Midwifery students’ reactions to ethical dilemmas encountered in outpatient clinics
Background: Midwives are required to make ethical decisions with the support of respective codes of professional ethics which provide a framework for decision making in clinical practice. While each midwife should be ethically aware and sensitive to the ever-changing issues within reproduction, few...
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| Veröffentlicht in: | Nursing ethics 2020-11, Vol.27 (7), p.1542-1555 |
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| creator | Ejder Apay, Serap Gürol, Ayşe Gür, Elif Yağmur Church, Sarah |
| description | Background:
Midwives are required to make ethical decisions with the support of respective codes of professional ethics which provide a framework for decision making in clinical practice. While each midwife should be ethically aware and sensitive to the ever-changing issues within reproduction, few empirical studies have examined the views of student midwives in relation to reproductive ethical dilemmas.
Objective:
The aim of this study was to explore midwifery students’ reactions to a number of ethical dilemmas relating to women’s experiences of reproductive decision making.
Design:
A series of focus groups were conducted with midwifery students who were asked to discuss five culturally significant scenarios including issues of knowledge acquisition regarding methods of family planning, removal or insertion of an intrauterine device, and abortion.
Setting:
A University in Turkey was the setting for this study.
Participants:
Purposeful sampling was adopted which resulted in five focus groups with a total of 57 midwifery students.
Ethical considerations:
The study was reviewed and granted formal ethical approval by an ethical committee at the Faculty of Health Science in Atatürk University. The head of the Faculty of Health Science approved the investigation. The participants received both oral and written information about the study and they gave their consent.
Results:
Five themes were identified from the analysis of the focus group data related to all five scenarios. These themes were ‘the right to information’, ‘choice and protection’, ‘parental rights and welfare of the women’, ‘make a decision’ and ‘women rights and sexual abuse’.
Conclusion:
This study has shown that while students respected women’s choice, they also expressed great ambivalence in some situations when personal values conflict with dominant societal beliefs and professional ethics. A focus on ethics education to include human rights is suggested as a means to enable students to explore their own social-value judgements, and as a means to limit the possible development of ethical confusion and moral distress. |
| doi_str_mv | 10.1177/0969733020922875 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2405331064</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0969733020922875</sage_id><sourcerecordid>2448821839</sourcerecordid><originalsourceid>FETCH-LOGICAL-c365t-7889db0971b76c059becb40d68eb83c3e3b3cd4bbf8704a729b3c03c4a1c0c0b3</originalsourceid><addsrcrecordid>eNp1kMtKBDEQRYMoOj72riTgxk1rpZPpJEsRX6C40XWTpGs00o8xSSOz8zf8Pb_EDOMDBFdFcc-9VVxC9hkcMyblCehKS86hBF2WSk7XyIQJKQvQSq-TyVIulvoW2Y7xGQBkpjbJFi8Fr0SpJ-Th1jevfoZhQWMaG-xT_Hh7pwGNS37oI00DxfTknWlp41vsOhMp9m4Y-4QBG-p7OoxpbpLPXupa33sXd8nGzLQR977mDnm4OL8_uypu7i6vz05vCseraSqkUrqxoCWzsnIw1RadFdBUCq3ijiO33DXC2pmSIIwsdd6BO2GYAweW75CjVe48DC8jxlR3PjpsW9PjMMa6FDDlnEElMnr4B30extDn7zIllCqZ4jpTsKJcGGIMOKvnwXcmLGoG9bLy-m_l2XLwFTzaDpsfw3fHGShWQDSP-Hv138BPFl6KGw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2448821839</pqid></control><display><type>article</type><title>Midwifery students’ reactions to ethical dilemmas encountered in outpatient clinics</title><source>MEDLINE</source><source>SAGE Complete</source><source>Sociological Abstracts</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Ejder Apay, Serap ; Gürol, Ayşe ; Gür, Elif Yağmur ; Church, Sarah</creator><creatorcontrib>Ejder Apay, Serap ; Gürol, Ayşe ; Gür, Elif Yağmur ; Church, Sarah</creatorcontrib><description>Background:
Midwives are required to make ethical decisions with the support of respective codes of professional ethics which provide a framework for decision making in clinical practice. While each midwife should be ethically aware and sensitive to the ever-changing issues within reproduction, few empirical studies have examined the views of student midwives in relation to reproductive ethical dilemmas.
Objective:
The aim of this study was to explore midwifery students’ reactions to a number of ethical dilemmas relating to women’s experiences of reproductive decision making.
