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Dishonesty and misconduct of nursing students during their education is a continuing concern, especially as it relates to expected professional behaviors. This quasi experimental pre-and post-interventional study explored the impact of an affective learning module on developing beliefs and perceptions of ethicality of academic and professional misconduct of students in a BSN program. A modified version of McCrink’s (2008) tool, entitled “Nursing Student Experiences and Perceptions of Academic and Professional Conduct Survey” measured these constructs. The affective learning module, based on Rest’s theory of moral development, and Krathwohl’s affective taxonomy, actively engaged students in ethical decision-making with connections to professional practice through discussion, case review and reflection. The pretest data (N=65) analysis using Mann Whitney U, indicated differences in mean rank related to enrollment status, healthcare work experience and gender and beliefs, and perceptions of academic and professional misconduct. A comparative analysis (N=16) of pre and posttest data was limited due to required changes related to the COVID-19 pandemic. Changes in pre and posttest data suggest the need to replicate and continue research in the area of intentional affective teaching of ethicality and professional values.
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Background: The emphasis on disciplinary and preventive approaches to combating academic misconduct does little to foster student professional identity and core nursing value formation. Problem: There is a need for pedagogy designed to navigate moral decision-making within ambiguous areas of practice as nursing students integrate personal and professional values while becoming a nurse. Approach: Rest's theory of moral development offers a framework for constructing purposeful affective learning activities that operationalize moral sensitivity, judgment, motivation, and character, whereas Krathwohl's theory provides a means to identify affective learning objectives. Offering prelicensure nursing students an opportunity to discuss, reflect on, and consider actions and consequences associated with academic and practice-based situations forms the basis for this affective learning module that fosters connections between academic and professional behaviors of integrity. Conclusion: Rest's theoretical model provides a viable structured approach to moral development. Curriculum designed to engage moral decision-making offers an innovative approach to cultivating student integrity.
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