• Login
    View Item 
    •   UMB Digital Archive
    • School, Graduate
    • Theses and Dissertations All Schools
    • View Item
    •   UMB Digital Archive
    • School, Graduate
    • Theses and Dissertations All Schools
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Cultural aspects of moral actions and moral choices in nursing

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Find Full text
    Author
    Rooks, Carol Ann
    Advisor
    Fry, Sara T.
    Kavanagh, Kathryn Hopkins
    Date
    1994
    Type
    dissertation
    
    Metadata
    Show full item record
    Abstract
    Health care in America occurs in many different contexts including the use of nurses from a variety of cultural backgrounds and experience. With ever increasing complexities in health care occurring at rapid rates, nurses are frequently involved in moral dilemmas that provide additional challenges to the practicing nurse. The role of culture in the resolution of moral dilemmas in nursing is unclear. The presumption that foreign born nurses, licensed to practice in the United States, respond similarly to nurses who are native to America, when both are faced with a moral dilemma, has not been adequately explored. This descriptive study explored the responses of foreign-educated and domestic nurses on hypothetical ethical dilemmas in an instrument that purports to measure knowledge of the American Nurses' Association Code of Ethics. Using the Judgments About Nursing Decisions (JAND) developed by Ketefian (1982), 33 European American, 26 African American and 17 Filipino nurses completed the instrument. Moral choice was operationally defined as the responses to Column A of the JAND; moral action was operationally defined as responses to Column B of the JAND. Demographic and cultural data were obtained in an instrument developed by the author. The data were analyzed using one-way ANOVAs with ethno-cultural group as the independent variable, and post-hoc comparisons of significant differences using the Student-Newman-Keuls procedure. Significant differences were found among the groups in Column A (moral choice) responses (F(2,73) = 6.56; p =.002), with European Americans scoring significantly higher than Filipino nurses. No significant differences were found among the groups in Column B (moral action) responses. Seven subjects agreed to be interviewed after completing the questionnaire to determine additional cultural factors that might have influenced their responses to the JAND. Professional and personal value systems influenced the ways in which nurses attempted to resolve the dilemmas within each story. Professional value systems related to issues of trust, accountability and confidentiality while personal value systems related to the influence of ethnocultural heritage (e.g. Irish Catholic), ethnocultural traits (e.g. stoicism and pride) and ethnocultural ethics (e.g. influence of German truth).
    Description
    University of Maryland, Baltimore. Nursing. Ph.D. 1994
    Keyword
    Philosophy
    Health Sciences, Nursing
    Culture
    Ethics, Nursing
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/1589
    Collections
    Theses and Dissertations School of Nursing
    Theses and Dissertations All Schools

    entitlement

     
    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.