Thoughts and feelings that determine how Japanese nursing students deal with ethical issues: A qualitative study
Thoughts and feelings that determine how Japanese nursing students deal with ethical issues: A qualitative study
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决定日本护理学生如何处理伦理问题的想法和感受：一项定性研究
DOI：
10.1007/s40889-021-00127-1
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发表时间：
2021
影响因子：
0.8
通讯作者：
Tanaka Maki
中科院分区：
文献类型：
--
作者：
田中 真木;小西 恵美子;Tanaka Maki
护生面临各种各样的伦理问题，这些问题可能会导致压力，需要应对策略。本研究旨在探讨护生在处理伦理问题时所采取的应对行为背后的思想和感受。于2011年9月至10月对A大学11名完成基础护理和专业（按领域）实习并同意参加研究的学生进行半结构化访谈。采用定性方法对资料进行分析。参与者对临床实习中遇到的伦理问题的叙述分为四个主题和20个场景。伦理问题涉及护士、医生、理疗师和其他医疗专业人员的态度和行为。他们确定了七种应对行为。结果显示，当护理学生遇到道德问题时，他们在重视与护士的关系和与患者的关系之间摇摆不定。当他们与护士的关系被强调时，他们的伦理价值观被重构。这些发现表明，有必要在讲座和课堂实践中尽早解决情感领域的问题，并创造一个环境，让学生在实习中容易表达自己的感受和内在价值体系的变化。
Nursing students face various ethical issues, which may cause stress, that require coping strategies. This study investigated the thoughts and feelings underlying the coping behaviors adopted by nursing students when addressing ethical issues. Semi-structured interviews were conducted from September to October 2011 with 11 students enrolled at University A who had completed basic nursing and specialty (by field) practicums and consented to participate in the study. Data were analyzed using qualitative methods. The participant narratives about ethical issues encountered during clinical practicums were organized into four themes and 20 scenarios. The ethical issues concerned the attitudes and conduct of nurses, doctors, physical therapists, and other medical professionals. Seven coping behaviors were identified. The results revealed that nursing students waver between valuing their relationships with nurses and their relationships with patients when they encounter an ethical issue. When their relationships with nurses were emphasized, their ethical values were restructured. These findings suggest the need to address the affective domain early on in lectures and in-class practice, and to create an environment in which students taking practicums can easily express their feelings and internal value system changes.