title: Evaluating the effect of three teaching strategies on student nurses' moral sensitivity.
abstract: BACKGROUND
  The Taiwan Nursing Accreditation Council has proposed eight core professional nursing qualities including ethical literacy. Consequently, nursing ethics education is a required course for student nurses. These courses are intended to improve the ethical literacy. Moral sensitivity is the cornerstone of ethical literacy, and learning moral sensitivity is the initial step towards developing ethical literacy.
  
  
  OBJECTIVE
  To explore the effect of nursing ethics educational interventions based on multiple teaching strategies on student nurses moral sensitivity. Based on the visual, auditory and kinaesthetic model, three strategies were developed for determining the programme components and corresponding learning styles.
  
  
  METHODS
  This was a quasi-experimental study.
  
  
  METHODS
  A total of 234 junior-college student nurses participated in this study. All participants were aged 18-19 years. Ethical considerations: The study protocol was approved by the institutional review boards of Kaohsiung Veterans General Hospital. Only the participants who signed an informed consent form took part in the study. The participants were permitted to withdraw from the study at any point if they wished to do so without affecting their academic score.
  
  
  RESULTS
  The scores of Modified Moral Sensitivity Questionnaire for Student Nurses were significantly improved after the intervention of integrating multiple teaching strategies ( p = .042). Significant relationships were observed between the satisfaction scores of two teaching strategies and moral sensitivity. The results indicated that using multiple teaching strategies is effective for promoting nursing ethics learning.
  
  
  CONCLUSIONS
  This strategy was consistent with the student nurses' preferred learning style and was used to correct their erroneous ethical conceptions, assisting in developing their ethical knowledge.
authors.affiliation: School of Nursing, National Yang-Ming University; Yuhing Junior College of Health Care and Management, Taiwan.
authors.forename: Hsiao Lu
authors.initials: HL
authors.lastname: Lee
authors.forename: Shu-He
authors.initials: SH
authors.lastname: Huang
authors.affiliation: School of Nursing, National Yang-Ming University, Taiwan.
authors.forename: Chiu-Mieh
authors.initials: CM
authors.lastname: Huang
mesh_terms: D000293:Adolescent; D003479:Curriculum / Q000592:standards; D003657:Decision Making / Q000941:ethics; D004993:Ethics, Nursing / Q000193:education*; D005260:Female; D006801:Humans; D008297:Male; D009014:Morals; D011594:Psychometrics / Q000295:instrumentation / Q000379:methods; D013338:Students, Nursing / Q000523:psychology*; D011795:Surveys and Questionnaires; D013624:Taiwan; D013663:Teaching / Q000523:psychology / Q000592:standards*; D055815:Young Adult
keywords: Ethical decision making; learning style; moral sensitivity; multiple teaching strategies; nursing ethics education