Lying to patients: Ethics of deception in nursing

2020 ◽  
pp. 147775092097710
Author(s):  
Drew A Curtis ◽  
Jennifer M Braziel ◽  
Robert A Redfearn ◽  
Jaimee Hall
Keyword(s):  
Nursing Students ◽  
Nursing Programs ◽  
Ethical Code ◽  
Nursing Ethics ◽  
Patient Relationship ◽  
Mixed Design ◽  
Design Factor ◽  
The Core ◽  
Multidimensional Ethics Scale ◽  
Within Subjects

While the ethical use of deception has been discussed in literature, the ethics and acceptability of nursing deception has yet to be studied. The current study examined nurses’ and nursing students’ ratings of the ethics and acceptability of nursing deception. We predicted that nurses and nursing students would rate a truthful vignette as more ethical than a deceptive vignette. We also predicted that participants would rate nursing deception as unethical and unacceptable. A mixed design was used to examine ethics scores as a within-subjects factor and order as a between-groups design factor. A total of 131 nurses and nursing students were recruited from university nursing programs and hospitals in Texas. Participants were provided with a truthful vignette and deceptive vignette and used the Multidimensional Ethics Scale-Revised 1 to rate each vignette. Participants also completed the Lies in Nursing Ethics Questionnaire. The truthful nursing vignette was rated as more ethical than the deceptive vignette. Results indicated that most participants rated nursing deception as unethical, unacceptable, and a violation of the ANA ethical code. Some participants deemed that nursing deception may be acceptable within some cases. Age and years of experience were not related to the perceived ethics and acceptability of nursing deception. Nurses and nursing students believe that using deception with patients is unethical and unacceptable. However, some participants believed that deception may be warranted within some cases. These findings may reflect nurses’ placing the patient at the core of their values and viewing honesty as important for the nurse-patient relationship. Further implications and directions are discussed.

Effectiveness of ethics education as perceived by nursing students

2014 ◽  
Vol 22 (3) ◽  
pp. 287-306 ◽  
Author(s):  
Tine Vynckier ◽  
Chris Gastmans ◽  
Nancy Cannaerts ◽  
Bernadette Dierckx de Casterlé
Keyword(s):  
Pilot Study ◽  
Nursing Students ◽  
Teaching Methods ◽  
Content Validity ◽  
Ethics Education ◽  
Nursing Ethics ◽  
User Friendliness ◽  
Instructional Dialogue ◽  
Quantitative Descriptive ◽  
Ethics Courses

Background: The effectiveness of ethics education continues to be disputed. No studies exist on how nursing students perceive the effectiveness of nursing ethics education in Flanders, Belgium. Objectives: To develop a valid and reliable instrument, named the ‘Students’ Perceived Effectiveness of Ethics Education Scale’ (SPEEES), to measure students’ perceptions of the effectiveness of ethics education, and to conduct a pilot study in Flemish nursing students to investigate the perceived efficacy of nursing ethics education in Flanders. Research design: Content validity, comprehensibility and usability of the SPEEES were assessed. Reliability was assessed by means of a quantitative descriptive non-experimental pilot study. Participants and research context: 86 third-year baccalaureate nursing students of two purposefully selected university colleges answered the SPEEES. Ethical considerations: Formal approval was given by the ethics committee. Informed consent was obtained and anonymity was ensured for both colleges and their participating students. Findings: The scale content validity index/Ave scores for the subscales were 1.00, 1.00 and 0.86. The comprehensibility and user-friendliness were favourable. Cronbach’s alpha was 0.94 for general effectiveness, 0.89 for teaching methods and 0.85 for ethical content. Students perceived ‘case study’, ‘lecture’ and ‘instructional dialogue’ to be effective teaching methods and ‘general ethical concepts’ to contain effective content. ‘Reflecting critically on their own values’ was mentioned as the only ethical competence that, was promoted by the ethics courses. The study revealed rather large differences between both schools in students’ perceptions of the contribution of ethics education to other ethical competences. Discussion and conclusion: The study revealed that according to the students, ethics courses failed to meet some basic objectives of ethics education. Although the SPEEES proved to be a valid and reliable measure, the pilot study suggests that there is still space for improvement and a need for larger scale research. Additional insights will enable educators to improve current nursing ethics education.

scholarly journals Comparison of perceived genetic-genomic knowledge of nurse educators and graduate degree nursing students

2017 ◽  
Vol 7 (9) ◽  
pp. 67
Author(s):  
Leighsa Sharoff
Keyword(s):  
Nursing Students ◽  
Nurse Educators ◽  
Nursing Programs ◽  
Comfort Level ◽  
Graduate Degree ◽  
Literacy Assessment ◽  
Genomic Knowledge ◽  
Urban University ◽  
The Us ◽  
Perceived Relevance

Objective and rationale: Comparison of self-perceived genetic-genomic knowledge of nurse educators and graduate degree nursing students enrolled at a large diverse urban university in the US. Comfort level in performing genetic-genomic related tasks and its perceived relevance to nursing also explored. Practicing clinicians are expected to have Genetics and Genomics (G-G) knowledge to provide care to a client and their family with a genetic condition and faculty expected to be able to educate these practitioners.Methods: Two groups of participants asked to complete identical survey instrument, Genetics/Genomics Literacy Assessment (GGLA). Data was collected from September 2014-December 2015. Deans/Directors from university’s nursing programs (N = 17) sent introductory email with survey link and asked to forward to their faculty. APRN/DNP students at one of the university’s graduate programs sent email with survey link.Results: Fifty-three nurse educators and thirty-six graduate degree nursing students completed survey. Comparison of categorical data revealed nurse educators perceived G-G knowledge correlated to graduate degree students. Majority of participants demonstrated significantly lower correct percentages (< 55%) correct] to survey questions. Majority of participants (> 75%) attitude agree it is important for nurses to know this content and be able to teach this material. However, majority (> 75%) were not comfortable with teaching or explaining this material.Conclusions: Nurse educators need to be knowledgeable in order to educate their students who are expected to practice at advanced efficiency. A prepared nursing workforce is crucial for the translation of G-G integration into personalized precision healthcare.

