A Quantitative Assessment of Medical Ethics Competence in Undergraduate Nursing and Midwifery Students
DOI:
https://doi.org/10.56294/mw2023116Keywords:
Medical Ethics Competence, Undergraduate Nursing, Midwifery Students, Healthcare EducationAbstract
Competence in medical ethics is vital for nursing and midwifery students to navigate ethical dilemmas in clinical practice. Understanding how these students apply ethical principles is crucial for improving healthcare education. This assessment aimed to assess the level of medical ethics competence among undergraduate nursing and midwifery students and explore demographic factors that may influence their performance. A total of 316 undergraduate nursing and midwifery students participated in the assessment. Participants completed a structured questionnaire consisting of case-based scenarios designed to evaluate their knowledge and application of core ethical principles, including autonomy, beneficence, non-maleficence, and justice. Data were analyzed using independent samples t-test, chi-square test, and multiple regression analysis. Most students demonstrated a basic understanding of medical ethics but struggled to apply ethical principles to clinical scenarios. Senior students performed better than first-year students and gender differences were observed in specific ethical areas. Regression analysis revealed that the year of study and GPA were significant predictors of medical ethics competence. Findings emphasize the need for a more practical and case-based approach to ethics education. Strengthening ethics training in nursing and midwifery programs, particularly in later years, can better prepare students for the ethical challenges faced in clinical settings.
References
1. Keskinbora KH. Medical ethics considerations on artificial intelligence. Journal of Clinical Neuroscience. 2019 Jun 1;64:277-82. https://doi.org/10.1016/j.jocn.2019.03.001
2. Van Hecke A, Goemaes R, Verhaeghe S, Beyers W, Decoene E, Beeckman D. Leadership in nursing and midwifery: Activities and associated competencies of advanced practice nurses and midwives. Journal of Nursing Management. 2019 Sep;27(6):1261-74. https://doi.org/10.1111/jonm.12808
3. Casey M, O’Connor L, Cashin A, Fealy G, Smith R, O’Brien D, Stokes D, McNamara M, O’Leary D, Glasgow ME. Enablers and challenges to advanced nursing and midwifery practice roles. Journal of nursing management. 2019 Mar;27(2):271-7. https://doi.org/10.1111/jonm.12697
4. Stefaniak M, Dmoch-Gajzlerska E. Mentoring in the clinical training of midwifery students focuses study of the experiences and opinions of midwifery students at the Medical University of Warsaw participating in a mentoring program. BMC medical education. 2020 Dec;20:1-9. https://doi.org/10.1186/s12909-020-02324-w
5. O'Connor L, Casey M, Smith R, Fealy GM, Brien DO, O'Leary D, Stokes D, McNamara MS, Glasgow ME, Cashin A. The universal, collaborative and dynamic model of specialist and advanced nursing and midwifery practice: A way forward? Journal of Clinical Nursing. 2018 Mar;27(5-6):e882-94. doi: 10.1111/ jocn.13964
6. Van der Cingel M, Brouwer J. What makes a nurse today? A debate on the nursing professional identity and its need for change. Nursing philosophy. 2021 Apr;22(2):e12343. https://doi.org/10.1111/nup.12343
7. Chen Q, Su X, Liu S, Miao K, Fang H. The relationship between moral sensitivity and professional values and ethical decision-making in nursing students. Nurse education today. 2021 Oct 1;105:105056. https://doi.org/10.1016/j.nedt.2021.105056
8. Small C, Lew C. Mindfulness, moral reasoning, and responsibility: Towards virtue in ethical decision-making. Journal of Business Ethics. 2021 Feb;169(1):103-17. https://doi.org/10.1007/s10551-019-04272-y
9. Jafari H, Khatony A, Abdi A, Jafari F. Nursing and midwifery students’ attitudes towards principles of medical ethics in Kermanshah, Iran. BMC medical ethics. 2019 Dec;20:1-6. https://doi.org/10.1186/s12910-019-0364-z
10. Megregian M, Low LK, Emeis C, de Vries R, Nieuwenhuijze M. Essential components of midwifery ethics education: results of a Delphi study. Midwifery. 2021;96:102946. Available from: https://doi.org/10.1016/j.midw.2021.102946
11. Megregian M, Low LK, Emeis C, de Vries R, Nieuwenhuijze M. Midwifery students' expectations of and experiences with ethics education: A qualitative study. Nurse education today. 2021 Oct 1;105:105035. https://doi.org/10.1016/j.nedt.2021.105035
12. BibTeX EndNote RefManHailu M, Welday M, Haftu A, Tadesse D, Weldeamanel T, Amsalu B, et al. Clinical practice competence and its associated factors among midwifery and nursing students at Dire Dawa Health Sciences Colleges, East Ethiopia, 2020. Adv Med Educ Pract. 2021;12:1539-47. Available from: https://doi.org/10.2147/AMEP.S347080
13. Yao X, Yu L, Shen Y, Kang Z, Wang X. The role of self-efficacy in mediating between professional identity and self-reported competence among nursing students in the internship period: a quantitative study. Nurse education in practice. 2021 Nov 1;57:103252. https://doi.org/10.1016/j.nepr.2021.103252
14. Sedgwick M, Yanicki S, Pijl EM. Analysis of undergraduate nursing students' sensitivity to microethical dilemmas during simulation. Journal of Nursing Education. 2020 Feb 1;59(2):88-92. DOI:10.3928/01484834-20200122-06
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Copyright (c) 2023 Manashree Mane, RK Sinha, Krishna Kumari Samantaray (Author)

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