2023 Fiscal Year Final Research Report

Implementation Research to Promote Ethical Practice among Public Health Nurses: Methods for Developing Ethical Competence and Supportive Environments

Research Project

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Project/Area Number	19H03967
Research Category	Grant-in-Aid for Scientific Research (B)
Allocation Type	Single-year Grants
Section	一般
Review Section	Basic Section 58080:Gerontological nursing and community health nursing-related
Research Institution	St. Luke's International University
Principal Investigator	ASAHARA Kiyomi 聖路加国際大学, 大学院看護学研究科, 教授 (80240795)
Co-Investigator(Kenkyū-buntansha)	小林真朝聖路加国際大学, 大学院看護学研究科, 准教授 (00439514) 荒木田美香子川崎市立看護短期大学, その他部局等, 教授 (50303558) 小野若菜子聖路加国際大学, 大学院看護学研究科, 准教授 (50550737) 小西恵美子鹿児島大学, 医歯学域医学系, 客員研究員 (70011054) 三森寧子千葉大学, 教育学部, 准教授 (70633395)
Project Period (FY)	2019-04-01 – 2023-03-31
Keywords	公衆衛生看護 / 保健師 / 倫理 / 教育 / 支援環境 / 実装研究
Outline of Final Research Achievements	The purpose of this study was to implement ethics education and case studies into practice for ethical practice of professionals in the community. Municipalities, companies, schools, and community comprehensive support centers were set up as a practice site, and interviews were conducted regarding ethical issues and ethical environments. Based on the results of the analysis, the Ethical Workplace Environment Questionnaire for professionals in the community was developed. Ethics education and case study training were conducted twice at each of the practice sites, and changes in Clinical Outcome, Implementation Outcome, practice and work environment were measured before and after the training. The results showed no difference in clinical outcomes but suggested that the training could be established in practice with the support of training staff and other measures.
Free Research Field	地域看護学　公衆衛生看護学
Academic Significance and Societal Importance of the Research Achievements	地域の専門職の倫理的実践を促進するための倫理教育・事例検討が実践現場に実用化する可能性があること、およびそのための方法について示唆が得られた。このことで、地域の専門職の倫理的実践を促進することが期待される。また本研究において作成した、地域専門職のための倫理的職場環境質問紙（the Ethical Workplace Environment Questionnaire for professionals in the community ）は倫理的環境について、およびその改善のための指標となると共に、地域における倫理的職場環境に関する研究に活用されることが期待される。