A Study on Nursing Dilemmas and Nursing Ethical Education in Clinical Nursing Situation

临床护理情境中的护理困境与护理伦理教育研究

• 批准号: 07672517
• 负责人: HATANO Kyoko
• 金额: $ 1.15万
• 依托单位: AICHI PREFECTURAL COLLEGE OF NURSING AND HEALTH
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1995
• 资助国家: 日本
• 起止时间: 1995 至 1997
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-07672517/
• 关键词: NURSING ETHICAL EDUCATION; NURSING DILEMMAS; NURSING ETHICS; CLINICAL PRACTICE; METHOD OF TEACHING; NURSING CURRICULUM; 実態調査; 教務主任; 教育・方法; 倫理的問題; 倫理的意志決定; 看護婦の規律; 看護婦; 看護道徳

Increasing number of people are expecting to be cared by nurses based on a theoretical body of knowledge and ethical principles. But a lot of nurses feel ethical dilemmas in clinical situation and the curriculum is unclear in terms of ethical issues. To clarify them, we investigated the following three demenssion's researches.1.Nursing dilemma in clinical situationThe 22 nurses were asked to keep diaries or interviews on the topic of dilemma. As a result, nursing dilemmas were divided into four categories, (1) dilemmas concerning nursing practice, (2) dilemmas concerning co-workers and/or doctors, (3) dilemmas concerning ethical principles and/or the right, and (4) others.2.Nursing ethical education in clinical practiceThe 133 subjects who attended a workshop for nursing educators were investigated by questionnaire, which consists of four simulation cases on paper that one student has been in a dilemma in ethical situation. As a result, although the method of instruction was different in each case, many instructors didn't realize that it was necessary for them to incorporate student's dilemma into their learning process and nursing practice.3.Survey curriculum in nursing ethical educationTo assess the educational courses about ethical issues currently employed and their opinions, a questionnaire was mailed to 494 nursing school directors. The response rate was 59.3%. As a result, about half of schools were designed to prepare the courses of nursing ethics proper.In director's opinions about ethical education, they needed educational system which connect between class lecture and clinical practice, but there were various opinions among them regarding concrete contents of ethical education.

越来越多的人期望得到护理的基础上的理论知识和道德原则的机构。但是，许多护士在临床实践中感到伦理困境，课程在伦理问题方面不明确。本研究从以下三个维度进行研究：1.临床护理困境研究采用日记法或访谈法对22名护士进行调查。结果显示，护理困境可分为四类：（1）与护理实务有关的困境;（2）与同事及/或医生有关的困境;（3）与伦理原则及/或权利有关的困境;及（4）其他。其中包括一个学生在道德情境中陷入困境的四个纸上模拟案例。因此，虽然教学方法在每种情况下是不同的，许多教师没有意识到，这是必要的，他们把学生的困境，他们的学习过程和护理实践。3.调查课程在护理伦理教育为了评估有关伦理问题的教育课程目前采用和他们的意见，问卷邮寄给494护理学校董事。有效率为59.3%。结果发现，约有一半的学校设置了护理伦理学课程，在伦理学教育方面，院长们认为需要建立课堂讲授与临床实践相结合的教育体系，但对伦理学教育的具体内容却存在不同意见。

项目成果

小野寺 杜紀、波多野 梗子 ほか: "看護ジレンマと看護倫理教育に関する研究(第一報)" 埼玉県立衛生短期大学紀要. 21. 25-33 (1996)

小野寺盛树、波多野恭子等：“护理困境与护理伦理教育的研究（首次报告）”埼玉县立健康科学学院通报21. 25-33（1996）。

小野寺 杜紀、波多野 梗子 ほか: "看護ジレンマと看護倫理教育に関する研究(第二報)" 埼玉県立衛生短期大学紀要. 22. 55-63 (1997)

森小野寺、波多野恭子等：“护理困境与护理伦理教育的研究（第二次报告）”埼玉县立健康科学学院通报22. 55-63（1997）。

TOKI ONODERA,KYOKO HATANO,.et al.: "A Study on Nursing Dilemmas and Nursing Ethical Education(Part 1)" BULLETIN OF SAITAMA COLLEGE OF HEALTH. 21. 25-33 (1996)

小野寺时树、波田恭子等：《护理困境与护理伦理教育研究（第1部分）》埼玉卫生学院学报。