Development of a support system for ethical nursing practice in Japanese health care
| Project/Area Number |
17592220
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Fundamental nursing
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| Research Institution | Fukuoka Prefectural University |
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Principal Investigator |
IZUMI Shigeko 福岡県立大, 看護学部, 助教授 (20275316)
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| 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)
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| Project Period (FY) |
2005 – 2006
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| Project Status |
Completed (Fiscal Year 2006)
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| 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)
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| Keywords | nursing ethics / ethical practice / action research / scale development / narratives |
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| 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.
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Report
(2 results)
Research Products
(5 results)
