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KMID : 1025620180210040064
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Korean Journal of Medical Ethics
2018 Volume.21 No. 4 p.64 ~ p.80
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The Influence of Moral Distress and Moral Sensitivity on Moral Courage in Nursing Students
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Yun Hye-Young
Kim Sun-Ki
Jang Hyo-Eun
Hwang Sin-Woo
Kim Sang-Hee
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Abstract
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Nursing students experience ethical conflicts that lead to moral distress and moral sensitivity in clinical practice. Most nursing students have some difficulty in speaking up when faced with morally challenging situations. Hence, increasing moral courage of these students is important to improve the quality of prac-tice, and carry out nursing responsibilities. However, research on the moral distress, moral sensitivity, and moral courage of nursing students has not been reported in South Korea. The purposes of this study were to (a) identify the levels of moral distress, moral sensitivity, and moral courage of nursing students and (b) examine the influence of moral distress and moral sensitivity on moral courage. Data were collected through a survey using self-reported questionnaires sent to senior nursing students at two nursing col-leges in Seoul and Gyeonggido. A total of 138 senior nursing students participated in the survey. The data were analyzed using the IBM SPSS Statistics 23 program by Pearson’s correlation coefficients and multiple regression analysis. The mean scores of the moral distress thermometer, moral distress, moral sensitivity, and moral courage were 3.53±2.18, 57.33±43.35, 134.98±13.98, and 56.33±12.75, respectively. The significant factors influencing moral courage were the moral distress thermometer and patient-centered nursing, which was a subcomponent of moral sensitivity. The explanatory power of the model was 5%. This study confirms that nursing students, like nurses, experience moral distress. It is therefore important to create organizational environments that support the moral courage of nursing students.
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KEYWORD
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moral distress, moral sensitivity, moral courage, nursing students
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