In Korea, all nursing schools must receive accreditation for their nursing education program. The standards of nursing education program outcomes include that nursing students should comprehend nursing ethics standards and integrate ethical knowledge and clinical nursing practice. This article introduces the process of a dilemma discussion based on an ethical decision-making model and shows the implementation method in an ethics course of a baccalaureate nursing program. To present the process of a dilemma-based discussion, an ethical decision-making model was used and the implementation of the dilemma-based discussion was suggested. To achieve nursing education program outcomes, ethical training is necessary for nursing students. Ethical training based on the ethical decision-making model used in conjunction with the pedagogical technique of a dilemma discussion is most effective for nursing students. To completely develop ethical decision-making competency, ethical education for nursing students should not only include delivering knowledge-based instruction but also incorporate discussion-based ethics education, such as a dilemma discussion. A dilemma discussion based on the ethical decision-making model helps to improve ethical decision-making competence that can then be applied when nursing students encounter ethical dilemmas in the clinical field after graduation.

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