Ando Michiyo, Kawano Masashi
St. Mary's College.
Arima Kogen Hospital.
Arch Psychiatr Nurs. 2016 Oct;30(5):527-30. doi: 10.1016/j.apnu.2016.04.012. Epub 2016 Apr 30.
The aim of this study was to investigate the responses of Japanese psychiatric nurses to ethical problems, and the results of those issues. The participants were 130 nurses who worked in psychiatry wards in a hospital. The nurses answered the question "how did you respond when you faced an ethical problem and what results did you get?" in free description. Seven categories were selected qualitatively from their responses: "Lack of action and no change," "Experiencing problems and feeling gloomy," "Pointing out misconduct and being hurt," "Consultation among staff and resolution or not," "Consultation with physicians and getting positive or negative responses," and "Searching for and providing evidence-based care," and "Thinking for themselves." The facts that some nurses do not cope with ethical problems and some face moral distress without knowing what to do suggest that "improvement of moral efficacy to cope with ethical problems", "proposing resolution methods", and "organizational ethics support" may be useful.
本研究的目的是调查日本精神科护士对伦理问题的应对情况以及这些问题的结果。参与者为一家医院精神科病房工作的130名护士。护士们以自由描述的方式回答了“当你面对伦理问题时你是如何应对的，以及你得到了什么结果？”这一问题。从他们的回答中定性地选出了七类：“未采取行动且无变化”、“遇到问题并感到沮丧”、“指出不当行为并受到伤害”、“工作人员之间协商并解决或未解决”、“与医生协商并得到积极或消极回应”、“寻找并提供循证护理”以及“自行思考”。一些护士不应对伦理问题以及一些人面临道德困境却不知如何是好，这些事实表明“提高应对伦理问题的道德效能”、“提出解决方法”以及“组织伦理支持”可能会有所帮助。
