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IRCT2016070628817N1 IRCT 2017-09-14 Vice Chancellor for reserch of Mashhad University of Medical Scien The Effect of Teaching Decision Skills on the Students' Ethical Evolution Comparison of the effect of decision-making skills training on ethical development of midwifery students with two methods of problem solving and computer simulation in the face of professional ethics conflicts. 2017-04-09 anticipated 80 Complete https://irct.ir/trial/23283 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Other. 2-3 Decision-making skill in professional ethical dilemma. Intervention 1: Interrention1:at the beginning of the study, a two-hour workshop for educating problem-solving oriented method will be conducted and groups will be established. Students will be assigned into eight groups of 5 and each group, besides the teacher, will have a team leader. Problem-solving education contains 5 steps: 1- reading the problem, 2-brain storming about the problem, 3- determining and prioritizing the learning topics, 4- searching and collecting the information and 5- sharing and merging the information and would be presented during 4 two-hour sessions and at the beginning of each session, three scenarios about three hypothetical patients with created ethical conflicts who require midwifery services, will be presented. Then, after 15 minutes of explanation for each case, using brain storming, learning needs would be determined and the required information sources for students will be introduced. At the end, with teacher’s cooperation, the topic will be discussed, concluded and modified. Intervention 2: Interrention2: In the computer simulation group, after preparation of the program, the provided version will be examined by the experts of midwifery and ethics. If approved, it will be applied at the same time as the problem-solving oriented group. Before the intervention, a two-hour workshop will be conducted for introducing the program’s environment to the students. Topics that will be presented to the students at the workshop are: stages of registry, different elements of accessing method and the method of using the program. Also, each participant will be given a username and a password to access the program. This group’s education will be conducted with researcher-made software based on problem-solving and as a computer simulation. The program contains an introduction page, a main page, a menu for selecting the scenario and 6 animated scenarios. The designed ethical scenario will be developed using a 6-step integrated ethical decision-making model (including recognizing the problem, finding the possible solutions, evaluating the solutions, selecting the best solution, applying the decision and evaluating the outcomes of the applied decision). It means that the learner will be asked to choose a problem. Before defining a specific problem, information will be gathered through the system. The questions will be aligned in a way that they will guide the learner toward solving the problem step-by-step. Recommending a replacement option for the learner will be provided by.
public Rehaneh Ashourzadeh
Daneegh7, Avenue Danesh, Neghab
Govine Iran (Islamic Republic of) +98 51145226104 ashourzadehr931@mums.ac.ir Mashhad Medical Sciences scientific Talat KhdiveZadeh
Nursing and Midwifery Faculty, Mashhad University of Medical Sciences
Mashhad Iran (Islamic Republic of) +98 5113859151113 khadivzadeht@mums.ac.ir Nursing and Midwifery Faculty, Mashhad University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: being Iranian and Muslim, having informed consent to participate in the study, being a midwifery student, having passed the professional ethics course. Exclusion criteria: nit participating in any problem-solving skill workshops or classes during the past 6 months 20 years 45 years Female Z51 Other medical care Other Treatment - Drugs Interrention1:at the beginning of the study, a two-hour workshop for educating problem-solving oriented method will be conducted and groups will be established. Students will be assigned into eight groups of 5 and each group, besides the teacher, will have a team leader. Problem-solving education contains 5 steps: 1- reading the problem, 2-brain storming about the problem, 3- determining and prioritizing the learning topics, 4- searching and collecting the information and 5- sharing and merging the information and would be presented during 4 two-hour sessions and at the beginning of each session, three scenarios about three hypothetical patients with created ethical conflicts who require midwifery services, will be presented. Then, after 15 minutes of explanation for each case, using brain storming, learning needs would be determined and the required information sources for students will be introduced. At the end, with teacher’s cooperation, the topic will be discussed, concluded and modified. Interrention2: In the computer simulation group, after preparation of the program, the provided version will be examined by the experts of midwifery and ethics. If approved, it will be applied at the same time as the problem-solving oriented group. Before the intervention, a two-hour workshop will be conducted for introducing the program’s environment to the students. Topics that will be presented to the students at the workshop are: stages of registry, different elements of accessing method and the method of using the program. Also, each participant will be given a username and a password to access the program. This group’s education will be conducted with researcher-made software based on problem-solving and as a computer simulation. The program contains an introduction page, a main page, a menu for selecting the scenario and 6 animated scenarios. The designed ethical scenario will be developed using a 6-step integrated ethical decision-making model (including recognizing the problem, finding the possible solutions, evaluating the solutions, selecting the best solution, applying the decision and evaluating the outcomes of the applied decision). It means that the learner will be asked to choose a problem. Before defining a specific problem, information will be gathered through the system. The questions will be aligned in a way that they will guide the learner toward solving the problem step-by-step. Recommending a replacement option for the learner will be provided by Decision-making skills in the face of professional ethical conflicts. Timepoint: Before the intervention, one week after the intervention, one month after intervention. Method of measurement: Researcher-made questionnaire based on the Nursing Dilemma Test questionnaire. The level of satisfaction with the educational methods. Timepoint: Right after the intervention. Method of measurement: Researcher-made questionnaire. - - Vice Chancellor for reserch of Mashhad University of Medical Scien Approved 2016-09-28 Ethics Committee of Mashhad University of Medical sciences Street University-School of Medicine Mashhad Iran (Islamic Republic of)