scholarly journals Ethical Reasoning in Capstone Students

2004 ◽  
Vol 8 (2) ◽  
pp. 55-60 ◽  
Author(s):  
Lynn Clark Callister

Complex ethical issues characterize current healthcare environments. Nurse educators have been charged in the American Association of Colleges of Nursing (AACN) Essentials of Baccalaureate Education for Nursing Practice document with the responsibility to provide baccalaureate graduates with the knowledge and skills to apply ethical decision-making frameworks to clinical practice. However, there is a paucity of literature on ethical reasoning in nursing students. The purpose of this paper is to describe ethical reasoning in capstone students in an integrated baccalaureate nursing program. Themes identified from clinical journal entries include integration of ethics into both personal and professional life, strengthened commitment to professional integrity, and integration of the ethics of care with the ethics of justice. Helping students focus on empowered caring in nursing practice may be a significant way in which nurses can reform flawed healthcare delivery systems.

1997 ◽  
Vol 3 (3) ◽  
pp. 56
Author(s):  
Judith Clare ◽  
Susan Mann ◽  
Charmaine Power ◽  
Tess Byrnes ◽  
Ailsa n'ha Winifreyda

An innovative project which aims to balance acute care and community health care in the clinical experience for students in a generic baccalaureate nursing program, is outlined. The ways in which nurses in community practice and academia can work together to ensure that primary health care (PHC) becomes a philosophy used for guiding nursing practice, is demonstrated. The aims of the project are to gather sufficient information on which to base curricula change to the undergraduate baccalaureate nursing program, as well as to assess the employment outcomes for this group of graduate nurses. The paper sets the context for the project by providing a brief historical review that highlights the relevance and necessity of PHC as a framework for nursing. The ways in which nurses in community practice and nurses in academia can work together to ensure that primary health care (PHC) becomes a philosophy used for guiding nursing practice is discussed. Through an innovative partnership between the School of Nursing, Flinders University of South Australia (FUSA) and Noarlunga Health Services, curriculum changes ensure that nursing students experience a balance of theory and practice in both the community and acute clinical fields, and that the curriculum is underpinned by PHC philosophy and principles.


2013 ◽  
Vol 27 (2) ◽  
pp. 88-94
Author(s):  
Sarah E. Newton ◽  
Margaret Harris ◽  
Laura Pittiglio

Prelicensure nursing students often have difficulty performing medication calculations (MCs). Faculty at one baccalaureate nursing program wanted to use nursing theory to guide the development of a teaching–learning approach related to MC’s. Finding little theory related to the topic of MCs, a constructivist-based teaching–learning approach was used instead. The purpose of the study was to assess whether nursing students who received an MC review class that used a teaching–learning approach based on constructivist philosophy had better results on an MC examination than students who received their review via traditional teaching–learning methods. The study participants consisted of two cohorts of first-semester junior-level nursing students from one university-based school of nursing in the Midwestern United States. The results indicated that students in the simulation review class had higher mean scores on an MC examination than students who received their review via more traditional means. Teaching–learning strategies related to MCs based on constructivist philosophy have the potential to improve student learning outcomes, but more research is needed before middle-range theory related to this critically important area of nursing education can be developed.


2018 ◽  
Vol 22 (4) ◽  
pp. 169-178 ◽  
Author(s):  
Kuntarti Kuntarti ◽  
Krisna Yetti ◽  
Enie Novieastari

Caring behavior as a core competence of nursing students should be developed during the educational period. This study aimed to explore nursing students’ experiences in developing their caring behavior during nursing education. The study employed focus group discussions involving seven nursing students enrolled in the 3rd, 5th, and 9th semesters, and recent graduates of the baccalaureate nursing program in Indonesian. Data were analyzed using concept analysis with Colaizzi’s model. The results showed that besides their parents, the peer group was the most significant contributor to the development of their caring behaviors, followed by lecturers, senior students, nurses, and their patients. This study recommended that the faculty engage peer groups, senior students, and lecturers in the mentoring program to cultivate a caring culture among nursing students and measure the effectiveness of the program to change nursing students’ caring behaviors.


