Proposing and evaluating a teaching nursing ethics model from dialogues with nursing students and practice nurses

本研究旨在提出一个教与学的护理伦理模式，共分为三个部分。在第一部分中，护理专业的学生参加了焦点小组会议，使用了《The GoodWork R Toolkit》中的故事。在第二部分，实习护士参加工作坊项目，1)教授道德观念，然后2)研究和讨论案例。在案例研究中，护士被鼓励仔细检查病例，而不是依赖于解决问题的框架，通过问这样的问题：为什么病人/家属这么说？病人/家属口头表达的愿望是否真实？为什么会发生这样的情况？第三部分结合护士对该项目的定性反馈，探索我校教学伦理模式的定量评价工具。作为第一步，开发了日本版道德敏感性问卷（JMSQ），并对护士进行了调查，以确认其对日本护士的可用性。

This study, aiming at proposing a teaching and learning nursing ethics model, comprised three parts. In part I, nursing students participated in focus group sessions that used stories in The GoodWork R Toolkit. In part II, practice nurses participated in work-shop programs that 1) taught ethics concepts and then 2) studied and discussed cases. In the case study, rather than relying on problem-solving frameworks, nurses were encouraged to examine the case carefully by asking questions such as : why the patient/family says so?, is patient/family verbalized wish genuine?, why the situation so happened?, Together with the nurses' qualitative feedbacks of this program, quantitative evaluation tool of our teaching ethics model was explored in part III. As the first step, Japanese version of the Moral Sensitivity Questionnaire(JMSQ) was developed and a survey was given to nurses to confirm its usability for Japanese nurses.