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Aim: The present study is an attempt to investigate the relationship between Corley's model variables in mental health nurses. Background: Based on Corley's model, burnout and moral distress in nurses are, in retrospect, the consequences of the interplay of organizational and individual factors such as perceived organizational justice, moral sensitivity, and moral courage. The relationship between two variables or three variables of Corley's moral distress model has been investigated, but the test of Corley's moral distress model with more variables has not been done. Therefore, this research was proposed with the aim of investigating the relationship between the variables of moral courage and moral sensitivity (as characteristics of nurses), perceived organizational justice (as an antecedent), moral distress, and job burnout (as consequences of moral distress). Methods: The study was conducted as a descriptive correlational study involving 500 nurses working in the mental health wards of hospitals. Data collection was conducted using perceived organizational justice scale, moral sensitivity scale, moral courage scale, moral distress scale, and burnout inventory. Results: The results showed a significant relationship between perceived organizational justice, moral sensitivity, moral courage, and moral distress (< 0.05). Moreover, perceived organizational justice and moral distress had an inverse relationship. Moral sensitivity and moral courage had a direct relationship with moral distress (< 0.05). Furthermore, the results showed inadequate model fitness. Conclusions: This study adds to the existing knowledge about the experiences of mental health nurses and their interactions with both organizational and individual factors. It highlights that the connections between perceived organizational justice, moral sensitivity, moral courage, moral distress, and burnout are intricate and multifaceted. As we deepen our understanding of these relationships, it opens the door for the development of interventions and strategies to enhance nurses' well-being and the quality of care they deliver in mental health settings. Moreover, future research and ongoing refinement and expansion of Corley's model will be crucial in addressing the complex challenges within the healthcare sector. [ABSTRACT FROM AUTHOR]

Emotions, particularly social moral emotions, are believed to play a critically important role in moral development. Although it is of great theoretical and practical significance to improve individual morality, especially moral sensitivity, from the perspective of moral emotion, little attention has been paid to investigating the causal mechanisms between moral emotions and moral sensitivity. Therefore, through a longitudinal study, the current study explored the causal relationship between moral sensitivity and the typical moral emotions (guilt and shame) from empathy theory and cognitive appraisal theory of emotions. A total of 668 adolescents completed the two-wave survey over two years. We explored the causal association between moral emotions and moral sensitivity using the structural equation model. The cross-lagged analysis showed a reciprocal relationship between guilt and moral sensitivity, whereas shame did not have a unidirectional or bidirectional predictive relationship with moral sensitivity. This is the first research that reveals the significance of guilt as a moral emotion to enhance moral sensitivity. The finding offered a new practical and theoretical viewpoint for promoting individual moral development from the perspective of social moral emotional cultivation. [ABSTRACT FROM AUTHOR]

This study aimed to examine the relationship between the burnout of physicians and nurses and their moral sensitivity during the pandemic. This was a descriptive and correlational study. This study was carried out with physicians and nurses who were continuing to work actively during the pandemic. Snowboard sampling method was utilized. The total mean score of the participants on the MSQ was 90.78±19.10. The total mean score of the COVID-19 Burnout Scale was 34.52±9.65. A statistically weak and significant correlation was found between the COVID-19 Burnout Scale and the MSQ total score, as well as the “benefit” and “conflict” sub-dimensions. It was determined that as MSQ total scores, “benefit” and “conflict” scores decreased in healthcare workers, COVID-19 burnout scores increased. In our study, the moral sensitivity of the participants was found to be moderate, and their burnout levels were found to be high. Although there was a weak relationship, it was observed that burnout levels increased as moral sensitivity levels increased. It is crucial that we learn from pandemic experiences and transfer this knowledge to future generations. In particular, we must assimilate these important lessons into training in order to develop and protect the moral sensitivity of healthcare professionals. [ABSTRACT FROM AUTHOR]

This study was carried out to determine the effect of burnout and moral sensitivity levels of surgical unit nurses on their job satisfaction. A descriptive and correlational design study. The population consisted of 268 nurses working in health institutions in the Eastern Black Sea Region of Turkey. The data were collected online between 1 and 30 April, 2022 using a sociodemographic data form, the Maslach Burnout Inventory, the Minnesota Job Satisfaction Scale, and the Moral Sensitivity Scale. Pearson correlation analysis and logistic regression analysis were used to evaluate the data. The nurses' moral sensitivity scale mean score was 105.2 ± 18.8, and the Minnesota job satisfaction scale mean score was 3.3 ± 0.7. The participants' mean emotional exhaustion score was 25.4 ± 7.3, the depersonalization score average was 15.7 ± 4.6, and the personal accomplishment mean score was 20.5 ± 6.7. The factors affecting the job satisfaction of nurses were found to be moral sensitivity, personal accomplishment, and satisfaction with the unit they worked. Nurses had high levels of burnout due to emotional exhaustion, one of the subdimensions of burnout, and moderate levels of burnout due to depersonalization and personal accomplishment. The moral sensitivity and job satisfaction of nurses are moderate. As the nurses' accomplishment and ethical sensitivity levels increased and their emotional exhaustion levels decreased, their job satisfaction levels increased. [ABSTRACT FROM AUTHOR]

Abstract Background Moral sensitivity is one of the prerequisites for nurses’ professional competency and patient care. It is critical to teach professional ethics in a student-centered manner in order to increase students’ moral sensibility. This study evaluated the effects of professional ethics education via problem-based learning and reflective practice on nursing students’ moral sensitivity. Methods This experimental study was performed on 74 nursing students who were randomly divided into three groups of problem-based learning, reflective practice and control. Principles of professional ethics were presented for the two intervention groups in four 2-hour sessions using ethical dilemmas scenarios. Participants completed the Moral Sensitivity Questionnaire before, immediately, and three months after the intervention. Data were analyzed using SPSS16. Results Demographic characteristics of the three groups were similar (p > 0.05). The total moral sensitivity score significantly differed between the groups immediately and three months after the intervention (p

Background: The Covid-19 pandemic has impacted compassion fatigue and the mental health of health care providers, particularly midwives and nurses. Although there are studies involving health workers such as nurses and physicians affected by the pandemic's compassion fatigue, few studies include midwives. Research objective: The present study seeks to investigate the effects of compassion fatigue experienced by midwives working under intense stress during the third wave of the COVID-19 pandemic on the level of moral sensitivity. Research design: This is a descriptive-correlation study. Participants: The statistical population consisted of all the midwives in Türkiye hospitals in 2021. This cross-sectional study was collected through a questionnaire using convenience sampling. Three hundred and ten midwives working in different units of the country participated in the study. Ethical considerations: Approval from the researcher's university Institutional Review Board for ethical review was obtained with the code of IRB 20/510. Findings: The average age of the midwives is 34.29 ± 8.39. It has been noticed that 43.5% of the midwives work in public hospitals and 38.1% in family health and community health centers. Midwives' mean MR-CS score is 67.11 ± 25.13, secondary trauma sub-dimension average 15.77 ± 6.23, and occupational burnout sub-dimension 40.69 ± 16.35. The mean moral sensitivity questionnaire score is determined as 93.86 ± 19.51. It has been observed that the working style and working time are effective on compassion fatigue. In the linear regression model, 98% of compassion fatigue was explained. Age, secondary trauma, and occupational burnout sub-dimensions affect the model. Discussion: Working year, working style, second trauma, age, and occupational burnout parameters may help explain some of the links between midwives' symptoms of compassion fatigue. Conclusion: The pandemic affects the compassion fatigue of midwives. It is crucial to provide social support to midwives and health workers to prevent compassion fatigue and examine and control groups at risk in mental health. [ABSTRACT FROM AUTHOR]

