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

本研究的目的是发展一个教育阶梯和相关的伦理教育计划，以促进日本公共卫生护士（PHN）和家访护士（HVN）的有效实践。通过访谈和问卷调查，了解PHN和HVN在执业过程中遇到伦理问题的内容和频率、伦理行为的构成要素、伦理教育经历、影响护士执业决策的经历以及与伦理行为相关的工作环境;然后分析了各变量与人口统计学数据（包括工作年限和职位）之间的关系。根据这些结果，我们制定了一个初步的教育阶梯和有针对性的道德教育计划，然后进行了评估试验计划PHN和HVN。最后，我们修订了伦理教育阶梯和相关方案的伦理教育PHN和HVN。

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.