Simulation-Based Ethics Education: Building Confidence and Competence in Nursing Students.

Q3 Medicine

Journal of Clinical Ethics Pub Date : 2025-01-01 DOI:10.1086/736150

Rajeev R Dutta, Julia Hunter, Elizabeth Vega-Belluscio

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引用次数: 0

Abstract

AbstractBackground: We combined simulation-based learning and ethics education for a unique, educational experience for nursing students. We aimed to assess students' feelings of confidence, efficacy, and moral distress before and after a simulation session focused primarily on handling an ethical dilemma.

Methods: A simulation session featuring an ethical dilemma was enacted as an in-class activity for a nursing ethics course. Optional pre- and post-surveys were made available to nursing students ( $n = 13$ ) to collect both quantitative (five-point Likert) and qualitative data, including a modified version of the Measure of Moral Distress-Healthcare Professionals tool.

Results: Students reported significantly increased levels of confidence in handling real-life ethical dilemmas, knowledge of working with a physician in real-life ethical dilemmas, and competence in selecting appropriate actions in ethical dilemmas. Overall moral distress was not found to be significantly increased in participants.

Conclusions: Nursing students describe ethics simulation as a valuable, innovative tool for preparing them to handle eventual ethical challenges in their career and anticipating moral distress.

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基于模拟的伦理学教育：建立护生的信心和能力。

摘要背景：我们将模拟学习与伦理教育相结合，为护生提供独特的教育体验。我们的目的是评估学生在处理道德困境的模拟会议前后的信心、效能和道德困境的感受。方法：在护理伦理学课程中设置以伦理困境为主题的模拟课堂。对护理专业学生（n=13）进行可选的事前和事后调查，以收集定量（五点李克特）和定性数据，包括修改版本的道德困扰测量-医疗保健专业人员工具。结果：学生报告在处理现实生活中的道德困境方面的信心水平显著提高，在现实生活中的道德困境中与医生合作的知识，以及在道德困境中选择适当行动的能力。总体而言，参与者的道德困扰并没有显著增加。结论：护理学生将伦理模拟描述为一种有价值的创新工具，可以帮助他们处理职业生涯中最终的伦理挑战，并预测道德困境。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Ethics Medicine-Medicine (all)

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： The Journal of Clinical Ethics is written for and by physicians, nurses, attorneys, clergy, ethicists, and others whose decisions directly affect patients. More than 70 percent of the articles are authored or co-authored by physicians. JCE is a double-blinded, peer-reviewed journal indexed in PubMed, Current Contents/Social & Behavioral Sciences, the Cumulative Index to Nursing & Allied Health Literature, and other indexes.