{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T12:30:46Z","timestamp":1784896246509,"version":"3.55.0"},"reference-count":41,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nurs Ethics"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>\n                    <jats:bold>Introduction:<\/jats:bold>\n                    Ethical competence in professional practice can be considered essential among nurses and nurses in ambulance care encounter ethical dilemmas frequently. To enhance ethical competence among students in the ambulance specialist nursing program, high-fidelity simulation scenarios including ethical dilemmas were introduced as a learning activity.\n                    <jats:bold>Research aim:<\/jats:bold>\n                    The research aim was to investigate the usefulness of high-fidelity simulation in ambulance specialist nurse education to teach ethical reasoning when caring for children.\n                    <jats:bold>Research design:<\/jats:bold>\n                    This study was conducted as a qualitative interview study, complemented with observations and using field notes and qualitative interviews for data collection. Data was analysed using deductive qualitative content analysis based on a care ethical model.\n                    <jats:bold>Participants and research context:<\/jats:bold>\n                    Participants (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 35) were recruited from an ambulance nurse educational program at a Swedish university. Data was collected after the students took part in two high-fidelity simulations involving children in an ambulance care setting.\n                    <jats:bold>Ethical considerations:<\/jats:bold>\n                    The study has been vetted and approved by the ethical council at the University of Bor\u00e5s, Sweden. The study follows the Helsinki Declaration\u2019s advice on ethical principles.\n                    <jats:bold>Results:<\/jats:bold>\n                    The results showed that most of the students expressed some form of ethical reasoning during the simulation sessions, which were elaborated and reflected upon during the debriefing part of the sessions. The simulation design seemed to have a great impact on the outcome of the student\u2019s ethical reasoning, where increased immersion led to deeper emotional engagement among the students which increased awareness of their personal preconceptions.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    This study aimed to investigate whether high-fidelity simulations could be useful to stimulate ethical reflections and contribute to increased ethical competence among students. In conclusion, a well-designed high-fidelity simulation can be useful as an educational tool to learn and enhance ethical competence among specialist ambulance nursing students.\n                  <\/jats:p>","DOI":"10.1177\/09697330241291162","type":"journal-article","created":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T12:45:59Z","timestamp":1729082759000},"page":"1197-1209","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Stimulating ambulance specialist nurse students\u2019 ethical reflections by high-fidelity simulation"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2171-7193","authenticated-orcid":false,"given":"Jonas","family":"Wihlborg","sequence":"first","affiliation":[{"name":"Dalarna University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulf","family":"Andersson","sequence":"additional","affiliation":[{"name":"University of Bor\u00e5s"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders","family":"Sterner","sequence":"additional","affiliation":[{"name":"University of Bor\u00e5s"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Sandman","sequence":"additional","affiliation":[{"name":"Link\u00f6ping University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"K\u00e4ngstr\u00f6m","sequence":"additional","affiliation":[{"name":"University of Bor\u00e5s"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella N.","family":"Boysen","sequence":"additional","affiliation":[{"name":"University of Bor\u00e5s"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,15]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.4324\/9781410601162"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2013.10.004"},{"key":"e_1_3_5_4_2","first-page":"9","volume-title":"The ICN code of ethics for nurses","author":"International Council of Nurses","year":"2021","unstructured":"International Council of Nurses. The ICN code of ethics for nurses. Geneva, Switzerland: International Council of Nurses, 2021, p. 9."},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.Nep.0000000000000477"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1356"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.703"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s41239-016-0032-z"},{"key":"e_1_3_5_9_2","first-page":"96s","volume-title":"PBL och casemetodik: hur man g\u00f6r och varf\u00f6r","author":"Egidius H","year":"1999","unstructured":"Egidius H. PBL och casemetodik: hur man g\u00f6r och varf\u00f6r. Lund: Studentlitteratur, 1999, p. 96s."