Progress in the Moral Reasoning of Baccalaureate Nursing Students Between Program Entry and Exit
Abstract
Changes in moral reasoning between entry into and exit from a baccalaureate nursing program and the relationship between student characteristics and moral reasoning at entry and exit were explored in this descriptive study. The moral reasoning of four cohorts of students was measured using the Defining Issues Test (DIT). Admission grade point average, prior college credits, and gender accounted for 10% of the variance in DIT P% scores at entry and 14% of the variance at exit from the program. Female students had significantly higher moral reasoning scores than men. Age did not contribute significantly to explaining DIT score variance. DIT P% scores at entry for all four cohorts were within the range of reported norms for college students. Exit scores for all four cohorts were between the normative means for undergraduate students and graduate students. DIT P% score gains between entry and exit were significant for all four cohorts. Students whose entry scores were in the lowest categories had the greatest mean gains.
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Moral reasoning decreases with increasing nurses' work experience.
“In line with previous research [53–55], the findings of this study showed that moral reasoning decreases with increasing nurses’ work experience.”
Cites
Journal of social behavior and personality
(1986) · Personality and Individual Differences · doi:10.1016/0191-8869(86)90025-5 · Cited by 6,751 · see citing works
A Longitudinal Study of Moral Judgment
Colby, A., Kohlberg, L., Gibbs, J. C., Lieberman, M., Fischer, K. W., & Saltzstein, H. D. (1983) · Monographs of the Society for Research in Child Development · doi:10.2307/1165935 · Cited by 694 · see citing works
Two Moral Orientations: Gender Differences and Similarities.
Gilligan, C., & Attanucci, J. S. (1988) · Merrill-palmer Quarterly · Cited by 553 · see citing works
Schlaefli, A., Rest, J. R., & Thoma, S. J. (1985) · Review of Educational Research · doi:10.3102/00346543055003319 · Cited by 337 · see citing works
Measuring Moral Judgment in Nursing Dilemmas
Crisham, P. (1981) · Nursing Research · doi:10.1097/00006199-198103000-00012 · Cited by 147 · see citing works
Challenging Misperceptions About Nurses?? Moral Reasoning
Duckett, L., Rowan, M., Ryden, M. B., Crisham, P., Savik, K., & Rest, J. R. (1992) · Nursing Research · doi:10.1097/00006199-199211000-00002 · Cited by 58 · see citing works
Self-citationWhy Not Try Some New Ways of Measuring Quality
Astin, A. W. (1982) · Educational record · Cited by 50 · see citing works
Value Analysis: A Method for Teaching Nursing Ethics and Promoting the Moral Development of Students
Frisch, N. C. (1987) · Journal of Nursing Education · doi:10.3928/0148-4834-19871001-07 · Cited by 47 · see citing works
Attitudes of registered nurses toward euthanasia
Shuman, C. R., Fournet, G. P., Zelhart, P. F., et al. (1992) · Death Studies · doi:10.1080/07481189208252553 · Cited by 41 · see citing works
Rethinking Moral Reasoning Theory
Nokes, K. M. (1989) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.1989.tb00126.x · Cited by 30 · see citing works
Measuring Nurses' Moral Judgments
Parker, R. S. (1990) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.1990.tb00216.x · Cited by 27 · see citing works
Multi-Course Sequential Learning as a Model for Content Integration: Ethics as a Prototype
Ryder, M. B., Duckett, L., Crisham, P., et al. (1989) · Journal of Nursing Education · doi:10.3928/0148-4834-19890301-04 · Cited by 14 · see citing works
Self-citationMuch ado about...knowing? noting? nothing? Sex differences and moral development
Gilligan, C., & Attanucci, J. S. (1988) · Merrill-palmer Quarterly · Cited by 5 · see citing works
American Doctoral Dissertations 1933-1955
(2015) · Choice Reviews Online · doi:10.5860/choice.188386 · Cited by 5 · see citing works
Wrestling with the Larger Picture: Placing Ethical Behavior in Clinical Situations in Context
Ryden, M. B., Waithe, M. E., Crisham, P., et al. (1989) · Journal of Nursing Education · doi:10.3928/0148-4834-19890601-08 · Cited by 3 · see citing works
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Principled Thinking: A Comparison of Nursing Students and Experienced Nurses
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Khaghanizadeh, M., Koohi, A., Ebadi, A., & Vahedian-Azimi, A. (2023) · BMC Medical Ethics · doi:10.1186/s12910-023-00938-5 · Cited by 40 · see citing works
- Authors
- DUCKETT, L., ROWAN, M., RYDEN, M., KRICHBAUM, K., MILLER, M., WAINWRIGHT, H., & SAVIK, K.
- Affiliations
- University of Minnesota (US)
- ORCID
- DUCKETT, LAURA
- Venue
- Nursing Research
- Published
- 1997-07
- Volume
- 46
- Issue
- 4
- Pages
- 222-229
- ISSN
- 0029-6562 (ISSN-L)
- OpenAlex
- W2014289253
- Cited by
- 71
- References
- 15
- Citations by year
- 2024: 4 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 5 · 2016: 7 · 2015: 5 · 2014: 3 · 2013: 4 · 2012: 5
- FWCI
- 9.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nursing Research (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Social Sciences › Education › Values and Moral Education
- Life Sciences › Neuroscience › Cognitive Neuroscience › Psychology of Moral and Emotional Judgment
- Health Sciences › Health Professions › General Health Professions › Ethics in medical practice
- Keywords
- moral reasoning, baccalaureate nursing students, nursing education, Defining Issues Test, gender differences, grade point average, moral development, student characteristics
- MeSH terms
- Adult, Education, Nursing, Baccalaureate, Ethics, Nursing, Female, Humans, Longitudinal Studies, Male, Minnesota, Morals, Regression Analysis, School Admission Criteria, Sex Factors, Students, Nursing
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