Midwifery students’ expectations of and experiences with ethics education: A qualitative study

2021 ◽  
pp. 105035
Author(s):  
Michele Megregian ◽  
Lisa Kane Low ◽  
Cathy Emeis ◽  
Raymond de Vries ◽  
Marianne Nieuwenhuijze
Author(s):  
Spencer P. Greenhalgh

Today's students face a wide range of complex moral dilemmas, and games have the potential to represent these dilemmas, thereby supporting formal ethics education. The potential of digital games to contribute in this way is being increasingly recognized, but the author argues that those interested in the convergence of games, ethics, and education should more fully consider analog games (i.e., games without a digital component). This argument draws from a qualitative study that focused on the use of an analog roleplaying game in an undergraduate activity that explored ethical issues related to politics, society, and culture. The results of this study are examined through an educational technology lens, which suggests that games (like other educational resources) afford and constrain learning and teaching in certain ways. These results demonstrate that this game afforded and constrained ethics education in both ways similar to digital games and ways unique to analog games.


2019 ◽  
Vol 15 (3) ◽  
pp. 243-252
Author(s):  
Kabini Sanga

A central feature of Indigenous Solomon Islands socialization of family, clan and tribal members is character-shaping. What this looks like, however, has not been researched. This study provides a first look at what is taught as ethics education in Indigenous Solomon Islands. Using data from a wider qualitative study of an Indigenous tribe of Mala’ita Island in the Solomon Islands archipelago, the study is authored and gifted by a Mala’ita Indigenous ethics educator to other Indigenous Pacific and other global educators and researchers. The study findings include: a clearer understanding of Indigenous Mala’ita ethics education including its integrated curriculum, its emphasis on character-shaping and its particular age-gender variations and pedagogies. The study offers pragmatic, conceptual, pedagogical, contextual and research insights for institutional and societal ethics education in Solomon Islands and other Pacific Islands modern states and to others interested in understanding ethics in context.


2020 ◽  
Author(s):  
Kabini Sanga

© The Author(s) 2019. A central feature of Indigenous Solomon Islands socialization of family, clan and tribal members is character-shaping. What this looks like, however, has not been researched. This study provides a first look at what is taught as ethics education in Indigenous Solomon Islands. Using data from a wider qualitative study of an Indigenous tribe of Mala’ita Island in the Solomon Islands archipelago, the study is authored and gifted by a Mala’ita Indigenous ethics educator to other Indigenous Pacific and other global educators and researchers. The study findings include: a clearer understanding of Indigenous Mala’ita ethics education including its integrated curriculum, its emphasis on character-shaping and its particular age-gender variations and pedagogies. The study offers pragmatic, conceptual, pedagogical, contextual and research insights for institutional and societal ethics education in Solomon Islands and other Pacific Islands modern states and to others interested in understanding ethics in context.


2020 ◽  
Author(s):  
Kabini Sanga

© The Author(s) 2019. A central feature of Indigenous Solomon Islands socialization of family, clan and tribal members is character-shaping. What this looks like, however, has not been researched. This study provides a first look at what is taught as ethics education in Indigenous Solomon Islands. Using data from a wider qualitative study of an Indigenous tribe of Mala’ita Island in the Solomon Islands archipelago, the study is authored and gifted by a Mala’ita Indigenous ethics educator to other Indigenous Pacific and other global educators and researchers. The study findings include: a clearer understanding of Indigenous Mala’ita ethics education including its integrated curriculum, its emphasis on character-shaping and its particular age-gender variations and pedagogies. The study offers pragmatic, conceptual, pedagogical, contextual and research insights for institutional and societal ethics education in Solomon Islands and other Pacific Islands modern states and to others interested in understanding ethics in context.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Keymanthri Moodley ◽  
Siti Mukaumbya Kabanda ◽  
Anita Kleinsmidt ◽  
Adetayo Emmanuel Obasa

Abstract Background The COVID-19 pandemic has magnified pre-existing challenges in healthcare in Africa. Long-standing health inequities, embedded in the continent over centuries, have been laid bare and have raised complex ethical dilemmas. While there are very few clinical ethics committees (CECs) in Africa, the demand for such services exists and has increased during the COVID-19 pandemic. The views of African healthcare professionals or bioethicists on the role of CECs in Africa have not been explored or documented previously. In this study, we aim to explore such perspectives, as well as the challenges preventing the establishment of CECs in Africa. Methods Twenty healthcare professionals and bioethicists from Africa participated in this qualitative study that utilized in-depth semi-structured interviews with open-ended questions. Themes were identified through thematic analysis of interviews and open-ended responses. Results Kenya and South Africa are the only countries on the continent with formal established CECs. The following themes emerged from this qualitative study: (1) Lack of formal CECs and resolution of ethical dilemmas; (2) Role of CECs during COVID-19; (3) Ethical dilemmas presented to CECs pre-COVID-19; (4) Lack of awareness of CECs; (5) Lack of qualified bioethicists or clinical ethicists; (6) Limited resources to establish CECs; (7) Creating interest in CECs and networking. Conclusions This study illustrates the importance of clinical ethics education among African HCPs and bioethicists, more so now when COVID-19 has posed a host of clinical and ethical challenges to public and private healthcare systems. The challenges and barriers identified will inform the establishment of CECs or clinical ethics consultation services (CESs) in the region. The study results have triggered an idea for the creation of a network of African CECs.


