Effects of an ethics education program on nurses' moral efficacy in an acute health care facility
Effects of an ethics education program on nurses' moral efficacy in an acute health care facility
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DOI：
10.1111/jonm.13579
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发表时间：
2022-03-20
影响因子：
5.5
通讯作者：
Maruyama, Hiroe
中科院分区：
文献类型：
--
作者：
Ishihara, Itsuko;Inagaki, Satoshi;Maruyama, Hiroe
目的 本研究旨在评估为提高急症医疗机构护士的道德效能而制定的道德教育计划。背景 护士的道德困境可能会给医院组织和患者安全带来严重问题。为了减少道德困扰并提高护理实践的专业信心，需要制定战略干预计划。方法 道德教育计划根据班杜拉的社会认知理论引入了提高自我效能的方法。 2017年至2019年招募了8名护士，所有有关伦理咨询的对话和讨论都被记录在IC录音机上并进行定性分析。结果 四个核心类别——确信在道德问题上发挥积极作用；通过道德机构在护理实践中取得进步；经历过职业转型；同事在场的授权——作为与道德效能相关的道德教育计划的成果而出现。结论 四个核心结果类别表明参与者在参加道德教育计划后获得了信心。对护理管理的影响 参与者所描述的行为和行动的结果表明，他们将积极主动地为减少未来的道德困扰做出贡献。
Aim This study aimed to evaluate an ethics education program developed to increase moral efficacy among nurses in an acute health care facility. Background Moral distress among nurses can cause serious problems in terms of hospital organisations and patient safety. To reduce moral distress and promote professional confidence in nursing practice, a strategic intervention program is needed. Methods An ethics education program introduced methods to increase self-efficacy in accordance with Bandura's social cognitive theory. Eight nurses were recruited from 2017 to 2019, and all conversations and discussions regarding the ethics consultation were recorded on IC recorders and analysed qualitatively. Results Four core categories-Convinced to take an active role in ethical issues; Progressed in nursing practice with ethical agency; Experienced professional transformation; and Empowered by the presence of colleagues-emerged as outcomes of the ethics education program that related to moral efficacy. Conclusions The four core outcome categories suggested that the participants had gained confidence after taking part in the ethical education program. Implications for nursing management The results of the participants' described behaviours and actions suggested that they would be proactive in contributing to reductions in moral distress in the future.