The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.
Principled Thinking: A Comparison of Nursing Students and Experienced Nurses
Abstract
ABSTRACT Background: A descriptive study was used to compare ethical reasoning abilities in senior baccalaureate nursing students and experienced registered nurses. The effects of environmental factors and previous experience with ethical dilemmas in regard to nursing principled thinking were also examined. Results: Findings on the Nursing Dilemma Test indicated a significant difference in the level of nursing principled thinking in the two groups, with nursing students scoring higher than experienced nurses. There was a significant negative correlation between years of experience and level of nursing principled thinking. The level of nursing education (e.g., associate degree of nursing, diploma, bachelor of science in nursing, masters degree, or doctorate) did not appear to have an effect on nursing principled thinking. In addition, subjects who were most affected by practical considerations demonstrated less use of higher level moral reasoning. The effect of previous experience with ethical dilemmas on nursing principled thinking was found to be nonsignificant. Conclusion: Ethical dilemmas continue to create much confusion and uncertainty for practicing nurses. Suggestions are made regarding individual analysis of personal and professional values in nurses. In addition, recommendations include ongoing educational offerings and nursing administration support to assist nurses during times of moral distress.
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Previous studies reported NPT scores of 46.67 ± 6.7, 42.16 ± 5.8, and 51.5 ± 7.9.
“In previous studies by Zirak et al. [34], Borhani et al. [45], and Ham et al. [46], the NPT scores reported 46.67 ± 6.7, 42.16 ± 5.8 and 51.5 ± 7.9, respectively.”
Citations
Cites
The Philosophy of Moral Development
Hanford, J. T., & Kohlberg, L. (1982) · Journal for the Scientific Study of Religion · doi:10.2307/1385536 · Cited by 1,681
Code of Ethics for Nurses With Interpretive Statements
Bell, L. G. (2015) · Critical Care Nurse · doi:10.4037/ccn2015639 · Cited by 1,212
Preserving moral integrity: a follow‐up study with new graduate nurses
Kelly, B. (1998) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1998.00810.x · Cited by 264
Measuring Moral Judgment in Nursing Dilemmas
Crisham, P. (1981) · Nursing Research · doi:10.1097/00006199-198103000-00012 · Cited by 147
Moral Reasoning and Moral Behavior Among Selected Groups of Practicing Nurses
KETEFIAN, S. (1981) · Nursing Research · doi:10.1097/00006199-198105000-00011 · Cited by 112
Nurses' Perceptions of Powerlessness in Influencing Ethical Decisions
Erlen, J. A., & Frost, B. A. (1991) · Western Journal of Nursing Research · doi:10.1177/019394599101300309 · Cited by 110
Progress in the Moral Reasoning of Baccalaureate Nursing Students Between Program Entry and Exit
DUCKETT, L., ROWAN, M., RYDEN, M., KRICHBAUM, K., MILLER, M., WAINWRIGHT, H., & SAVIK, K. (1997) · Nursing Research · doi:10.1097/00006199-199707000-00007 · Cited by 71
Teaching Ethics: Effect on Moral Development
Krawczyk, R. (1997) · Nursing Ethics · doi:10.1177/096973309700400107 · Cited by 62
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
Experienced nurses?? narratives of their being in ethically difficult care situations
??str??m, G., Jansson, L., Norberg, A., & Hallberg, I. R. (1993) · Cancer Nursing · doi:10.1097/00002820-199306000-00003 · Cited by 54
McAlpine, H., Kristjanson, L. J., & Poroch, D. (1997) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1997.19970251151.x · Cited by 53
Infant Suffering and Nurse Advocacy in Neonatal Intensive Care
Penticuff, J. H. (1989) · Nursing Clinics of North America · doi:10.1016/s0029-6465(22)01558-4 · Cited by 46
Moral education for nursing decisions*
van Hooft, S. (1990) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.1990.tb01804.x · Cited by 32
Ethical decision making: a response of hospital nurses
Mayberry, M. A. (1986) · Nursing Administration Quarterly · doi:10.1097/00006216-198601030-00006 · Cited by 28
The Relevance of Modelings' Ethics of Care to the Moral Education of Nurses
Crowley, M. A. (1994) · Journal of Nursing Education · doi:10.3928/0148-4834-19940201-07 · Cited by 16
Moral Development Considerations in Nursing Curricula
Vito, K. O. (1983) · Journal of Nursing Education · doi:10.3928/0148-4834-19830301-03 · Cited by 11
Staff nurses' perceptions of ethical dilemmas and their resolution: A multiple case study
Exstrom, S. M. (1997) · Lincoln (University of Nebraska) · Cited by 1
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Research works printed but not linked: 4
- Crisham P. (1979). Moral judgment of nurses in hypothetical and nursing dilemmas (Doctoral dissertation University of Minnesota 1979). Dissertation Abstracts International 40/89 4212B.