Author(s):  
Won Lee ◽  
Sungkyoung Choi ◽  
Sujeong Kim ◽  
Ari Min

Nurses deal with ethical decisions as they protect patients’ rights, but a consensus on effective approaches to nursing ethics education is lacking. The “four topics” method can facilitate decision-making when nurses experience ethical dilemmas in practice. This study aimed to describe nursing students’ perspectives on and experiences of a case-centered approach to nursing ethics education using the four topics method. This qualitative study consisted of two phases. First, we delivered case-centered nursing ethics education sessions to nursing students using the four topics method. Then, we conducted two focus group discussions that explored students’ perspectives on and experiences of nursing ethics education. Data were analyzed using conventional content analysis. Four themes were identified: the importance of ethics education as perceived by nursing students, problems in current nursing ethics education, the experience of case-centered nursing ethics education using the four topics approach, and suggestions for improving nursing ethics education. The case-centered approach using the four topics method is effective in enhancing nursing students’ nursing ethics ability. It is crucial to understand that nursing students would like to set up their own ethical standards and philosophy. Continuous efforts to encourage students’ participation and to provide ethical reflection opportunities during clinical practice are needed to better connect theory with clinical practice.


2020 ◽  
Vol 33 (6) ◽  
pp. e519-e526
Author(s):  
Michele Megregian ◽  
Lisa Kane Low ◽  
Cathy Emeis ◽  
Raymond de Vries ◽  
Marianne Nieuwenhuijze

2019 ◽  
Vol 5 (1) ◽  
pp. 7-21 ◽  
Author(s):  
Amalia Muhaimin ◽  
Maartje Hoogsteyns ◽  
Adi Utarini ◽  
Derk Ludolf Willems

Abstract Studies have shown that students may feel emotional discomfort when they are asked to identify ethical problems which they have encountered during their training. Teachers in medical ethics, however, more often focus on the cognitive and rational ethical aspects and not much on students’ emotions. The purpose of this qualitative study was to explore students’ feelings and emotions when dealing with ethical problems during their clinical training and explore differences between two countries: Indonesia and the Netherlands. We observed a total of eighteen ethics group discussions and interviewed fifteen medical students at two medical schools. Data were interpreted and analyzed using content analysis. We categorized students’ negative emotions based on their objects of reflection and came up with three categories: emotions concerning their own performance, emotions when witnessing unethical behaviors, and emotions related to barriers and limitations of their working environment. Our study suggests that addressing emotional responses in a culturally sensitive way is important to develop students’ self-awareness. Teachers should be able to guide students to reflect on and be critical of their own thoughts and emotions, to understand their own moral values, especially when confronted with other individuals.


2019 ◽  
Vol 15 (2) ◽  
Author(s):  
Rocksheng Zhong ◽  
John K. Northrop ◽  
Puneet K.C. Sahota ◽  
Henry B. Glick ◽  
Anthony L. Rostain

Author(s):  
Le Meizhao ◽  
Ye Ming ◽  
Song Xiaoming ◽  
Xu Jiazhang

“Hydropic degeneration” of the hepatocytes are often found in biopsy of the liver of some kinds of viral hepatitis. Light microscopic observation, compareted with the normal hepatocytes, they are enlarged, sometimes to a marked degree when the term “balloning” degeneration is used. Their cytoplasm rarefied, and show some clearness in the peripheral cytoplasm, so, it causes a hydropic appearance, the cytoplasm around the nuclei is granulated. Up to the present, many studies belive that main ultrastructural chenges of hydropic degeneration of the hepatocytes are results of the RER cristae dilatation with degranulation and disappearance of glycogen granules.The specimens of this study are fixed with the mixed fluid of the osmium acidpotassium of ferricyanide, Epon-812 embed. We have observed 21 cases of biopsy specimens with chronic severe hepatitis and severe chronic active hepatitis, and found that the clear fields in the cytoplasm actually are a accumulating place of massive glycogen. The granules around the nuclei are converging mitochondria, endoplasm reticulum and other organelles.


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