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Can we adequately teach ethics and ethical decision making via distant learning? A pandemic pilot.

ABSTRACT: The Corona virus pandemic rendered most live education this spring term impossible. Other formats and new ideas were needed to offer students the opportunity to learn unchanged learning content and outcomes. To replace our module on ethics and ethical decision making in emergency medicine with simulation patients we developed an e-learning module consisting of a case, trigger questions and literature for self-study. This was followed by a Microsoft Teams seminar in which the students discussed their questions in subgroups on the basis of their reading and developed a team product they then presented to the other team. Students valued this module as enabling a safe space for their beliefs and views. A vast majority deemed the topics as relevant, two thirds would retake the seminar. Despite a productive online discourse, this format should not be used as sole module under normal conditions since it lacks the (simulation) patient interaction but it can prove to be a valuable addendum to live teaching.

SUBMITTER: Gintrowicz R

PROVIDER: S-EPMC7740007 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Can we adequately teach ethics and ethical decision making via distant learning? A pandemic pilot.

Gintrowicz Robert R Pawloy Klemens K Richter Julius J Degel Antje A

GMS journal for medical education 20201203 7

The Corona virus pandemic rendered most live education this spring term impossible. Other formats and new ideas were needed to offer students the opportunity to learn unchanged learning content and outcomes. To replace our module on ethics and ethical decision making in emergency medicine with simulation patients we developed an e-learning module consisting of a case, trigger questions and literature for self-study. This was followed by a Microsoft Teams seminar in which the students discussed t ...[more]

PMID: 33364359

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Project description:BackgroundEthical decision-making confidence develops from clinical expertise and is a core competency for nurse leaders. No tool exists to measure confidence levels in nurse leaders based upon an ethical decision-making framework.AimsThe objective of this research was to compare ethical decision-making among nurse leaders in the U.S. and three German-speaking countries in Europe by developing and testing a newly constructed Ethical Decision-Making Confidence (EDMC) scale.MethodsThe cross-sectional survey included 18 theory-derived questions on ethical decision-making confidence which were used to develop the scale.ParticipantsA convenience sample of nurse leaders from the U.S. and three German-speaking countries in Europe who self-identified as holding a leadership position.Ethical considerationsEthical approval was given by the IRB Board of a U.S. university. Participation in the survey implied voluntary consent.ResultsThe scale's item structure dimensionality and subscale's reliability were analyzed and compared between nurse leaders from all four countries. A principal component analysis (PCA) produced a 15-item bi-dimensional EDMC scale yielding a skill-related (9-item) and a behavior-related (6-item) confidence dimension. EDMC subscales showed good-to-excellent internal consistency. In both subscales, U.S. nurse leaders rated their mean EDMC score higher than their German-speaking counterparts in Europe.DiscussionThis exploratory study is the first of its kind to focus on nurse leaders' confidence regarding ethical decision-making in an international context. An overarching factor structure was identified, which is shared by the two samples of nurse leaders and to examine (sub)scales' psychometric properties.ConclusionThis newly developed scale is an effective tool for measuring ethical decision-making confidence in nurse leaders. The promising results of this study should be replicated to ensure validity and reliability of the EDMC scale measuring skill-related and behavior-related concepts and include nurse leaders from various cultural, social, and demographic groups.

Dataset Information

Can we adequately teach ethics and ethical decision making via distant learning? A pandemic pilot.

Publications

Can we adequately teach ethics and ethical decision making via distant learning? A pandemic pilot.

Similar Datasets

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