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http://dx.doi.org/10.5762/KAIS.2020.21.6.144

Effects of Moral Sensitivity and Self-Assertiveness on Ethical Decision-Making Confidence of Nurses Working in Long Term Care Hospitals  

Kim, Ji-Ah (Department of Nursing, Kyungnam University)
Kang, Young-Sil (College of Nursing/Institute of Health Sciences, Gyeongsang National University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.21, no.6, 2020 , pp. 144-153 More about this Journal
Abstract
This study evaluated the moral sensitivity, self-assertiveness, ethical decision-making confidence and their correlations, and the factors that influence ethical decision-making confidence among nurses working in a long-term care hospital. Overall, 149 nurses working in a long-term care hospital in G Province were evaluated. The date was collected from November 30 2019 to December 18, 2019 and analyzed using SPSS/WIN 21.0 program. The mean of moral sensitivity among nurses was 4.94, the mean of self-assertiveness was 3.17 and the mean of ethical decision-making confidence was 3.49. The self-assertiveness will, according to the general characteristics, was significantly different according to experienced moral distress, and there was a significant difference in the degree of ethical decision-making confidence according to social positions and experience of ethical education. There were positive correlations between the ethical decision-making confidence and moral sensitivity (r=.382, p<.001) and self-assertiveness (r=.224, p<.01). Regression analysis revealed that the factors that significantly influenced ethical decision-making confidence were moral sensitivity, self-assertiveness and ethical education during nursing practice, which explained 25.0% of variance in ethical decision-making confidence. Therefore, to improve ethical decision-making confidence of nurses, programs should be developed that improve moral sensitivity and self-assertiveness by promoting ethical education.
Keywords
Moral Sensitivity; Self-Assertiveness; Ethical Decision-Making Confidence; Ethical Education; Nurses;
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Times Cited By KSCI : 15  (Citation Analysis)
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