Development and Validation of Psychiatric Nursing Ethics Education Method based on Narrative Ethics

2018 Fiscal Year Final Research Report

• Project/Area Number: 15K11823
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Gerontological nursing
• Research Institution: Tokyo Women's Medical University
• Principal Investigator: TANAKA MIEKO 東京女子医科大学, 看護学部, 教授 (10171802)
• Co-Investigator(Kenkyū-buntansha): 濱田 由紀 東京女子医科大学, 看護学部, 非常勤講師 (00307654)
• Research Collaborator: HAMADA Yuki ; KOYAMA Tatsuya ; ARASHI Hiromi ; IGITA Hazuki ; IIZUKA Atsuko
• Project Period (FY): 2015-04-01 – 2019-03-31
• Keywords: ナラティヴ / 看護倫理 / 精神看護 / 教育

Outline of Final Research Achievements

We constructed model cases for psychiatric nursing ethics based on narrative ethics theory, through interviewing 25 nurses about their experiences concerning ethical issues. There were various factors in their stories as follows: nurse's age and their position, violence and restraint, paternalism, patient's self -determination, nurses' anxiety and their negative emotion, ward culture,etc. These factor were weaving with each other like a mesh pattern and constituting ethical phenomena.

In developing an ethical education program based on narrative ethics theory for enhancing ethical sensitivity of psychiatric nurses, nearly all of 33 participants evaluated it useful. In addition, participants felt the enhance of their awareness for controling patients' belongings and the responsibility for patients' suicide, in overall they felt the enhance of their ethical sensitivity.

Free Research Field

医歯薬学

Academic Significance and Societal Importance of the Research Achievements

本研究の成果であるナラティヴ・エシックスに基づく精神看護倫理教育プログラムは、看護師の倫理的感受性を高めるツールとして、基礎教育、大学院教育、継続教育などで活用することが可能である。また、臨床の場では看護師の道徳的悩みや倫理的問題の解決に資する可能性を有している。