Background: Ethical decision‑making and behavior of nurses are major factors that can affect the quality of nursing care. Moral development of nurses to making better ethical decision-making is an essential element for managing the care process. The main aim of this study was to examine and comparison the effect of training in ethical decision-making through lectures and group discussions on nurses' moral reasoning, moral distress and moral sensitivity. Methods: In this randomized clinical trial study with a pre- and post-test design, 66 nurses with moral reasoning scores lower than the average of the community were randomly assigned into three equal groups (n = 22) including two experimental groups and one control group. Ethical decision-making training to experimental groups was provided through the lectures and group discussions. While, the control group did not receive any training. Data were collected using sociodemographic questionnaire, the nursing dilemma test (NDT), the moral distress scale (MDS) and the moral sensitivity questionnaire (MSQ). Unadjusted and adjusted binary logistic regression analysis was reported using the odds ratio (OR) and 95% confidence intervals. Results: Adjusted regression analysis showed that the probability of increasing the nursing principle thinking (NPT) score through discussion training was significantly higher than lecture (OR: 13.078, 95% CI: 3.238–15.954, P = 0.008), as well as lecture (OR: 14.329, 95% CI: 16.171–2.005, P < 0.001) and discussion groups compared to the control group (OR: 18.01, 95% CI: 22.15–5.834, P < 0.001). The possibility of increasing moral sensitivity score through discussion training was significantly higher than lecture (OR: 10.874, 95%CI: 6.043–12.886, P = 0.005) and control group (OR: 13.077, 95%CI: 8.454–16.774, P = 0.002). Moreover, the moral distress score was significantly reduced only in the trained group compared to the control, and no significant difference was observed between the experimental groups; lecture group vs. control group (OR: 0.105, 95% CI: 0.015–0.717, P = 0.021) and discussion group vs. control group (OR: 0.089, 95% CI: 0.015–0.547, P = 0.009). Conclusions: The results of this study indicate that ethical decision-making training is effective on empowerment of ethical reasoning. Whereas the group discussion was also effective on increasing the ethical sensitivity, it is recommended the training plan provided in this study to be held as workshop for all nurses in health and treatment centers and placed in curricular plan of nursing students. Registration: This randomized clinical trial was registered in Iranian Registry of Clinical Trials under code (IRCT2015122116163N5) in 02/07/2016. [ABSTRACT FROM AUTHOR]

This cross‐sectional study explored the relationship between violent video game exposure (VVGE) and aggression in left‐behind adolescents (LBAs) in China, taking into account the effects of moral sensitivity and father presence. A cluster sampling design was applied in this study; we recruited 615 adolescents (45.85% male, age range 12–18 years, Mage = 14.70 years, SD = 1.66) from China. The results by using SPSS 25.0 and the PROCESS macro showed that VVGE was positively associated with LBAs' trait aggression and its items, and moral sensitivity played a partial mediating role in these relationships. Moreover, father presence moderated VVGE and LBAs' trait aggression, verbal aggression and hostility. Specifically, at a high level of father presence, the direct effect of VVGE on trait aggression was significantly moderated by increasing the level of father presence, whereas this moderating effect was not significant at a low level of father presence. The results were similar for verbal aggression and hostility. Thus, moral sensitivity and father presence should be considered in prevention and intervention strategies aimed at reducing LBAs' aggression. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to: (1) assess the level of moral sensitivity of nurses and the quality of nursing care for patients with COVID‐19 in Iran; and (2) identify the relationship between the moral sensitivity of nurses and the quality of nursing care for patients with COVID‐19 in Iran. Design: This study was designed as a descriptive, cross‐sectional, and correlational research. Method: A total of 211 nurses working in four hospitals affiliated with the Hamadan University of Medical Sciences in Iran from December 2021 to April 2022 were selected via the stratified proportional random sampling method. Demographic information, a moral sensitivity questionnaire, and the Good Nursing Care Scale were used for data collection. The data were analysed by SPSS 24 based on descriptive and inferential statistics (Pearson correlation coefficient and multiple regression). Results: Results revealed that 188 of the nurses (89.1%) had a moderate level of moral sensitivity. Furthermore, 160 of the participants (75.8%) reported a relatively low level of the quality of nursing care. The results of the Pearson correlation coefficient test indicated that there was an inverse and significant relationship between the moral sensitivity of nurses and the quality of nursing care (r = −0.528, p < 0.001). The results of multiple regression indicated that the model of moral sensitivity components explained 27.9% of the variance in the quality of nursing care. The components of moral sensitivity, including relation (β = −0.246, p < 0.001), meaning (β = −0.188, p = 0.003), conflict (β = −0.170, p = 0.008), benevolence (β = −0.153, p = 0.012), and rules (β = −0.144, p = 0.019) had inverse and significant effects on the quality of nursing care. Conclusion: Since higher mean scores of moral sensitivity reflect lower moral sensitivity, it can be stated that with the increase in moral sensitivity of nurses, the quality of nursing care for patients with COVID‐19 grows. [ABSTRACT FROM AUTHOR]

Background: Teamwork, moral sensitivity, and missed nursing care are important healthcare challenges for Intensive Care Unit (ICU) nurses and the existence of a relationship between these variables can be useful for developing better care improvement strategies. This study aimed to determine the relationship between teamwork, moral sensitivity, and missed nursing care in ICU nurses. Methods: This is a descriptive cross-sectional study conducted on a total of 200 ICU nurses working at teaching hospitals affiliated to Semnan and Shahroud Universities of Medical Sciences, Semnan, Iran in 2022. Sampling was conducted using the census method. Data collection was conducted using a demographic checklist, the TeamSTEPPS Team Perception Questionnaire (T-TPQ), Lützén Moral Sensitivity Questionnaire (L-MSQ), and Kalisch and Williams Missed Nursing Care (MISSCARE) Survey. The examination of the relationship between the three variables was conducted using Pearson's correlation coefficient and multiple regression analysis. Results: The mean and standard deviation of teamwork, moral sensitivity, and missed nursing care was 3.47 ± 0.69, 64.19 ± 13.43, and 55.04 ± 34.10, respectively. The variable of teamwork had a significant positive relationship with moral sensitivity (p <.001) and a significant negative relationship with missed nursing care (p <.001). Teamwork was also a positive predictor of moral sensitivity (p <.001) and a negative predictor of missed nursing care (p <.001). The clinical experience of ICU nurses was a positive predictor of teamwork (p =.01) and a negative predictor of missed nursing care (p =.001). The age of ICU nurses was a positive predictor of moral sensitivity (p =.001) and a negative predictor of missed nursing care (p =.008). Conclusion: The findings showed that a higher level of teamwork was associated with increased moral sensitivity and reduced missed nursing care among ICU nurses. Therefore, focusing on planning interventions on teamwork improvement can lead ICU nurses to improve moral sensitivity, lower missed nursing care, and promote the quality of patient care. [ABSTRACT FROM AUTHOR]

