scholarly journals Professional moral courage and moral reasoning among nurses in clinical environments: a multivariate model

2022 ◽  
Author(s):  
Mahnaz Khatiban ◽  
Seyedeh Nayereh Falahan ◽  
Ali Reza Soltanian
Keyword(s):  
Nursing Education ◽  
Moral Reasoning ◽  
Moral Dilemmas ◽  
Moral Courage ◽  
Multivariate Model ◽  
Practical Consideration ◽  
Work Characteristics ◽  
Ethical Practice ◽  
Total Size ◽  
Cross Sectional

Improving ethical practice needs recognizing the relationship between moral reasoning and moral courage among nurses. We examined factors (moral reasoning, practical consideration, moral dilemmas familiarity, and demographic and work characteristics) associated with moral courage among nurses. A cross-sectional design was run at all five hospitals affiliated to Hamadan University of Medical Sciences in west of Iran. A proportionate random sampling due to the total size of the nurse population in each hospital, 224 eligible nurses were completed the study questionnaires: demographic-work characteristics, Professional Moral Courage (PMC), and Nursing Dilemma Test. The relationships were examined by multiple regression analysis. Participants reported a more than moderate level of moral reasoning and PMC (43.21±5.98 and 56.16±10.18 respectively). The multivariate model showed the nurses’ PMC is positively predisposed with moral reasoning (β=0.21, p<0.01), but negatively with practical consideration (β=-0.16, p<0.01). More moral courage was found in the nurses who were never married (p<0.001), graduated from a public university (p<0.01), working in the critical care and emergency environments, as well as night shifts (all p<0.001). Moral reasoning is a predictor of moral courage, and both should be considered in designing nursing education to improve ethical nursing practice.  

scholarly journals Investigating Ethical Skills in Dentists and Dental Students: A Comparative Study

2020 ◽  
Vol 10 (3) ◽  
pp. 27149
Author(s):  
Sahar Vardian Tehrani ◽  
Shabnam Bazmi
Keyword(s):  
Moral Reasoning ◽  
Professional Ethics ◽  
Cross Sectional Study ◽  
Dental Students ◽  
Moral Courage ◽  
Moral Sensitivity ◽  
Moral Integrity ◽  
Cross Sectional ◽  
Medical Practitioners ◽  
Ethics Course

Background: Commitment to professional ethics is important for all medical practitioners, including dentists. This skill should be taught to students during their studies. The purpose of this study was to investigate the moral skills of dentistry students and dentists. Methods: This cross-sectional study was performed on 160 dentistry students and dentists. The Moral skills Inventory (MSI) Questionnaire was cross-culturally adapted and used in this study. The MSI was developed by Chamber’s and has 40 items covering four domains including: moral sensitivity, moral reasoning, moral integrity, and moral courage. Each domain’s scores ranged from zero to 20. The results were analyzed using SPSS software version 21. Results: comparing with dentists, dentistry students got higher score in moral sensitivity domain (5.5 ± 3.64 vs. 3.87 ± 2.22) and moral integrity (6.4 ± 3.2 vs. 5.78 ± 2.72). However, in moral reasoning, dentists got higher score than students (15.40 ± 2.11 vs. 13.92 ± 2.35). In the moral courage domain, students’ score was 13.47 ± 3.10 and dentists’ was 13.62 ± 2.96. The mean±SD of total score of moral skills in all domains was 39.3± 4.50 for dental students, 38.68 ± 4.48 for dentists, and 38.99 ± 4.49 for all participants. Conclusion: The professional ethics skills are relatively low in all four domains among dentistry students and dentists. Workshops, reviewing the syllables of medical ethics course, and practicing moral skills during training courses and monitoring professional performance can help to improve moral skill.

