Education and Ethics In Nursing ISSN: 2322-5300

The Effect of Storytelling through Simulation on Moral Reasoning and Moral Sensitivity of Nursing Students in Tehran University of medical sciences

https://doi.org/10.22034/ethic.2022.700727
Volume 11, 1-2
January 2030
Pages 55-64
Education and Ethics In Nursing ISSN: 2322-5300

Authors

Arezo Fard 1
Akram Sadat Sadat Hoseini 2
Anoshirvan Kazemnejad 3

1 Instructor of Pediatric Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

2 Associate Professor, Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

3 Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran

Abstract
Introduction: Nurses' sensitivity to ethical issues and their way of reasoning at the bedside is one of the professional
principles in nursing that needs special attention. Therefore, the current research was conducted with the aim of determining the effect of the narrative method on the reasoning and moral sensitivity of nursing students through simulation.
Materials and Methods: The present research is a clinical trial on 60 undergraduate students in the field of nursing who were divided into 2 intervention and control groups by throwing dice. Demographic questionnaires, Kohlberg's moral reasoning and Latzen's moral sensitivity were completed for data collection in 3 times before and after the intervention and one month later. The intervention was conducted during 4 sessions of 3 hours based on 10 narrated scenarios, with the theme of ethical challenges in nursing and 2 sessions in the form of expressing students' experiences, in the clinical environment. The data were analyzed by SPSS version 16 software and using chi-square, Fisher's exact and ANOVA statistical tests.
Results: The results of the study showed that the group had no significant difference before the intervention and were harmonious in terms of demographic variables, the level of reasoning and moral sensitivity. After the intervention, the moral reasoning of the control group was 39.23±6.88 and the intervention was 49.03±7.55, which showed a significant difference between the two groups at P<0.001, which indicated that there is a significant difference in the follow-up. Moral sensitivity after the intervention was 32.56±24.03 in the control group and 84.36±14.14 in the intervention group, with P<0.001, a significant difference was observed between the two groups.
Conclusion: Storytelling through simulation can be an effective method to increase the sensitivity and moral reasoning of nursing students. Therefore, the results showed that the evolution in ethics education methods will increase the moral capabilities of nursing students.

Keywords

Storytelling
Moral Sensitivity
Moral Reasoning
Simulation
Nursing Students
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