Development and Evaluation of an Educational Ladder and Relevant Programs for Ethics Education in Community Health Nursing Practice

摘要本研究旨在建立日本公共卫生护士与家访护士的教育阶梯及相关的伦理教育方案，以促进公共卫生护士与家访护士的有效执业。通过访谈和问卷调查，了解护士在执业过程中遇到伦理问题的内容和频率、道德行为的构成要素、接受伦理教育的经历、影响护士在执业过程中决策的经历以及与伦理实践相关的工作环境；然后分析各变量与工作年限、职位等人口统计数据之间的关系。在此基础上，我们制定了初步的教育阶梯和有针对性的道德教育方案，并对phn和hvn进行了试点并进行了评估。最后，修订了师德教育阶梯及相应的师德教育方案。

The purposes of this study were to develop an educational ladder and the relevant programs for ethics education to promote effective practice of public health nurses (PHNs) and home visiting nurses (HVNs) in Japan. We conducted the interviews and questionnaire surveys with PHNs and HVNs to clarify : the contents and frequencies of encountering ethical issues in their practices, the components of moral behavior, experiences with ethics education, experiences influencing nurses' decisions in practice and workplace environment related to ethical practices; then the relationships between each variable and demographic data including length of work experience and position were analyzed. Based on these results, we developed a tentative educational ladder and targeted programs for ethics education and then conducted and evaluated the trial programs for PHNs and HVNs. Finally, we revised the ethics educational ladder and the relevant programs for ethics education for PHNs and HVNs.