Background: Moral sensitivity refers to to an individual's ability to perceive and respond appropriately to moral elements in a specific situation. Assessing moral sensitivity in this particular context can provide valuable insight into how nurses handle difficult situations, make tough decisions, and uphold their professional integrity and ethical responsibilities. To measure this, a specific questionnaire is necessary for assessment. Objective: To validate the Moral Sensitivity Questionnaire specifically for nurses in Pakistan who have been working during the challenging times of the COVID-19 pandemic. Method: A cross-sectional study design was used to gather data through convenience sampling from 298 nurses working at Shalamar and Mayo Hospital Lahore, Pakistan. The data were collected using a questionnaire that was validated by five experts in the field. The collected data were analyzed using SPSS 21.0 and display in the form of table. Result: Most of them were females aged 20 to 35, and about 57.7%, worked in public hospitals. The analyzed KMO value (0.838), the Bartlett's test reveals a value of 0.000, which is less than 0.05 and the Cronbach's alpha coefficient of 0.924. Moreover the cumulative percentage variance for the 7 factor was (67.9%). Conclusion: The MSQ proves to be a suitable tool for assessing moral sensitivity among Pakistani nurses due to its favorable factor structure, strong inter-question correlations, and adherence. This tool is particularly well suitable for developing country, as it offers easily understandable questions with strong factor analysis. [ABSTRACT FROM AUTHOR]

Copyright of Argumenta Philosophica is the property of Herder Editorial S.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of National Education / Millî Eğitim Dergisi is the property of Milli Egitim Bakanligi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract Background While several studies have been performed on turnover intention among nurses, limited studies have considered the ethical perspectives on turnover intention among haemodialysis nurses. The purpose of this study was to clarify the impact of ethical factors, namely ethical climate, moral distress, and moral sensitivity on turnover intention among haemodialysis nurses. Methods This cross-sectional research was conducted between July and August 2017. A total of 148 haemodialysis nurses were invited to participate in the study by convenience sampling from 11 general and university hospitals in South Korea. Data were analysed using SPSS for t-test, one-way analysis of variance, Pearson’s correlation coefficients, and multiple regression analysis. Results In the final regression model, the adjusted R-squared significantly explained 34.6% of the variance in turnover intention (F = 22.534, p

Abstract Aim This descriptive‐analytical correlational study was carried out to examine moral awareness and its relationship with moral sensitivity among Iranian nursing students. Design A descriptive‐analytical correlational study. Methods The present descriptive‐analytical study was performed among 140 Iranian nursing students. The data collection tool was a three‐part questionnaire including (1) Demographic Information Questionnaire, (2) Nurses' Awareness about the Iranian Nursing Code of Ethics by Mohajjel Aghdam and (3) Moral Sensitivity Questionnaire (MSQ) by Kim Lutzen. The data collected from these questionnaires were analysed in SPSS‐26 using descriptive and inferential statistics. Results The mean moral awareness (29.42 ± 4.01) was good, and the mean moral sensitivity (135.05 ± 18.79) was moderate among the students. A significant positive correlation was observed between the total score of moral awareness and moral sensitivity (r = .22, p = .009) in the nursing students.

Purpose – To protect information and communication technology (ICT) infrastructure and resources against poor cyber hygiene behaviours, organisations commonly require internal users to confirm they will abide by an ICT Code of Conduct. Before commencing enrolment, university students sign ICT policies, however, individuals can ignore or act contrary to these policies. This study aims to evaluate whether students can apply ICT Codes of Conduct and explores viable approaches for ensuring that students understand how to act ethically and in accordance with such codes. Design/methodology/approach – The authors designed a between-subjects experiment involving 260 students’ responses to five scenario-pairs that involve breach/non-breach of a university’s ICT policy following a priming intervention to heighten awareness of ICT policy or relevant ethical principles, with a control group receiving no priming. Findings – This study found a significant difference in students’ responses to the breach versus non-breach cases, indicating their ability to apply the ICT Code of Conduct. Qualitative comments revealed the priming materials influenced their reasoning. Research limitations/implications – The authors’ priming interventions were inadequate for improving breach recognition compared to the control group. More nuanced and targeted priming interventions are suggested for future studies. Practical implications – Appropriate application of ICT Code of Conduct can be measured by collecting student/employee responses to breach/non-breach scenario pairs based on the Code and embedded with ethical principles. Social implications – Shared awareness and protection of ICT resources. Originality/value – Compliance with ICT Codes of Conduct by students is under-investigated. This study shows that code-based scenarios can measure understanding and suggest that targeted priming might offer a non-resource intensive training approach.

Background and Objectives: Nurses face many ethical issues daily, and knowing professional ethics can help them make ethical decisions. Therefore, the present study aims to determine the effects of professional ethics training on moral distress and moral sensitivity in nurses. Methods: In this quasi-experimental study, 30 nurses who were working in the emergency and COVID-19 wards of Razi Saravan Hospital in 2022 were selected based on the inclusion and exclusion criteria and were randomly assigned to intervention and control groups. In the intervention group, the nurses of the COVID-19 ward were influenced by professional ethics training for one month. The level of moral distress and moral sensitivity was measured by the Corley and Latzen standard questionnaire after 2 weeks. The data were then analyzed by SPSS software, version 23. Results: To compare the average scores of moral distress and moral sensitivity of nurses between the two tests and the control group before and after the intervention, the analysis of the covariance statistical test was used. By controlling the pre-test variable, the average scores of moral distress and moral sensitivity after the intervention were significantly different between the two tests and the control group (P

Abstract Background Nursing is a moral attempt and endeavor. Moral sensitivity training is one of the most important ways to strengthen nursing moral decision making. Thus, the purpose of this study was to determine the effect of durability of knowledge transfer through reminiscence on nurses’ moral sensitivity. Methods The present study is a controlled randomized clinical trial conducted in pre- and post- interventional forms. The research population consisted of all nurses working at Bushehr Persian Gulf martyrs training hospital in 2017, 68 nurses participated as samples in the study selected by available sampling method and then randomly assigned to two groups of intervention and control groups. In this study, Morphological Sensitivity Questionnaire of Lautzen was used. Validity and reliability of the questionnaire have been confirmed. The pre-test was obtained from the control and intervention group. An 8-hour reminiscence training session was held for the intervention group. In order to study, the durability of training, posttest was obtained from both groups. Data were analyzed by SPSS software version 19 and using t-test, Chi-square, paired t-test. Results The mean moral sensitivity score in nurses before intervention in both groups was not statistically different (P = 0.42). The comparison of the mean scores of nurses’ moral sensitivity after intervention in the control and intervention groups, which in fact, indicates the durability of education, showed a significant difference. (P

Background: Moral sensitivity is one of the prerequisites for nurses' professional competency and patient care. It is critical to teach professional ethics in a student-centered manner in order to increase students' moral sensibility. This study evaluated the effects of professional ethics education via problem-based learning and reflective practice on nursing students' moral sensitivity. Methods: This experimental study was performed on 74 nursing students who were randomly divided into three groups of problem-based learning, reflective practice and control. Principles of professional ethics were presented for the two intervention groups in four 2-hour sessions using ethical dilemmas scenarios. Participants completed the Moral Sensitivity Questionnaire before, immediately, and three months after the intervention. Data were analyzed using SPSS16. Results: Demographic characteristics of the three groups were similar (p > 0.05). The total moral sensitivity score significantly differed between the groups immediately and three months after the intervention (p < 0.001). The total mean score for moral sensitivity was significantly different between the two groups of problem-based learning and reflective practice, with the mean scores in the problem-based learning group being higher (p = 0.02). The mean score of moral sensitivity decreased statistically significantly in both experimental groups three months after the intervention as compared to immediately after the intervention (p < 0.001). Conclusion: Nursing students' moral sensitivity can be increased through reflective practice and problem-based learning. While the results indicated that problem-based learning was more successful than reflective practice, additional research is recommended to confirm the influence of these two strategies on moral sensitivity. [ABSTRACT FROM AUTHOR]

