Role conception, ethical decision-making and learning climate among nursing students in Hong Kong.

Abstract

by Yung Ha-ping, Hilary.

Questionnaire also in Chinese.

Thesis (M.Phil.)--Chinese University of Hong Kong, 1994.

Includes bibliographical references (leaves 92-101).

ACKNOWLEDGEMENTS

ABSTRACT --- p.ii

LIST OF TABLES --- p.vii

LIST OF FIGURES --- p.viii

CHAPTER

Chapter 1. --- INTRODUCTION --- p.1

Bacground of the Study --- p.1

Significance of the Study --- p.4

Purpose of the Study --- p.5

Chapter 2. --- REVIEW OF LITERATURE AND THEORETICAL FRAMEWORK

Role Conception

Role --- p.6

Role Conception --- p.7

Nursing Role Conception --- p.8

Role Discrepancy --- p.9

Change of Role Conception --- p.10

Socilaisation and Role Conception --- p.11

Socialisation of Baccalaureate Degree Students --- p.12

Socialisation of Hospital-based Certificate Students --- p.13

Nursing and Ethics --- p.14

Ethical Dilemma --- p.15

Code of Ethics --- p.16

Moral Development --- p.17

Moral Reasoning and Moral Behaviour --- p.18

Decision-making Framework --- p.20

Ethical Decision-making in Nursing --- p.21

Ethical Decision-making and Work Environment --- p.23

Ethical Decision-making and Role Conception --- p.24

Ethical Decision-making and Education --- p.25

Learning Climate

Concept of Organizational Climate --- p.26

Organizational Climate and Leadership --- p.28

Ward Learning Climate --- p.28

Ward Teaching and Learning --- p.30

Role of Ward Staff and School Tutor in Ward Teaching --- p.31

Role of ward Sister in Ward Teaching --- p.32

"Relationship among Role Conception, Ethical Decision- Making and Ward Learning Climate" --- p.34

Chapter 3. --- RESEARCH METHODOLOGY

Design of the Study --- p.38

Hypotheses --- p.38

Definitions --- p.39

Subjects --- p.40

Procedure --- p.42

Instruments --- p.42

Analysis Design --- p.50

Chapter 4. --- RESULTS

Demographic Characteristics --- p.52

Differences in Role Conception Types --- p.53

Differences in Discrepancy Role Conception --- p.60

Differences in Ethical Decision-making --- p.63

Differences in Perception of Ward Learning Climate --- p.66

"Relationship among Ethical Decision-making, Role Conception and Learning Climate" --- p.69

Chapter 5. --- DISCUSSION

Differences in Professional Role Conception --- p.75

Differences in Bureaucratic Role Conception --- p.79

Differences in Service Role Conception --- p.80

Differences in Ethical Decision-making --- p.81

Differences in Perception of Ward Learning Climate --- p.83

"Relationship among Ethical Decision-making, Role Conception and Learning Climate" --- p.84

Limitations --- p.87

Chapter 6. --- "CONCLUSION, IMPLICATIONS AND RECOMMENDATIONS"

Conclusion --- p.88

Implications and Recommendations --- p.89

Suggestions for Further Research --- p.90

REFERENCES --- p.91

APPENDICES

Chapter I. --- Code for Nurses --- p.102

Chapter II. --- Letter of Request for Approval --- p.103

Chapter III. --- Questionnaire Instruction --- p.104

Chapter IV. --- Letter to Students --- p.105

Chapter V. --- Consent Form --- p.106

Chapter VI. --- Demographic Data --- p.107

Chapter VII. --- Nursing Role Conception Inventory --- p.108

Chapter VIII(A). --- Opinion About Nursing (Role Conception Questionnaire) --- p.110

Chapter VIII(B). --- Opinion About Nursing - Chinese Version --- p.115

Chapter IX(A). --- Judgment About Nursing Decision (JAND) (Ethical Decision-making Qusetionnaire) --- p.118

Chapter IX(B). --- Judgment About Nursing Decision (JAND) -Chinese Version --- p.125

Chapter X. --- Ward Learning Climate Indicators --- p.132

Chapter XI(A). --- Ward Learning Climate Questionnaire --- p.135

Chapter XI(B). --- Ward Learning Climate Questionnaire -Chinese Version --- p.138

Chapter XII. --- Narrative Responses --- p.140