Evaluation of an ethics education program to enhance nurses'moral efficacy in an acute health care facility.

2021 Fiscal Year Final Research Report

• Project/Area Number: 17K12088
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Fundamental nursing
• Research Institution: Kobe City College of Nursing
• Principal Investigator: Ishihara Itsuko 神戸市看護大学, 看護学部, 名誉教授 (30221071)
• Project Period (FY): 2017-04-01 – 2022-03-31
• Keywords: 看護師の倫理的悩み / 倫理的効力感 / 倫理研修プログラム / アクションリサーチ / 看護実践の向上 / 病院組織の管理

Outline of Final Research Achievements

Aim: To evaluate an ethics education program developed to increase moral efficacy among nurses in an acute health care facility. Methods:An ethics education program consisting of a three-mastery phase introduced methods to increase self-efficacy inaccordance with Bandura’s social cognitive theory.The study and data collection periods were initially planned from 2017 to 2019 and all conversations and discussions regarding the ethics consultation were recorded on IC recorders and analyzed qualitatively.
Results: Four core categories:Convinced of taking an active role in ethical issues, Progressed in nursing practice as ethical agency, Experienceprofessional transformation, and Empowered by the presence of colleagues-emerged as outcomes of the ethics education program related to moral　efficacy.Conclusions: The four core outcome categories suggested that the participants had gained confidence after ethical trials.

Free Research Field

基礎看護学

Academic Significance and Societal Importance of the Research Achievements

本倫理研修プログラムでは、研究参加者は倫理的な意思決定とその実践及び、周囲の医療従事者との調整と協働等を経験できた。その結果、研究参加者の自己効力感を高め、倫理的効力感につながることが示唆された。さらに、倫理的意思決定に基づく看護ケアを実行に移すことにより、研究参加者や周囲の看護スタッフの看護実践力の向上につながり、看護専門職の能力を強化する可能性も示唆された。今後、本プログラムの継続的な実施は、看護師の倫理的悩みへの看護師の耐性を高め、燃えつき予防と離職防止にもつながるものと思われる。