Does the nursing curriculum influence feelings of gender-role conflict in a cohort of nursing degree male students?

2021 ◽  
Vol 30 (17) ◽  
pp. 1024-1030
Author(s):  
Martin Christensen ◽  
Nick Purkis ◽  
Raph Morgan ◽  
Chris Allen
Keyword(s):  
Nursing Students ◽  
Gender Role ◽  
Role Conflict ◽  
Gender Role Conflict ◽  
Nursing Programs ◽  
Male Students ◽  
Nursing Workforce ◽  
First Year ◽  
Nursing Curriculum ◽  
Over Time

It is estimated that more than 9% of the global nursing workforce is male and that this share will gradually rise over the next decade. Although there are some positive aspects of having a male nursing workforce, men in the profession still experience discriminatory behaviours and practices. Fortunately, this does not deter a number of men entering undergraduate degree programmes. The aim of this study was to understand the experiences of 14 male nursing students in their first year of the adult Bachelor of Nursing programme. Using the Inventory of Male Friendliness in Nursing Programs and the Gender Role Conflict Scale, this study found that the male students felt welcomed, supported and included into the nursing programme. In addition, they felt no overall gender-role conflict, although feelings of success and achievement caused some challenges. The results of this study suggest that the male students did not necessarily experience those inequitable behaviours and practices reported in the literature. It has been suggested that perhaps the reality of clinical practice may change the perception of nursing for male students. Therefore, implications for further research could include a longitudinal study to ascertain where the perceptions of the nursing programme change for the male nursing students over time.

Needs Assessment for Teaching/Learning Nursing Ethics for Master of Nursing Students

2016 ◽  
Vol 8 (2) ◽  
pp. 134-142
Author(s):  
Rano Mal Piryani ◽  
Suneel Piryani ◽  
Ramesh Sharma Poudel ◽  
Mamata Sharma
Keyword(s):  
Nursing Students ◽  
Needs Assessment ◽  
Nursing Ethics ◽  
Teaching Learning

scholarly journals Pharmacology Curriculum and Teaching Methods: A Comparative Study Between Two Nursing Programs in A Nepalese College

2017 ◽  
Vol 16 (1) ◽  
pp. 19-23
Author(s):  
Manoj Sharma ◽  
Kumud Kumar Kafle
Keyword(s):  
Nursing Students ◽  
Nursing Programs ◽  
P Value ◽  
First Year ◽  
Teaching Methodology ◽  
Chi Square ◽  
Course Content ◽  
Bachelor Of Science ◽  
Chi Square Test ◽  
Academic Year

Introduction: Pharmacology is one of the basic science subjects included in graduate nursing programs (B. Sc Nursing and Bachelor of Science in Nursing) under Tribhuvan University. Both these programs are being run at our institute. This article describes the evaluation of pharmacology course and teaching methodology at our institute by B. Sc Nursing (B. Sc) and Bachelor of Science in Nursing (BNS) students and also compares students’ views between these two nursing programs to facilitate pedagogical learning. Methods: At the end of the course of 2071-2072 BS academic year of first year nursing students of B. Sc and BNS programs, a structured teaching evaluation questionnaire was designed to obtain students’ view on pharmacology curriculum and lectures. Yates corrected Chi square test was applied whenever necessary and p value considered significant at less than or equal to 0.05.Results: Only 37% B. Sc and 60% BNS students responded that the lecture content was in accordance with the curriculum. Only 52% BNS and 97% B. Sc students found the course content to be relevant and useful. 68% BNS students responded that they have felt a lot improvement in their understanding of pharmacology subject as compared to just 23% of B. Sc students. Majority of the students preferred the LCD mode of presentation.Conclusion: There were minor differences found between opinions of two sets of students. Major need for improvement areas suggested in curriculum were course content not being clear and the objectives being ill defined. Similarly, in relation to facilitator, they have recommended to improve voice clarity.

Facial Identity Memory Is Enhanced When Sender’s Expression Is Congruent to Perceiver’s Experienced Emotion

2017 ◽  
Vol 121 (5) ◽  
pp. 892-908
Author(s):  
Marilyn Mendolia
Keyword(s):  
Social Context ◽  
Emotional Expression ◽  
Negative Emotion ◽  
Mixed Design ◽  
Identity Recognition ◽  
Facial Identity ◽  
The Social ◽  
Within Subjects ◽  
Experienced Emotion

The role of the social context in facial identity recognition and expression recall was investigated by manipulating the sender’s emotional expression and the perceiver’s experienced emotion during encoding. A mixed-design with one manipulated between-subjects factor (perceiver’s experienced emotion) and two within-subjects factors (change in experienced emotion and sender’s emotional expression) was used. Senders’ positive and negative expressions were implicitly encoded while perceivers experienced their baseline emotion and then either a positive or a negative emotion. Facial identity recognition was then tested using senders’ neutral expressions. Memory for senders previously seen expressing positive or negative emotion was facilitated if the perceiver initially encoded the expression while experiencing a positive or a negative emotion, respectively. Furthermore, perceivers were confident of their decisions. This research provides a more detailed understanding of the social context by exploring how the sender–perceiver interaction affects the memory for the sender.

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