Brigitte Fong Yeong Woo, Wilson Wai San Tam, Kevin Hartman, Wentao Zhou
Factors associated with registered nurses' academic performance in advanced practice nursing preparatory education: A retrospective cohort study
International nursing review
objective contemporary healthcare requires physicians well developed ethical judgment skills addition excellent clinical skills however consensus reached best teach ethical judgment skills medical training previous studies revealed inconclusive results applied varying theoretical frameworks date students perspectives development ethical judgment received less attention better insights learners experiences help improve educational interventions medical ethics methods vignette featuring challenging case opposing views patients parents physician followed questionnaire presented cohort medical students german medical school three points time medical training year 1 2 5 questionnaire included closed openended questions addressing participants preferred hypothetical actions reasoning well resources informing reasoning content analysis used qualitative data frequencies percentages used describe quantitative findings results response rate remained stable 28 study period participants responses changed overtime accepting parents autonomy decisionmaking process majority standpoint students year 1 2 became less often cited year 5 year 125 686748 contrary readily following parents decision medical reasons minority standpoint year 1 became prevalent time year 125 121742 judgments partly based ethics training instead participants drew experiences clinical clerkships personal lives throughout study participants feel wellprepared make judgment case average 27 likertscale 1very well prepared 4very poor conclusions course medical training participants seemed increasingly frame presented vignette medical problem optimize development ethical judgment teaching ethics integrated clinical teaching addition analysis rare extreme cases teaching ethics also expand challenges students junior doctors commonly encounter promote ethical sensitivity confidence students