},{"key":"e_1_3_5_10_2","first-page":"10","volume-title":"Learning with cases","author":"Mauffette-Leenders LA","year":"2005","unstructured":"Mauffette-Leenders LA, Erskine JA, Leenders MR, et al. Learning with cases. 3rd ed. London, Ont: Richard Ivey School of Business, University of Western Ontario, 2005, p.10\u2013135.","edition":"3"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X18001024"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-018-0334-x"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/emp2.12391"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.3109\/10903127.2014.995845"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.23970\/simulationv2"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.5455\/aim.2021.29.15-20"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/pts.0000000000000969"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.29060\/TAPS.2018-3-1\/SC1059"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.3946\/kjme.2012.24.1.7"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecns.2019.10.003"},{"key":"e_1_3_5_21_2","volume-title":"Etikboken","author":"Sandman L","year":"2024","unstructured":"Sandman L, Kjellstr\u00f6m S. Etikboken. Lund, Sweden: Studentlitteratur, 2024."},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/tct.12300"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2020.06.028"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2016.03.026"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.987"},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969733021994188"},{"key":"e_1_3_5_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969733010361440"},{"key":"e_1_3_5_28_2","volume-title":"Genetic information - values and rights. The morality of presymptomatic genetic testing","author":"Juth N","year":"2005","unstructured":"Juth N. Genetic information - values and rights. The morality of presymptomatic genetic testing. Gothenburg: G\u00f6teborgs Universitet\/University of Gothenburg, Gothenburg University Library, 2005."},{"key":"e_1_3_5_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04569.x"},{"key":"e_1_3_5_30_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_3_5_31_2","first-page":"17","volume-title":"Advanced medical life support: an assessment-based approach","author":"National Association of Emergency Medical Technicians (U.S.)","year":"2021","unstructured":"National Association of Emergency Medical Technicians (U.S.). Advanced medical life support: an assessment-based approach. 3rd ed. Burlington, MA: Jones & Bartlett Learning, 2021, p. 17\u2013558.","edition":"3"},{"key":"e_1_3_5_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732317697102"},{"key":"e_1_3_5_33_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04569.x"},{"key":"e_1_3_5_34_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-022-00766-z"},{"key":"e_1_3_5_35_2","doi-asserted-by":"publisher","DOI":"10.5505\/1304.7361.2014.32656"},{"key":"e_1_3_5_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969733019832941"},{"key":"e_1_3_5_37_2","volume-title":"The ethic of care and its development: a longitudinal study among practical nursing, bachelor-degree social work and law enforcement students","author":"Juuj\u00e4rvi S","year":"2003","unstructured":"Juuj\u00e4rvi S. The ethic of care and its development: a longitudinal study among practical nursing, bachelor-degree social work and law enforcement students. Helsinki: University of Helsinki, 2003."},{"key":"e_1_3_5_38_2","doi-asserted-by":"publisher","DOI":"10.3384\/ijal.1652-8670.14243"},{"key":"e_1_3_5_39_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-008-0688-8"},{"key":"e_1_3_5_40_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969733015595544"},{"key":"e_1_3_5_41_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-023-00941-w"},{"key":"e_1_3_5_42_2","first-page":"20","volume-title":"Essentials of nursing research: appraising evidence for nursing practice","author":"Polit DF","year":"2022","unstructured":"Polit DF, Beck CT. Essentials of nursing research: appraising evidence for nursing practice. 10th ed. Philadelphia: Wolters Kluwer, 2022, p. 20\u2013425.","edition":"10"}],"container-title":["Nursing Ethics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09697330241291162","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09697330241291162","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09697330241291162","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:48:22Z","timestamp":1777679302000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09697330241291162"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,15]]},"references-count":41,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1177\/09697330241291162"],"URL":"https:\/\/doi.org\/10.1177\/09697330241291162","relation":{},"ISSN":["0969-7330","1477-0989"],"issn-type":[{"value":"0969-7330","type":"print"},{"value":"1477-0989","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,15]]}}}