Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
권호 표지
DOI QR코드

DOI QR Code

Experiences of Ethical Issues and Needs for Ethics Education in Clinical Nurses

임상간호사의 윤리적 이슈 경험과 윤리교육 요구

  • Shin, Ja Hyun (Department of Nursing, Graduate School, Chonbuk National University) ;
  • Jeong, Seok Hee (College of Nursing, Research Institute of Nursing Science, Chonbuk National University) ;
  • Lee, Myung Ha (College of Nursing, Research Institute of Nursing Science, Chonbuk National University) ;
  • Yang, Youngran (College of Nursing, Research Institute of Nursing Science, Chonbuk National University)
  • 신자현 (전북대학교 대학원 간호학과) ;
  • 정석희 (전북대학교 간호대학.간호과학연구소) ;
  • 이명하 (전북대학교 간호대학.간호과학연구소) ;
  • 양영란 (전북대학교 간호대학.간호과학연구소)
  • Received : 2015.06.04
  • Accepted : 2015.06.12
  • Published : 2015.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was done to identify the experiences of ethical issues and needs for ethics education in clinical nurses. Methods: A cross-sectional survey was used and data were collected in 2013. Participants were 428 clinical nurses working in the general units of seven medical hospitals. The Ethical Issues in Clinical Practice Tool was used. Data analysis was performed using SPSS/WIN 19.0. Results: 'Providing care with a possible risk to your health' was the most frequent and disturbing ethical problems for nurses. The highest helpful ethical topic was 'the patients' right, autonomy and informed consent'. The ethical issue experience was significantly different according to education level, work units, and type of employment. The necessity of ethics education was statistically different according to age, religion, level of education, duration of working as RN, position, shift type, and continuing education about nursing ethics. Conclusion: The results of this study show that nursing educators need to provide practical ethics education based on frequent ethical issues and helpful education topics. These findings can be used in developing effective education strategies for clinical nurses and nursing organizations to improve nurses' ethical decision-making abilities.

