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Cited by 11Ethics in medical practiceEthics in Business and EducationEthics and bioethics in healthcare

Do moral development levels of the nurses affect their ethical decision making? A descriptive correlational study

Arslan, Sümeyye, Türer Öztik, Sinem, Kuzu Kurban, Nevin·2021·Clinical Ethics
DOI 10.1177/1477750920930375
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Abstract

Background: In the globalizing world, nurses often meet humans from different cultures and values. This fact has led them to make ethical decisions, which do not comply with their own moral jurisdictions at care setting. Objectives: The objective of the study was to investigate the relationships between moral development levels of the nurses and their scores of nursing principled thinking and practical consideration during decision making for ethical dilemmas. Methods: This was a descriptive correlational study. Nursing Dilemma Test, Moral Development Scale for Professionals and socio-demographic form were used. Study was conducted with 227 nurses. Ethical considerations: An institutional authorization, an ethics approval from non-interventional ethics committee of the respective university, permission from the authors of the scales used and informed consents from the nurses were obtained in order to conduct the study. Results: In this study, nurses were found to be at post-conventional level according to Kohlberg’s moral development theory. Sociodemographic and working characteristics of the nurses have not affected their scores of moral development level and their scores of nursing principled thinking, practical consideration and familiarity (p > 0.05). Nurses take attention for moral principles during decision making although not at a desirable level, and they are relatively affected by environmental factors Conclusion: Although nurses are familiar with ethical problems at scenarios including ethical dilemmas, they cannot make decisions in accordance with their moral development levels during decision making for ethical dilemmas. Nurses should be instructed and supported for ethical decision making by recognizing factors that may be effective on their decision making.

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Authors
Arslan, S., Türer Öztik, S., & Kuzu Kurban, N.
Affiliations
  • Pamukkale University (TR)
  • Nursing Department, Faculty of Health Sciences, Pamukkale University, Denizli, Turkey
Corresponding author
Arslan, Sümeyye
ORCID
Arslan, Sümeyye
Venue
Clinical Ethics
Publisher
SAGE Publications
Published
2020-06-03
Volume
16
Issue
1
Pages
9-16
ISSN
  • 1477-7509 (ISSN-L)
  • 1758-101X
DOI
10.1177/1477750920930375
OpenAlex
W3033965693
Cited by
11
References
17
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 1 · 2021: 1
FWCI
1.56
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
Clinical Ethics (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Ethics in medical practice
  • Social Sciences › Decision Sciences › Information Systems and Management › Ethics in Business and Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
Keywords
moral development, ethical decision-making, nurses, Kohlberg moral development theory, post-conventional morality

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