Enhancing Ethical Awareness Among Nursing Students in the Digital Age to Prevent Code Violations

Main Article Content

Angelina Azi Meze
Dewi Yustiani
Dwi Rejeki Manoppo
Latifatul Umaroh

Abstract

The rapid advancement of digital technology in healthcare has transformed the way nursing students access information, communicate, and practice clinically. While digitalization offers numerous benefits, it also introduces ethical challenges related to confidentiality, professionalism, and online conduct. This study explores the role of ethical education in helping nursing students prevent ethical code violations in the digital era. A qualitative descriptive approach was used, with data collected from 15 nursing students through semi-structured interviews and document analysis. The findings indicate that ethical education enhances students' ethical reasoning, digital responsibility, and awareness of legal implications. Participants reported that ethical education enabled them to critically reflect on their actions, particularly in online environments where ethical boundaries are often ambiguous. The study emphasizes the importance of integrating ethical values continuously throughout the nursing curriculum, rather than treating it as a standalone course. Key factors such as institutional support, curriculum relevance, and educator role modeling were identified as essential in promoting ethical behavior. The results underscore the need for enhanced ethical education in nursing programs to ensure that graduates are not only clinically proficient but also ethically responsible in their digital and professional interactions.
   

Article Details

Section
Articles

References

Brandão, Ana Carolina Barboza, Ingrid Bemfica Ramos, Anna Carolina Caetano Griesang de Oliveira, Sabrina da Costa Machado Duarte, Joyce Martins Arimatea Branco Tavares, and Priscilla Valladares Broca, ‘Nursing Students and The Internet: A Reflection Of Digital Ethics’, Revista Brasileira de Enfermagem, 77.suppl 4 (2024) <https://doi.org/10.1590/0034-7167-2023-0459>

Bratz, Josephine Karla Anna, and Marcelo Sandoval-Ramirez, ‘Ethical Competences for the Development of Nursing Care’, Revista Brasileira de Enfermagem, 71.suppl 4 (2018), 1810–14 <https://doi.org/10.1590/0034-7167-2017-0539>

Cannaerts, Nancy, Chris Gastmans, and Bernadette Dierckx de Casterlé, ‘Contribution of Ethics Education to The Ethical Competence of Nursing Students’, Nursing Ethics, 21.8 (2014), 861–78 <https://doi.org/10.1177/0969733014523166>

Demiray, A., M. Çakar, A. Açil, N. Ilaslan, and T. Savas Yucel, ‘Social Media Use and Ethics Violations: Nurses’ Responses to Hypothetical Cases’, International Nursing Review, 67.1 (2020), 84–91 <https://doi.org/10.1111/inr.12563>

Espina, Christine R., and Emily Spracklin, ‘Social Media Literacy in an Infodemic’, Nurse Educator, 46.6 (2021), 332–332 <https://doi.org/10.1097/NNE.0000000000001115>

De Gagne, Jennie C., Hyeyoung Hwang, and Dukyoo Jung, ‘Cyberethics in Nursing Education: Ethical Implications of Artificial Intelligence’, Nursing Ethics, 31.6 (2024) <https://doi.org/10.1177/09697330231201901>

Hassanein, Salwa, Rabie Adel El Arab, Amany Abdrbo, Mohammad S. Abu-Mahfouz, Mastoura Khames Farag Gaballah, Mohamed Mahmoud Seweid, and others, ‘Artificial Intelligence in Nursing: An Integrative Review of Clinical and Operational Impacts’, Frontiers in Digital Health, 7 (2025) <https://doi.org/10.3389/fdgth.2025.1552372>

Kinnunen, Ulla-Mari, Anne Kuusisto, Samuli Koponen, Outi Ahonen, Anu-Marja Kaihlanen, Tiina Hassinen, and others, ‘Nurses’ Informatics Competency Assessment of Health Information System Usage’, CIN: Computers, Informatics, Nursing, 41.11 (2023), 869–76 <https://doi.org/10.1097/CIN.0000000000001026>