Keywords

References

  1. Perrin KO, McGhee J. Quick look nursing: Ethics and conflict. 2nd ed. Sudbury, MA: Jones and Bartlett; 2008.
  2. Lee KH, Chong SW. A study on the status and necessity of human rights education for nursing college. Journal of Law-related Education 2013;8(1):111-140. https://doi.org/10.29175/klrea.8.1.201304.111
  3. Jang KS, Lee MH, Kim IS, Hong YM, Ha NS, Kong BH, et al. Ethics & profession of nursing. Revised ed. Seoul: Hyunmoonsa; 2009. p. 19-27.
  4. Lee KJ, Yoo SY. Relationships between nurses' ethical dilemma, coping types, job satisfaction and turnover intention in Korea. Journal of Korean Clinical Nursing Research 2011;17(1):1-15.
  5. Lee HK, Shin JS. Relationships among ethical dilemma experienced by nurses, burnout and coping. Korean Journal of Medical Ethics 2012;15(3):339-354.
  6. Park JH, Kim YS, Kim WO. The present status and future directions of nursing ethics education. Korean Journal of Medical Ethics 2009;12(3):251-260.
  7. Park M. Ethical issues in nursing practice. Journal of Nursing Law 2009;13(3):68-77. http://dx.doi.org/10.1891/1073-7472.13.3.68
  8. Kim EH, Lee EJ, Hong SJ. The ethical views of clinical nurses. Korean Journal of Medical Ethics. 2010;13(3):243-254.
  9. Moon MY, Jeon MK, Jaung AH. Relationship between nurses' consciousness of biomedical ethics, job satisfaction and nursing performance. Journal of the Korea Bioethics Association 2013;14(1):27-47.
  10. Ahn SH, Kim YS, Cho KC, Um YR, Lee SH. Experiences of nursing ethics problems and needs for ethical guidelines in clinical nurses [Internet]. Seoul: Korean Nurses Association; 2004. [cited 2015 Date Month]. Available from: http://webzine.koreanurse.or.kr/Webzine/read_article.php?webzine_id=12&sub_cat_id=129&is_sub_no=234&article_id=401
  11. Park HJ. Ethical dilemma of nurses. Journal of Korean Academy of Nursing Administration 2009;15(1):128-135.
  12. Han SS, Park HA, Ahn SH, Cameron ME, Oh HS, Kim KU. Korean nursing students' experience of ethical problems and use of ethical decision-making models. Journal of Korean Academy of Nursing 2001;31(5):846-857. https://doi.org/10.4040/jkan.2001.31.5.846
  13. Kim HR, Ahn SH. Moral sensitivity and moral distress among Korean hospital nurses. Korean Journal of Medical Ethics 2010;13(4):321-336.
  14. Jeon, HS. Consciousness of biomedical ethics in nursing students and non-nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2011;18(3):401-410.
  15. Fry ST, Damrosch S. Ethics and human rights issues in nursing practice: A survey of Maryland nurses. The Maryland Nurse. 1994;13(7):11-12.
  16. Fry ST, Duffy ME. The development and psychometric evaluation of the ethical issues scale. Journal of Nursing Scholarship. 2001;33(3):273-277. http://dx.doi.org/10.1111/j.1547-5069.2001.00273.x
  17. Duffy ME. Ethics and human rights in nursing practice: A multi-state survey of New England registered nurses. Chestnut Hill, MA: Center for Nursing Research, Boston College; 1999. p. 1-25.
  18. Currier S, Fry ST. Adequacy of workplace resources to address ethical issues: Perceptions of RNs in five areas of practice [Internet]. Chestnut Hill, MA: Boston College; 2000. [cited 2013 July 3]. Available from: http://www.bc.edu/bc_org/avp/son/ethics/pdf/research_abstracts.pdf
  19. Fry ST, Currier S. Ethics education needs of practicing nurses: Differences among areas of clinical practice [Internet]. Chestnut Hill, MA: Boston College; 2000. [cited 2013 July 3]. Available from: http://www.bc.edu/bc_org/avp/son/ethics/pdf/research_abstracts.pdf
  20. Fry ST, Currier S. Ethical issues in nursing practice: How frequently they occur and how disturbing they are [Internet]. Chestnut Hill, MA: Boston College; 2000. [cited 2013 July 3]. Available from: http://www.bc.edu/bc_org/avp/son/ethics/pdf/research_abstracts.pdf
  21. Fry ST, Duffy ME. Ethical issues in nursing practice: How they are experienced and handled by New England RNs [Internet]. Chestnut Hill, MA: Boston College; 2000. [cited 2013 July 3]. Available from: http://www.bc.edu/bc_org/avp/son/ethics/pdf/research_abstracts.pdf
  22. Grace PJ, Fry ST, Schultz GS. Ethics and human rights issues experienced by psychiatric-mental health and substance abuse registered nurses. Journal of the American Psychiatric Nurses Association. 2003;9(1):17-23. http://dx.doi.org/10.1067/mpn.2003.9
  23. Park MH, Jeon SH, Hong HJ, Cho SH. A comparison of ethical issues in nursing practice across nursing units. Nursing Ethics. 2014;21(5):594-607. http://dx.doi.org/10.1177/0969733013513212
  24. McCloskey JC, McCain BE. Satisfaction, commitment and professionalism of newly employed nurses. Journal of Nursing Scholarship. 1987;19(1):20-24. http://dx.doi.org/10.1111/j.1547-5069.1987.tb00581.x
  25. Health Insurance Review & Assessment Service. Health insurance medical care expenses costs [Internet]. Seoul: Health Insurance Review & Assessment Service; 2013. [cited 2013 January 8]. Available from: http://www.hira.or.kr/ebook/835ae6dd-b59d-4c73-ab51-b4fff16c9873/130107.html
  26. Krezcie RV, Morg DW. Determing sample size for research activities. Educational & psychological Measurement. 1970;30:607-610. https://doi.org/10.1177/001316447003000308
  27. Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-1160. http://dx.doi.org/10.3758/BRM.41.4.1149
  28. Johnstone MJ, Da Costa C, Turale S. Registered and enrolled nurses' experiences of ethical issues in nursing practice. The Australian Journal of Advanced Nursing. 2004;22(1):24-30.
  29. Kim YS, Park JW, Yoo MS, Hyun MS, Kim GY. Nurses' moral judgments on ethical dilemmas. Korean Journal of Medical Ethics. 1999;2(1):159-176.
  30. Korea Institute for Healthcare Accreditation. Standard of healthcare accreditation [Internet]. Seoul: Korea Institute for Healthcare Accreditation; 2014. [cited 2015 March 24]. Available from: https://www.koiha.or.kr/home/data/data/doList.act?boardtype=05

