Sakarya University, Türkiye.
Nurs Ethics. 2024 Mar-May;31(2-3):132-147. doi: 10.1177/09697330231187139. Epub 2023 Aug 6.
Ethical decision-making education in nursing can be taught effectively by combining different teaching models that support the visualisation of taught concepts and integrating theory into practice.
The study aims to examine the effect of flipped and jigsaw learning models on ethical decision-making and ethical sensitivity in nursing.
We used a nested mixed design. A pretest-posttest single-group quasi-experimental design was used in the quantitative part, and a case study method was used in the qualitative part.
This study was conducted in fall semester with second-year nursing students who studied an ethics course for the first time, using two different collaborative learning models. In the quantitative part, ethical dilemma and ethical sensitivity scales were made as pre-test with 117 and post-test with 128 students. In the qualitative part, a semi-structured three focus group interviews was conducted with 16 students.
After obtaining the approval of the University's ethics committee, the study was carried out after obtaining participants' informed written and verbal consent.
Students' perspectives changed positively after training. This was related to six cases in section A of the Ethical Dilemma Scale. In part B, Practical Consideration (PC) and Principled Thinking (PT) mean scores were similar, showing no significant difference. For Familiarity in section C, it was determined that 68.4% of students in the pre-test and 77.3% in the post-test were familiar with similar dilemmas. The ethical sensitivity scale's total scores were in a similar range. In the qualitative stage, ethical decision-making, ethical sensitivity, ethical dilemma and the improvement process were obtained as a theme.
There was an increase in the level of ethical sensitivity and familiarity with ethical dilemmas of nursing students after education. Flipped and jigsaw learning models can be used for nursing ethics courses.
护理伦理决策教育可以通过结合不同的教学模式来有效进行,这些模式支持所教概念的可视化,并将理论融入实践。
本研究旨在检验翻转课堂和拼图学习模式对护理伦理决策和伦理敏感性的影响。
我们使用嵌套混合设计。定量部分采用前测-后测单组准实验设计,定性部分采用案例研究方法。
本研究在秋季学期进行,参与者为首次学习伦理学课程的二年级护理专业学生,使用两种不同的合作学习模式。在定量部分,使用 117 名学生进行伦理困境和伦理敏感性量表的前测,使用 128 名学生进行后测。在定性部分,对 16 名学生进行了三次半结构化焦点小组访谈。
在获得大学伦理委员会的批准后,在获得参与者书面和口头知情同意后进行了研究。
学生的观点在培训后发生了积极的变化。这与伦理困境量表 A 部分的六个案例有关。在 B 部分,实践考虑因素(PC)和原则性思维(PT)的平均分相似,没有显著差异。在 C 部分的熟悉度方面,前测中有 68.4%的学生和后测中有 77.3%的学生熟悉类似的困境。伦理敏感性量表的总分也在相似范围内。在定性阶段,获得了伦理决策、伦理敏感性、伦理困境和改进过程作为一个主题。
教育后,护理学生的伦理敏感性和对伦理困境的熟悉程度有所提高。翻转课堂和拼图学习模式可用于护理伦理学课程。