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Development of the nursing ethical educational program in psychiatry nursing

精神科护理中护理伦理教育计划的制定

基本信息

批准号：
15592308
负责人：
OGINO Masa
金额：
$ 1.34万
依托单位：
Chiba University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2005
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15592308/
关键词：
psychiatric nursing nursing ethics educational program

项目摘要

Aim : To clarify psychiatric nurses' ethical view and develop the psychiatric nursing ethical educational program which aims toward the acquisition of the ethical competence in psychiatry nursing practice.Methods : In 2003 hearing concerning ethical dilemma was executed in the psychiatric nurses, the questionnaire which invests the ethical view in psychiatry nursing practice was developed. Making use of that questionnaire nationwide investigation was executed in 2004. In 2005 from the findings the psychiatric nursing ethical educational program developed, executed it, the effective verification did.Results and Conclusion : Concerning the ethical actual condition of the psychiatry nurses, that (1)as for ethical sensitivity of the psychiatry nurses there is a low tendency. (2)concerning body restraint the psychiatric nurses have tendency to have an idea "we should restrain," and as for them "we should remedy,", that there is a tendency which is thought when the remedy which opposes to th … More e intention of the patient is done, (3)the psychiatric nurses' senses of value extracted as following : (1)when judgment ability of the patient himself has decreased, the medical person should decision making in place of the patient, considering the profit of the patient in the maximum, (2)the medical person most should protect that body safety of the patient, (3)the patient himself should respect decision making, (4)the psychiatric nurses should think being in the standpoint of the patient, (5)the people intention of the family should be respected, when judgment ability of the patient himself has decreased, (6)it is important the people who relate to circumstance to agree, to agree upon.The psychiatric nursing ethical educational program was executed. This program had the aim to improve ethical nursing practice ability toward the problem solving from standpoint of human rights respect and protection, and organized the lecture about nursing ethics and group work of the ethical dilemma. As a result, the participants' ability to analyze from the point of ethical view in ethical dilemma improved. But for them it was not possible to improve problem solving ability from standpoint of human rights respect and protection, because it was difficult for them to become aware in sense of value of the self.As a conclusion, we obtained suggestion that it is necessary to introduce the program which enhances the level of sensitivity which becomes aware in sense of value of oneself during the psychiatric nursing ethical educational program. Less

目的：目的：明确精神科护士的伦理观，制定精神科护理伦理教育方案，以提高精神科护士在精神科护理实践中的伦理能力。方法：2003年对精神科护士进行伦理困境听证，并编制调查问卷，调查精神科护士在精神科护理实践中的伦理观。2004年利用该调查表在全国范围内进行了调查。从2005年调查结果看，精神科护士伦理道德教育方案的制定、实施、有效性验证都做了。结果与结论：就精神科护士伦理道德现状而言，（1）精神科护士的伦理敏感度有偏低的趋势。（2）精神科护士对身体约束有“我们应该约束”的倾向，对身体约束有“我们应该补救"的倾向，认为与身体约束相对立的补救措施是一种”我们应该补救“的倾向。 ...更多信息（3）精神科护士的价值观：（1）当病人自身判断能力下降时，医务人员应代替病人作出决定，最大限度地考虑病人的利益，（2）医务人员最应保护病人的身体安全，（3）病人自身应尊重决策，（4）精神科护士要站在病人的立场上思考问题;（5）当病人自身判断能力下降时，要尊重家属的意愿;（6）重要的是与周围环境有关的人的同意、认同。该项目旨在提高从尊重和保护人权的角度解决问题的伦理护理实践能力，并组织了有关护理伦理和伦理困境小组工作的讲座。结果，参与者从伦理角度分析伦理困境的能力得到了提高。但是，从尊重人权和保护人权的观点来看，由于难以意识到自身的价值，因此无法提高解决问题的能力。因此，在精神科护理伦理教育中，有必要引入提高自我价值意识的敏感度的课程。少