- Ellis J. R. & Hartley C. L. (2001). Nursing in today's world: Challenges issues and trends (7th ed.). Philadelphia: Lippincott Williams & WUkins.
- Ham K. (2002). A comparison of ethical reasoning abilities of senior baccalaureate nursing students and experienced nurses. Unpublished doctoral dissertation The University of Memphis Tennessee.
- Rest J. (1974). Recent research on an objective test of moral judgment: How the important issues of a moral dilemma are defined. In D. J. Depalma & J. M. Foley (Eds.) Moral development: Current theory and research (pp. 75-94). Potomac MD: Lawrence Erlbaum Associates.
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Nurses’ ethical reasoning and behaviour: A literature review
Goethals, S., Gastmans, C., & de Casterlé, B. D. (2010) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2009.12.010 · Cited by 213
Health Literacy: Exploring Nursing Challenges to Providing Support and Understanding
Wittenberg, E., Ferrell, B., Kanter, E., & Buller, H. (2018) · Clinical Journal of Oncology Nursing · doi:10.1188/18.cjon.53-61 · Cited by 81
Khaghanizadeh, M., Koohi, A., Ebadi, A., & Vahedian-Azimi, A. (2023) · BMC Medical Ethics · doi:10.1186/s12910-023-00938-5 · Cited by 40
Metadata
- Authors
- Ham, K.
- Affiliations
- Southeast Missouri State University (US)
- Corresponding author
- Ham, Kathy
- Venue
- The Journal of Continuing Education in Nursing
- Publisher
- SLACK, Inc.
- Published
- 2004-03
- Volume
- 35
- Issue
- 2
- Pages
- 66-73
- ISSN
- 0022-0124 (ISSN-L)
- OpenAlex
- W71661463
- Cited by
- 87
- References
- 17
- Citations by year
- 2025: 1 · 2024: 5 · 2023: 3 · 2022: 7 · 2021: 3 · 2020: 2 · 2019: 1 · 2018: 8 · 2017: 2 · 2016: 3 · 2015: 9 · 2014: 7 · 2013: 7 · 2012: 7
- FWCI
- 3.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Continuing Education in Nursing (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Ethics in medical practice
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Ethics in Business and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Keywords
- moral reasoning, nursing students, experienced nurses, ethical dilemmas, moral distress, nursing education level, years of nursing experience, professional values
- MeSH terms
- Adult, Attitude of Health Personnel, Clinical Competence, Conflict, Psychological, Education, Nursing, Associate, Education, Nursing, Baccalaureate, Education, Nursing, Diploma Programs, Education, Nursing, Graduate, Humans, Human Development, Health Knowledge, Attitudes, Practice, Logic, Middle Aged, Morals, Nursing Staff, Surveys and Questionnaires, Students, Nursing, Thinking, Midwestern United States, Nursing Education Research, Nursing Methodology Research, Principle-Based Ethics
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