Development of the nursing ethical educational program in psychiatry nursing

目的：明确精神科护士的伦理观，制定精神科护理伦理教育计划，旨在培养精神科护理实践中的伦理能力。方法：于2003年在精神科护士中举行伦理困境听证会，编制精神科护理实践伦理观调查问卷。利用该问卷，于2004年在全国范围内进行了调查。结果与结论：就精神科护士的伦理现状而言，(1)精神科护士的伦理敏感性偏低。(2)在躯体约束方面，精神科护士倾向于“我们应该约束”，而对于他们来说，“我们应该补救”，有一种倾向，即认为反对…的补救措施(3)精神科护士的价值观提炼如下：(1)当病人自身的判断能力下降时，医务人员应代替病人决策，最大限度地考虑病人的利益；(2)医务人员应最大限度地保护病人的身体安全；(3)病人本人应尊重决策；(4)精神科护士应站在病人的立场上思考；(5)应尊重家属的人意。在患者自身判断能力下降的情况下，重要的是与环境有关的人达成一致，达成一致。实施精神科护理伦理教育。该项目旨在从尊重和保护人权的角度，提高伦理护理实践能力，解决问题，并组织了护理伦理讲座和伦理困境的小组工作。结果，参与者从伦理角度分析伦理困境的能力有所提高。但从尊重和保护人权的角度来看，提高他们的问题解决能力是不可能的，因为他们很难形成自我价值感。因此，有必要在精神科护理伦理教育中引入提高自我价值感敏感性水平的方案。较少

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