Nursing Management and Education Department, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Medicine (Baltimore). 2024 Apr 5;103(14):e37614. doi: 10.1097/MD.0000000000037614.
To investigate the relationship between ethical reasoning confidence and self-esteem among female nursing students for enhancing the quality of work life. A necessary component of professional competence and a prerequisite for high-quality care is ethical reasoning confidence competence. As well as, self-esteem is the subjective perception of one's own worth and significance. This was a descriptive correlational cross-sectional study design. Data was collected within a month starting from December 2022 to January 2023, and 164 nursing students were recruited from one College at a governmental university in Riyadh. Respondents completed the self-administered, online questionnaires. Measures included self-esteem, and ethical reasoning confidence questionnaires. Findings investigated via descriptive and inferential statistics as well as structured equation modeling to examine the mediating effect of self-esteem on behaviors and attitudes of the nursing students toward ethical reasoning confidence. Nursing students had a moderate perception regarding their self-esteem as well as their ethical reasoning confidence (Mean = 2.99, SD ± 0.58; and Mean = 3.57, SD ± 0.55, respectively). Data revealed that self-esteem was accounted for the prediction of 54% of positive variance of nursing students' behaviors toward ethical reasoning confidence and 78% of the variance of their attitudes toward ethical reasoning confidence. Self-esteem is a significant determinant of nursing students' behaviors and attitudes toward their ethical reasoning confidence. Further research is required to ascertain whether this approach enhances nursing students' moral decision-making, moral reasoning, practical considerations, and acquaintance with ethical concerns.
为了研究女护生伦理推理自信与自尊之间的关系，以提高工作生活质量。伦理推理自信是专业能力的必要组成部分，也是高质量护理的前提。此外，自尊是对自身价值和重要性的主观感知。这是一项描述性相关的横断面研究设计。数据收集于 2022 年 12 月至 2023 年 1 月的一个月内，从利雅得一所政府大学的一所学院招募了 164 名护理专业学生。受访者完成了自我管理的在线问卷。测量包括自尊和伦理推理自信问卷。通过描述性和推断性统计以及结构方程模型来调查发现，以检验自尊对护理学生对伦理推理自信的行为和态度的中介作用。护理学生对自己的自尊和伦理推理自信有中等的认知（自尊的平均值为 2.99，标准差为±0.58；伦理推理自信的平均值为 3.57，标准差为±0.55）。数据显示，自尊可以解释护理学生对伦理推理自信行为的 54%的正向方差和对伦理推理自信态度的 78%的方差。自尊是护理学生对伦理推理自信的行为和态度的重要决定因素。需要进一步研究以确定这种方法是否能提高护理学生的道德决策能力、道德推理能力、实际考虑因素和对道德问题的了解。
