Contenuto dell'articolo principale

Abstract

Aims: The objectives of this study were first to develop a valid and reliable instrument that measured the sensitivity of Italian nursing undergraduates, and, second, to conduct an observational study in second- and third-year Italian nursing students to provide new insight into the efficacy of nursing ethics education to develop ethical sensitivity. Methods: A quantitative, descriptive, observational pilot study was conducted in two Italian universities. To investigate the students' sensitivity, a brand new scale entitled "Ethical sensitivity scale undergraduates nursing students" (ESS-UNS) was produced. Twenty items that referenced the principles of the Italian Nursing Code of Ethics were identified (2009). Results: The measured exploratory factorial analysis outlined a two-factor solution (Table 1). Based on the semantics of the items, the first dimension was named "Ethical sensitivity as a positive attitude" and it was created to detect the perceptions and opinions of the students regarding good behaviours in nursing. The second dimension was named "Ethics sensitivity as a negative attitude" in virtue of the perceptions of the students regarding the behaviours considered ethically negative. Conclusion: The added value of our study is in the verification that academic ethical education significantly increases students' awareness regarding the possible ethical violations observed and lived in during clinical training. This can help students understand and identify the ethical conflicts in relationship with their moral maturity.

Keywords: nursing students, academic ethical education, moral maturity.

Scopo:Questo studio si pone l'obiettivo di sviluppare uno strumento valido ed affidabile utile a misurare la sensibilití  etica degli studenti di infermieristica italiani e condurre uno studio osservazionale per fornire nuove conoscenze sull'efficacia della formazione etica infermieristica nello sviluppo della sensibilití  etica. Metodo:E' stato condotto uno studio pilota descrittivo, osservazionale, con metodo quantitativo, in due importanti universití  italiane. In merito alla scala utilizzata per la raccolta dei dati, la stessa è stata sottoposta ad analisi di riduzione fattoriale attraverso l'analisi fattoriale esplorativa. Risultati:L'attendibilití  dello strumento, che è stata testata tramite la misura della coerenza interna della scala calcolando l'Alfa di Cronbach, ha riportato un'ottima attendibilití  dello strumento. Dal punto di vista descrittivo, i risultati ottenuti mostrano che la sensibilití  etica degli studenti, espressa nelle varie situazioni descritte dagli item, risulta soddisfacente in quanto i punteggi medi calcolati sono sempre vicino all'estremo positivo di rifermento. Inoltre, in linea con la letteratura, la maturití  e relativa formazione etica appresa, incide significativamente sulla sensibilití  etica degli studenti in misura crescente rispetto all'anno di corso frequentato. Conclusioni: La formazione etica accademica, aumenta in modo significativo la consapevolezza degli studenti delle possibili violazioni etiche osservate e vissute negli ambienti di tirocinio clinico, che li aiuta a discernere i conflitti che ne derivano in relazione alla sensibilití  etica maturata.

Parole chiave: Studenti Infermieristica, formazione etica accademica, maturití  morale.

Dettagli dell'articolo

Come citare
Macale, L., Scialò, G., Masi, P., Rocco, G., Stievano, A., Vellone, E., & Alvaro, R. (2016). La sensibilití  etica negli studenti di infermieristica: sviluppo di una scala. PROFESSIONI INFERMIERISTICHE, 68(4). Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/152

