感性，但很少有实证研究考察过助产学生对生殖伦理困境的看法。
本研究旨在探讨助产学生对与女性生殖决策体验相关的一系列伦理困境的反应。
对助产学生进行了一系列焦点小组讨论，要求他们讨论五个具有文化意义的场景，包括获取关于计划生育方法、宫内节育器的取出或插入以及堕胎的知识问题。
土耳其的一所大学是这项研究的地点。
采用目的性抽样，共进行了五个焦点小组，共有 57 名助产学生参加。
该研究经过 Atatürk 大学健康科学学院伦理委员会的审查和正式伦理批准。健康科学学院院长批准了这项调查。参与者收到了关于该研究的口头和书面信息，并表示同意。
从对五个场景的焦点小组数据的分析中确定了五个主题。这些主题包括“信息权”、“选择与保护”、“父母权利与妇女福利”、“做出决定”和“妇女权利与性虐待”。
本研究表明，虽然学生尊重妇女的选择，但在个人价值观与主流社会信仰和职业道德冲突的某些情况下，他们也表达了极大的矛盾。建议将重点放在包括人权在内的伦理教育上，以使学生能够探索自己的社会价值判断，并限制可能出现的伦理困惑和道德困境的发展。
