{"id":"https://openalex.org/W7222868623","doi":"https://doi.org/10.21608/tsnj.2026.534068","title":"Enhancing Ethical Decision-Making Knowledge and practice Among Military Hospital Nurses: A Quasi-Experimental Study","display_name":"Enhancing Ethical Decision-Making Knowledge and practice Among Military Hospital Nurses: A Quasi-Experimental Study","publication_year":2026,"publication_date":"2026-10-18","ids":{"openalex":"https://openalex.org/W7222868623","doi":"https://doi.org/10.21608/tsnj.2026.534068"},"language":"en","primary_location":{"id":"doi:10.21608/tsnj.2026.534068","doi":"https://doi.org/10.21608/tsnj.2026.534068","is_oa":true,"landing_page_url":"https://doi.org/10.21608/tsnj.2026.534068","pdf_url":null,"source":{"id":"https://openalex.org/S4210226221","display_name":"Tanta Scientific Nursing Journal","issn_l":"2314-5595","issn":["2314-5595","2735-5519"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/P4323237894","host_organization_name":"Egypts Presidential Specialized Council for Education and Scientific Research","host_organization_lineage":["https://openalex.org/P4323237894"],"host_organization_lineage_names":["Egypts Presidential Specialized Council for Education and Scientific Research"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Tanta Scientific Nursing Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.21608/tsnj.2026.534068","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5144249994","display_name":"Hend Said Ramadan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hend Said Ramadan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109418432","display_name":"Soha Mamdouh Elkholy","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Soha Mamdouh Mohamed Elkholy","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5106709742","display_name":"Randa Mamdouh Gad Allah","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Randa Mamdouh Gad Allah","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":200,"currency":"USD","value_usd":200},"apc_paid":{"value":200,"currency":"USD","value_usd":200},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.80131396,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"43","issue":"4","first_page":"0","last_page":"0"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":0.9901999831199646,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":0.9901999831199646,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12244","display_name":"Healthcare Education and Workforce Issues","score":0.002400000113993883,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11058","display_name":"Ethics in Business and Education","score":0.0019000000320374966,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ethical-decision-making","display_name":"ethical decision-making","score":0.9810000061988831},{"id":"https://openalex.org/keywords/nursing-ethics-education","display_name":"nursing ethics education","score":0.8389999866485596},{"id":"https://openalex.org/keywords/professional-liability","display_name":"professional liability","score":0.6769999861717224},{"id":"https://openalex.org/keywords/educational-intervention","display_name":"educational intervention","score":0.6050000190734863},{"id":"https://openalex.org/keywords/knowledge-retention","display_name":"knowledge retention","score":0.6890000104904175}],"concepts":[{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.46070000529289246},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4510999917984009},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.38440001010894775},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3228999972343445},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.31049999594688416},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.303600013256073},{"id":"https://openalex.org/C55587333","wikidata":"https://www.wikidata.org/wiki/Q1133029","display_name":"Engineering ethics","level":1,"score":0.28349998593330383},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.2793999910354614},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.2784999907016754},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.27459999918937683},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.2705000042915344},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.2606000006198883},{"id":"https://openalex.org/C68122502","wikidata":"https://www.wikidata.org/wiki/Q764527","display_name":"Informed consent","level":3,"score":0.2605000138282776},{"id":"https://openalex.org/C71745522","wikidata":"https://www.wikidata.org/wiki/Q2476929","display_name":"Confidentiality","level":2,"score":0.258899986743927},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2529999911785126}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.21608/tsnj.2026.534068","doi":"https://doi.org/10.21608/tsnj.2026.534068","is_oa":true,"landing_page_url":"https://doi.org/10.21608/tsnj.2026.534068","pdf_url":null,"source":{"id":"https://openalex.org/S4210226221","display_name":"Tanta Scientific Nursing Journal","issn_l":"2314-5595","issn":["2314-5595","2735-5519"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/P4323237894","host_organization_name":"Egypts