Managing medical ethics education for nursing students in medical colleges - 1

DOCTORAL THESIS IN EDUCATIONAL MANAGEMENT

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HANOI - 2022

COMMITMENT

I hereby declare that the Thesis is my own research work, the data and research results have never been published in any other work. During the research of the Thesis, I have consulted some documents in scientific works, the information cited in the Thesis is clearly stated in the reference list.

Thesis author

Le Thi Thu Trang

ACKNOWLEDGEMENTS

During the process of studying, researching and completing the thesis, the author received guidance, help and encouragement from teachers, colleagues and family.

With respect and sincere feelings, the author would like to express his deep gratitude to Associate Professor, Dr. Nguyen Cong Giap; Dr. Le Thi Ngoc Thuy , who are teachers and scientific instructors who have regularly instructed and wholeheartedly guided the author in completing the thesis. The author would like to thank the training institution, the Academy of Educational Management, for helping and creating the most favorable conditions for me to complete the PhD training program and complete the thesis.

I would like to sincerely thank Ha Dong Medical College for giving me time, encouraging and helping me in the process of completing my thesis and testing the solution. I would also like to thank the medical colleges of the provinces and cities for giving me the opportunity to work, conduct surveys and provide information, documents and data for me to research and complete this thesis.

I would like to sincerely thank my family, relatives, friends and colleagues for their encouragement and support throughout the process of writing my thesis.

Certainly there will be shortcomings in the thesis, the author respectfully hopes to receive guidance, comments and help from teachers to improve it.

Thank you very much!

Thesis author

Le Thi Thu Trang

LIST OF ABBREVIATIONS

Abbreviations

INDEX

COMMITMENT i

ACKNOWLEDGEMENTS ii

LIST OF ABBREVIATIONS iii

TABLE OF CONTENTS iv

LIST OF TABLES IN THE THESIS viii

LIST OF DIAGRAMS AND CHARTS IN THE THESIS x

INTRODUCTION 1

CHAPTER 1. THEORETICAL BASIS OF MANAGING MEDICAL ETHICS EDUCATION FOR NURSING STUDENTS IN MEDICAL COLLEGES 11

1.1. Overview of research problem 11

1.1.1. Medical ethics education for students in medical educational institutions 11

1.1.2. Management of medical ethics education for students in medical educational institutions 18

1.1.3. Overview of research works and issues raised for the next thesis

research 24

1.2. Some basic concepts 27

1.2.1. Educational management 27

1.2.2. Medical ethics and medical ethics education 28

1.2.3. Management of medical ethics education for nursing students in colleges

Medical College 32

1.3. Medical ethics in the nursing profession 34

1.3.1. Characteristics of the nursing profession 34

1.3.2. Medical ethics in nursing profession 36

1.3.3. Requirements for the nursing profession in the current context 38

1.4. Medical ethics education activities for nursing students in colleges

Medical College 39

1.4.1. The role and significance of medical ethics education for nursing students in medical colleges 39

1.4.2. Objectives of medical ethics education for nursing students in colleges

Medical College 41

1.4.3. Content of medical ethics education for nursing students in colleges

Medical College 42

1.4.4. Forms of medical ethics education for nursing students in colleges

Medical College 45

1.4.5. Methods of teaching medical ethics to nursing students in schools

Medical College 46

1.4.6. Forces involved in medical ethics education for nursing students in

Medical colleges 47

1.4.7. Evaluation of medical ethics education results for nursing students in medical colleges 48

1.5. Management of medical ethics education for nursing students in colleges

Medical College 49

1.5.1. Decentralization of subjects in the management of medical ethics education for nursing students

49 medical colleges

1.5.2. Management of building medical ethics education goals for nursing students in medical colleges 51

1.5.3. Managing medical ethics education content for nursing students at the undergraduate level

college 52

1.5.4. Managing methods and forms of medical ethics education for nursing students in medical colleges 53

1.5.5. Managing the team of lecturers participating in medical ethics education for nursing students in medical colleges 54