Copyright of Mersin University School of Medicine Lokman Hekim Journal of History of Medicine & Folk Medicine is the property of Mersin University School of Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In order to manage ethical challenges in organizations and the workplace, moral sensitivity (MS)—the ability to identify and ascribe importance to moral issues when they arise in the workplace—is seen as the key prerequisite by researchers and professionals. However, despite the importance of MS, satisfactory reliable and valid measures to assess this competence are to date lacking. The present research tests the psychometric qualities of a revised MS measure for the business domain (R-MSB) that is designed to assess individual differences in moral and business-related value sensitivity. We present three different analyses with two heterogeneous samples of Swiss and German employees (total N = 1168). The first two studies provide good evidence of the measures' factorial structure, its construct, and criteria-related validity. The third study examines how affective and empathic responses are associated with MS and business sensitivity (BS). The results support the view that empathic responsiveness enhances MS. The instrument's theoretical and practical strengths, limitations, and avenues for future research are discussed. [ABSTRACT FROM AUTHOR]

Introduction: Lack of moral sensitivity and the existence of dysfunctional professional thoughts in emergency department nurses are important. Because wrong decisions cause irreparable damage to the patient. Objective: The aim of this study was to evaluate the job performance of nurses in the emergency department of selected military hospitals in Tehran based on the variables of moral sensitivity and dysfunctional professional thoughts. Materials and Methods: A descriptive-correlational study was conducted in 2020. The target population was nurses working in the emergency departments of selected military hospitals in Tehran. The sample size was 152 people. Sampling was done by stratified random sampling. Data collection tools included demographic and occupational characteristics form, Lutzen Ethical Sensitivity, Patterson Job Performance and Inefficient Professional Ethics Questionnaires. Data were analyzed using descriptive statistics (mean, standard deviation, frequency and frequency percentage) and tests such as a t-test with a significance level of P <0.05 by SPSS software. Results: The majority of study participants were women (60.5%). Most nurses had high moral sensitivity (51.3%). The mean job performance of nurses was 26.54±9.53. The mean total score of nurses' dysfunctional thoughts was 61.1±12.51. In addition, the mean total score of moral sensitivity in the present study was 70.84 ± 15.09. Between different hospitals, there was a significant difference in the total score scores of dysfunctional thoughts and sub-dimensions of confusion and inability to make decisions, impossible expectations, importance to others and perfectionism. There was no significant difference between moral sensitivity and dysfunctional professional thoughts among selected hospitals. Nurses had relatively high moral sensitivity (51.3%) and high job performance (73%). Regression results showed that moral sensitivity can predict about 32% of changes in job performance variables. Conclusion: Due to the high level of moral sensitivity among nurses, their job performance was at a high level and they were not influenced by dysfunctional professional thoughts. This study also showed that moral sensitivity is able to predict changes in nurses' job performance significantly. [ABSTRACT FROM AUTHOR]

Aim: Nurses play a crucial role in providing holistic care. Moral sensitivity can help nurses at this point. The objective of this study was to investigate the perception of spiritual care and moral sensitivity of senior nursing students receiving education in five different regions of Turkey. Method: This study used a multicenter, descriptive and cross-sectional survey design. Data were collected with the Spirituality and Spiritual Care Rating Scale and the Moral Sensitivity Questionnaire in the research. A total of 590 senior nursing students, studying in five different universities in five different regions of Turkey, participated in this research. Results: The mean total score of students on the Spirituality and Spiritual Care Rating Scale was 4.06±0.70 and Moral Sensitivity Questionnaire was 5.44±1.12. There was a significant relationship between the mean total scores on the Spirituality and Spiritual Care Rating Scale and the Moral Sensitivity Questionnaire (p

IntroductionPalliative care (PC) delivery for persons with advanced dementia (AD) remains low, particularly in acute-care settings. Studies have shown that cognitive biases and moral characteristics can influence patient care through their effect on the thinking patterns of healthcare workers (HCWs). This study aimed to determine whether cognitive biases, including representativeness, availability, and anchoring, are associated with treatment approaches, ranging from palliative to aggressive care in acute medical situations, for persons with AD.MethodsThree hundred fifteen HCWs participated in this study: 159 physicians and 156 nurses from medical and surgical wards in two hospitals. The following questionnaires were administered: a socio-demographic questionnaire; the Moral Sensitivity Questionnaire; the Professional Moral Courage Scale; a case scenario of a person with AD presenting with pneumonia, with six possible interventions ranging from PC to aggressive care (referring to life-prolonging interventions), each given a score from (−1) (palliative) to 3 (aggressive), the sum of which is the “Treatment Approach Score;” and 12 items assessing perceptions regarding PC for dementia. Those items, the moral scores, and professional orientation (medical/surgical) were classified into the three cognitive biases.ResultsThe following aspects of cognitive biases were associated with the Treatment Approach Score: representativeness—agreement with the definition of dementia as a terminal disease and appropriateness of PC for dementia; availability—perceived organizational support for PC decisions, apprehension regarding response to PC decisions by seniors or family, and apprehension regarding a lawsuit following PC; and anchoring—perceived PC appropriateness by colleagues, comfort with end-of-life conversations, guilt feelings following the death of a patient, stress, and avoidance accompanying care. No association was found between moral characteristics and the treatment approach. In a multivariate analysis, the predictors of the care approach were: guilt feelings about the death of a patient, apprehension regarding senior-level response, and PC appropriateness for dementia.ConclusionCognitive biases were associated with the care decisions for persons with AD in acute medical conditions. These findings provide insight into the potential effects of cognitive biases on clinical decisions, which may explain the disparity between treatment guidelines and the deficiency in the implementation of palliation for this population.

Background: During the COVID‐19 pandemic, intensive care nurses may experience ethical issues related to fear of transmission, limited resources, and increased workload. Nurses' moral sensitivity and courage may have a role in dealing with these problems. Aim: The purpose of this study was to assess intensive care nurses' moral sensitivity and moral courage during the COVID‐19 pandemic. Design: Descriptive cross‐sectional survey. Methods: A total of 362 nurses working in the intensive care units of pandemic hospitals in Turkey participated in the study between January and March 2021. Data were obtained using a personal information form, the Moral Sensitivity Questionnaire, and the Nurses' Moral Courage Scale. A link to the online data collection tools was sent to the management of participating institutions, who forwarded it to nurses. Reporting followed the CHERRIES guidelines. Results: In this study, the response rate of nurses was 89%. The nurses' total mean moral sensitivity score was 90.70 ± 28.89 and their mean moral courage score was 82.08 ± 13.51. A weak inverse correlation was found between the nurses' moral sensitivity and moral courage scores (r = −.176, p =.001). Total moral sensitivity score differed significantly according to years of Intensive care unit (ICU) experience (p =.007). Total moral courage scores increased significantly with education level (p =.012), years of nursing experience (p =.016), and willingness to work in the ICU (p <.001). Conclusion: The study suggests that nurses working in the intensive care unit during the pandemic had moderate moral sensitivity and high levels of moral courage. Nurses' sociodemographic characteristics and ICU work conditions may affect their moral sensitivity and moral courage. Relevance to Clinical Practice: The results of this study can help guide efforts to improve moral courage and sensitivity and address ethical issues among ICU nurses. [ABSTRACT FROM AUTHOR]

