Background and Purpose The ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model enables educators to create programs using a systematic approach designed to meet learner's needs. The purpose of this study was to develop and evaluate a clinical ethics education program for nurses to improve their ethical confidence, ethical competence, and moral sensitivity. Methods The study was conducted in three steps. In the first step, a seven-session ethics program was developed using the ADDIE model. The themes of each session were as follows: (a) sharing individual ethical issues in clinical settings; (b) understanding a process involved in ethical decision-making; (c) identifying ethical issues in end-of-life care; (d) identifying ethical issues in family caregiving; (e) learning communication skills; (f) developing ethical leadership skills; and (g) reflecting to build self-awareness of the significance of practicing clinical ethics. The second step involved the delivery of the program. In the third step, using a mixed methods design, the effects of the program were evaluated through a quantitative survey administered both before and after completion of the program and focus group interviews. Results The seven-session ethics program based on the ADDIE model improved ethical confidence, ethical competence, and moral sensitivity in nurses. Implications for Practice The ADDIE model can be an effective tool in nursing education, offering an established structure for developing educational programs. In order to validate the effectiveness of the ethics program, it is necessary to conduct repeated measure studies and further studies at the institutional level.

中文翻译：

---

基于 ADDIE 模型设计护士临床伦理教育计划。

背景和目的 ADDIE（分析、设计、开发、实施和评估）模型使教育工作者能够使用旨在满足学习者需求的系统方法创建课程。本研究的目的是为护士制定和评估临床伦理教育计划，以提高他们的伦理信心、伦理能力和道德敏感性。方法 本研究分三步进行。在第一步中，使用 ADDIE 模型开发了一个为期七次的道德计划。每场会议的主题如下： (a) 分享临床环境中的个人伦理问题；(b) 了解涉及道德决策的过程；(c) 确定临终关怀中的伦理问题；(d) 查明家庭照料中的道德问题；(e) 学习沟通技巧；(f) 培养道德领导技能；(g) 反思以建立对实践临床伦理重要性的自我意识。第二步涉及程序的交付。在第三步中，使用混合方法设计，通过在项目完成前后进行的定量调查和焦点小组访谈来评估项目的效果。结果 基于 ADDIE 模型的七节伦理计划提高了护士的伦理信心、伦理能力和道德敏感性。实践意义 ADDIE 模型可以成为护理教育的有效工具，为制定教育计划提供既定结构。为了验证道德计划的有效性，