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Results for “Moral Development”

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At least 523 records · Page 29Linked to original sources
PubMed2006

Developing the concept of moral sensitivity in health care practice.

The aim of this Swedish study was to develop the concept of moral sensitivity in health care practice. This process began with an overview of relevant theories and perspectives on ethics with a focus on moral sensitivity and related concepts, in order to generate a theoretical framework. The second step was to construct a questionnaire based on this framework by generating a list of items from the theoretical framework. Nine items were finally selected as most appropriate and consistent with the research team's understanding of the concept of moral sensitivity. The items were worded as assumptions related to patient care. The questionnaire was distributed to two groups of health care personnel on two separate occasions and a total of 278 completed questionnaires were returned. A factor analysis identified three factors: sense of moral burden, moral strength and moral responsibility. These seem to be conceptually interrelated yet indicate that moral sensitivity may involve more dimensions than simply a cognitive capacity, particularly, feelings, sentiments, moral knowledge and skills.

Adult↗
PubMed1975

Moral and cognitive development in retarded and nonretarded children.

Subjects were 30 cultural-familially retarded and 30 nonretarded children matched for MA within 3 MA levels. The subjects were administered measures of moral judgement and cognitive operations hypothesized by Kohlberg to constitute necessary but not sufficient conditions for attainment of specific moral stages. Moral and cognitive performance improved with MA, but there were no differences between the MA-matched retarded and nonretarded children. Moral judgement related more strongly to MA then to any of the specific cognitive operations tested. The findings failed to support Kohlberg and Gilligan's (1971) hypothesis that the moral judgment of older individuals should be more advanced than that of younger individuals matched for cognitive level, but they were in accord with Zigler's (1969) "developmental" concept of cultural-familial retardation.

Association↗
PubMed1994

Building morale through personal development.

Once general practitioners have established themselves as principals it may seem there is little else to work for. Lack of stimulation may lead to demoralisation, and it is essential that they have other ways to continue to develop their careers. Meeting other doctors to discuss cases and problems and postgraduate education often help but many doctors want to take on extra roles. The options available include undergraduate teacher, tutor for postgraduate education, and participation in medical audit advisory groups, local medical committees, or royal college faculties. Some general practitioners work part time to allow them to fit in these activities. It may also be possible to obtain extended study leave or a sabbatical to broaden experience. Others even more practice to provide new challenges.

Career Choice↗
PubMed1992

Evaluation of teaching medical ethics by an assessment of moral reasoning.

This study assessed the hypothesis that the formal teaching of medical ethics promotes a significant increase in the growth and development of moral reasoning in medical students. Results indicated a statistically significant increase (P less than or equal to 0.0005) in the level of moral reasoning of students exposed to a medical ethics course compared to the control group that was not exposed to the medical ethics course. When the posttest scores were adjusted by subtracting the pretest scores, the differences were even more significant (P less than or equal to 0.0002). This study confirmed similar findings of another study using a different instrument of assessment. Brief discussion is given of the fundamental premise that the appropriate function of teaching medical ethics in our modern pluralistic society is to improve students' moral reasoning about value issues regardless of what their particular set of moral values happens to be.

Education, Medical, Undergraduate↗
PubMed2004

Extraordinary moral commitment: young adults involved in social organizations.

The personality of exemplary young adults was studied in an effort to paint a portrait of moral excellence that expanded upon the traditional emphasis on moral reasoning maturity. These young adults were nominated based on their extraordinary moral commitment towards various social organizations. The sample included 40 moral exemplars and 40 matched comparison individuals who responded to a battery of questionnaires and participated in a semistructured interview. It was found that moral exemplars, in contrast to comparison individuals, were more agreeable, more advanced in their faith and moral reasoning development, further along in forming an adult identity, and more willing to enter into close relationships. These findings are discussed in the context of describing moral excellence from a multifaceted, personality perspective.

Adolescent↗
PubMed2003

The social ascription of obligations to engineers.

