The effectiveness of guided design on ethical decision making and moral reasoning among community nursing students.

This study evaluated the effectiveness of guided design as an instructional method in ethical decision making and moral reasoning among 145 community health nursing students. Changes in the process of ethical decision making and moral reasoning were measured using Ketefian's judgment About Nursing Decisions (JAND) one week after the intervention. Results indicated a significant difference in ethical decision-making scores after instruction, but no difference in moral reasoning. The one specific component--Taking professional initiatives--increased on both subscales.