Ethical conflicts and the process of reflection in undergraduate nursing students in Brazil
Background: Nursing students on clinical placements as part of their professional training are routinely faced with situations involving ethical conflicts. The initial act of perceiving a situation as causing an ethical dilemma is the result of both the students’ personal values, drawn from their cu...
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Veröffentlicht in: | Nursing ethics 2015-06, Vol.22 (4), p.428-439 |
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container_title | Nursing ethics |
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creator | Ramos, Flávia Regina Souza Brehmer, Laura Cavalcanti de Farias Vargas, Mara Ambrosina Trombetta, Ana Paula Silveira, Luciana Ramos Drago, Laila |
description | Background:
Nursing students on clinical placements as part of their professional training are routinely faced with situations involving ethical conflicts. The initial act of perceiving a situation as causing an ethical dilemma is the result of both the students’ personal values, drawn from their culture and families, and of the professional knowledge and values that they have acquired through training and experience.
Objectives:
Nursing students’ experiences on clinical placements in primary care settings were investigated in order to identify situations that they perceived as involving ethical conflict and describe the elements they took into consideration during their decision-making processes in these situations.
Methods:
The research design was qualitative descriptive case study. Around 50 students from three different intakes to a nursing degree answered a questionnaire and discussed it in focus groups.
Ethical considerations:
The study was designed in accordance with the principles guiding research with human beings and was approved by the Human Research Ethics Committee.
Results:
Synthesised into two principal axes: (a) ethical conflicts in primary care, linked with the domains of working processes, professional nursing ethics and human and social rights and (b) students’ decision-making processes – realisation, reflection and intervention.
Conclusion:
The student nurses saw themselves both as actors and spectators in situations involving ethical problems and demanding moral deliberation, demonstrating the ability to base their arguments soundly. They tended to emphasise the possibilities offered by dialogue and that different ethical values must be respected to find fair solutions to ethical problems. |
doi_str_mv | 10.1177/0969733014538890 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1710664863</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0969733014538890</sage_id><sourcerecordid>1693731402</sourcerecordid><originalsourceid>FETCH-LOGICAL-c464t-6060a492cd284f617c397b7320821f5d54a81313cae8c6c1fa86a73baee4aa583</originalsourceid><addsrcrecordid>eNqFkTtPwzAUhS0EoqWwMyFLLCwBv-LHCFV5SJVYYGKIbh2nTZU6xU4G-PW4akGoEmLycL5zru89CJ1Tck2pUjfESKM4J1TkXGtDDtCQCqUyYrQ5RMONnG30ATqJcUkIUUyrYzRgeZKYkEP0NukWtYUG29ZXTW27iMGXuFs4vA6tdTHitsLBVY2zXd16XHvc-9KFeYCyh85h34dY-zmOXV86n_yJuAvwWTen6KiCJrqz3TtCr_eTl_FjNn1-eBrfTjMrpOgySSQBYZgtmRaVpMpyo2aKM6IZrfIyF6App9yC01ZaWoGWoPgMnBMAueYjdLXNTT9-713silUdrWsa8K7tY0EVJVIKLfn_qDRccSoIS-jlHrps--DTIhtKS8aIEYkiW8qGNsZ0p2Id6hWEj4KSYtNRsd9RslzsgvvZypU_hu9SEpBtgQhz92vqX4FfSuaX6A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1698622094</pqid></control><display><type>article</type><title>Ethical conflicts and the process of reflection in undergraduate nursing students in Brazil</title><source>Access via SAGE</source><source>MEDLINE</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Ramos, Flávia Regina Souza ; Brehmer, Laura Cavalcanti de Farias ; Vargas, Mara Ambrosina ; Trombetta, Ana Paula ; Silveira, Luciana Ramos ; Drago, Laila</creator><creatorcontrib>Ramos, Flávia Regina Souza ; Brehmer, Laura Cavalcanti de Farias ; Vargas, Mara Ambrosina ; Trombetta, Ana Paula ; Silveira, Luciana Ramos ; Drago, Laila</creatorcontrib><description>Background:
Nursing students on clinical placements as part of their professional training are routinely faced with situations involving ethical conflicts. The initial act of perceiving a situation as causing an ethical dilemma is the result of both the students’ personal values, drawn from their culture and families, and of the professional knowledge and values that they have acquired through training and experience.
Objectives:
Nursing students’ experiences on clinical placements in primary care settings were investigated in order to identify situations that they perceived as involving ethical conflict and describe the elements they took into consideration during their decision-making processes in these situations.
Methods:
The research design was qualitative descriptive case study. Around 50 students from three different intakes to a nursing degree answered a questionnaire and discussed it in focus groups.