Introduction. Midwives and nurses experience ethical dilemmas during providing patient care. The manner of coping with them plays an important role in shaping the nature of care. Aim. The aim was to analyse the scientific literature on moral sensitivity characterising midwives, nurses and to answer the question of which determinants influence it. Method. A critical review of the literature was performed, using a combination of key words: moral sensitivity, nurses, midwives, work, hospital. Articles were identified using three databases (PubMed, CINAHAL Complete, SCOPUS). The results were narrowed to original articles in English published between 2011 and 2021. The analysis covered 15 articles. Summary. The moral sensitivity of midwives and nurses exhibits a correlation with sociodemographic variables such as age, education, job seniority, and the hospital's ethical climate and decision-making which is consistent with the principles of professional ethics. An important task of the academic, managerial staff of hospitals is to shape nurses' and midwives' moral sensitivity during their education. [ABSTRACT FROM AUTHOR]

Background: While several studies have been performed on turnover intention among nurses, limited studies have considered the ethical perspectives on turnover intention among haemodialysis nurses. The purpose of this study was to clarify the impact of ethical factors, namely ethical climate, moral distress, and moral sensitivity on turnover intention among haemodialysis nurses. Methods: This cross-sectional research was conducted between July and August 2017. A total of 148 haemodialysis nurses were invited to participate in the study by convenience sampling from 11 general and university hospitals in South Korea. Data were analysed using SPSS for t-test, one-way analysis of variance, Pearson's correlation coefficients, and multiple regression analysis. Results: In the final regression model, the adjusted R-squared significantly explained 34.6% of the variance in turnover intention (F = 22.534, p <.001) when moral distress related to physician practice (β = 0.310, p =.001) and ethical climate related to the hospital climate (β = − 0.253, p =.003) and manager (β = − 0.191, p =.024) were included. Following the stepwise multiple regression process, all subdomains related to moral sensitivity were excluded due to no statistical significance in the final regression model. Conclusion: To reduce turnover intention among haemodialysis nurses, hospitals and managers should pay attention to haemodialysis nurses' moral distress originating from physicians' practice and improve their ethical climate. Additionally, it is required that the impact of moral sensitivity on turnover among nurses working in diverse care settings be examined further. [ABSTRACT FROM AUTHOR]

Aim: This descriptive‐analytical correlational study was carried out to examine moral awareness and its relationship with moral sensitivity among Iranian nursing students. Design: A descriptive‐analytical correlational study. Methods: The present descriptive‐analytical study was performed among 140 Iranian nursing students. The data collection tool was a three‐part questionnaire including (1) Demographic Information Questionnaire, (2) Nurses' Awareness about the Iranian Nursing Code of Ethics by Mohajjel Aghdam and (3) Moral Sensitivity Questionnaire (MSQ) by Kim Lutzen. The data collected from these questionnaires were analysed in SPSS‐26 using descriptive and inferential statistics. Results: The mean moral awareness (29.42 ± 4.01) was good, and the mean moral sensitivity (135.05 ± 18.79) was moderate among the students. A significant positive correlation was observed between the total score of moral awareness and moral sensitivity (r =.22, p =.009) in the nursing students. [ABSTRACT FROM AUTHOR]

(1) Background: Healthcare professionals´ clinical practice, their care of patients and the clinical decision-making process may be influenced by ethical and moral sensitivity. However, such outcomes have been scarcely studied in physical therapists. This study aimed to explore ethical sensitivity and moral sensitivity in practicing physical therapists, and to compare both variables by gender. (2) Methods: Cross-sectional study. 75 physical therapists (58.7% women; average age = 34.56 (8.68) years) were asked to fill in questionnaires measuring ethical sensitivity (Ethical Sensitivity Scale Questionnaire) and moral sensitivity (Revised-Moral Sensitivity Questionnaire). (3) Results: The sample showed high ethical sensitivity (116.14 ± 15.87 over 140) and high moral sensitivity (40.58 ± 5.36 over 54). When comparing by gender, women reported significantly higher ethical sensitivity than men (p = 0.043), as well as higher scores in the following dimensions: Caring by connecting with others (p = 0.012) and Working with interpersonal and group differences (p = 0.028). However, no differences were found in moral sensitivity (p = 0.243). (4) Conclusion: Physical therapists showed high levels of ethical and moral sensitivity, whilst women reported higher ethical sensitivity than men. Understanding physical therapists´ ethical and moral sensitivity is essential to design and implement integrated education programs directed to improve the quality of care of patients in their daily clinical practice. [ABSTRACT FROM AUTHOR]

Background and Aim: Moral sensitivity enables nurses to interpret their care recipients’ needs and respond to them according to ethical principles. Moral distress is a known phenomenon in the nursing profession, which can cause a lot of physical and mental stress for nurses, leading to their dissatisfaction, as well as reductions in their efficiency and the quality of care. Therefore, nurses’ having high moral sensitivity can play an important role in preventing the situations which cause moral distress. Thus, the present study was conducted with the aim of determining moral sensitivity and moral distress in the nurses caring for the patients with Covid-19 in the training medical centers affiliated to Hamedan University of Medical Sciences. Methods: The current research is a descriptive-cross-sectional study, which was conducted on 113 nurses of Hamadan University of Medical Sciences from March to June 2021 using stratified random sampling method. The data collection tools included a three-part demographic information questionnaire, Moral Sensitivity Questionnaire (MMSQ) and Corelli's moral distress questionnaire. The data were analyzed using SPSS 22 statistical software, independent t-test, Mann-Whitney, ANOVA, Spearman's correlation coefficient and Chi-squared test. Ethical Considerations: After obtaining informed consents from the participants, the researcher also ensured data confidentiality. Results: Investigating the relationship between moral sensitivity and the frequency of moral distress, a significant relationship was found between moral distress frequency and moral sensitivity (r=0.202, p=0.032) and the subgroups of experiencing problems (r=0.287, p=0.002), interpersonal communication (r=0.213, p=0.024) and promoting the care recipient’s level of independence (r=0.246, p=0.009). With the increase in these subgroups, the frequency of job distress increases significantly, too. The mean score of the nurses’ moral sensitivity was reported to be at the medium level, 57.78±13.53. The mean frequency of moral distress was 17.99±37.01 and the intensity of moral distress was 52.83±23.51. The frequency of moral distress was at the medium level and the intensity of moral distress was high. Conclusion: Considering the nurses’ medium level of ethical sensitivity, efforts should be made to promote ethical issues in nursing. Various factors affect nurses’ levels of moral sensitivity and moral distress while caring for patients. This research was done in a situation when nurses were confronting the peak of the Covid-19 pandemic, under high organizational and mental pressures. [ABSTRACT FROM AUTHOR]

Background and Aim: Empathy is a broad concept that refers to the emotional and cognitive reactions of an individual to the observed experiences of another. It has the most positive effect on the health outcomes of patients. This study aimed to investigate the effect of empathy training on employee motivation, moral sensitivity, and alexithymia among nurses working in Bahonar hospital in Kerman. Methods: This quasi-experimental study was conducted on 80 nurses working in Shahid Bahonar hospital in Kerman in 2020, who were selected by census method. Eight 90-minute sessions were held to train empathy to the participants with a focus on the four-factor psychotherapy developed by Vaziri et al. (2011). Then, employee motivation questionnaire, moral sensitivity questionnaire, and Toronto alexithymia scale were used to collect data, and they were analyzed with SPSS23. Results: The results showed the effect of empathy training on employee motivation (P <0.001), moral sensitivity (P <0.001), and alexithymia (P <0.001) among nurses working in Shahid Bahonar hospital in Kerman. Conclusion: The study results showed that empathy training was effective in employee motivation, moral sensitivity, and alexithymia among nurses; therefore, it can be used to empower nurses. [ABSTRACT FROM AUTHOR]

