Browse > Article
http://dx.doi.org/10.5762/KAIS.2013.14.6.2915

A Study of Moral Judgment and Ethical Decision Making and Ethical Dilemmas Experienced in Practice by Nursing Students  

Noh, Yoon Goo (Department of Nursing, Changwon National University)
Jung, Myun Sook (College of Nursing, Institute of Health Sciences, Gyeongsang National University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.14, no.6, 2013 , pp. 2915-2925 More about this Journal
Abstract
This study examined the moral judgments and ethical decision-making and analyzed ethical dilemmas experienced in practice by nursing students. The data were collected using self-reported questionnaires and reports from 189 college students in their 2nd ~ 4th grades. Data collection period was from Nov 6th - 20th in 2012. Each grade's P(%) scores were 47.92, 43.74, and 43.75 respectively.. For stage 4 score, each grade's scores were 22.37, 22.98, and 19.74. This result shows that, compared to juniors, senior student's P(%) scores did not drop and stage 4 scores rather decreased, which is in line with the results of previous studies about the effects of ethics education. This finding could be attributed to the regular and voluntary case presentations and discussions required for the senior participants. Regarding ethical decision-making type, the most favored was type 3(35.45%). Among seven categories of the ethical dilemmas facing the students, the most commonly reported was the patient's rights and dignity, followed by practices based on nursing standards, arranging for dying patients. This study raises the need that the curriculum is revised to encourage student's participation in the analysis of ethical issues they confront in the field.
Keywords
Ethical decision making; Ethical dilemmas; Moral judgment; Nursing students;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Cameron, Miriam E, & Moch, Susan Diemert. Ethical relationships among nurses. Journal of Nursing Law, 7(1), 3-20, 2000.
2 Jang, Keum Seong, Lee, Myung Ha, Kim, In Sook, Hong, Yoon Mi, Ha, Na Sun, Kong, Byung Hye, Sin, Mi Ja & Kang, Yoon Suk. Ethics & profession of nursing. Seoul : Hyunmoon, 2011.
3 Han, Sung Suk. & Ahn, Sung Hee. Effects of nursing ethics education on moral reasoning and ethical decision making for student nurses. Journal of Korean academy of nursing administration, 1(2), 268-284, 1995b.   과학기술학회마을
4 Kwon, Young Mi. A study on moral judgement and ethical values of nursing students. The Journal of Korean academic society of nursing education, 8(1), 17-28, 2002.   과학기술학회마을
5 Lee, Mi-Aie. Longitudinal DIT study of the moral judgments of student nurses at one university in Korea. Journal of Korean Bioethics Association, 11(2), 139-152, 2008a.
6 Lee, Mi-Aie. A Study of an effect of ethics education being provided to nursing students:using the DIT (Defining Issues Test). Journal of Korean academy of nursing administration, 14(1), 26-34, 2008b.   과학기술학회마을
7 Park, Mihyun, Kjervik, Diane, Crandell, Jamie & Oermann, Marilyn H. The relationship of ethics education to moral sensitivity and moral reasoning skills of nursing students. Nursing Ethics, 19(4), 568-580, 2012. DOI: http://dx.doi.org/10.1177/0969733011433922   DOI   ScienceOn
8 Kim, Yong Soon, Park, Jee Won & Son, Youn-Jung. (2003). A Longitudinal study on moral judgment development in nursing and medical students. Journal of Korean academy of nursing, 33(6), 820-828, 2003.   과학기술학회마을   DOI
9 Kim, Yong Soon, Park, Jee Won, Son, Youn-Jung & Han, Sung Suk. A longitudinal study on the development of moral judgement in Korean nursing students. Nursing Ethics, 11(3), 254-265, 2004. DOI: http://dx.doi.org/10.1191/0969733004ne693oa   DOI
10 Lee, Mi-Aie, Kim, Ik-Jung & Hong, Sung-Hoon. A study of moral judgment of nursing student using DIT test. Journal of Korean Bioethics Association, 8(2), 105-115, 2005.
11 Cho, Mee-Kyung. A study of the moral judgments of nursing and non-nursing students using a DIT test. Journal of Korean Bioethics Association, 12(4), 377-390, 2009.