Author(s):  
Virginia M. Brabender

This chapter focuses upon the major ethical issues that emerge in the practice of group psychotherapy. Four issues are given particular attention: competence, confidentiality, evaluation of progress, and dual relationships. It discusses these issues in terms of the core ethical principles that they engage, and considers how the therapist would go about resolve a conflict between these principles in a given practice situation. The chapter also explicates the impediments that exist to good ethical reasoning in the group situation. These include two broad categories: lack of knowledge and skills, and human factors affecting ethical decision-making. The latter include cognitive biases such as overshadowing, processing errors, and affective stimulation. Ways of surmounting these obstacles are suggested.


Author(s):  
Rana Halabi Najjar ◽  
Bret Lyman ◽  
Nick Miehl

AbstractResearch has revealed the effectiveness of simulation for facilitating student development of self-efficacy, knowledge, clinical judgment, and proficiency in technical skills. This grounded theory study was conducted to describe the experience of nursing students in high-fidelity simulation and develop a model which explicates the experience of nursing students in simulation. Focus group interviews were conducted with three cohorts of students enrolled in a baccalaureate nursing program who experienced simulation four to twelve times per academic year. Five prominent themes emerged during analysis Emotional Processing; Anxiety; Making Connections; Fidelity; and Learning. The Simulation Learning Model – Student Experience (SLM-SE) was developed to illustrate the student’s multi-dimensional experience of learning through high-fidelity simulation. Findings from this study suggest that students are better equipped to learn through increasing confidence and experience, continued reflection-on action and enhanced peer-to-peer interaction. Recommendations for future research include developing strategies to optimize students’ experiences for learning in simulation.


2013 ◽  
Vol 20 (8) ◽  
pp. 943-956 ◽  
Author(s):  
Eun-Jun Park

To effectively train ethical decision-making of nursing students, a case-based computer program was developed using Flash animation. Seven ethical cases collected from practicing registered nurses’ actual clinical experiences and a six-step Integrated Ethical Decision-Making Model developed by the author were employed in the program. In total, 251 undergraduate students from three nursing schools used the program in their nursing ethics course. The usability of the program and its usefulness in improving 11 abilities needed in ethical decision-making were measured; it scored higher than 4 on a 5-point scale. Of the students, 82% recommended the program as a valuable complementary tool in the teaching of a nursing ethics course. A variety of encouraging and positive experiences were reported by the students. The computer program is likely to be usefully practical in the training of abstract skills to nursing students, though certain challenges remain, such as the precise understanding of cognitive or affective responses to ethical issues.


2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Vicki Foley ◽  
Florence Myrick ◽  
Olive Yonge

Research has shown that while preceptorship offers a reality-oriented learning environment and facilitates competence of students, there are inherent rewards and stressors associated with the experience. Students and preceptors can be from different generations, and as such, they may often come to the learning space with differing values and expectations. The nature of the preceptorship experience in this intergenerational context was explored in a recent phenomenological study with seven preceptors and seven nursing students in an undergraduate nursing program in Eastern Canada. Overall the experience was found to be inclusive of three main themes:being affirmed, being challenged, andbeing on a pedagogical journey. In this paper we explore the first of these themes,being affirmed. Highlighting the positive aspects of the preceptorship experience in the intergenerational context is necessary to promote a culture of openness and respect for generational differences within clinical nursing practice settings and to improving the overall quality of the educational experience.


1995 ◽  
Vol 76 (3_suppl) ◽  
pp. 1362-1362
Author(s):  
Elaine D. Dyer ◽  
Edward J. Winward

This study of 960 nursing students indicated scores on the Strong-Campbell Interest Inventory and the California Psychological Inventory could effectively assist in career planning.


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