Design:
A series of focus groups were conducted with midwifery students who were asked to discuss five culturally significant scenarios including issues of knowledge acquisition regarding methods of family planning, removal or insertion of an intrauterine device, and abortion.
Setting:
A University in Turkey was the setting for this study.
Participants:
Purposeful sampling was adopted which resulted in five focus groups with a total of 57 midwifery students.
Ethical considerations:
The study was reviewed and granted formal ethical approval by an ethical committee at the Faculty of Health Science in Atatürk University. The head of the Faculty of Health Science approved the investigation. The participants received both oral and written information about the study and they gave their consent.
Results:
Five themes were identified from the analysis of the focus group data related to all five scenarios. These themes were ‘the right to information’, ‘choice and protection’, ‘parental rights and welfare of the women’, ‘make a decision’ and ‘women rights and sexual abuse’.
Conclusion:
This study has shown that while students respected women’s choice, they also expressed great ambivalence in some situations when personal values conflict with dominant societal beliefs and professional ethics. A focus on ethics education to include human rights is suggested as a means to enable students to explore their own social-value judgements, and as a means to limit the possible development of ethical confusion and moral distress.</description><identifier>ISSN: 0969-7330</identifier><identifier>EISSN: 1477-0989</identifier><identifier>DOI: 10.1177/0969733020922875</identifier><identifier>PMID: 32436429</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Abortion ; Ambivalence ; Ambulatory Care Facilities - organization & administration ; Ambulatory Care Facilities - statistics & numerical data ; Clinical decision making ; Clinical medicine ; Codes of conduct ; College faculty ; Confusion ; Decision making ; Ethical dilemmas ; Ethics ; Family planning ; Female ; Focus groups ; Focus Groups - methods ; Human rights ; Humans ; Intrauterine devices ; IUD ; Male ; Medical decision making ; Medical ethics ; Midwifery ; Midwives ; Moral education ; Nurse Midwives - psychology ; Nurse Midwives - statistics & numerical data ; Outpatient clinics ; Parental rights ; Professional ethics ; Psychological distress ; Qualitative Research ; Sexual abuse ; Students ; Students, Nursing - psychology ; Students, Nursing - statistics & numerical data ; Surveys and Questionnaires ; Turkey ; Values ; Welfare ; Women ; Womens rights ; Writing ; Young Adult</subject><ispartof>Nursing ethics, 2020-11, Vol.27 (7), p.1542-1555</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-7889db0971b76c059becb40d68eb83c3e3b3cd4bbf8704a729b3c03c4a1c0c0b3</citedby><cites>FETCH-LOGICAL-c365t-7889db0971b76c059becb40d68eb83c3e3b3cd4bbf8704a729b3c03c4a1c0c0b3</cites><orcidid>0000-0002-7408-5428</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0969733020922875$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0969733020922875$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,30978,33753,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32436429$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ejder Apay, Serap</creatorcontrib><creatorcontrib>Gürol, Ayşe</creatorcontrib><creatorcontrib>Gür, Elif Yağmur</creatorcontrib><creatorcontrib>Church, Sarah</creatorcontrib><title>Midwifery students’ reactions to ethical dilemmas encountered in outpatient clinics</title><title>Nursing ethics</title><addtitle>Nurs Ethics</addtitle><description>Background:
Midwives are required to make ethical decisions with the support of respective codes of professional ethics which provide a framework for decision making in clinical practice. While each midwife should be ethically aware and sensitive to the ever-changing issues within reproduction, few empirical studies have examined the views of student midwives in relation to reproductive ethical dilemmas.
Objective:
The aim of this study was to explore midwifery students’ reactions to a number of ethical dilemmas relating to women’s experiences of reproductive decision making.
Design:
A series of focus groups were conducted with midwifery students who were asked to discuss five culturally significant scenarios including issues of knowledge acquisition regarding methods of family planning, removal or insertion of an intrauterine device, and abortion.
Setting:
A University in Turkey was the setting for this study.
Participants:
Purposeful sampling was adopted which resulted in five focus groups with a total of 57 midwifery students.
Ethical considerations:
The study was reviewed and granted formal ethical approval by an ethical committee at the Faculty of Health Science in Atatürk University. The head of the Faculty of Health Science approved the investigation. The participants received both oral and written information about the study and they gave their consent.
