A Q-methodological Study on Nursing Students' Attitudes toward Nursing Ethics

  • Yeun Eun-Ja (Department of Nursing, Konkuk University) ;
  • Kwon Young-Mi (Department of Nursing, Kyungin Women's University) ;
  • Kim Hung-Kyu (Department of Communication & Information, Hankuk University of Foreign Studies)
  • Published : 2004.12.01

Abstract

Purpose. Professional nursing ethics is a living, dynamic set of standards for nurses' professional moral behavior. Furthermore, in daily clinical nursing training, nursing students are constantly confronted with decision-making that is moral in nature. The aim of this study was to identify the perceived ethical attitudes in the clinical training process of senior nursing students using Q-methodology to offer basic strategies for nursing ethics education and thereby improve patients' care. Methods. Q-methodology provides a scientific method for identifying perception structures that exist within certain individuals or groups. Thirty-seven participants in a university rated 38 selected Q-statements on a scale of 1-9. The collected data were analyzed using pc-QUNAL software. Results. Principal component analysis identified 3 types of ethical attitudes in nursing students in Korea. The categories were labeled Sacred-life, Science-realistic and Humane-life. Sacred-life individuals think that a life belongs to an absolute power (God), not a man, and a human life is a high and noble thing. Science-realistic individuals disagreed that allowing an induced abortion or embryo (human) duplication is unethical behavior that provokes a trend, which takes the value of a life lightly; most of them took a utilitarian position with respect to ethical decisions. Humane-life individuals exhibit a tendency toward human-centered thought with respect to ethical attitudes. Conclusion. This study will be of interest to educators of students of nursing and hospital nursing administrators. Also, the findings may provide the basis for the development of more appropriate strategies to improve nursing ethics education programs.

Keywords

References

  1. Ahn, E. K., Ku, O. H., & Kim, T. S. (1998). The ethical values of nursing students. JKANA, 4(1), 19-31
  2. Brown, S. R. (1996). Q Methodology and qualitative research. Qualitative Health Research, 6(4), 561-567
  3. Candy, C. E. (1991). Not for resuscitation: the student nurses viewpoint. J Adv Nurs, 16, 138-146 https://doi.org/10.1111/j.1365-2648.1991.tb01617.x
  4. Chafey, K. H. (1989). An exploration of the linkages among selected components of moral behavior. Unpublished doctoral dissertation, University of Minnesota, Minnesota
  5. Chon, M. Y., & Mun, M. S. (1998). Nursing student's attitude of induced abortion. J Korean Nurs Educ, 4(2), 264-279
  6. Clark, J. M., Maben, J., & Jones, K. (1997). Project 2000: perceptions of the philosophy and practice of nursing: shifting perceptions- a new practitioner? J Adv Nurs, 26. 161-168
  7. Dennis, K. E. (1986). Q methodology; relevance and application to nursing research. Adv Nurs Sci, 8, 6-17
  8. Dennis, K. E., & Goldberg, A. P. (1996). Weight control self-efficacy types and transitions affect weight-loss outcomes in obese women. Addictive Behaviors, 21, 103-116 https://doi.org/10.1016/0306-4603(95)00042-9
  9. Elder, R., Price, J., & Williams, G. (2003). Differences in ethical attitudes between registered nurses and medical students. J Nurs Ethics, 10(2), 149-161
  10. Gastmans, C. (2002). A fundamental ethical approach to nursing: Some proposals for ethics education. J Nurs Ethics, 9(5), 494-507
  11. Han, S. S., & Ahn, S. H. (1995a). Moral reasoning and ethical decision making among student nurses in moral dilemmas. JKANA, 1(1), 5-21
  12. Han, S. S., & Ahn, S. H. (1995b). Effects of nursing ethics education on moral reasoning and ethical decision making for student nurses. JKANA, 1(2), 268-284
  13. Hendel, T., & Steinman, M. (2002). Israeli nurse managers' organizational values in today's health care environment. J Nurs Ethics, 9(6), 651-662
  14. Kim, H. K. (1990). Understanding of Q-methodology: applications to advertising. Seoul. Seokang University Press
  15. Kim, M .J., & Kim, M. H. (1999). A study of moral development and ethical values of the nurse. JKANA, 5(2), 337-353
  16. Kwon, Y. M., & Yeun, E. J. (2000). Subjectivity on organ donation and transplantation. J Korean Acad Nurs, 30(6), 1437-1454
  17. Kwon, Y. M., & Yeun, E. J. (2003). The experience of decision making to donate organs. J Korean Acad Adult Nurs, 15(2),256-266
  18. McKeown, B., & Thomas, D. (1988). Q methodology. Beverly Hills, CA: Sage
  19. Metcalf, B.L., & Yankou, D. (2003). Using gaming to help nursing students understand ethics. J Nurs Educ, 42(5), 212-215
  20. Moon, Y.I, Park, H.R., Tak, Y. R., Kim, M.A., Kim, S.A., Park, K.S., & Im, D.S. (2003). A Study on the Clinical Nurse's Ethical Value. JKANA, 9(4), 541-557
  21. Park, M. H. (2000). The patterns of change in ethical value of nursing students. J Korean Nurs Educ, 6(2), 199-217
  22. Quinn, C. A. (1990). A conceptual approach to the identification of essential ethics content for the undergraduate-nursing curriculum. J Adv Nurs, 15(6), 726-731
  23. Raines, M. L. (2000). Ethical decision making in nurses: Relationship among moral reasoning, coping style, and ethics stress. JONAS Health Law Ethics Regul, 2(1), 29-41 https://doi.org/10.1097/00128488-200002010-00006
  24. Redman, B. K., & Fry, S. T. (2000). Nurses' ethical conflicts: what is really known about them? J Nurs Ethics, 7(4), 360-366
  25. Scott, P. A. (1996). Ethics education and nursing practice. J Nurs Ethics, 3, 53-63 https://doi.org/10.1177/096973309600300107
  26. Sofaer, B. (1995). Enhancing humanistic skills: an experiential approach to learning about ethical issues in health care. J Med Ethics, 21(1), 31-34
  27. Stephenson, W. (1953). The study of behavior: Q-Technique and its methodology. Chicago, University of Chicago Press
  28. Stephenson, W. (1967). The play theory of mass communication. Chicago, University of Chicago Press
  29. Verpeet, E., Meulenbergs, T., & Gastmans, C. (2003). Professional Values and Norms for Nurses in Belgium. J Nurs Ethics, 10(6), 654-665