Presidential Specialized Council for Education and Scientific Research","host_organization_lineage":["https://openalex.org/P4323237894"],"host_organization_lineage_names":["Egypts Presidential Specialized Council for Education and Scientific Research"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Tanta Scientific Nursing Journal","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:f0815924c13048d296a86efb3f9db791","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/f0815924c13048d296a86efb3f9db791","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Tanta Scientific Nursing Journal, Vol 43, Iss 4 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.21608/tsnj.2026.534068","doi":"https://doi.org/10.21608/tsnj.2026.534068","is_oa":true,"landing_page_url":"https://doi.org/10.21608/tsnj.2026.534068","pdf_url":null,"source":{"id":"https://openalex.org/S4210226221","display_name":"Tanta Scientific Nursing Journal","issn_l":"2314-5595","issn":["2314-5595","2735-5519"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/P4323237894","host_organization_name":"Egypts Presidential Specialized Council for Education and Scientific Research","host_organization_lineage":["https://openalex.org/P4323237894"],"host_organization_lineage_names":["Egypts Presidential Specialized Council for Education and Scientific Research"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Tanta Scientific Nursing Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.7246000170707703},{"id":"https://metadata.un.org/sdg/16","display_name":"Peace, justice, and strong institutions","score":0.666700005531311},{"id":"https://metadata.un.org/sdg/4","display_name":"Quality education","score":0.6164000034332275}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7172262754","https://openalex.org/W2325752244","https://openalex.org/W2529029767","https://openalex.org/W2989563007","https://openalex.org/W2417624294","https://openalex.org/W2286083933","https://openalex.org/W4413939740","https://openalex.org/W2597950029","https://openalex.org/W4300849959","https://openalex.org/W2521577384"],"abstract_inverted_index":{"Background:":[0],"Modern":[1],"nursing":[2,189],"practice":[3,125,148,180],"demands":[4],"high":[5],"levels":[6,163],"of":[7,56],"ethical":[8,62,124],"reasoning":[9],"and":[10,46,64,98,102,106,111,122,146,177,186,204,212],"strictlegal":[11],"awareness,":[12],"particularly":[13],"within":[14],"military":[15,192],"medical":[16,34],"environments.":[17],"In":[18],"Egypt,":[19],"recentregulatory":[20],"updates":[21],"by":[22],"the":[23,54,154],"Egyptian":[24,107,191],"Health":[25],"Council":[26],"(EHC)":[27],"place":[28],"a":[29,79,103],"critical":[30],"premium":[31],"oncompliance":[32],"with":[33,120,141],"law.":[35],"However,":[36],"many":[37],"nurses":[38],"display":[39],"baseline":[40,118,162],"gaps":[41],"inunderstanding":[42],"modern":[43],"health":[44],"legislation":[45],"professional":[47],"liabilities.":[48],"Aim:":[49],"This":[50],"studyaimed":[51],"to":[52,144,151,196,207],"evaluate":[53,208],"effect":[55],"an":[57],"educational":[58,171],"program":[59,210],"on":[60],"nurses'":[61,213],"decision-makingknowledge":[63],"practice.":[65],"Subjects":[66],"&Methods:":[67],"A":[68],"quasi-experimental":[69],"research":[70,206],"design":[71],"wasutilized.":[72],"Setting:":[73],"The":[74,85],"study":[75,86],"was":[76],"conducted":[77],"at":[78,127,164],"Military":[80],"Hospital":[81],"in":[82,190],"Alexandria,":[83],"Egypt.Subjects:":[84],"included":[87],"40":[88],"female":[89],"staff":[90],"nurses.":[91],"Tools:":[92],"Two":[93],"tools":[94],"were":[95,136],"utilized:":[96],"aSocio-demographic":[97],"Professional":[99],"Characteristics":[100],"Questionnaire,":[101],"dual-dimensionEthical":[104],"Decision-Making":[105],"Nursing":[108],"Legislation":[109],"Knowledge":[110],"PracticeQuestionnaire.":[112],"Results:":[113],"Pre-test":[114],"scores":[115,149,157],"revealed":[116],"significant":[117,134],"deficits,":[119],"totalknowledge":[121,142],"total":[123,147],"scenarios":[126],"45.0%.":[128],"Immediately":[129],"following":[130],"theeducational":[131],"intervention,":[132],"highly":[133],"jumps":[135],"observed":[137],"(p":[138],"<":[139],"0.001),":[140],"climbing":[143],"88.2%":[145],"increasing":[150],"88.75%.":[152],"At":[153],"3-month":[155],"follow-up,":[156],"remained":[158],"robustly":[159],"retained":[160],"above":[161],"80.0%":[165],"and83.0%,":[166],"respectively.":[167],"Conclusion:":[168],"Establish":[169],"tailored":[170],"intervention":[172],"effectively":[173],"toeliminate":[174],"cognitive":[175],"deficits":[176],"altered":[178],"behavioral":[179],"tendencies.":[181],"Recommendation:To":[182],"ensure":[183],"safe,":[184],"ethical,":[185],"legally":[187],"compliant":[188],"hospitals,":[193],"it":[194],"isrecommended":[195],"implement":[197],"interactive":[198],"malpractice":[199],"training":[200],"for":[201],"new":[202],"graduates":[203],"expandfuture":[205],"long-term":[209],"impacts":[211],"experiences.":[214]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-19T00:00:00"}
