Ketefian S
Nurs Res. 1981 May-Jun;30(3):171-6.
This study examined the relationship between moral reasoning and moral behavior in 79 practicing nurses. Moral reasoning was measured by Rest's Defining Issues Test. Judgments about Nursing Decisions (JAND), developed by the investigator, was used to measure moral behavior. JAND is compromised of seven stories, each depicting a nurse in an ethical dilemma, with a total of 48 items. It measures two components of moral behavior: knowledge and valuation of ideal moral behavior and perception of realistic moral behavior. The hypothesis that moral reasoning would be positively related to knowledge and valuation of ideal moral behavior was tested by Pearson product moment correlation; the obtained coefficient of .28 was significant at the .01 level. The hypothesis that moral reasoning would be positively related to nurses' perception of realistic moral behavior was also tested by Pearson product moment correlation; the obtained coefficient of .19 was significant at the .05 level. Additional analyses showed significant differences in the knowledge and valuation component of JAND between educational groups, ethnic groups, age groups, and years of practice in nursing; but, there were no differences between these groups with respect to the perception of realist moral behavior component of JAND. Implications of the findings for nursing practice, education, and research are discussed.
本研究调查了79名在职护士的道德推理与道德行为之间的关系。道德推理通过雷斯特的界定问题测试来衡量。由研究者开发的《护理决策判断》（JAND）用于衡量道德行为。JAND由七个故事组成，每个故事描绘一名处于道德困境中的护士，共有48个项目。它衡量道德行为的两个组成部分：理想道德行为的知识和评价以及现实道德行为的认知。通过皮尔逊积差相关检验道德推理与理想道德行为的知识和评价呈正相关这一假设；得到的0.28的系数在0.01水平上具有显著性。通过皮尔逊积差相关检验道德推理与护士对现实道德行为的认知呈正相关这一假设；得到的0.19的系数在0.05水平上具有显著性。进一步分析表明，在教育程度、种族、年龄组以及护理工作年限方面，JAND的知识和评价部分存在显著差异；但是，在JAND的现实道德行为认知部分，这些组之间没有差异。讨论了研究结果对护理实践、教育和研究的启示。