Abstract Background Ethical issues may pose challenges to nurses; moral sensitivity can help them to overcome these challenges. Identifying variables related to moral sensitivity can help in planning to increase nurses’ moral sensitivity. This study aimed to investigate the relationship among mindfulness, empathy, and moral sensitivity in a sample of nurses. Methods In the present study, a cross-sectional design utilizing Structural Equation Modeling (SEM) was conducted. The nurses in a private hospital in Yazd, Iran, were invited to participate in the study (n=162) using simple random sampling. In order to gather the data, the Freiburg’s mindfulness inventory, moral sensitivity questionnaire, and revised Jefferson’s empathy scale were used. The hypothesized model was analyzed by SEM. Results The results show that Mindfulness (β=0.41, t=5.53, p

Developing a framework that illustrates causal relationships and an in-depth comprehension of contextual elements is essential for steering the development of ethical interventions to enhance nurses’ ethical decision-making.To examine the relationship between cultural competence, professional nursing values, and moral sensitivities of surgical nurses with a mediation analysis and structural equation model.This study is descriptive and correlational.and research context: This study was conducted with a total of 201 surgical nurses from two university hospitals in Konya, Türkiye. Data were gathered face-to-face between June and October 2023 with the Moral Sensitivity Questionnaire (MSQ), Nurses Professional Values Scale-Revised (NPVS-R), and Nurse Cultural Competence Scale (NCCS).Ethical approval from X University Ethics Committee was obtained (Number: 2023/419).In this study, the mean scores for the surgical nurses were as follows: 89.3 ± 19.33 on the MSQ, 113.1 ± 20.74 on the NPVS-R, and 72.06 ± 18.61 on the NCCS. Nurses’ cultural competence level significantly affected their professional nursing values (β = 0.192; p = .007; R2 = 0.04), and their professional nursing values, in turn, had a significant effect on their moral sensitivities (β = −0.363; p < .001; R2 = 0.16). However, it was determined that the direct effect of nurses’ cultural competence level on their moral sensitivity was not statistically significant. In contrast, the indirect effect of nurses’ cultural competence level on their moral sensitivity, mediated by their professional nursing values was seen to be statistically significant (B = −0.070; p = .008).This study showed that there is a significant positive relationship between the professional nursing values and cultural competence levels of surgical nurses and that as professional nursing values increase, their moral sensitivity also rises. Sensitivity with higher professional nursing values. Additionally, it was found that nurses’ professional values served as a mediating factor between their levels of cultural competence and moral sensitivity. Therefore, it is crucial to enhance the cultural competence, professional nursing values, and moral sensitivity of nursing students and registered surgical nurses and to improve their reasoning and decision-making skills in ethical dilemmas. [ABSTRACT FROM AUTHOR]

Rapid advances in medical technology, changing healthcare policies, and increasing patient diversity have exacerbated the ethical challenges. As nursing students are an integral part of the future nursing workforce, ethical sensitivity has a critical impact on their future careers.This study aims to promote research in related fields by systematically reviewing the origin and development of the concept of ethical sensitivity in nursing students, comparing currently available tools for assessing ethical sensitivity in nursing students, and exploring their applicability and reliability.A literature review method was used in this study. A literature search was conducted for assessment tools published between 1995 and 2024. A total of six articles focusing on assessment tools they developed to measure ethical or moral sensitivity were included and analyzed.Our analysis revealed significant variations in the reliability and applicability of these assessment tools, particularly when used in diverse cultural settings. The study also identified a need for localized modifications of these tools to ensure their accuracy and relevance in different regions.The findings provide valuable guidance for nursing educators in selecting appropriate assessment tools and offer a foundation for developing new tools that are more contextually relevant. This study contributes to the advancement of ethical sensitivity education for nursing students worldwide, ultimately enhancing patient care and professional development. [ABSTRACT FROM AUTHOR]

Compare the effects of Simulation with problem-based learning (SPBL) and Problem-based learning (PBL) in nursing ethics education on nursing students' moral sensitivity, empathy, critical thinking, test scores and teaching satisfaction. Promoting nursing students' individual and ethical and abilities through education is an essential way to improve their ethical performance and build trustful relationship with patients. Despite significant efforts in this area, few have evaluated the effectiveness of Simulation with problem-based learning and Problem-based learning as applied to nursing ethics education. A quasi-experimental design based on a non-equivalent control group pre-test/post-test. A quasi-experimental design was used. Participants were 161 undergraduate nursing students from two levels of a university, 88 subjects in the experimental group were taught using Simulation with problem-based learning and 73 subjects in the control group were taught using Problem-based learning. A pre-test, post-test and questionnaire were used to assess the effectiveness of student nursing ethics education. χ2 test was used to examine group differences in students' characteristics and satisfaction with teaching post-intervention. Student's t-test was used to assess group differences in scale scores and test scores. Compared to the pre-test, empathy as well as critical thinking were significantly higher in the PBL group (P <0.05), but there was no significant change in moral sensitivity (P >0.05); moral sensitivity, empathy and critical thinking were significantly higher in the SPBL group (P <0.05). Moreover, this study also showed that improvement in moral sensitivity, empathy, critical thinking and grades was more significant in the SPBL group of nursing students compared to the PBL group (P <0.05) and no statistically significant difference was found between the two groups in terms of teaching satisfaction (P >0.05). The use of Simulation with problem-based learning in nursing ethics education has a positive impact on nursing students' competency development and knowledge acquisition. Nurse educators should consider this teaching method and promote change to increase the effectiveness of nursing ethics education. • Nursing ethics education plays a vital role in developing nursing students' ability to solve practical clinical problems. • Problem-based learning instruction is limited in terms of interactive and contextualized learning experiences. • Simulation with problem-based learning can improve nursing students' moral sensitivity, empathy, and critical thinking more effectively than problem-based learning. • Our findings suggest that simulation with problem-based learning should be promoted for use as part of the nursing ethics education program design. [ABSTRACT FROM AUTHOR]

Abstract Background Caring for patients during a pandemic can be difficult for healthcare workers, the patients themselves, and healthcare systems. Nurses are expected to recognize ethical dilemmas and make sound judgments when confronted with them. Sensitizing nurses to ethical issues strengthen their ability to identify ethical dilemmas and make ethical choices. As a result, this study aimed to determine a relationship between moral sensitivity and caring behavior among nurses during the coronavirus (COVID-19) pandemic. Method The current study is a cross-sectional study of 406 nurses who worked in a single hospital during the COVID-19 epidemic. We used a demographic questionnaire and the caring behavior inventory (CBI) tool to collect data online. The data were analyzed using descriptive and correlational statistics. Findings Eighty-three point seven percent of participants in this study were female, and 71.9% were married. 47.5% reported caring for a COVID-19 patient for longer than a month; their average work experience was 13.1 years. Additionally, Moral Sensitivity correlated positively with caring behavior and its dimensions (r = 0.164, P = 0.001). However, a significant and inverse link existed between the dimension "following the rules" and the nurse's caring conduct (r = -0.117, P = 0.019). Conclusion During the pandemic, nurses' moral sensitivity was moderate and significantly connected with their caring behavior. Because nurses encounter numerous obstacles while caring for patients in critical conditions, they require ethical empowerment to perform correctly, as caring behavior improves with increased moral sensitivity.