STUDENTS INTEREST IN CONTINUING PROFESSIONAL EDUCATION NURSES IN HEALTH EDUCATION INSTITUTIONS IN BANYUMAS

2018 ◽  
Vol 2 (1) ◽  
pp. 14
Author(s):  
Rahmaya Nova Handayani ◽  
Adiratna Sekarsiwi
Keyword(s):  
Nursing Education ◽  
Health Education ◽  
Support System ◽  
Professional Education ◽  
Continuing Professional Education ◽  
Health Science ◽  
Dominant Factor ◽  
Student Interest ◽  
Cross Sectional ◽  
System Method

Introduction. Types of nursing education in Indonesia are vocational, academic and professional. Professional education is higher education after an undergraduate program that prepares students to have jobs with specific skill requirements. The purpose of this study was to identify factors that affect student interest in continuing professional education nurses based on perception, motivation and support system. Method. The study design was a descriptive analytic cross-sectional approach. Unstratified sampling using random sampling with a sample of 111 respondents in health education institutions in karisidenan Banyumas, there are Harapan Bangsa Purwokerto Institute of Health Science, Purwokerto Muhammadiyah University, Jenderal Sudirman University.Data was analysed by using multivariate logistic regression. Results. The results of the study showed that no correlation  perception, motivation, and support system of nurses Profession election interest in health education institutions in-karisidenan Banyumas (p=0,999; 0,956; 0,135).Discussion. The most dominant factor affecting the interest of the nurse profession was support system.Keywords: interest, perception, motivation, support system, professional nurses

scholarly journals Validation of the Dutch-language version of Nurses’ Moral Courage Scale

2021 ◽  
pp. 096973302098175
Author(s):  
Olivia Numminen ◽  
Kasper Konings ◽  
Roelant Claerhout ◽  
Chris Gastmans ◽  
Jouko Katajisto ◽  
...  
Keyword(s):  
Goodness Of Fit ◽  
Scale Validation ◽  
Principal Component ◽  
Moral Courage ◽  
Copyright Holder ◽  
Moral Competence ◽  
Cross Sectional ◽  
Component Structure ◽  
Language Version ◽  
Dutch Language

Background: Moral courage as a part of nurses’ moral competence has gained increasing interest as a means to strengthen nurses acting on their moral decisions and offering alleviation to their moral distress. To measure and assess nurses’ moral courage, the development of culturally and internationally validated instruments is needed. Objective: The objective of this study was to validate the Dutch-language version of the four-component Nurses’ Moral Courage Scale originally developed and validated in Finnish data. Research design: This methodological study used non-experimental, cross-sectional exploratory design. Participants and research context: A total of 559 nurses from two hospitals in Flanders, Belgium, completed the Dutch-language version of the Nurses’ Moral Courage Scale. Ethical considerations: Good scientific inquiry guidelines were followed throughout the study. Permission to translate the Nurses’ Moral Courage Scale was obtained from the copyright holder, and the ethical approval and permissions to conduct the study were obtained from the participating university and hospitals, respectively. Findings: The four-component 21-item, Dutch-language version of the Nurses’ Moral Courage Scale proved to be valid and reliable as the original Finnish Nurses’ Moral Courage Scale. The scale’s internal consistency reliability was high (0.91) corresponding with the original Nurses’ Moral Courage Scale validation study (0.93). The principal component analysis confirmed the four-component structure of the original Nurses’ Moral Courage Scale to be valid also in the Belgian data explaining 58.1% of the variance. Confirmatory factor analysis based on goodness-of-fit indices provided evidence of the scale’s construct validity. The use of a comparable sample of Belgian nurses working in speciality care settings as in the Finnish study supported the stability of the structure. Discussion and conclusion: The Dutch-language version of the Nurses’ Moral Courage Scale is a reliable and valid instrument to measure nurses’ self-assessed moral courage in speciality care nursing environments. Further validation studies in other countries, languages and nurse samples representing different healthcare environments would provide additional evidence of the scale’s validity and initiatives for its further development.

scholarly journals The situation of nursing education in Latin America and the Caribbean towards universal health

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Silvia Helena De Bortoli Cassiani ◽  
Lynda Law Wilson ◽  
Sabrina de Souza Elias Mikael ◽  
Laura Morán Peña ◽  
Rosa Amarilis Zarate Grajales ◽  
...  
Keyword(s):  
Health Care ◽  
Latin America ◽  
Primary Health Care ◽  
Nursing Education ◽  
Clinical Decision Making ◽  
Clinical Experiences ◽  
Cross Sectional ◽  
Primary Health ◽  
The Caribbean ◽  
Universal Health