1.5.6. Coordination between schools and medical facilities in medical ethics education for students

Nursing through clinical practice 55

1.5.7. Management of testing and evaluation of medical ethics education for nursing students in medical colleges 57

1.5.8. Managing conditions to ensure medical ethics education for students in the field

Nursing in Medical Colleges 58

1.6. Factors affecting the management of medical ethics education for nursing students in medical colleges 59

1.6.1. State policies and management mechanisms for educational institutions

Vocational education and training of medical personnel 59

1.6.2. The development of market economy and international integration 61

1.6.3. Innovation of medical ethics education program content for nursing students 62

1.6.4. Medical ethics education capacity of management staff and lecturers 63

1.6.5. Nursing students' awareness and attitudes towards medical ethics education 64

1.6.6. Coordination between forces participating in medical ethics education inside and outside the school 65

CHAPTER 1 CONCLUSION 66

CHAPTER 2. PRACTICAL BASIS OF MANAGEMENT OF MEDICAL ETHICS EDUCATION FOR NURSING STUDENTS IN COLLEGES

MEDICAL 67

2.1. International experience in managing medical ethics education for nursing students in medical colleges 67

2.1.1. World Health Organization (WHO) 67

2.1.2. Japan 68

2.1.3. United States 69

2.1.4. United Kingdom 70

2.1.5. Canada 71

2.2. Overview of the medical college system 73

2.2.1. Number of schools and size of nursing students 73

2.2.2. Organizational structure of the apparatus 75

2.2.3. Training subjects, teaching staff and facilities 75

2.3. Introduction to the survey organization 81

2.3.1. Survey purpose 81

2.3.2. Survey content 81

2.3.3. Scope and subjects of the survey 81

2.3.4. Survey method 82

2.3.5. Data processing 82

2.3.6. How to conduct the survey 83

2.4. Current status of medical ethics education for nursing students in medical colleges 83

2.4.1. Current status of medical ethics education goals for nursing students in

83 medical colleges

2.4.2. Current status of medical ethics education content for nursing students in medical colleges 88

2.4.3. Current status of forms of medical ethics education for nursing students at medical colleges 93

2.4.4. Current status of medical ethics education methods for nursing students at medical colleges 97

2.4.5. Current status of the force participating in medical ethics education for nursing students in medical colleges 101

2.4.6. Current status of evaluating the results of medical ethics education of nursing students at Medical College 105

2.5. Current status of medical ethics education management for nursing students at the university

109 Medical College

2.5.1. Current status of management of building medical ethics education goals for nursing students in medical colleges 109

2.5.2. Current status of managing medical ethics education content for nursing students in medical colleges 111

2.5.3. Current status of management of methods and forms of medical ethics education for nursing students in medical colleges 114

2.5.4. Current status of management of teaching staff participating in medical ethics education for nursing students in medical colleges 116

2.5.5. Current status of management coordination with medical facilities on medical ethics education for nursing students through clinical internship 121

2.5.6. Current status of management, testing and evaluation of medical ethics education for students in the field

Nursing in Medical Colleges 124

2.5.7 Current status of management of conditions to ensure medical ethics education activities for students

Nursing faculty in medical colleges 127

2.6. Current status of factors affecting the management of medical ethics education for nursing students at medical colleges 129

2.7. General assessment of the current status of medical ethics education and management of medical ethics education for students

Nursing faculty in medical colleges 132

2.7.1. Strengths 132

2.7.2. Weaknesses 133

2.7.3. Causes of strengths and weaknesses 133

CHAPTER 2 CONCLUSION 136

CHAPTER 3. SOLUTIONS TO MANAGE MEDICAL ETHICS EDUCATION FOR NURSING STUDENTS IN MEDICAL COLLEGES 138

3.1. Guiding principles 138