Park Mihyun, Jeon Sang Hee, Hong Hyun-Ja, Cho Sung-Hyun
Seoul National University, Republic of Korea.
Hanyang University, Republic of Korea.
Nurs Ethics. 2014 Aug;21(5):594-607. doi: 10.1177/0969733013513212. Epub 2014 Jan 21.
The complexity and variety of ethical issues in nursing is always increasing, and those issues lead to special concerns for nurses because they have critical impacts on nursing practice.
The purpose of this study was to gather comprehensive information about ethical issues in nursing practice, comparing the issues in different types of nursing units including general units, oncology units, intensive care units, operating rooms, and outpatient departments.
The study used a descriptive research design. Ethics/human rights issues encountered by nurses in their daily nursing practice were identified by using the Ethical Issues Scale.
The study sample included 993 staff nurses working in a university hospital in South Korea.
This study was approved by the University Institutional Review Board. Completed questionnaires were returned sealed with signed informed consent.
The most frequently and disturbingly encountered issues across nursing units were "conflicts in the nurse-physician relationship," "providing care with a possible risk to your health," and "staffing patterns that limit patient access to nursing care." The findings of this study showed that nurses from different nursing units experienced differences in the types or frequency of ethical issues. In particular, intensive care units had the greatest means of all the units in all three component scales including end-of-life treatment issues, patient care issues, and human rights issues.
Nurses experienced various ethical challenges in their daily practice. Of the ethical issues, some were distinctively and frequently experienced by nurses in a specific unit.
This study suggested that identifying and understanding specific ethical issues faced by nurses in their own areas may be an effective educational approach to motivate nurses and to facilitate nurses' reflection on their experiences.
护理中伦理问题的复杂性和多样性一直在增加，这些问题引起了护士的特别关注，因为它们对护理实践有着至关重要的影响。
本研究的目的是收集有关护理实践中伦理问题的全面信息，比较不同类型护理单元（包括普通病房、肿瘤科病房、重症监护病房、手术室和门诊部）中的问题。
本研究采用描述性研究设计。通过使用伦理问题量表来识别护士在日常护理实践中遇到的伦理/人权问题。
研究样本包括韩国一家大学医院的993名在职护士。
本研究经大学机构审查委员会批准。完成的问卷密封返还，并附有签署的知情同意书。
各护理单元中最常出现且令人困扰的问题是“护士与医生关系中的冲突”、“提供护理可能对你的健康有风险”以及“限制患者获得护理服务的人员配置模式”。本研究结果表明，来自不同护理单元的护士在伦理问题的类型或频率上存在差异。特别是，重症监护病房在包括临终治疗问题、患者护理问题和人权问题在内的所有三个分量表中，得分均为所有单元中最高。
护士在日常实践中面临各种伦理挑战。在这些伦理问题中，有些是特定单元的护士特别常遇到的。
本研究表明，识别和理解护士在各自领域面临的特定伦理问题，可能是一种有效的教育方法，可激励护士并促进他们对自身经历的反思。
