Nursing students’ ethical challenges in the clinical settings: A mixed-methods study

Background:Nursing students experience ethical conflicts and challenges during their clinical education. These may lead to moral distress and disturb the learning process.Objectives:This study aimed to explore and to evaluate the nursing students’ ethical challenges in the clinical settings in Iran....

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Bibliographic Details
Published in:Nursing ethics
Authors: Mehdipour Rabori, Roghayeh (Author) ; Dehghan, Mahlagha (Author) ; Nematollahi, Monirosadat (Author)
Format: Electronic Article
Language:English
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Published: Sage 2019
In: Nursing ethics
Further subjects:B mixed-methods study
B Clinical Setting
B Iran
B nursing students
B Ethical Challenge
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Description
Summary:Background:Nursing students experience ethical conflicts and challenges during their clinical education. These may lead to moral distress and disturb the learning process.Objectives:This study aimed to explore and to evaluate the nursing students’ ethical challenges in the clinical settings in Iran.Research design:This was a mixed-methods study with an exploratory sequential design.Participants and research context:A total of 37 and 120 Iranian nursing students participated in the qualitative and quantitative phases, respectively.Ethical considerations:The ethical committee of Kerman University of Medical Sciences, Iran, approved the protocol of the study.Findings:Three main categories were extracted from qualitative data including Low attention of nurses to the patients’ preferences; Lack of authority; and Inadequate support. A total of 97% of the students had more than one ethical challenge in clinical settings and 48% of them stated that their challenges did not resolve. The total score of perceived ethical challenges was 62.03 ± 9.17, which was moderate. The highest mean score related to the “Low attention of nurses to the patients’ preferences” subscale.Discussion:The finding confirmed most of the existing results of other international researches about the frequency and kinds of baccalaureate nursing students’ ethical challenges.Conclusion:Identifying student ethical challenges helps teachers to manage their clinical learning process better. This study may provide a view for the nurses, clinical educators, and managers toward nursing students’ ethical challenges and their impact on nursing students’ clinical experiences.
ISSN:1477-0989
Contains:Enthalten in: Nursing ethics
Persistent identifiers:DOI: 10.1177/0969733018810766