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Development of a support system for ethical nursing practice in Japanese health care

Research Project

Project/Area Number 17592220
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Fundamental nursing
Research InstitutionFukuoka Prefectural University

Principal Investigator

IZUMI Shigeko  福岡県立大, 看護学部, 助教授 (20275316)

Co-Investigator(Kenkyū-buntansha) SATO Tomomi  Fukuoka Prefectural University, School of Nursing, Instructor, 看護学部, 助手 (10364176)
YAMAMOTO Takeshi  Fukuoka Prefectural University, School of Nursing, Assistant Professor, 看護学部, 講師 (00364167)
Project Period (FY) 2005 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥1,400,000 (Direct Cost: ¥1,400,000)
Fiscal Year 2006: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 2005: ¥800,000 (Direct Cost: ¥800,000)
Keywordsnursing ethics / ethical practice / action research / scale development / narratives
Research Abstract

The goals of this research project were to : (1) describe ethical nursing practice in clinical settings, and(2)develop a system to support clinical nurses as they gain the ability to implement ethical practice.
In order to capture the major components of ethical practice for nurses, the Moral Sensitivity Questionnaire (MSQ) and Ethical Behavior Test (EBT) were translated to Japanese, modified, and tested (-J suffix). MSQ-J and EBT-J were tested with a group of Japanese nurses working in a hospital. Reliabilities of both instruments were established. Content and construct validities of the instruments were sought using qualitative data from individual follow-up interviews. The result of factor analysis with MSQ-J showed some similarities with the original (Norweigen) instrument, though follow-up interviews revealed other potential factors unique to the moral sensitivity of Japanese nurses. This suggests the need of further exploratory studies for moral sensitivity. Content validity of EBT-J was supported by the interview data.
Based on the findings from MSQ-J, EBT-J, and interviews, an Ethical Nursing Practice Study Group was introduced and conducted by the researchers with staff nurses in the subject hospital. Monthly meetings with the group provided a Place where participants could share and reflect upon their clinical experiences and learn from each other. The group-meeting approach seemed to be effective for participants, though attendance was limited due to a nursing shortage in the hospital. In addition, since the group meeting was introduced by outside researchers--- not from clinical nurses within the hospital---some staff nurses felt distance to the topic and were not interested to participate. It indicates that this kind of support system needs to be developed with close collaboration with clinical nurses.

Report

(2 results)
  • 2005 Annual Research Report   Final Research Report Summary
  • Research Products

    (5 results)

All 2006 2005

All Journal Article (5 results)

  • [Journal Article] 看護師の倫理的判断:真実を知りたい患者への対応2006

    • Author(s)
      和泉成子
    • Journal Title

      日本がん看護学会 20(suppl)

      Pages: 84-84

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Nurses' ethical judgment for patient who wants to know the truth2006

    • Author(s)
      Izumi S., Sato T.
    • Journal Title

      Journal of Japanese Cancer Nursing Society 20(suppl.)

      Pages: 84-84

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] 看護師の倫理的判断:真実を知りたい患者への対応2006

    • Author(s)
      和泉成子
    • Journal Title

      日本がん看護学会誌 20(suppl)

      Pages: 84-84

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 看護師の倫理的行動に関する質問紙の試用:信頼性の検討2005

    • Author(s)
      和泉成子
    • Journal Title

      日本看護科学学会講演集

      Pages: 320-320

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Annual Research Report 2005 Final Research Report Summary
  • [Journal Article] Reliability of Ethical Behavior Test for nurses2005

    • Author(s)
      Izumi S., Sato T.
    • Journal Title

      Journal of Japan Academy of Nursing Science spec.

      Pages: 320-320

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary

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Published: 2005-04-01   Modified: 2017-05-19  

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