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Comparison between impacts of two methods of teaching ethics, lectures and learning based on problem-solving, on students' moral sensitivity and reasoning in Hamadan University of Medical Sciences

Protocol summary

Summary
This research is an intervention study that compares the impacts of two methods of ethics education, lectures and problem-based learning, on moral sensitivity and reasoning of nursing students of Hamedan University of medical science. In this study, fourth-year nursing students (semester seven and eight) based on drawing, are divided into two classes of lecture and problem-based learning (PBL). Then nursing ethics education programs include definitions of ethics, ethics areas of study, importance of ethics in nursing, nursing ethics principles and their definition (autonomy, confidentiality, accountability, etc.), professional ethics, codes of nursing ethics, approaches to ethical decision making and ethical decision-making process are developed. Contents of both education program are the same, except one of them uses PBL and the other uses lecture learning method. First, goals, intervention methods and appraisal procedure are presented. Before beginning the course, both classes are examined using research tools including ethical sensitivity in decision making and ethical reasoning questionnaire “nursing dilemma test”. The only difference between two classes is in ethical scenario solution, which in lecture class is provided by educator and in PBL class by students. The contents provided for two classes are the same. Sampling method is enumeration. The sample size of students of semester 7 and 8 are 41 and 39 respectively.

General information

Acronym
nursing ethics education
IRCT registration information
IRCT registration number: IRCT2014052417821N1
Registration date: 2014-11-09, 1393/08/18
Registration timing: registered_while_recruiting

Last update:
Update count: 0
Registration date
2014-11-09, 1393/08/18
Registrant information
Name
Seyede Nayereh Falahan
Name of organization / entity
Hamedan University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 81 3838 0150
Email address
n.falahiyan@umsha.ac.ir
Recruitment status
Recruitment complete
Funding source
Hamedan University of Medical Sciences
Expected recruitment start date
2014-01-01, 1392/10/11
Expected recruitment end date
2014-12-30, 1393/10/09
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison between impacts of two methods of teaching ethics, lectures and learning based on problem-solving, on students' moral sensitivity and reasoning in Hamadan University of Medical Sciences
Public title
Nursing ethics education impact on the moral sensitivity and reasoning of nursing students
Purpose
Other
Inclusion/Exclusion criteria
Inclusion criteria Student should be in internship period (semester seven and eight); Student should not have passed nursing ethics course; Students must consent (either formally or informally) to participate in sessions. Exclusion criteria: Failure to attend training sessions; Having missed more than one session.
Age
No age limit
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 66
Randomization (investigator's opinion)
N/A
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Single
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Hamedan University of Medical Sciences
Street address
Hamedan- Pajouhesh square- Shahid Fahmideh Boulevard- Hamedan University of Medical Sciences
City
Hamedan
Postal code
65167
Approval date
2014-05-17, 1393/02/27
Ethics committee reference number
16/35/9/706/پ

Health conditions studied

1

Description of health condition studied
Ethics in nursing students
ICD-10 code
Z51
ICD-10 code description
Other medical care

Primary outcomes

1

Description
Nursing students’ moral sensitivity- nursing students’ moral reasoning
Timepoint
Pre-education- just after education- one month after education
Method of measurement
Standard questionnaire of nursing students’ moral sensitivity- questionnaire of moral reasoning in nursing

Secondary outcomes

empty

Intervention groups

1

Description
In this study, senior students of a 4-year nursing program, based on drawing, are divided into two classes of lecture and problem-based learning (PBL). Then nursing ethics education programs include definitions of ethics, ethics areas of study, importance of ethics in nursing, nursing ethics principles and their definition (autonomy, confidentiality, accountability, etc.), professional ethics, codes of nursing ethics, approaches to ethical decision making and ethical decision-making process are developed. Contents of both education program are the same; except in lecture method scenarios (newborn with anomalies, Terminally ill adult, forcing medication, medication error, new nurse orientation, adult’s request to die) are solved by the educator; but in PBL class, students solve the problem based on educated steps of mixed nursing process pattern and problem-based learning. Education time for the lecture class was two 4-hour sessions and for PBL class four 2-hour sessions. First, goals, intervention method and appraisal procedure were presented for both classes. Before beginning of the course, Both classes were assessed using research tools including standard moral Sensitivity questionnaire and nursing moral reasoning questionnaire. For PBL class, first, goals and methods of education based on problem-solving were explained and students were divided into groups of 6-7. In first 2 hours of course for both classes, ethics content presented by researcher as lecture. Then, for lecture class, ethical scenarios were presented and solved by researcher. In PBL class, an advisor selected for each group, and the students were asked to solve the scenarios in a week according to following steps: step1: providing the students with copies of scenarios. Step2: Identifying and understanding the problem and determining ambiguous and unintelligible words. Step3: analyzing and clearly describing the problem and designing methodology questions of the problem (brainstorming). Step4: questions were categorized according to their subjects. Step5: Setting objectives and priorities. Step6: gathering information. Step7: Existing solutions were written based on findings and were rated based on meeting the objectives. At the end of the training sessions, both classes were assessed using post-test and after a month the test was repeated.
Category
N/A

Recruitment centers

1

Recruitment center
Name of recruitment center
Hamedan school of nursing and midwifery
Full name of responsible person
PhD Khudayar Oshvandi
Street address
Hamedan، Pajouhesh square، Shahid Fahmide Boulevard- Hamedan University of Medical Sciences- school of nursing and midwifery
City
Hamedan

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Hamedan University of Medical Sciences Deputy of Research
Full name of responsible person
Said BashirianPhD
Street address
hamedan-bolvar shahid fahmideh-Hamedan University of Medical
City
hamedan
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Hamedan University of Medical Sciences Deputy of Research
Proportion provided by this source
100
Public or private sector
empty
Domestic or foreign origin
empty
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
empty

Person responsible for general inquiries

Contact
Name of organization / entity
Hamadan University of Medical Sciences
Full name of responsible person
Seyede Nayereh Falahan
Position
Master of science in nursing education
Other areas of specialty/work
Street address
Hamedan- Pajouhesh square- Shahid Fahmideh Boulevard- Hamedan University of Medical Sciences -school of nursing and midwifery
City
Hamedan
Postal code
Phone
+98 81 3837 1986
Fax
Email
nfalahan92@gmail.comn.falahiyan@umsha.ac.ir
Web page address

Person responsible for scientific inquiries

Contact
Name of organization / entity
Hamedan University of Medical Sciences
Full name of responsible person
Roya Amini
Position
Master of Science in Community Health Nursing
Other areas of specialty/work
Street address
Hamedan- Pajouhesh square- Shahid Fahmide Boulevard- Hamedan University of Medical Sciences- school of nursing
City
Hamedan
Postal code
65167
Phone
+98 81 3838 0150
Fax
+98 81 3838 0447
Email
AminiRoy@gmail.comr.amini@umsha.ac.ir
Web page address
www.umsha.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Hamedan University of Medical Sciences
Full name of responsible person
Seyede Nayereh Falahan
Position
Nursing Graduate Student
Other areas of specialty/work
Street address
Hamedan- Pajouhesh square- Shahid Fahmideh Boulevard- Hamedan University of Medical Sciences -school
City
Hamedan
Postal code
65167
Phone
+98 81 3837 1986
Fax
Email
nfalahan92@gmail.comn.falahiyan@umsha.ac.ir
Web page address

Sharing plan

Deidentified Individual Participant Data Set (IPD)
empty
Study Protocol
empty
Statistical Analysis Plan
empty
Informed Consent Form
empty
Clinical Study Report
empty
Analytic Code
empty
Data Dictionary
empty
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