12 Han, Sung Suk. & Ahn, Sung Hee. Moral reasoning and ethical decision making among student nurses in moral dilemmas. Journal of Korean academy of nursing administration, 1(1), 5-21, 1995a.   과학기술학회마을
13 Han, Sung Suk. & Ahn, Sung Hee. An analysis and evaluation of student nurse' participation in ethical decision making. Nursing Ethics, 7(2), 113-123, 2000. DOI: http://dx.doi.org/10.1177/096973300000700204   DOI
14 Han, Sung Suk., Park, Hyeoun-Ae, Ahn, Sung Hee, Cameron, Miriam E, Oh, Hyo-Sook & Kim, Kyeong-Uoon. Korean nursing students' experience of ethical problems and use of ethical decision-making models. Journal of Korean Academy of Nursing, 31(5), 846-857, 2001.   과학기술학회마을   DOI
15 Jung, Min. The ethical problems experienced by nursing students in hospital setting. Journal of Korean Bioethics Association, 4(2), 195-214, 2001.
16 Moon, Yong-Lin, Kim, Minkang. Lee, Jihye & Won, Hyunjoo. Development of moral reasoning in Korea: A thirteen-year comparison. Journal of Educational Psychology, 22(1), 281-299, 2008.
17 Lee, Won Hee. Theory : An analysis of nursing ethics education and research. Journal of nursing query, 13(1), 24-34, 2004.
18 Yoo, Myung-Sook & Shon, Ki-Cheul. Effects of nursing ethics education on biomedical ethics awareness, moral sensitivity and moral judgment of nursing students. Journal of Korean Bioethics Association, 12(2), 61-76, 2011.
19 Lee, Kwang Ja & Yoo, So Yeon. Relationships between nurses' ethical dilemma, coping types, job satisfaction and turnover intention in Korea. 17(1), 1-15, 2011.
20 Park, Jin-Hee, Kim, Yonh-Soon & Kim, Won-Ok. The present status and future directions of nursing ethics education. Korean Journal of Medical Ethics, 12(3), 251-260, 2009.
21 Kim, Eun Hee, Lee, Eun-joo & Hong, Sung Jung. The ethical views of clinical nurses. The Korean Society for Medical Ethics, 13(3), 243-254. 2010.
22 Park, Hyun-Joo. Ethical dilemma of nurses. Journal of Korean Academy Nursing Administration, 15(1), 128-135. 2009.   과학기술학회마을
23 Hong, Seong Hoon. A study on the development of medical ethics education program. Unpublished doctoral dissertation, Seoul National University, Seoul, 2009.
24 Moon, Yong-Lin. Korean Defining Issues Test. Seoul : Seoul National University Moral Psychology Research Center, 2004.
25 Han, Sung Suk. (The) Nature of ethical dilemmas and decision making in hospital nursing practice. Unpublished doctoral dissertation, Seoul National University, Seoul, 1992.
26 Cameron, Miriam E, Schaffer, Marjorie. & Park, Hyeoun-Ae. Nursing students' experience of ethical problems and use of ethical decision-making models. Nursing Ethics, 8(5), 432-47, 2001. DOI: http://dx.doi.org/10.1191/096973301680195364   DOI
27 Park, Jin-Hee, Kim, Yong-Soon & Kim Won-Ok. The present status and future directions of nursing ethics education. Korean Journal of Medicine Ethics, 12(3), 251-260, 2009.
28 Frisch, Noreen Cavan. Value analysis: a method for teaching nursing ethics and promoting the moral development of students. Journal of Nursing Education, 26(8), 328-332, 1987.
29 Moon, Yong-Lin. Study on the standardization for research - moral judgment for the diagnosis of moral development of Korean youth diagnostic tests(DIT). Seoul : Seoul National University College of Education, 1994.
30 Lee, M. A. The efficacy of ethics education on the moral judgment of nursing students. Journal of Korean Bioethics Association, 22(2), 177-188, 2009.
31 Lin, Chiou-Fen, Lu, Meei-Shiow, Chung, Chun-Chih & Yang, Che-Ming. A comparison of problem-based earning and conventional teaching in nursing ethics education. Nurs Ethics ,17(3), 373-382, 2010. DOI: http://dx.doi.org/10.1177/0969733009355380   DOI   ScienceOn
32 Erdil, Fethiye, & Korkmaz, Fatos. Ethical problems observed by student nurses. Nursing Ethics, 16(5), 589-598, 2009. DOI: http://dx.doi.org/10.1177/0969733009106651   DOI
33 Han, Sung Suk. & Ahn, Sung Hee. Concept analysis of nursing ethical dilemma. The korean Central Journal of Medicine, 57(1), 55-68, 1992.