Aim: This study aimed to investigate the relationship between moral self, moral integrity, and moral sensitivity in decision-making among nurses. Background: nurses face moral dilemmas almost on a daily basis. Studies have demonstrated that nurses with high moral sensitivity make thoughtful decisions and exhibit professional responsibility. The current study seeks to examine personality variables that may be related to moral sensitivity among nurses. Design: A cross-sectional study. Ethical considerations: This study was approved by the IRB of the authors University’s ethics (...) committee (number: AU-HEA-LO-20220317). Written consent was obtained from all participants. Methods: A structured questionnaires were administered to a sample of 187 Israeli nurses. Results: The degree of nurses’ moral self, moral integrity and moral sensitivity was relatively high. “Patient-centered care” was found to be the most significant component of moral sensitivity. The next component is “Using knowledge bases,” followed by “Exercising professional judgment.” While the concept of patient-centered care was found to be related to the nurses’ moral self, the other components were found to be related to their moral integrity. The mediation model found that moral integrity mediates and even strengthens the moral self in its connection with moral sensitivity. Conclusions: Understanding the role of moral self and moral integrity in explaining moral sensitivity, can contribute to achieving a desirable combination of “the good and the right” in nursing practice, thereby enhancing nurses’ work. From a practical perspective, these findings are also relevant to nursing education. Nursing education plays a pivotal role in fostering moral and ethical decision-making in both clinical aspects and ethical moral sensitivity. Strengthening the moral self and moral integrity among nursing students can aid in making balanced and morally sensitive decisions while also building moral and ethical support systems to assist students in distressing and emergency situations. (shrink)

Nurses who try to reduce inequalities in health care by defending individuals they care for should be able to perceive ethical situations sensitively as patient advocates. This study aimed to examine the effects of ethics education provided to nursing students on ethical sensitivity and patient advocacy. The study adopted a pre-test, post-test, one-group quasi-experimental design and was conducted at a public university in Turkey. The sample comprised 44 nursing students taking the Professional Ethics course. Data were collected from October 13, (...) 2021, to January 6, 2022, using a Descriptive Characteristics Form, the Moral Sensitivity Questionnaire, and the Patient Advocacy Scale for Nurses. The study was approved by an ethics committee. While no significant difference was found between the pre-test and post-test mean Moral Sensitivity Questionnaire scores (t = 0.426, p > 0.05), a significant difference was noted between the total mean Patient Advocacy Scale for Nurses scores (Z = − 2.443, p < 0.05). The findings showed that ethics education provided to the nursing students did not affect ethical sensitivity but increased patient advocacy. (shrink)