Knowledge, Attitudes, Practice
Conditions
Keywords
nursing ethics, clinical ethics, ethical competence
Brief summary
Using an exploratory study design with an educational intervention, a pre/post evaluation of ethical confidence and competence will be completed for nursing leaders working in either acute care or post-acute care with primary purpose to increase ethical competency and confidence in decision making for nursing leaders in a clinical role.
Detailed description
The purpose of this project is to implement an ethics educational program that has been developed in collaboration with subject matter experts to support patient facing nursing leaders. The intervention is an ethics education pathway, which will be used for approximately 60-80 patient-facing nurse leaders who practice in either acute care or post-acute care over a 6-week period. One Pre and two post-assessment questionnaires will be distributed, which include the Ethical Competence Support Questionnaire © and the Ethical Safety Questionnaire ©. Permission for the instrument use was obtained from the author.
Interventions
Professional development program provided online to small groups of professional nurse leaders via an educational platform over a 6-week period.
Sponsors
Study design
Eligibility
Inclusion criteria
* employment within an in-patient or outpatient non-profit healthcare setting as a nursing leader. * settings include acute-care units and post-acute care facilities
Exclusion criteria
* nurses working direct care 100% of their time without any formal leadership responsibilities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ethical Competence Support Questionnaire | change from baseline in the ethical competence measure at 6 weeks after initiation. | The ethical competence support questionnaire contains 27 items addressing four subcategories: encouragement of ethical activity, provision of information on ethical issues, dealing with ethical issues, and conversational support. A 5-point Likert Scale is used for measurement: Strong disagree to Strongly Agree. Minimum value = 1 maximum value =5. |
| Ethical Safety Questionnaire | change from baseline in the ethical safety measure at 6 weeks after initiation. | The ethical safety questionnaire contains11 items addressing four subcategories: general ethical safety, ethical autonomy, ethical respect, and ethical competence. A 5-point Likert Scale is used for measurement: Strong disagree to Strongly Agree. Minimum value = 1 maximum value =5. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ethical Confidence Assessment | change from baseline in the ethical competence measure at 6 weeks following initiation and at 3 months. | Confidence as a nurse leader for ethical decision making is rated on a 1-10 scale. 0=not confident 10= very confident |
Countries
United States