According to Heller and Życiński (1980) the primary regulator of human behaviour is the system of values therefore its development should be in the centre of all educational and upbringing measures. Our focus here is on moral sensitivity understood as the ability of an individual to see social situations from the perspective of moral good and moral evil that represent values embodied in moral norms adopted by the world and internalised by humans as the principles of conduct. The main research question was the following: How morally sensitive are persons with ID and how is their sensitivity associated with the degree of intellectual disability and gender? A non-probability sample 267 of Polish residents aged 16-30 years with mild (58.42%) or moderate (41.58%) intellectual disability was assembled. Men and women were almost in equal proportion. The Moral Sensitivity Inventory (MSI; Otrębski, Sudoł, 2020) has been used to measure the moral sensitivity of people with ID. It consists of 10 illustrated stories presenting typical social situations containing moral dilemmas, and an evaluation form. The tested person’s task is to answer the following question “Who, in this story, did something right or wrong, and what was that?” and to indicate as many moral elements in the story and the picture as they can. The results imply that the study participants had different ability to discern moral good and moral evil. They were more sensitive to the manifestations of good and evil bad associated with Understanding one’s behaviour and its impact on others (more than one-fourth of them had high scores) and less perceptive of those relating to Respect for others’ property and Conformance to principles and norms. The results of the study expand the knowledge of the overall moral sensitivity of persons with intellectual disabilities.

Moral sensitivity of individuals plays a crucial role in the prediction of moral behavior, but the moral values of Chinese culture are different from the west, and we need a simple way to measure the moral sensitivity of Chinese people. This study puts forward a method for measuring the moral sensitivity of Chinese individuals from the perspective of the levels of the moralization model. The sample in the study 1 included 21,054 Chinese persons aged between 18 and 95. Through exploratory factor analysis, we established a model of the scale and verified the stability and invariance of the model across gender and age through confirmatory factor analysis and multi-group confirmatory factor analysis. Study 2 included a sample of 1951 primary, middle and high school students between the ages of 8 and 19. By means of confirmatory factor analysis, we again verified the factor structure of this questionnaire, and used a series of moral emotion questionnaires (Three Domains of Disgust Scale, Gratitude Questionnaire, Dispositional Positive Emotion Scales, Dispositional Greed Scale) to verify the structural validity. The results of confirmatory factor analysis showed that the goodness-of-fit indices fits well. The multi-group confirmatory factor analysis suggested that configural, metric, scalar, and error variance invariance holds across genders and age groups. The results of the latent mean difference test showed that the latent mean scores were comparable between genders and age groups. The results of correlational analysis show that the scale has a high structural validity. In conclusion, the results of this study showed that the moral sensitivity scale has high reliability and validity in Chinese people. [ABSTRACT FROM AUTHOR]

Background: Nurses are facing several ethical problems like the safety of the nurses, patients, co‐workers, and families, allocation of scarce resources, and the changing nature of the relationships of nurses with patients and families during the COVID‐19 pandemic. These have caused nurses to have feelings such as stigmatization, fear, anger, anxiety, uncertainty, work‐related strain, and burnout. Identifying nurses' ethical sensitivities and professional values are highly important to ensure that nurses are placed in the right decision‐making position. This descriptive correlational study was carried out to evaluate the professional values and ethical sensitivities of nurses during the COVID‐19 pandemic. Methods: A quantitative descriptive and correlational study was performed with 245 nurses in Turkey. The "personal information form," the "nurses professional values scale‐revised (NPVS‐R)," and the "moral sensitivity questionnaire (MSQ)" were employed for data collection. Results: The nurses' 52.7% reported facing an ethical dilemma. Also, 40.3% of the nurses who had an ethical dilemma during the pandemic failed to solve it. The mean NPVS‐R scores of the nurses had statistically significant negative correlations with mean scores of the overall MSQ and its autonomy, benefit, integrative approach, and orientation subscales (p <.05). The nursing staff had high levels of professional values and moral sensitivities. Conclusion: Professional value perceptions were enhanced, and moral sensitivities were improved. Age and professional experience were identified as factors that affected the professional value perceptions and moral sensitivities of the nurses. The results will form the basis for future studies and contribute to the resolution of ethical dilemmas experienced by nurses. [ABSTRACT FROM AUTHOR]

Background: Moral sensitivity is the first step towards ethical decision-making. This sensitivity should form a basic attitude in healthcare team members, particularly nurses, toward providing effective and ethical care. This is highlighted in intensive care units (ICUs) where close attention should be paid to patient rights and moral or ethical decision-making. Objective: The present study aimed at determining and comparing the effect of written simulation and computer simulation of a virtual patient on the development of moral sensitivity of ICU nurses. Research design: Randomized controlled trial with one control arm and two experimental arms. Participants and content: This study involved 204 ICU nurses working in hospitals affiliated to Tehran University of Medical Sciences, Tehran, Iran, from 2019 to 2021 using a random allocation method. The participants were allocated to three groups comprising virtual patient computer simulation, written simulation, and the no simulation control group. After training based on a Patient Rights Charter, five scenarios, with themes reflecting the clauses of the Patient's Rights Charter, were written as a computer program and text for the computer simulation and written simulation groups, respectively. Finally, nurses' moral sensitivity was assessed using the Lützén moral sensitivity questionnaire as pre- and post-tests (immediately and 2 months after the intervention). Ethical considerations: Ethical permission was obtained for the study. All the participants signed the informed consent before the study onset. Results: The study results showed a significant difference in moral sensitivity among the three groups before the intervention (p = 0.003). Immediately after the intervention compared to pre-intervention, the three groups showed no significant differences in this regard (p = 0.056), however a significant difference among the three groups was found 2 months post-intervention (p < 0.001). [ABSTRACT FROM AUTHOR]

Background: Certain factors may facilitate or inhibit the formation of moral sensitivity in nurses performing cardiopulmonary resuscitation (CPR). The identification of these factors in the context can help develop strategies to promote nurses' moral sensitivity and offer new insights into the consequences of their moral decisions. Objective: Taking into account the possibly multi-factorial nature of moral sensitivity, this study aimed to identify the factors affecting the formation of nurses' moral sensitivity in CPR settings. Research design and methods: This study performed a conventional qualitative content analysis. Twenty-one participants were selected via purposive and theoretical sampling. The data were collected through in-depth semi-structured interviews and simultaneously analyzed via content analysis. Participants and research context: In total, twenty-one participants (fourteen clinical care nurses, three head nurses, two educational supervisors, and two faculty members) from different cities of Iran were interviewed. Ethical considerations: The research was approved by the Ethics Committee of Urmia University of Medical Sciences in Iran (IR.UMSU.REC.1399.337). Findings: Four categories (underlying factors, professional factors, organizational inhibitors of ethics, and professional limitations) and 13 sub-categories were extracted. Discussion: The formation of moral sensitivity requires a range of ethical standards and their maintenance, not only at the individual level but also at the profession, organization, and community levels. So eliminating inhibitors of ethics in these contexts can improve nurse's ethical performance in CPR settings. Conclusion: Any measures taken or decisions made by nurses in CPR are driven by numerous ethical issues to which nurses must be morally sensitive. Some factors facilitate and some inhibit the formation of moral sensitivity in nurses. [ABSTRACT FROM AUTHOR]

