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Enhancing Ethical Decision-Making Knowledge and practice Among Military Hospital Nurses: A Quasi-Experimental Study

Year: 2026
Type: article
Study design: Clinical Trial
Abstract: Background: Modern nursing practice demands high levels of ethical reasoning and strictlegal awareness, particularly within military medical environments. In Egypt, recentregulatory updates by the Egyptian Health Council (EHC) place a critical premium oncompliance with medical law. However, many nurses display baseline gaps inunderstanding modern health legislation and professional liabilities. Aim: This studyaimed to evaluate the effect of an educational program on nurses' ethical decision-makingknowledge and practice. Subjects &Methods: A quasi-experimental research design wasutilized. Setting: The study was conducted at a Military Hospital in Alexandria, Egypt.Subjects: The study included 40 female staff nurses. Tools: Two tools were utilized: aSocio-demographic and Professional Characteristics Questionnaire, and a dual-dimensionEthical Decision-Making and Egyptian Nursing Legislation Knowledge and PracticeQuestionnaire. Results: Pre-test scores revealed significant baseline deficits, with totalknowledge and total ethical practice scenarios at 45.0%. Immediately following theeducational intervention, highly significant jumps were observed (p < 0.001), with totalknowledge climbing to 88.2% and total practice scores increasing to 88.75%. At the 3-month follow-up, scores remained robustly retained above baseline levels at 80.0% and83.0%, respectively. Conclusion: Establish tailored educational intervention effectively toeliminate cognitive deficits and altered behavioral practice tendencies. Recommendation:To ensure safe, ethical, and legally compliant nursing in Egyptian military hospitals, it isrecommended to implement interactive malpractice training for new graduates and expandfuture research to evaluate long-term program impacts and nurses' experiences.
DOI: 10.21608/tsnj.2026.534068
Language: English
Open Access status: gold
Estimated APC paid: $200
OpenAlex ID: W7222868623
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