Cited by

  1. The Experience of Nursing Students' Moral Distress in Clinical Practice vol.22, pp.3, 2016, https://doi.org/10.5977/jkasne.2016.22.3.355
  2. Operation Room Nurses' Ethical Value regarding Their Attitude and Meaning of Life about Organ Transplantation in Brain Death vol.28, pp.4, 2016, https://doi.org/10.7475/kjan.2016.28.4.355
  3. Impact of Superior's Ethical Leadership as Perceived by Nurses on Nursing Performance: Mediating Effect of Faith in Supervisor vol.23, pp.5, 2017, https://doi.org/10.11111/jkana.2017.23.5.483
  4. Development of Hospital Nurses' Job Description based on DACUM Method: Focusing on General Ward and Intensive Care Unit vol.23, pp.5, 2017, https://doi.org/10.11111/jkana.2017.23.5.535
  5. Types of Perception toward Ethical Issues in Perioperative Nurses: Q-Methodological Approach vol.48, pp.6, 2018, https://doi.org/10.4040/jkan.2018.48.6.679
  6. 드라마 <태양의 후예>를 통해 본 의료인의 역할 vol.15, pp.6, 2015, https://doi.org/10.14400/jdc.2017.15.6.345
  7. The Attitude of Nurses in Person-Centered Nursing: a Q-Methodological Approach vol.21, pp.1, 2018, https://doi.org/10.35301/ksme.2018.21.1.54
  8. 요양병원 간호사의 윤리적 이슈와 윤리교육 요구조사 vol.18, pp.6, 2015, https://doi.org/10.5392/jkca.2018.18.06.180
  9. 간호대학생의 환자 프라이버시 보호행동 영향요인 vol.24, pp.3, 2015, https://doi.org/10.5977/jkasne.2018.24.3.225
  10. 윤리적 가치관과 윤리적 민감성이 간호대학생의 인성에 미치는 영향 vol.16, pp.9, 2018, https://doi.org/10.14400/jdc.2018.16.9.219
  11. 융합 시대의 의료종사자를 위한 단축형 생명의료윤리 도구 개발 및 평가 vol.18, pp.1, 2020, https://doi.org/10.14400/jdc.2020.18.1.219
  12. 윤리교육이 간호대학생의 전문직 자아개념과 윤리적 딜레마, 윤리적 의사결정 자신감에 미치는 효과 vol.21, pp.1, 2015, https://doi.org/10.5762/kais.2020.21.1.568
  13. 국내 간호대학생 간호윤리 교육 프로그램에 관한 통합적 문헌고찰 vol.6, pp.1, 2020, https://doi.org/10.17703/jcct.2020.6.1.55
  14. 응급실 간호사의 도덕적 고뇌 대응 경험 vol.26, pp.2, 2020, https://doi.org/10.5977/jkasne.2020.26.2.176
  15. 비주얼 씽킹과 윈도우 패닝을 적용한 간호윤리와 전문직 교과목 수업개선에 관한 실행연구 vol.22, pp.3, 2015, https://doi.org/10.5762/kais.2021.22.3.362