Enhancing student nurses’ ethical skills via simulation-based learning: barriers and opportunities

Abstract Background Nurses lack skills to analyse ethical problems, and some feel powerless and frustrated when encountering and having to deal with ethical dilemmas in clinical practice. The lack of ethical competence among nurses might somewhat be related to the neglect and side-lining of ethics i...

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Main Authors: Richard M. Rasesemola, Manoko P. T. Molabe
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-025-02742-5
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author Richard M. Rasesemola
Manoko P. T. Molabe
author_facet Richard M. Rasesemola
Manoko P. T. Molabe
author_sort Richard M. Rasesemola
collection DOAJ
description Abstract Background Nurses lack skills to analyse ethical problems, and some feel powerless and frustrated when encountering and having to deal with ethical dilemmas in clinical practice. The lack of ethical competence among nurses might somewhat be related to the neglect and side-lining of ethics in the education system. For those nurse educators who are facilitating ethics within their curriculum, their strategies and practices are inefficient due to lack of resources. Lack of efficient strategies to facilitate ethical competence create threats to ethical values in healthcare with a potential to jeopardise patients’ health outcomes. Methods This was a qualitative, descriptive, exploratory, and contextual research that was done in one higher education institution among 9 nurse educators and clinical nurse preceptors. Online semi-structured interviews were conducted, data were transcribed and analysed following Giorgi’s thematic analysis method. Results Two themes with 5 related subthemes emerged from the data. The theme of barriers that hinder the facilitation of ethical skills for nursing students indicated how Covid-19 pandemic lead to constraints that lead to facilitators focusing on clinical skills and procedures and side lining ethics education. While the theme transformative approaches to fostering ethical competency through simulation– based learning indicated some strategies that facilitators could adopt to ensure efficient ethics education for nursing students. Conclusion Barriers related to insufficient human resources and infrastructure made it almost impossible to facilitate ethics education among nursing students, especially during Covid-19 pandemic. This research offers some transformative solutions that could be adopted by higher education institutions to ensure that ethical competence is effectively facilitated.
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spelling doaj-art-7b1935c8c7ee42a28adefc0d002d79a82025-02-09T12:27:30ZengBMCBMC Nursing1472-69552025-02-012411910.1186/s12912-025-02742-5Enhancing student nurses’ ethical skills via simulation-based learning: barriers and opportunitiesRichard M. Rasesemola0Manoko P. T. Molabe1Faculty of Health Sciences, Department of Nursing, University of JohannesburgFaculty of Health Sciences, Department Emergency Medical Care, University of JohannesburgAbstract Background Nurses lack skills to analyse ethical problems, and some feel powerless and frustrated when encountering and having to deal with ethical dilemmas in clinical practice. The lack of ethical competence among nurses might somewhat be related to the neglect and side-lining of ethics in the education system. For those nurse educators who are facilitating ethics within their curriculum, their strategies and practices are inefficient due to lack of resources. Lack of efficient strategies to facilitate ethical competence create threats to ethical values in healthcare with a potential to jeopardise patients’ health outcomes. Methods This was a qualitative, descriptive, exploratory, and contextual research that was done in one higher education institution among 9 nurse educators and clinical nurse preceptors. Online semi-structured interviews were conducted, data were transcribed and analysed following Giorgi’s thematic analysis method. Results Two themes with 5 related subthemes emerged from the data. The theme of barriers that hinder the facilitation of ethical skills for nursing students indicated how Covid-19 pandemic lead to constraints that lead to facilitators focusing on clinical skills and procedures and side lining ethics education. While the theme transformative approaches to fostering ethical competency through simulation– based learning indicated some strategies that facilitators could adopt to ensure efficient ethics education for nursing students. Conclusion Barriers related to insufficient human resources and infrastructure made it almost impossible to facilitate ethics education among nursing students, especially during Covid-19 pandemic. This research offers some transformative solutions that could be adopted by higher education institutions to ensure that ethical competence is effectively facilitated.https://doi.org/10.1186/s12912-025-02742-5Ethical behaviorEthical competenceEthical decision-makingEthical knowledgeEthics education
spellingShingle Richard M. Rasesemola
Manoko P. T. Molabe
Enhancing student nurses’ ethical skills via simulation-based learning: barriers and opportunities
BMC Nursing
Ethical behavior
Ethical competence
Ethical decision-making
Ethical knowledge
Ethics education
title Enhancing student nurses’ ethical skills via simulation-based learning: barriers and opportunities
title_full Enhancing student nurses’ ethical skills via simulation-based learning: barriers and opportunities
title_fullStr Enhancing student nurses’ ethical skills via simulation-based learning: barriers and opportunities
title_full_unstemmed Enhancing student nurses’ ethical skills via simulation-based learning: barriers and opportunities
title_short Enhancing student nurses’ ethical skills via simulation-based learning: barriers and opportunities
title_sort enhancing student nurses ethical skills via simulation based learning barriers and opportunities
topic Ethical behavior
Ethical competence
Ethical decision-making
Ethical knowledge
Ethics education
url https://doi.org/10.1186/s12912-025-02742-5
work_keys_str_mv AT richardmrasesemola enhancingstudentnursesethicalskillsviasimulationbasedlearningbarriersandopportunities
AT manokoptmolabe enhancingstudentnursesethicalskillsviasimulationbasedlearningbarriersandopportunities