Abstract

In an ethics course, one of the important ways for students to separate ethical values and problems from other problem clusters and to learn how to evaluate ethical values and decision-making is to use the method of case analysis The study was performed descriptively in order to determine the effect of the use of case analysis method under the scope of a nursing ethics course in terms of students’ assessment skills regarding ethical problems. The study was conducted descriptively in order to determine the effect of the use of the case analysis method on students’ assessment skills of ethical problems in teaching an ethics course in nursing. 58 students taking the ethics course in the undergraduate program at the Nursing Department at Gazi University in the Health Sciences Faculty during the 2009-2010 academic years constituted the sample for the study. Research data were obtained by using a data collection form. This form included a total of ten questions, two of which were related to each of four cases, and two of which were related to the students’ participation in a scientific program regarding ethics and their academic averages. A data collection form was used three times in the nursing ethics course. Numbers, percentages, and a Cochran Test were also used in the assessment of data. In the first case, it was determined that the students’ awareness of the nature of common violations of ethical principles had increased over time but that the differences were not statistically significant. In the second case, students’ awareness of the ethical values involved and the sources that they referred to in making ethical decisions were examined and it was determined that the difference was statistically significant. In the third and the fourth cases, it was found that the students’ awareness of the presence of characteristic ethical dilemmas had increased gradually in each phase but that the difference was not statistically significant. In line with these results, it is suggested here that the case analysis method may be used effectively for students taking an ethics course and that this study could be repeated using a large sampling group in order to determine whether students have enough understanding of common ethical problems. Ozet Etik dersinde ogrencinin, etik degerleri, etik sorunlari diger sorun kumelerinden ayirmasini, bir etik degerin harcanma gerekcesini ve etik karar verme surecini ogrenebilmesinin onemli bir yolu vaka analizi ile calismaktir. Arastirma, Hemsirelikte Etik Dersi’nin ogretiminde vaka analizi yonteminin kullanilmasinin ogrencilerin etik sorunu degerlendirme becerilerine etkisini belirlemek amaciyla tanimlayici olarak yapilmistir. Arastirmanin orneklemini, 2009-2010 egitim-ogretim yilinda bir universitenin Saglik Bilimleri Fakultesi Hemsirelik Bolumu lisans programinda yer alan Hemsirelikte Etik Dersi’ne devam eden 58 ogrenci olusturmustur. Arastirmanin verileri, veri toplama formu ile elde edilmistir. Veri toplama formu; arastirmacilar tarafindan hazirlanmis dort vaka ve bunlara iliskin iki soru, ogrencilerin akademik ortalamasi ve etik ile ilgili bilimsel bir programa katilma durumlarina iliskin iki soru olmak uzere toplam 10 sorudan olusmustur. Veri toplama formu, Hemsirelikte Etik Dersi’nde farkli zamanlarda 3 defa uygulanmistir. Verilerin degerlendirilmesinde sayi, yuzdelikler ve Cochran Testi kullanilmistir. Ogrencilerin birinci vakada, etik ilke ihlalini ve etik ilke ihlalinin niteligini bilme durumlarinin zamanla arttigi ancak, farkin istatistiksel acidan anlamli olmadigi saptanmistir. Ogrencilerin ikinci vakada, harcanan etik degeri ve etik karar vermede rehber alacaklari kaynaklari bilme durumlari incelenmis ve farkin istatistiksel acidan anlamli oldugu belirlenmistir. Ogrencilerin ucuncu ve dorduncu vakada, etik ikilemin varligini ve etik ikilemin ozelligini bilme durumlarinin her uygulamada giderek arttigi ancak, farkin istatistiksel acidan anlamli olmadigi bulunmustur. Bu sonuclar dogrultusunda, etik derslerinde, ogrencilerin etik sorunlari ve ikilemleri kavrayabilmeleri icin vaka analizi yonteminin kullanilmasi ve bu calismanin genis orneklem grubu uzerinde tekrarlanmasi onerilmektedir.

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