Ethical considerations:
The study was designed in accordance with the principles guiding research with human beings and was approved by the Human Research Ethics Committee.
Results:
Synthesised into two principal axes: (a) ethical conflicts in primary care, linked with the domains of working processes, professional nursing ethics and human and social rights and (b) students’ decision-making processes – realisation, reflection and intervention.
Conclusion:
The student nurses saw themselves both as actors and spectators in situations involving ethical problems and demanding moral deliberation, demonstrating the ability to base their arguments soundly. They tended to emphasise the possibilities offered by dialogue and that different ethical values must be respected to find fair solutions to ethical problems.</description><identifier>ISSN: 0969-7330</identifier><identifier>EISSN: 1477-0989</identifier><identifier>DOI: 10.1177/0969733014538890</identifier><identifier>PMID: 25096246</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Bioethics ; Brazil ; Decision Making ; Education, Nursing ; Ethics ; Ethics, Nursing ; Focus Groups ; Humans ; Morality ; Nursing education ; Nursing schools ; Practice Patterns, Nurses' - ethics ; Primary care ; Students ; Students, Nursing - psychology ; Surveys and Questionnaires ; Values</subject><ispartof>Nursing ethics, 2015-06, Vol.22 (4), p.428-439</ispartof><rights>The Author(s) 2014</rights><rights>The Author(s) 2014.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c464t-6060a492cd284f617c397b7320821f5d54a81313cae8c6c1fa86a73baee4aa583</citedby><cites>FETCH-LOGICAL-c464t-6060a492cd284f617c397b7320821f5d54a81313cae8c6c1fa86a73baee4aa583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0969733014538890$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0969733014538890$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,12846,21819,27924,27925,30999,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25096246$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ramos, Flávia Regina Souza</creatorcontrib><creatorcontrib>Brehmer, Laura Cavalcanti de Farias</creatorcontrib><creatorcontrib>Vargas, Mara Ambrosina</creatorcontrib><creatorcontrib>Trombetta, Ana Paula</creatorcontrib><creatorcontrib>Silveira, Luciana Ramos</creatorcontrib><creatorcontrib>Drago, Laila</creatorcontrib><title>Ethical conflicts and the process of reflection in undergraduate nursing students in Brazil</title><title>Nursing ethics</title><addtitle>Nurs Ethics</addtitle><description>Background:
Nursing students on clinical placements as part of their professional training are routinely faced with situations involving ethical conflicts. The initial act of perceiving a situation as causing an ethical dilemma is the result of both the students’ personal values, drawn from their culture and families, and of the professional knowledge and values that they have acquired through training and experience.
Objectives:
Nursing students’ experiences on clinical placements in primary care settings were investigated in order to identify situations that they perceived as involving ethical conflict and describe the elements they took into consideration during their decision-making processes in these situations.
Methods:
The research design was qualitative descriptive case study. Around 50 students from three different intakes to a nursing degree answered a questionnaire and discussed it in focus groups.
Ethical considerations:
The study was designed in accordance with the principles guiding research with human beings and was approved by the Human Research Ethics Committee.
Results:
Synthesised into two principal axes: (a) ethical conflicts in primary care, linked with the domains of working processes, professional nursing ethics and human and social rights and (b) students’ decision-making processes – realisation, reflection and intervention.
