Turan Nazan, Çekiç Yasemin
Elderly Care Pr, Vocational School of Health Services, Gazi University, Ankara, Turkey.
Faculty of Nursing, Psychiatric Nursing Department, Ankara University, Ankara, Turkey.
Nurs Ethics. 2023 Nov-Dec;30(7-8):1025-1037. doi: 10.1177/09697330231161685. Epub 2023 May 11.
Ethics positions, consisting of the two fundamental dimensions of idealism and relativism, influence individuals' decision-making significantly. Particularly in an applied field such as nursing, the ethics positions of nurses can play a significant role in clinical decisions. Therefore, it is important to know the factors affecting the ethics positions of nurses in clinical decision-making.
The aim of the study is to examine the factors affecting the ethics positions of nursing students in clinical decision-making.
This is a two-phase sequential explanatory mixed methods study designed in accordance with the COREQ criteria. A participant Information Form and the Ethics Position Questionnaire were used to collect quantitative data. Qualitative data were obtained through focus group interviews.
This study was conducted after receiving written permission from X University Ethics Board. Additionally, permission was obtained from the participating nursing faculty.
Among the fourth-year nursing students, 180 students participated in the quantitative phase and 30 students in the qualitative phase of the study.
The quantitative data analysis showed that the idealism sub-dimension mean scores of the participants were higher than the relativism sub-dimension mean scores. The analysis of the qualitative data resulted in four main themes that influence participants' ethics positions in clinical decision-making: (1) attitudes of role models in clinical practice (staff nurses/mentors/lecturers), (2) resources related to clinical practice (labs, hospitals/classrooms), (3) health system (hospital policies/school policies), and (4) personal differences (act with emotion/act with logic).
The results showed that the health system, role models in the clinic, personal differences, and skill-related resources affect the ethics positions of nursing students in clinical decision-making. In this regard, awareness can be raised by providing training to nursing students by academic instructors on ethics positions and the factors that are determined to affect ethics positions in clinical decision-making.
由理想主义和相对主义这两个基本维度构成的伦理立场，对个体的决策有重大影响。特别是在护理这样的应用领域，护士的伦理立场在临床决策中能发挥重要作用。因此，了解影响护士临床决策中伦理立场的因素很重要。
本研究的目的是探讨影响护理专业学生临床决策中伦理立场的因素。
这是一项按照COREQ标准设计的两阶段顺序解释性混合方法研究。使用参与者信息表和伦理立场问卷收集定量数据。通过焦点小组访谈获得定性数据。
本研究在获得X大学伦理委员会的书面许可后进行。此外，还获得了参与研究的护理教师的许可。
在四年级护理专业学生中，180名学生参与了研究的定量阶段，30名学生参与了定性阶段。
定量数据分析表明，参与者的理想主义子维度平均得分高于相对主义子维度平均得分。定性数据分析得出影响参与者临床决策中伦理立场的四个主要主题：（1）临床实践中榜样（护士/导师/讲师）的态度，（2）与临床实践相关的资源（实验室、医院/教室），（3）卫生系统（医院政策/学校政策），以及（4）个人差异（凭情感行事/凭逻辑行事）。
结果表明，卫生系统、临床中的榜样、个人差异以及与技能相关的资源会影响护理专业学生临床决策中的伦理立场。在这方面，可以通过学术教师为护理专业学生提供关于伦理立场以及在临床决策中确定会影响伦理立场的因素的培训来提高认识。
