Development of Nurse Managers' Ethical Decision Making Process Model

2005 Fiscal Year Final Research Report Summary

• Project/Area Number: 16592125
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Fundamental nursing
• Research Institution: University of Hyogo
• Principal Investigator: KATSUHARA Yumiko University of Hyogo, college of nursing art and science, associate professor, 看護学部, 助教授 (60264842)
• Project Period (FY): 2004 – 2005
• Keywords: nurse manager / ethical decision making

Research Abstract

●Purpose : 1 Clarify the ethical dilemma among nurse managers
2 Clarify how much nurse managers deal with ethical dilemma
●Method : survey research N=1039
Questionnaire has 6 dimensions (patients' environment, staffs' labor condition, quality of service, human relationship, clinical education and professional morality) of ethical issues and consisted of 39 items. Each item was asked from four perspectives (section A-D) with 4-point Likert scale
Section A How often does this occur in your section?
Section B How much are you dealing with this?
Section C How much are you dissatisfied with your dealing with this issue?
Section D How often does this occur in your hospital?
●Results
Returning rate 46% (472), male 22, female 459, average age is 8.8years
Nurse managers recognize ethical issues related to labor condition mostly, such as shortage of nurses, ambiguous evaluation over work and so on. They are dealing with these issues very well. However, they left dissatisfaction even though they dealt with the issues frequently.
Acts of violence among hospital employees is the fewest recognized ethical issues among nurse managers. Tell to others about patients' secret without consideration, violence by patients or families are also fewer issues
As for the Rank Correlation Index, all the sections has significant correlation each other