Conclusion:
The student nurses saw themselves both as actors and spectators in situations involving ethical problems and demanding moral deliberation, demonstrating the ability to base their arguments soundly. They tended to emphasise the possibilities offered by dialogue and that different ethical values must be respected to find fair solutions to ethical problems.</description><subject>Bioethics</subject><subject>Brazil</subject><subject>Decision Making</subject><subject>Education, Nursing</subject><subject>Ethics</subject><subject>Ethics, Nursing</subject><subject>Focus Groups</subject><subject>Humans</subject><subject>Morality</subject><subject>Nursing education</subject><subject>Nursing schools</subject><subject>Practice Patterns, Nurses' - ethics</subject><subject>Primary care</subject><subject>Students</subject><subject>Students, Nursing - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Values</subject><issn>0969-7330</issn><issn>1477-0989</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkTtPwzAUhS0EoqWwMyFLLCwBv-LHCFV5SJVYYGKIbh2nTZU6xU4G-PW4akGoEmLycL5zru89CJ1Tck2pUjfESKM4J1TkXGtDDtCQCqUyYrQ5RMONnG30ATqJcUkIUUyrYzRgeZKYkEP0NukWtYUG29ZXTW27iMGXuFs4vA6tdTHitsLBVY2zXd16XHvc-9KFeYCyh85h34dY-zmOXV86n_yJuAvwWTen6KiCJrqz3TtCr_eTl_FjNn1-eBrfTjMrpOgySSQBYZgtmRaVpMpyo2aKM6IZrfIyF6App9yC01ZaWoGWoPgMnBMAueYjdLXNTT9-713silUdrWsa8K7tY0EVJVIKLfn_qDRccSoIS-jlHrps--DTIhtKS8aIEYkiW8qGNsZ0p2Id6hWEj4KSYtNRsd9RslzsgvvZypU_hu9SEpBtgQhz92vqX4FfSuaX6A</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>Ramos, Flávia Regina Souza</creator><creator>Brehmer, Laura Cavalcanti de Farias</creator><creator>Vargas, Mara Ambrosina</creator><creator>Trombetta, Ana Paula</creator><creator>Silveira, Luciana Ramos</creator><creator>Drago, Laila</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20150601</creationdate><title>Ethical conflicts and the process of reflection in undergraduate nursing students in Brazil</title><author>Ramos, Flávia Regina Souza ; Brehmer, Laura Cavalcanti de Farias ; Vargas, Mara Ambrosina ; Trombetta, Ana Paula ; Silveira, Luciana Ramos ; Drago, Laila</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c464t-6060a492cd284f617c397b7320821f5d54a81313cae8c6c1fa86a73baee4aa583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Bioethics</topic><topic>Brazil</topic><topic>Decision Making</topic><topic>Education, Nursing</topic><topic>Ethics</topic><topic>Ethics, Nursing</topic><topic>Focus Groups</topic><topic>Humans</topic><topic>Morality</topic><topic>Nursing education</topic><topic>Nursing schools</topic><topic>Practice Patterns, Nurses' - ethics</topic><topic>Primary care</topic><topic>Students</topic><topic>Students, Nursing - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Values</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ramos, Flávia Regina Souza</creatorcontrib><creatorcontrib>Brehmer, Laura Cavalcanti de Farias</creatorcontrib><creatorcontrib>Vargas, Mara Ambrosina</creatorcontrib><creatorcontrib>Trombetta, Ana Paula</creatorcontrib><creatorcontrib>Silveira, Luciana Ramos</creatorcontrib><creatorcontrib>Drago, Laila</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Nursing ethics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ramos, Flávia Regina Souza</au><au>Brehmer, Laura Cavalcanti de Farias</au><au>Vargas, Mara Ambrosina</au><au>Trombetta, Ana Paula</au><au>Silveira, Luciana Ramos</au><au>Drago, Laila</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ethical conflicts and the process of reflection in undergraduate nursing students in Brazil</atitle><jtitle>Nursing ethics</jtitle><addtitle>Nurs Ethics</addtitle><date>2015-06-01</date><risdate>2015</risdate><volume>22</volume><issue>4</issue><spage>428</spage><epage>439</epage><pages>428-439</pages><issn>0969-7330</issn><eissn>1477-0989</eissn><abstract>Background:
Nursing students on clinical placements as part of their professional training are routinely faced with situations involving ethical conflicts. The initial act of perceiving a situation as causing an ethical dilemma is the result of both the students’ personal values, drawn from their culture and families, and of the professional knowledge and values that they have acquired through training and experience.
Objectives:
Nursing students’ experiences on clinical placements in primary care settings were investigated in order to identify situations that they perceived as involving ethical conflict and describe the elements they took into consideration during their decision-making processes in these situations.
Methods:
The research design was qualitative descriptive case study. Around 50 students from three different intakes to a nursing degree answered a questionnaire and discussed it in focus groups.
Ethical considerations:
The study was designed in accordance with the principles guiding research with human beings and was approved by the Human Research Ethics Committee.
Results:
Synthesised into two principal axes: (a) ethical conflicts in primary care, linked with the domains of working processes, professional nursing ethics and human and social rights and (b) students’ decision-making processes – realisation, reflection and intervention.
Conclusion:
The student nurses saw themselves both as actors and spectators in situations involving ethical problems and demanding moral deliberation, demonstrating the ability to base their arguments soundly. They tended to emphasise the possibilities offered by dialogue and that different ethical values must be respected to find fair solutions to ethical problems.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>25096246</pmid><doi>10.1177/0969733014538890</doi><tpages>12</tpages></addata></record> |
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subjects | Bioethics Brazil Decision Making Education, Nursing Ethics Ethics, Nursing Focus Groups Humans Morality Nursing education Nursing schools Practice Patterns, Nurses' - ethics Primary care Students Students, Nursing - psychology Surveys and Questionnaires Values |
title | Ethical conflicts and the process of reflection in undergraduate nursing students in Brazil |
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