Construction of the ethical thinking of Nursing students – contributions from the supervisor nurse: An experience report
DOI:
https://doi.org/10.33448/rsd-v13i2.45098Keywords:
Nursing supervision; Ethics, nursing; Professional development; Professional practice.Abstract
This article addresses the importance of nursing supervision in shaping students' ethical thinking. The supervising nurse plays a crucial role in the ethical and professional development of students, ensuring quality care and fostering the growth of the supervisee. The study proposes two objectives: to describe a nursing supervision situation and to analyze the ethical role of the supervisor in students' ethical formation. The adopted methodology is descriptive and reflective. Successful supervision depends on the quality of the relationship between supervisor and supervisee, as well as constant reflection on practice. Supervisors face challenges such as integrating theory and practice, supporting student development, and promoting their ethical thinking. A case study elucidates the importance of ethical supervision. A student faced ethical issues while caring for a patient. After joint reflection, the student understood the importance of informed consent and respect for patient autonomy. The supervisor played a fundamental role in guiding the student and promoting their critical thinking. In conclusion, ethical supervision is decisive for the development of students' ethical thinking in nursing. Reflection on practice, mediated by supervisors, is essential to promote students' critical and ethical thinking, empowering them to face the challenges of the profession responsibly and ethically.
References
Abreu, W. (2007). Formação e Aprendizagem em contexto clínico-Fundamentos, Teorias e Considerações Didáticas. Formasau.
Almeida, A. B. A., & Aguiar, M. G. G. (2011). O cuidado do enfermeiro ao idoso hospitalizado: Uma abordagem bioética. Revista Bioética, 19 (1), 197-217. https://revistabioetica.cfm.org.br/revista_bioetica/article/view/615/632.
Alarcão, I., & Tavares, J. (2003). Supervisão da prática pedagógica: Uma perspetiva de desenvolvimento e aprendizagem. Almedina.
Alarcão, I., Costa, N., & Simões, J.F. (2008). Supervisão em ensino clínico deenfermagem: a perspetiva dos enfermeiros cooperantes. Revista Referência, 6(II), 91-108.
Amaral, G., & Figueiredo, A. S. (2023). How to choose a preceptor: aspects to consider based on a grounded theory study. BMC nursing, 22(1), 90. https://doi.org/10.1186/s12912-023-01240-w
Benner, P. (2004). De principiante a perito. Revista Servir, 44(3), p. 23- 27.
Beauchamp, T. L. &Childress J.F. (2009). Princípios da Ética Biomédica, (6a ed.). Oxford University Press.
Brecher, B. (2014). What is professional ethics? Nursing Ethics, 21(2), 239–244. https://doi.org/10.1177/0969733013484485
Carretta, M. B., Bettinelli, L. A., & Erdmann, A. L. (2011). Reflexões sobre o cuidado de enfermagem e a autonomia do ser humano na condição de idoso hospitalizado. Revista Brasileira de Enfermagem, 64(5), 958–962. https://doi.org/10.1590/S0034-71672011000500024.
Cunha, J. X. P. da, Oliveira, J. B., Nery, V. A. da S., Sena, E. L. da S., Boery, R. N. S. de O., & Yarid, S. D. (2012). Autonomia do idoso e suas implicações éticas na assistência de enfermagem. Saúde em Debate, 36(95), 657–664. https://doi.org/10.1590/S0103-11042012000400018.
Cunha, M., Ribeiro, O., Vieira, C., Pinto, F., Alves, L., Santos, R., Martins, S., Leite, S., Aguiar, V., & Andrade, V. (2010). Atitudes do enfermeiro em contexto de ensino clínico: Uma revisão da literatura. Millenium, 271–282.
Dehghani, A. (2020). Factors affecting professional ethics development in students: A qualitative study. Nursing Ethics, 27(2), 461–469. https://doi.org/10.1177/0969733019845135
Rother, E. T. (2007). Systematic literature review X narrative review. Acta Paulista de Enfermagem, 20(2), v-vi. https://10.1590/S0103-21002007000200001
Lynch, H. B., & Sharrock, J. (2008). Lynch, L., Happell, B. & Sharrock, J. (2008) Clinical supervision: An exploration of its origins and definitions. International Journal of Psychiatric Nursing Research. 13(2). The international journal of psychiatric nursing research, 13.
Loureiro, R., Bernardo, J., & Loureiro, H. A. M. (2022). A ética em investigação científica: particularidades nos estudos em e com pessoas idosas. RECIMA21 - Revista Científica Multidisciplinar 3(6), e361627. https://doi.org/10.47820/recima21.v3i6.1627
Mehdipour Rabori, R., Dehghan, M., & Nematollahi, M. (2019). Nursing students’ ethical challenges in the clinical settings: A mixed-methods study. Nursing Ethics, 26(7–8), 1983–1991. https://doi.org/10.1177/0969733018810766
Nightingale F. (1952) Notas sobre enfermagem. Duckworth, Londres.
Palese, A., Gonella, S., Destrebecq, A., Mansutti, I., Terzoni, S., Morsanutto, M., Altini, P., Bevilacqua, A., Brugnolli, A., Canzan, F., Ponte, A. D., De Biasio, L., Fascì, A., Grosso, S., Mantovan, F., Marognolli, O., Nicotera, R., Randon, G., Tollini, M., & Dimonte, V. (2019). Opportunity to discuss ethical issues during clinical learning experience. Nursing Ethics, 26(6), 1665–1679. https://doi.org/10.1177/0969733018774617.
Pacheco, M. S. F. S. (2012). Desenvolvimento da competência ética dos estudantes de enfermagem - Uma teoria Explicativa. (Tese Doutoramento). Universidade Católica Portuguesa - Instituto de Ciências da Saúde.
Pleshkan V. (2024). A systematic review: Clinical education and preceptorship during nurse practitioner role transition. Journal of professional nursing, 50, 16–34. https://doi.org/10.1016/j.profnurs.2023.10.005
Regulamento nº 366/2018 da Assembleia da República (2018). Diário da República: II Série, nº 113.
Sellman, D. (1997). The virtues in the moral education of nurses: Florence Nightingale revisited. Nursing Ethics, 4(1), 3–11. https://doi.org/10.1177/096973309700400102
Simões, J. F. F. L. & Garrido, A. F. S. (2007). Finalidade das estratégias de supervisão utilizadas em ensino clínico de Enfermagem. Texto & Contexto – Enfermagem. 16(4).
Siqueira, G. C., Souza, D. F., Sá, A. M. M., Rodrigues, R. M., Freitas, J. J. da S., & Kietzer, K. S. (2022). Integration between teaching and service in the practice of preceptorship. Research, Society and Development, 11(13), e559111335840. https://doi.org/10.33448/rsd-v11i13.35840
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Joana Bernardo; Hugo Loureiro; Lara Cunha; Ricardo Loureiro
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
