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Date of Graduation
Bachelor of Science in Nursing (BSN)
School of Nursing
Erika Metzler Sawin
Over the past three decades, opioid medication misuse and abuse has skyrocketed. The increase in improper use has created the need for more frequent exercise of ethical reasoning skills in practice. This study was designed to determine the effect of an ethics-centered debriefing exercise following a standardized simulation scenario concerning opioid misuse/abuse on nursing students’ value of and perceived confidence in ethical reasoning skills. 18 senior level BSN students at James Madison University in Harrisonburg, VA, participated in an ethics- focused debriefing exercise following the simulated scenario. The debriefing was constructed using the ANA Code of Ethics and James Madison University Eight Key Question framework. Students’ outlooks on ethical reasoning, both perceived confidence and value of, were captured before and after the experience via the CARS Survey of Ethical Reasoning. This study found that overall confidence, knowledge, and perceived value of ethical reasoning were increased following the simulation and debriefing experience and concluded that a structured debriefing exercise following exposure to an opioid-involved patient scenario was beneficial to students’ ethical reasoning skills, and better prepared them for these scenarios in practice.
Shackelford, Raigan A. J., "Integrating ethics and the opioid crisis via simulation: An ethical debriefing for nursing students" (2021). Senior Honors Projects, 2020-current. 130.