Objective: to assess the situation of nursing education and to analyze the extent to which baccalaureate level nursing education programs in Latin America and the Caribbean are preparing graduates to contribute to the achievement of Universal Health. Method: quantitative, descriptive/exploratory, cross-sectional study carried out in 25 countries. Results: a total of 246 nursing schools participated in the study. Faculty with doctoral level degrees totaled 31.3%, without Brazil this is reduced to 8.3%. The ratio of clinical experiences in primary health care services to hospital-based services was 0.63, indicating that students receive more clinical experiences in hospital settings. The results suggested a need for improvement in internet access; information technology; accessibility for the disabled; program, faculty and student evaluation; and teaching/learning methods. Conclusion: there is heterogeneity in nursing education in Latin America and the Caribbean. The nursing curricula generally includes the principles and values of Universal Health and primary health care, as well as those principles underpinning transformative education modalities such as critical and complex thinking development, problem-solving, evidence-based clinical decision-making, and lifelong learning. However, there is a need to promote a paradigm shift in nursing education to include more training in primary health care.

Health literacy and mental health of school principals. Results from a German cross-sectional survey

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kevin Dadaczynski ◽  
Claudia Kotarski ◽  
Katharina Rathmann ◽  
Orkan Okan
Keyword(s):  
Mental Health ◽  
Health Literacy ◽  
Emotional Exhaustion ◽  
Regression Models ◽  
School Principals ◽  
Health Indicators ◽  
Well Being ◽  
Work Characteristics ◽  
Cross Sectional ◽  
Content Type

PurposeSchool principals are generally seen as key facilitators for the delivery and long-term implementation of activities on school health promotion, including health literacy. However, there is little evidence on the health literacy and health status of this occupational group. The purpose of this paper is to investigate the health literacy of school principals and its association with mental health indicators.Design/methodology/approachA cross-sectional online survey with German school principals and members of the management board (vice principals) was conducted (n = 680, 68.3% female). Demographic (gender, age) and work characteristics (type of school, professional role) as well as health literacy served as independent variables. Mental health as a dependent variable included well-being, emotional exhaustion and psychosomatic complaints. Next to uni- and bivariate analysis, a series of binary logistic regression models was performed.FindingsOf the respondents, 29.2% showed a limited health literacy with significant differences to the disadvantage of male principals. With regard to mental health, respondents aged over 60 years and those from schools for children with special educational needs were less often affected by low well-being as well as frequent emotional exhaustion and psychosomatic complaints. Taking into account demographic and work characteristics, regression models revealed significant associations between a low level of health literacy and poor mental health across all indicators.Research limitations/implicationsThe cross-sectional nature of this study does not allow to draw conclusions about the causal pathways between health literacy and mental health. Although the sample has been weighted, the results cannot be generalized to the whole population of school principals. There is a need for evidence-based interventions aiming at promoting health literacy and mental health tailored to the needs of school principals.Originality/valueThis is the first study to investigate health literacy and its association with health indicators among school principals.

Challenges of Media Ethics Education in Lebanon in the Midst of Political and Economic Pressure

2019 ◽  
Vol 75 (3) ◽  
pp. 275-290
Author(s):  
Maria Bou Zeid ◽  
Jessica R. El-Khoury
Keyword(s):  
Moral Reasoning ◽  
Qualitative Methodology ◽  
Ethics Education ◽  
Arab World ◽  
Moral Dilemmas ◽  
Economic Pressure ◽  
Media Ethics ◽  
Factors Affecting ◽  
Ethics Course ◽  
Complex Boundaries

The Lebanese media sector has played a pioneering role in the Arab world due to its free and diverse system. However, the lack of professional and ethical structures in journalistic practices can be attributed to political and economic pressures. Through both a quantitative and qualitative methodology, this study contributes to the complex boundaries of the Lebanese media landscape that make the gap between media ethics education and real-world pressures in need of sustained analysis. This research aims to explore the challenges media ethics education in Lebanon faces, along with the perceptions formed by media students about journalistic practices and the application of moral reasoning in the field. In addition, the study investigates whether media ethics courses prepare students for settling moral dilemmas in the professional arena. To address the multiple factors affecting ethics education, it is significant to understand the relationship between journalists and power, democratic norms, technological change, global community, and academic critiques. Survey and focus groups results indicated that the majority of students rated moral reasoning as important for their future media professions, and that the media ethics course prepares them for professional life. On the other hand, the majority believe that the corrupt system in Lebanon makes journalists resort to unethical practices which in turn compromise journalists’ credibility and integrity. Students consider that journalists have power as the so-called fourth estate, yet that power seems minimal when journalists lack the freedom to write facts without fear from editors and/or gatekeepers’ political views, economic pressure, and on-the-job demands, placing journalistic integrity again at stake.

