Enhancing Ethical Decision-Making Knowledge and practice Among Military Hospital Nurses: A Quasi-Experimental Study
- 1Lecturer of Hospital Nursing Administration, Military Medical Academy, Cairo, 11291
- 2Assistant Professor of Nursing Administration, Faculty of Nursing, Menoufia University
- 3Associate Professor of Medical Surgical Nursing, Egyptian Chinese University, Egypt.
Abstract
Background: Modern nursing practice demands high levels of ethical reasoning and strictlegal awareness, particularly within military medical environments. In Egypt, recentregulatory updates by the Egyptian Health Council (EHC) place a critical premium oncompliance with medical law. However, many nurses display baseline gaps inunderstanding modern health legislation and professional liabilities. Aim: This studyaimed to evaluate the effect of an educational program on nurses' ethical decision-makingknowledge and practice. Subjects &Methods: A quasi-experimental research design wasutilized. Setting: The study was conducted at a Military Hospital in Alexandria, Egypt.Subjects: The study included 40 female staff nurses. Tools: Two tools were utilized: aSocio-demographic and Professional Characteristics Questionnaire, and a dual-dimensionEthical Decision-Making and Egyptian Nursing Legislation Knowledge and PracticeQuestionnaire. Results: Pre-test scores revealed significant baseline deficits, with totalknowledge and total ethical practice scenarios at 45.0%. Immediately following theeducational intervention, highly significant jumps were observed (p < 0.001), with totalknowledge climbing to 88.2% and total practice scores increasing to 88.75%. At the 3-month follow-up, scores remained robustly retained above baseline levels at 80.0% and83.0%, respectively. Conclusion: Establish tailored educational intervention effectively toeliminate cognitive deficits and altered behavioral practice tendencies. Recommendation:To ensure safe, ethical, and legally compliant nursing in Egyptian military hospitals, it isrecommended to implement interactive malpractice training for new graduates and expandfuture research to evaluate long-term program impacts and nurses' experiences.
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BibTeX
@article{ramadan2026enhancing,
title = {{Enhancing Ethical Decision-Making Knowledge and practice Among Military Hospital Nurses: A Quasi-Experimental Study}},
author = {Hend Ramadan and Soha Mohamed Elkholy and Randa Gad Allah},
journal = {Tanta Scientific Nursing Journal},
year = {2026},
month = oct,
doi = {10.21608/tsnj.2026.534068},
url = {https://doi.org/10.21608/tsnj.2026.534068},
note = {CC BY},
}
RIS
TY - JOUR
TI - Enhancing Ethical Decision-Making Knowledge and practice Among Military Hospital Nurses: A Quasi-Experimental Study
AU - Hend Ramadan
AU - Soha Mohamed Elkholy
AU - Randa Gad Allah
PY - 2026
DA - 2026/10/30
JO - Tanta Scientific Nursing Journal
DO - 10.21608/tsnj.2026.534068
UR - https://doi.org/10.21608/tsnj.2026.534068
AB - Background: Modern nursing practice demands high levels of ethical reasoning and strictlegal awareness, particularly within military medical environments. In Egypt, recentregulatory updates by the Egyptian Health Council (EHC) place a critical premium oncompliance with medical law. However, many nurses display baseline gaps inunderstanding modern health legislation and professional liabilities. Aim: This studyaimed to evaluate the effect of an educational program on nurses' ethical decision-makingknowledge and practice. Subjects &Methods: A quasi-experimental research design wasutilized. Setting: The study was conducted at a Military Hospital in Alexandria, Egypt.Subjects: The study included 40 female staff nurses. Tools: Two tools were utilized: aSocio-demographic and Professional Characteristics Questionnaire, and a dual-dimensionEthical Decision-Making and Egyptian Nursing Legislation Knowledge and PracticeQuestionnaire. Results: Pre-test scores revealed significant baseline deficits, with totalknowledge and total ethical practice scenarios at 45.0%. Immediately following theeducational intervention, highly significant jumps were observed (p < 0.001), with totalknowledge climbing to 88.2% and total practice scores increasing to 88.75%. At the 3-month follow-up, scores remained robustly retained above baseline levels at 80.0% and83.0%, respectively. Conclusion: Establish tailored educational intervention effectively toeliminate cognitive deficits and altered behavioral practice tendencies. Recommendation:To ensure safe, ethical, and legally compliant nursing in Egyptian military hospitals, it isrecommended to implement interactive malpractice training for new graduates and expandfuture research to evaluate long-term program impacts and nurses' experiences.
SN - 2735-5519
SN - 2314-5595
ER -