Results:
Five themes were identified from the analysis of the focus group data related to all five scenarios. These themes were ‘the right to information’, ‘choice and protection’, ‘parental rights and welfare of the women’, ‘make a decision’ and ‘women rights and sexual abuse’.
Conclusion:
This study has shown that while students respected women’s choice, they also expressed great ambivalence in some situations when personal values conflict with dominant societal beliefs and professional ethics. A focus on ethics education to include human rights is suggested as a means to enable students to explore their own social-value judgements, and as a means to limit the possible development of ethical confusion and moral distress.</description><subject>Abortion</subject><subject>Ambivalence</subject><subject>Ambulatory Care Facilities - organization & administration</subject><subject>Ambulatory Care Facilities - statistics & numerical data</subject><subject>Clinical decision making</subject><subject>Clinical medicine</subject><subject>Codes of conduct</subject><subject>College faculty</subject><subject>Confusion</subject><subject>Decision making</subject><subject>Ethical dilemmas</subject><subject>Ethics</subject><subject>Family planning</subject><subject>Female</subject><subject>Focus groups</subject><subject>Focus Groups - methods</subject><subject>Human rights</subject><subject>Humans</subject><subject>Intrauterine devices</subject><subject>IUD</subject><subject>Male</subject><subject>Medical decision making</subject><subject>Medical ethics</subject><subject>Midwifery</subject><subject>Midwives</subject><subject>Moral education</subject><subject>Nurse Midwives - psychology</subject><subject>Nurse Midwives - statistics & numerical data</subject><subject>Outpatient clinics</subject><subject>Parental rights</subject><subject>Professional ethics</subject><subject>Psychological distress</subject><subject>Qualitative Research</subject><subject>Sexual abuse</subject><subject>Students</subject><subject>Students, Nursing - psychology</subject><subject>Students, Nursing - statistics & numerical data</subject><subject>Surveys and Questionnaires</subject><subject>Turkey</subject><subject>Values</subject><subject>Welfare</subject><subject>Women</subject><subject>Womens rights</subject><subject>Writing</subject><subject>Young Adult</subject><issn>0969-7330</issn><issn>1477-0989</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp1kMtKBDEQRYMoOj72riTgxk1rpZPpJEsRX6C40XWTpGs00o8xSSOz8zf8Pb_EDOMDBFdFcc-9VVxC9hkcMyblCehKS86hBF2WSk7XyIQJKQvQSq-TyVIulvoW2Y7xGQBkpjbJFi8Fr0SpJ-Th1jevfoZhQWMaG-xT_Hh7pwGNS37oI00DxfTknWlp41vsOhMp9m4Y-4QBG-p7OoxpbpLPXupa33sXd8nGzLQR977mDnm4OL8_uypu7i6vz05vCseraSqkUrqxoCWzsnIw1RadFdBUCq3ijiO33DXC2pmSIIwsdd6BO2GYAweW75CjVe48DC8jxlR3PjpsW9PjMMa6FDDlnEElMnr4B30extDn7zIllCqZ4jpTsKJcGGIMOKvnwXcmLGoG9bLy-m_l2XLwFTzaDpsfw3fHGShWQDSP-Hv138BPFl6KGw</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Ejder Apay, Serap</creator><creator>Gürol, Ayşe</creator><creator>Gür, Elif Yağmur</creator><creator>Church, Sarah</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>7QJ</scope><scope>7U3</scope><scope>ASE</scope><scope>BHHNA</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7408-5428</orcidid></search><sort><creationdate>202011</creationdate><title>Midwifery students’ reactions to ethical dilemmas encountered in outpatient clinics</title><author>Ejder Apay, Serap ; Gürol, Ayşe ; Gür, Elif Yağmur ; Church, Sarah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-7889db0971b76c059becb40d68eb83c3e3b3cd4bbf8704a729b3c03c4a1c0c0b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abortion</topic><topic>Ambivalence</topic><topic>Ambulatory Care Facilities - organization & administration</topic><topic>Ambulatory Care Facilities - statistics & numerical data</topic><topic>Clinical decision making</topic><topic>Clinical medicine</topic><topic>Codes of conduct</topic><topic>College faculty</topic><topic>Confusion</topic><topic>Decision making</topic><topic>Ethical dilemmas</topic><topic>Ethics</topic><topic>Family planning</topic><topic>Female</topic><topic>Focus groups</topic><topic>Focus Groups - methods</topic><topic>Human rights</topic><topic>Humans</topic><topic>Intrauterine devices</topic><topic>IUD</topic><topic>Male</topic><topic>Medical decision making</topic><topic>Medical ethics</topic><topic>Midwifery</topic><topic>Midwives</topic><topic>Moral education</topic><topic>Nurse Midwives - psychology</topic><topic>Nurse Midwives - statistics & numerical data</topic><topic>Outpatient clinics</topic><topic>Parental rights</topic><topic>Professional ethics</topic><topic>Psychological distress</topic><topic>Qualitative Research</topic><topic>Sexual abuse</topic><topic>Students</topic><topic>Students, Nursing - psychology</topic><topic>Students, Nursing - statistics & numerical data</topic><topic>Surveys and Questionnaires</topic><topic>Turkey</topic><topic>Values</topic><topic>Welfare</topic><topic>Women</topic><topic>Womens rights</topic><topic>Writing</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ejder Apay, Serap</creatorcontrib><creatorcontrib>Gürol, Ayşe</creatorcontrib><creatorcontrib>Gür, Elif Yağmur</creatorcontrib><creatorcontrib>Church, Sarah</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>British Nursing Index</collection><collection>Sociological Abstracts</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Nursing ethics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ejder Apay, Serap</au><au>Gürol, Ayşe</au><au>Gür, Elif Yağmur</au><au>Church, Sarah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Midwifery students’ reactions to ethical dilemmas encountered in outpatient clinics</atitle><jtitle>Nursing ethics</jtitle><addtitle>Nurs Ethics</addtitle><date>2020-11</date><risdate>2020</risdate><volume>27</volume><issue>7</issue><spage>1542</spage><epage>1555</epage><pages>1542-1555</pages><issn>0969-7330</issn><eissn>1477-0989</eissn><abstract>Background:
Midwives are required to make ethical decisions with the support of respective codes of professional ethics which provide a framework for decision making in clinical practice. While each midwife should be ethically aware and sensitive to the ever-changing issues within reproduction, few empirical studies have examined the views of student midwives in relation to reproductive ethical dilemmas.
Objective:
The aim of this study was to explore midwifery students’ reactions to a number of ethical dilemmas relating to women’s experiences of reproductive decision making.
Design:
A series of focus groups were conducted with midwifery students who were asked to discuss five culturally significant scenarios including issues of knowledge acquisition regarding methods of family planning, removal or insertion of an intrauterine device, and abortion.
Setting:
A University in Turkey was the setting for this study.
Participants:
Purposeful sampling was adopted which resulted in five focus groups with a total of 57 midwifery students.
Ethical considerations:
The study was reviewed and granted formal ethical approval by an ethical committee at the Faculty of Health Science in Atatürk University. The head of the Faculty of Health Science approved the investigation. The participants received both oral and written information about the study and they gave their consent.
Results:
Five themes were identified from the analysis of the focus group data related to all five scenarios. These themes were ‘the right to information’, ‘choice and protection’, ‘parental rights and welfare of the women’, ‘make a decision’ and ‘women rights and sexual abuse’.
Conclusion:
This study has shown that while students respected women’s choice, they also expressed great ambivalence in some situations when personal values conflict with dominant societal beliefs and professional ethics. A focus on ethics education to include human rights is suggested as a means to enable students to explore their own social-value judgements, and as a means to limit the possible development of ethical confusion and moral distress.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>32436429</pmid><doi>10.1177/0969733020922875</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-7408-5428</orcidid></addata></record> |
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| ispartof | Nursing ethics, 2020-11, Vol.27 (7), p.1542-1555 |
| issn | 0969-7330 1477-0989 |
| language | eng |
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| source | MEDLINE; SAGE Complete; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Abortion Ambivalence Ambulatory Care Facilities - organization & administration Ambulatory Care Facilities - statistics & numerical data Clinical decision making Clinical medicine Codes of conduct College faculty Confusion Decision making Ethical dilemmas Ethics Family planning Female Focus groups Focus Groups - methods Human rights Humans Intrauterine devices IUD Male Medical decision making Medical ethics Midwifery Midwives Moral education Nurse Midwives - psychology Nurse Midwives - statistics & numerical data Outpatient clinics Parental rights Professional ethics Psychological distress Qualitative Research Sexual abuse Students Students, Nursing - psychology Students, Nursing - statistics & numerical data Surveys and Questionnaires Turkey Values Welfare Women Womens rights Writing Young Adult |
| title | Midwifery students’ reactions to ethical dilemmas encountered in outpatient clinics |
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