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护理伦理教育中的勇敢空间:通过教育学培养勇气。

Brave spaces in nursing ethics education: Courage through pedagogy.

机构信息

Red Deer Polytechnic, Red Deer, AB, Canada.

出版信息

Nurs Ethics. 2024 Feb;31(1):101-113. doi: 10.1177/09697330231183075. Epub 2023 Jul 26.

Abstract

BACKGROUND

Nursing students must graduate prepared to bravely enact the art and science of nursing in environments infiltrated with ethical challenges. Given the necessity and moral obligation of nurses to engage in discourse within nursing ethics, nursing students must be provided a moral supportive learning space for these opportunities. Situating conversations and pedagogy within a brave space may offer a framework to engage in civil discourse while fostering moral courage for learners.

RESEARCH OBJECTIVE

The aim of this research is to explore the influence of a structured self-assessment tool called the ESA "Engagement Self-Assessment" on the alignment and creation of a brave space in a nursing ethics course.

RESEARCH DESIGN

This study used an exploratory, cross-sectional survey design.

PARTICIPANTS AND STUDY SETTING

Data from 39 undergraduate nursing students enrolled in a nursing healthcare ethics & law course using the ESA were recruited.

ETHICAL CONSIDERATIONS

Participation was voluntary and informed without coercion. Written consent was obtained prior to participation. Research ethics approval was obtained by the Institutional Research Ethics Board of the recruited participants (Ethics # 2022-23-03).

FINDINGS

The ESA provided structured self-reflection on the impact of shared vulnerability within a brave space. However, commitment to a brave space was not strongly influenced by the ESA, but rather by a mutual "commitment to others."

CONCLUSION

A teaching tool such as an ESA can be used to facilitate instructor expectations of civil discourse and discussion of difficult topics. Rules of engagement such as those found in brave spaces can help transform fear of vulnerability into authentic growth for learners. A morally supportive learning space can support critical opportunities for ethical development. This study provides insight into how self-assessment and the use of a brave space in nursing ethics education can facilitate a morally supportive learning space.

摘要

背景

护理专业的学生必须做好准备,在充满伦理挑战的环境中勇敢地践行护理的艺术和科学。鉴于护士有参与护理伦理学讨论的必要性和道德义务,必须为护理学生提供一个支持道德的学习空间,让他们有机会参与其中。在勇敢空间中进行对话和教学,可以为学习者提供一个进行文明讨论的框架,同时培养他们的道德勇气。

研究目的

本研究旨在探讨一种名为 ESA(Engagement Self-Assessment,参与自我评估)的结构化自我评估工具对护理伦理课程中勇敢空间的形成和调整的影响。

研究设计

本研究采用探索性、横截面调查设计。

参与者和研究环境

从使用 ESA 的护理医疗伦理与法律课程中招募了 39 名本科护理专业学生作为研究对象。

伦理考虑

参与是自愿的,没有受到胁迫,参与者在参与前签署了知情同意书。本研究获得了所招募参与者机构研究伦理委员会的伦理批准(伦理编号:2022-23-03)。

研究结果

ESA 提供了对勇敢空间内共同脆弱性影响的结构化自我反思。然而,勇敢空间的承诺并没有被 ESA 强烈影响,而是被一种相互的“对他人的承诺”所影响。

结论

像 ESA 这样的教学工具可以用来促进教师对文明对话和讨论困难话题的期望。勇敢空间中的规则和准则可以帮助将对脆弱性的恐惧转化为学习者的真实成长。一个支持道德的学习空间可以为道德发展提供关键机会。本研究深入探讨了护理伦理学教育中自我评估和勇敢空间的使用如何促进支持道德的学习空间。

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