Koohestani, Hamid Reza, Mahmood Karimy, Morteza Hemmat, and Morteza Shamsizadeh, ‘Lived Experiences of Nursing Students About Ethical Concerns Regarding Mobile Learning in Educational and Clinical Contexts’, Journal of Medical Ethics and History of Medicine, 2019 <https://doi.org/10.18502/jmehm.v12i5.858>

Kraft, B., T. Kuscher, L. Rothmann, S. Zawatzki, S. Hofstetter, J. Schildmann, and others, ‘Exploring Digital Care: Developing Ethical Competencies’, Gerontechnology, 23.s (2024), 1–1 <https://doi.org/10.4017/gt.2024.23.s.1057.opp>

Ma, Huijuan, Aifang Niu, Jing Tan, Jing Wang, and Yu Luo, ‘Nursing Students’ Perception of Digital Technology in Clinical Education Among Undergraduate Programs: A Qualitative Systematic Review’, Journal of Professional Nursing, 53 (2024), 49–56 <https://doi.org/10.1016/j.profnurs.2024.04.008>

Obeid, Samira, and Michal Man, ‘Strengthening Perceptions of Ethical Competence Among Nursing Students and Graduates’, SAGE Open Nursing, 6 (2020) <https://doi.org/10.1177/2377960820924170>

Poorchangizi, Batool, Fariba Borhani, Abbas Abbaszadeh, Moghaddameh Mirzaee, and Jamileh Farokhzadian, ‘The Importance of Professional Values from Nursing Students’ Perspective’, BMC Nursing, 18.1 (2019), 26 <https://doi.org/10.1186/s12912-019-0351-1>

Ridwan, Muannif, Ontran Sumantri Riyanto, Yatini Yatini, Usman Jayadi, and Rico Ilham, ‘Approaches in Legal Research (A Introduction about Study Analysis Western Law and Islamic Law)’, in Proceedings of the 6th Batusangkar International Conference (BIC) (West Sumatra, Indonesia: EAI, 2022), pp. 126–35 <https://doi.org/10.4108/eai.11-10-2021.2319623>

Sedgwick, Monique, Sharon Yanicki, Nicole Harder, and David Scott, ‘A Scoping Review of the Integration of Ethics Education in Undergraduate Nursing High‐fidelity Human Simulation‐based Learning’, Journal of Clinical Nursing, 30.5–6 (2021), 605–14 <https://doi.org/10.1111/jocn.15552>

Shayestehfard, Marzieh, Camellia Torabizadeh, Sakineh Gholamzadeh, and Abbas Ebadi, ‘Ethical Sensitivity in Nursing Students: Developing a Context–Based Education’, Electronic Journal of General Medicine, 17.2 (2020), em195 <https://doi.org/10.29333/ejgm/7812>

Shrestha, Ankit, Prakriti Dumaru, Rizu Paudel, and Mahdi Nasrullah Al-Ameen, ‘Understanding The Challenges In Academia to Prepare Nursing Students for Digital Technology Use at Workplace’, in Computer Supported Cooperative Work and Social Computing (New York, NY, USA: ACM, 2023), pp. 96–100 <https://doi.org/10.1145/3584931.3607002>

Sundler, Annelie J., Elisabeth Lindberg, Christina Nilsson, and Lina Palmér, ‘Qualitative Thematic Analysis Based on Descriptive Phenomenology’, Nursing Open, 6.3 (2019), 733–39 <https://doi.org/10.1002/nop2.275>

Yoshioka, Emi, and Sayuri Kaneko, ‘The Current Status of Ethical Judgment Capacity and Ethical Training Regarding Continuous Nursing Education’, International Journal of Nursing & Clinical Practices, 6.1 (2019) <https://doi.org/10.15344/2394-4978/2019/305>