{"title":"The impact of simulation-based ethical education on nursing students' moral distress levels.","authors":"Jennifer Dalton, Karen L Gordes","doi":"10.1515/ijnes-2024-0089","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to determine whether integrating ethical simulation-based education (SBE) into prelicensure nursing students' curriculum would impact moral distress levels.</p><p><strong>Methods: </strong>A longitudinal mixed methods design was used to measure moral distress levels and collect qualitative data related to the SBE.</p><p><strong>Results: </strong>In the final sample (n=48), there was no statistically significant difference among moral distress scores over the three measured time points. Thematic analysis revealed four primary themes: (1) powerlessness as a student; (2) students have a basic moral understanding; (3) discomfort in speaking up with integrity; and (4) students understand the importance of emotional intelligence.</p><p><strong>Conclusions: </strong>The final and lowest survey score, combined with the results of the thematic analysis, indicates that integrating ethical SBE throughout curriculum could impact moral distress. In addition, training educators in maintaining psychologically safe environments can empower students and potentially reduce burnout.</p>","PeriodicalId":35294,"journal":{"name":"International Journal of Nursing Education Scholarship","volume":"22 1","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Education Scholarship","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1515/ijnes-2024-0089","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: The purpose of this study was to determine whether integrating ethical simulation-based education (SBE) into prelicensure nursing students' curriculum would impact moral distress levels.
Methods: A longitudinal mixed methods design was used to measure moral distress levels and collect qualitative data related to the SBE.
Results: In the final sample (n=48), there was no statistically significant difference among moral distress scores over the three measured time points. Thematic analysis revealed four primary themes: (1) powerlessness as a student; (2) students have a basic moral understanding; (3) discomfort in speaking up with integrity; and (4) students understand the importance of emotional intelligence.
Conclusions: The final and lowest survey score, combined with the results of the thematic analysis, indicates that integrating ethical SBE throughout curriculum could impact moral distress. In addition, training educators in maintaining psychologically safe environments can empower students and potentially reduce burnout.
期刊介绍：
The International Journal of Nursing Education Scholarship publishes significant research and scholarship in the broad field of nursing education. The mandate of the journal is to present high quality papers to advance nursing education through research, description of innovative methods, or introduction of novel approaches about all aspects of nursing education in a timely manner. The specific aims of IJNES are to: - Promote worldwide scholarship in nursing education - Enhance and advance nursing education globally - Provide a forum for the dissemination of international perspectives and scholarship in nursing education
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