Discovering obligations that are ascribed to them by others is potentially an important element in the development of the moral imagination of engineers. Moral imagination cannot reasonably be developed by contemplating oneself and one's task alone: there must be some element of discovering the expectations of people one could put at risk. In practice it may be impossible to meet ascribed obligations if they are completely general and allow no exceptions--for example if they demand an unlimited duty to avoid harm. But they can still serve to modify engineers' prior ethics, for example by limiting a purely utilitarian approach to deciding who should bear risk and how much risk they should bear. Ascribed obligations can also give engineers insight into the public reaction to risks that arise from engineered systems, and the consequent expectations that the public have about how much protection is desirable and where the responsibility for this protection lies. This article analyses the case for taking ascribed obligations seriously, and reviews some of the obligations that have been ascribed in the aftermath of recent engineering failures. It also proposes ways in which ascribed obligations could be used in engineers' moral development.

Engineering↗
PubMed1990

Depression and moral identity in adolescence.

The theoretical and empirical examination on hand is devoted to the analysis of the relation between depression in adolescence and the development of moral identity. Corresponding to theoretical forecasts a distinct depressive syndrome is found which presupposes the development of feelings of guilt, only with the attainment of the conventional moral level. As ambivalence conflicts have to be seceded and denied to a considerable extent, because of the proximity to real conflicts of the adolescents also the moral dilemmas in the examination according to Kohlberg are distorted and perceived filtered by defence processes; there results, correspondingly, a close connection between the formation of the depression and lower sociomoral level. In the same way, because of the predicted massive ambiguityintolerance of depressive persons also the difference between highest possible judgement level and average level found in relations to the formation of the depression is slighter; the socio-moral development is stimulated correspondingly less. The image of depression in adolescence which correlates with these findings on moral development is equivalent in its dimensions of restricted life world and distorted lifestyle to results gained previously from larger random tests on depressive toning down in adolescence (comp. Reinhard 1986).

Adolescent↗
PubMed2006

The ethic of care development: a longitudinal study of moral reasoning among practical-nursing, social-work and law-enforcement students.

The study investigated changes in care-based moral reasoning, in the context of justice development over the 2-year period among practical-nursing, bachelor-degree social-work and law-enforcement students (N = 59). Main measures were Skoe's Ethic of Care Interview and Colby et al.'s Moral Judgment Interview. Of the participants 34% progressed in care reasoning, and 48% in justice reasoning. Social-work and nursing students progressed in care reasoning, and all groups progressed in justice reasoning. One participant (1.7%) regressed in care reasoning. Care and justice reasoning were parallel in terms of internal consistency, and they were positively related to each other. Findings suggest that care reasoning follows a developmental sequence, involving three main and two transitional levels, as suggested by Gilligan (1982). Main levels include self-concern (Level 1), caring for others (Level 2), and balanced caring for self and others (Level 3).

Adult↗
PubMed2001

Development and evaluation of a moral distress scale.

AIM OF THE STUDY: This methodological research developed and evaluated the moral distress scale from 1994 to 1997. BACKGROUND/RATIONALE: Although nurses confront moral questions in their practice daily, few instruments are available to measure moral concepts. The methodological design used a convenience sample consisted of 214 nurses from several Unites States hospitals. The framework guiding the development of the moral distress scale (MDS) included Jameton's conceptualization of moral distress, House and Rizzo's role conflict theory, and Rokeach's value theory. Items for the MDS were developed from research on the moral problems that nurses confront in hospital practice. The MDS consists of 32 items in a 7-point Likert format; a higher score reflects a higher level of normal distress. RESULTS: Mean scores on each item ranged from 3.9 to 5.5, indicating moderately high levels of moral distress. The item with the highest mean score (M=5.47) was working where the number of staff is so low that care is inadequate. Factor analysis yielded three factors: individual responsibility, not in the patient's best interest, and deception. No demographic or professional variables were related to moral distress. Fifteen percent of the nurses had resigned a position in the past because of moral distress. CONCLUSION: The results support the reliability and validity of the MDS.

Adult↗