scholarly journals Improving measurement in nutrition literacy research using Rasch modelling: examining construct validity of stage-specific ‘critical nutrition literacy’ scales

2013 ◽  
Vol 17 (4) ◽  
pp. 877-883 ◽  
Author(s):  
Øystein Guttersrud ◽  
Jorån Østerholt Dalane ◽  
Sverre Pettersen
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Rasch Analysis ◽  
Dietary Habits ◽  
School Personnel ◽  
Self Report ◽  
Eating Behaviours ◽  
Cross Sectional ◽  
University Colleges ◽  
Engagement Scale

AbstractObjectiveCritical nutrition literacy (CNL), as an increasingly important area in public health nutrition, can be defined as the ability to critically analyse nutrition information, increase awareness and participate in action to address barriers to healthy eating behaviours. Far too little attention has been paid to establishing valid instruments for measuring CNL. The aim of the present study was to assess the appropriateness of utilizing the latent scales of a newly developed instrument assessing nursing students’ ‘engagement in dietary habits’ (the ‘engagement’ scale) and their level of ‘taking a critical stance towards nutrition claims and their sources’ (the ‘claims’ scale).DesignData were gathered by distributing a nineteen-item paper-and-pencil self-report questionnaire to university colleges offering nursing education. The study had a cross-sectional design using Rasch analysis. Data management and analysis were performed using the software packages RUMM2030 and SPSS version 20.SettingSchool personnel handed out the questionnaires.SubjectsFour hundred and seventy-three students at ten university colleges across Norway responded (52 % response rate).ResultsDisordered thresholds were rescored, an under-discriminating item was discarded and one item showing uniform differential item functioning was split. The assumption of item locations being differentiated by stages was strengthened. The analyses demonstrated possible dimension violations of local independence in the ‘claims’ scale data and the ‘engagement’ scale could have been better targeted.ConclusionsThe study demonstrates the usefulness of Rasch analysis in assessing the psychometric properties of scales developed to measure CNL. Qualitative research designs could further improve our understanding of CNL scales.

scholarly journals Perception on Management of Nursing Education Institutes among Bachelors Students in Selected Nursing Colleges at Kathmandu

2020 ◽  
Vol 7 (1) ◽  
pp. 23-36
Author(s):  
Bhuwan Kumari Dangol ◽  
Narbada Thapa
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Statistical Significance ◽  
Data Entry ◽  
Education Institution ◽  
Cross Sectional Study ◽  
Current Status ◽  
P Value ◽  
Cross Sectional ◽  
Organizational Goals

Management is a process of planning, decision making, organizing, leading, motivating and controlling, and an effective utilization of the resources to reach the organizational goals efficiently and effectively. Management has a crucial role in quality of work and production in any institutions. Although a rapid increase of Nursing Education Institutions in Nepal since last decade which had been trained thousands of nursing cadres, the management aspects of these institutions are not studied adequately. Thus current study intended to explore the current status of Nursing Education Institution Management as experienced and perceived by the bachelors nursing students. A descriptive cross-sectional study was conducted among the nursing institutions in Kathmandu valley. Of the total 28 in the valley, 14 were selected purposively. From the selected institutions, all 377 eligible students currently in final year of study were selected. Among them, 208were from BSN and 169 were from B Sc program.  The data was collected through the self administered structured questioners after taking informed consent. Data entry and analysis was done in SPSS version 16 software. The findings of the study show that 70% students were satisfied in institutional management (mean59.62, SD ± 3.66). In academic management (78%), (mean139.82, SD ± 6.22), followed by human resources 67%, (mean43.54, SD ± 2.79) and were in physical resources management 75% students were satisfied (mean45.02, SD ± 3.08). Analysis of variations between group (administrators, faculties, students) found statistical significance (p value <0.05). So it is concluded the perception of students, faculties and administrator were different on managing the nursing education.

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