Riferimenti

  • Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological review, 84(2), 191.
  • Benner, P., Calamandrei, C., & Rasero, L. (2003). L'eccellenza nella pratica clinica dell'infermiere: l'apprendimento basato sull'esperienza. McGraw-Hill.
  • Bisholt, B. K. (2012). The professional socialization of recently graduated nurses"”Experiences of an introduction program. Nurse education today, 32(3), 278-282.
  • Botes, A. (1999). Nursing ethics in a developing country. Curationis, 22(1), 64-67.
  • Callister, L. C., Luthy, K. E., Thompson, P., & Memmott, R. J. (2009). Ethical reasoning in baccalaureate nursing students. Nursing Ethics, 16(4), 499-510.
  • Chuan, O. L., & Barnett, T. (2012). Student, tutor and staff nurse perceptions of the clinical learning environment. Nurse education in practice, 12(4), 192-197.
  • Crigger, N. J. (1997). The trouble with caring: A review of eight arguments against an ethic of care. Journal of Professional Nursing, 13(4), 217-221.
  • de Casterlé, B. D., Grypdonck, M., Vuylsteke-Wauters, M., & Janssen, P. J. (1997). Nursing students' responses to ethical dilemmas in nursing practice.Nursing ethics, 4(1), 12-28.
  • Doane, G., Pauly, B., Brown, H., & McPherson, G. (2004). Exploring The Heart Ofethical Nursing Practice: implications for ethics education. Nursing Ethics,11(3), 240-253.
  • Donaldson, J. H., & Carter, D. (2005). The value of role modelling: perceptions of undergraduate and diploma nursing (adult) students. Nurse Education in Practice, 5(6), 353-359.
  • Duckett, L., Rowan, M., Ryden, M., Krichbaum, K., Miller, M., Wainwright, H., & Savik, K. (1997). Progress in the moral reasoning of baccalaureate nursing students between program entry and exit. Nursing Research, 46(4), 222-229.
  • Enes, S. P. D., & de Vries, K. (2004). A survey of ethical issues experienced by nurses caring for terminally ill elderly people. Nursing Ethics, 11(2), 150-164.
  • Erdil, F., & Korkmaz, F. (2009). Ethical problems observed by student nurses.Nursing ethics, 16(5), 589-598.
  • Erlen, J. A., & Sereika, S. M. (1997). Critical care nurses, ethical decision"making and stress. Journal of advanced nursing, 26(5), 953-961.
  • Esterhuizen, G. S. (1996). JBlock user's manual and technical reference.
  • Gastmans, C., & Verpeet, E. (2006). 30th anniversary commentary on Esterhuizen P.(1996) Is the professional code still the cornerstone of clinical nursing practice? Journal of Advanced Nursing 23, 25–31. Journal of Advanced Nursing, 53(1), 111-112.
  • Ham, K., (2004). Principled thinking: A comparison of nursing students and experienced nurses. Journal of Continuing Education in Nursing, 35 (2), 66–73.
  • Horton, K., Tschudin, V., & Forget, A. (2007). The value of nursing: A literature review. Nurs Ethics, 14(7), 16–40.
  • Hosoda, Y. (2006). Development and testing of a Clinical Learning Environment Diagnostic Inventory for baccalaureate nursing students. Journal of advanced nursing, 56(5), 480-490.
  • Iacobucci, T. A., Daly, B. J., Lindell, D., & Griffin, M. Q. (2013). Professional values, self-esteem, and ethical confidence of baccalaureate nursing students.Nursing ethics, 20(4), 479-490.
  • Irving, J. A., & Snider, J. (2002). Preserving professional values. Journal of Professional Nursing, 18(1), 5.
  • Kangasniemi, M., Pakkanen, P., & Korhonen, A. (2015). Professional ethics in nursing: an integrative review. Journal of advanced nursing.
  • Kohlberg, L. (1976). Moral stages and moralization: The cognitive-developmental approach. Moral development and behavior: Theory, research, and social issues, 31-53.
  • Kohlberg, L. (1984). The psychology of moral development: The nature and validity of moral stages (Vol. 2). Harpercollins College Div.
  • Lemonidou, C., Papathanassoglou, E., Giannakopoulou, M., Patiraki, E., & Papadatou, D. (2004). Moral professional personhood: ethical reflections during initial clinical encounters in nursing education. Nursing ethics, 11(2), 122-137.
  • Lewenson, S. B., Truglio-Londrigan, M., & Singleton, J. (2005). Practice what you teach: A case study of ethical conduct in the academic setting. Journal of Professional Nursing, 21(2), 89-96.
  • Lewin, D. (2007). Clinical learning environments for student nurses: key indices from two studies compared over a 25 year period. Nurse Education in Practice,7(4), 238-246.
  • Macale, L., Scialò, G., Di Sarra, L., De Marinis, M. G., Rocco, G., Vellone, E., & Alvaro, R. (2014). Psychometric properties of the Scale for Quality Evaluation of the Bachelor Degree in Nursing Version 2 (QBN 2). Nurse education today, 34(3), 299-305.
  • Mayers, P. (2007). Introducing human rights and health into a nursing curriculum. Curationis, 30(4), 53-60.
  • Nolan, P. W., & Markert, D. (2002). Ethical reasoning observed: a longitudinal study of nursing students. Nursing Ethics, 9(3), 243-258.
  • Papastavrou, E., Lambrinou, E., Tsangari, H., Saarikoski, M., & Leino-Kilpi, H. (2010). Student nurses experience of learning in the clinical environment. Nurse Education in Practice, 10(3), 176-182.
  • Papp, I., Markkanen, M., & von Bonsdorff, M. (2003). Clinical environment as a learning environment: student nurses' perceptions concerning clinical learning experiences. Nurse education today, 23(4), 262-268.
  • Park, M., Kjervik, D., Crandell, J., & Oermann, M. H. (2012). The relationship of ethics education to moral sensitivity and moral reasoning skills of nursing students. Nursing ethics, 19(4), 568-580.
  • Raines, M. L. (2000). Ethical decision making in nurses: relationships among moral reasoning, coping style, and ethics stress. JONA'S healthcare law, ethics and regulation, 2(1), 29-hyhen.
  • Sabatino, L., Stievano, A., Rocco, G., Kallio, H., Pietila, A. M., & Kangasniemi, M. K. (2014). The dignity of the nursing profession. A meta-synthesis of qualitative research. Nursing ethics, 21(6), 659-672.
  • Sullivan, W. M. (1999). What is left of professionalism after managed care?.Hastings Center Report, 29(2), 7-13.
  • Tschudin, V. (2010). Nursing ethics: the last decade. Nursing ethics, 17(1), 127.
  • Weis, D., & Schank, M. J. (2009). Development and psychometric evaluation of the nurses professional values scale revised. Journal of Nursing Measurement, 17(3), 221-231.