There is growing interest in epistemic injustice and its connection to education. However, the relation between social studies and epistemic injustice has not yet been adequately explored and this topic has been given insufficient attention by social studies educators. But it is regarded as an important resource for students who are socially disadvantaged to render their experiences intelligible. However, due to its unique status, it has also been an effective tool for those who are in power and want to maintain social inequalities. For that reason, social studies is the subject most likely to give rise to epistemic injustice in the classroom. In this paper, we address this issue that is currently coming to the fore in social studies. We argue that cultivating moral sensitivity plays a substantive role in overcoming epistemic injustice and this cultivation comes with shaping student's schemas by integrating the interpretive resources into social studies. [ABSTRACT FROM AUTHOR]

Aim: The objective of this study was to investigate the perception of spiritual care and moral sensitivity of senior nursing students receiving education in five different regions of Turkiye. Method: This study used a multicenter, descriptive and cross-sectional survey design.Data were collected with the Spirituality and Spiritual Care Rating Scale and the Moral Sensitivity Questionnaire in the research. A total of 590 senior nursing students, studying in five different universities in five different regions of Turkiye, participated in this research. Results: The mean total score of students on the Spirituality and Spiritual Care Rating Scale was 4.06±0.70 and Moral Sensitivity Questionnaire was 5.44±1.12. There was a significant relationship between the mean total scores on the Spirituality and Spiritual Care Rating Scale and the Moral Sensitivity Questionnaire (p<0.05). Conclusion:It is recommended to benefit from different and innovative educational practices related to spirituality and moral sensitivity in nursing education, and to conduct interventional and longitudinal studies on these issues. [ABSTRACT FROM AUTHOR]

Nurses require optimal competency to deliver safe and high-quality care to patients with delirium. However, the factors influencing delirium care core competency remain unclear. This study aims to investigate the factors influencing core competency in delirium care among nurses. This study was conducted as a descriptive correlational study following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. A convenience sample of 202 Korean nurses from 15 hospitals completed a structured, web-based, self-administered questionnaire. The survey covered general characteristics, delirium care knowledge, moral sensitivity, barriers to delirium care, and core competency in delirium care. Multiple regression analysis identified the factors affecting core competency in delirium care. Results showed that barriers to delirium care, moral sensitivity, academic qualifications, and clinical ladder level were significant factors, accounting for 18.1% of the variance in delirium care core competency. To improve delirium care among nurses, using individual, team, and organizational approaches to address perceived barriers and moral sensitivity is crucial. Competency-based training programs and administrative support are crucial for enhancing the competency of nurses who are novices and those with associate degrees., (© 2024 John Wiley & Sons Australia, Ltd.)

Background: Developing a framework that illustrates causal relationships and an in-depth comprehension of contextual elements is essential for steering the development of ethical interventions to enhance nurses' ethical decision-making., Research Aim: To examine the relationship between cultural competence, professional nursing values, and moral sensitivities of surgical nurses with a mediation analysis and structural equation model., Research Design: This study is descriptive and correlational., Participants: and research context: This study was conducted with a total of 201 surgical nurses from two university hospitals in Konya, Türkiye. Data were gathered face-to-face between June and October 2023 with the Moral Sensitivity Questionnaire (MSQ), Nurses Professional Values Scale-Revised (NPVS-R), and Nurse Cultural Competence Scale (NCCS)., Ethical Considerations: Ethical approval from Necmettin Erbakan University Ethics Committee was obtained (Number: 2023/419)., Results: In this study, the mean scores for the surgical nurses were as follows: 89.3 ± 19.33 on the MSQ, 113.1 ± 20.74 on the NPVS-R, and 72.06 ± 18.61 on the NCCS. Nurses' cultural competence level significantly affected their professional nursing values (β = 0.192; p = .007; R 2 = 0.04), and their professional nursing values, in turn, had a significant effect on their moral sensitivities (β = -0.363; p < .001; R 2 = 0.16). However, it was determined that the direct effect of nurses' cultural competence level on their moral sensitivity was not statistically significant. In contrast, the indirect effect of nurses' cultural competence level on their moral sensitivity, mediated by their professional nursing values was seen to be statistically significant (B = -0.070; p = .008)., Conclusions: This study showed that there is a significant positive relationship between the professional nursing values and cultural competence levels of surgical nurses and that as professional nursing values increase, their moral sensitivity also rises. Sensitivity with higher professional nursing values. Additionally, it was found that nurses' professional values served as a mediating factor between their levels of cultural competence and moral sensitivity. Therefore, it is crucial to enhance the cultural competence, professional nursing values, and moral sensitivity of nursing students and registered surgical nurses and to improve their reasoning and decision-making skills in ethical dilemmas., Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Background: Rapid advances in medical technology, changing healthcare policies, and increasing patient diversity have exacerbated the ethical challenges. As nursing students are an integral part of the future nursing workforce, ethical sensitivity has a critical impact on their future careers., Purpose: This study aims to promote research in related fields by systematically reviewing the origin and development of the concept of ethical sensitivity in nursing students, comparing currently available tools for assessing ethical sensitivity in nursing students, and exploring their applicability and reliability., Methods: A literature review method was used in this study. A literature search was conducted for assessment tools published between 1995 and 2024. A total of six articles focusing on assessment tools they developed to measure ethical or moral sensitivity were included and analyzed., Results: Our analysis revealed significant variations in the reliability and applicability of these assessment tools, particularly when used in diverse cultural settings. The study also identified a need for localized modifications of these tools to ensure their accuracy and relevance in different regions., Conclusion: The findings provide valuable guidance for nursing educators in selecting appropriate assessment tools and offer a foundation for developing new tools that are more contextually relevant. This study contributes to the advancement of ethical sensitivity education for nursing students worldwide, ultimately enhancing patient care and professional development., Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Objective: This study aimed to investigate the relationship between perceived comfort level with moral distress and moral sensitivity among oncology nurses METHODS: This is a descriptive-correlational study on 210 oncology nurses. The samples were selected through the convenience method from September 2020 to February 2022 in the oncology centers of Ahvaz, Iran. Data were collected via a demographic form, Lutzen's Modified Moral Sensitivity Questionnaire, Corley's Moral Distress Scale, and Kolcaba's Nurses Comfort Questionnaire (NCQ). Data were analyzed using SPSS V24, descriptive statistics, Independent t, Mann-Whitney-U, Kruskal-Wallis, Pearson's correlation coefficient, ANOVA, and linear regression tests., Results: Nurses experienced a moderate level of perceived comfort (67.91 ± 8.75), moral sensitivity (58.4 ± 13.3), and moral distress (57.54.8 ± 8.9). Moral sensitivity was significantly inversely related to the intensity of moral distress (P < .001). A statistically significant relationship was found between nurses' perceived comfort level with frequency of distress (P < .001) and moral sensitivity (P = .046). Moral distress explained 13.8% of changes in perceived comfort level (R2 = 0.138, F = 6.51, sig < 0.001, R = 0.371)., Conclusion: Nurses' perceived comfort level, moral sensitivity, and moral distress were at a moderate level and intercorrelated. It is suggested that factors contributing to moral distress should be eliminated. Also, moral sensitivity should be refined as a decisive factor., Implication for Nursing Practice: Oncology nurses are exposed to morally distressing situations that may be a source of discomfort. This study guides nurses, managers, planners, and policymakers to identify the contributing factors and use strategies and solutions to enhance nurses' perceived comfort level., Competing Interests: Declaration of competing interest The authors declared no potential conflicts of interest concerning the research, authorship, and/or publication of this article., (Copyright © 2024 Elsevier Inc. All rights reserved.)