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急性期病院に勤務する看護師の倫理的悩みの関連要因の検討
https://doi.org/10.14999/0002000003
https://doi.org/10.14999/000200000306f5c939-a183-4288-9d81-ee532d33c58f
名前 / ファイル | ライセンス | アクション |
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jsums3602p006.pdf (988 KB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2023-08-30 | |||||
タイトル | ||||||
言語 | ja | |||||
タイトル | 急性期病院に勤務する看護師の倫理的悩みの関連要因の検討 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Factors associated with ethical concerns of nurses working in acute care hospitals | |||||
タイトル | ||||||
言語 | ja-Kana | |||||
タイトル | キュウセイキ ビョウイン ニ キンムスル カンゴシ ノ リンリテキ ナヤミ ノ カンレン ヨウイン ノ ケントウ | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
言語 | ja | |||||
主題Scheme | Other | |||||
主題 | 倫理的悩み | |||||
キーワード | ||||||
言語 | ja | |||||
主題Scheme | Other | |||||
主題 | 急性期病院 | |||||
キーワード | ||||||
言語 | ja | |||||
主題Scheme | Other | |||||
主題 | 看護師 | |||||
キーワード | ||||||
言語 | ja | |||||
主題Scheme | Other | |||||
主題 | 多重比較 | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
ID登録 | ||||||
ID登録 | 10.14999/0002000003 | |||||
ID登録タイプ | JaLC | |||||
アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
著者 |
中村, 智美
× 中村, 智美× 遠藤, 善裕 |
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著者別名 |
NAKAMURA, Tomomi
× NAKAMURA, Tomomi× ENDO, Yoshihiro |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 本研究では、倫理的悩みを測定する尺度Nurse Questionnaire (ADULT) scaleをもとに作成した『改訂版 倫理的悩みの尺度-看護師版』を用いて、急性期病院に勤務する看護師の倫理的悩みについて検討した。近畿地方のA県と中部地方のB県にある340床以上の急性期病院22施設に対し研究協力依頼を行い、承諾が得られた6施設に勤務する看護師846名に質問紙調査の依頼を行い、そのうち443部の調査票を回収した(回収率52.4%)。各設問の無効回答率20%以上を除く405部の調査票を有効回答とした(有効回答率 48.1%)。その結果、年齢(F=6.12,p<0.001)に有意な関係が見られ、「25歳未満」よりも「25歳~30歳未満」、「30歳~35歳未満」、「35歳以上」が倫理的悩みを多く認識し、倫理的悩みのスコア平均値が4.0以上であった項目は【3.患者にとって最良と思えなくても医療を続けてほしいという患者・家族の希望に沿うことがある】と【4.ただ死を先延ばしすることだと感じても救命行為を開始することがある】の主に2つの項目でともに高い値を示した。本研究において、患者家族との倫理的価値の相違から倫理的悩みを多く認識し、年齢の高い看護師は自己の経験より養われた倫理観や価値観を臨床現場に活かそうと模索するなかで、倫理的悩みとしての認識に繋がっていた。これらのことから、看護師への倫理教育では看護倫理のみでなく医療・工学・生命倫理など幅広い分野に基づいた教育が必要であり、臨床看護師への倫理教育のあり方について多くの課題が示唆された。 | |||||
言語 | ja | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | This study examined the ethical concerns of nurses working in acute care hospitals using the "Revised Ethical Concerns Scale - Nurse Edition," which was developed based on the Nurse Questionnaire (ADULT) scale, a scale for measuring ethical concerns. Requests for research cooperation were made to 22 acute care hospitals with 340 or more beds in prefectures A in the Kinki region and B in the Chubu region. 846 nurses working at the 6 facilities that agreed to participate were asked to complete the questionnaire, of which 443 copies were collected (response rate 52.4%). Forty-five copies of the questionnaire were considered valid responses (valid response rate: 48.1%), excluding those with an invalid response rate of 20% or more for each question. The results showed a significant relationship with age (F=6.12, p<0.001), with "25-30 years old," "30-35 years old," and "35 years old or older" identifying more ethical concerns than "under 25 years old," and the items with a mean score of 4.0 or higher for ethical concerns were [3. Sometimes, the patient/family wishes for continued medical care even if it does not seem best for the patient] and [4. Sometimes, life-saving actions are initiated even if the patient/family feels that the action is merely postponing death] were the two main items with high values. In this study, nurses recognized many ethical concerns due to differences in ethical values with patients' families, and older nurses were seeking to apply the ethical views and values nurtured through their own experiences to clinical practice, which led to their recognition as ethical concerns. These findings suggest that ethics education for nurses needs to be based not only on nursing ethics but also on a wide range of fields, including medical, engineering, and bioethics, and that many issues need to be addressed in the education of ethics for clinical nurses. | |||||
言語 | en | |||||
書誌情報 |
ja : 滋賀医科大学雑誌 巻 36, 号 2, p. 6-14, 発行日 2023-08-30 |
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出版者 | ||||||
言語 | ja | |||||
出版者 | 滋賀医科大学雑誌編集委員会 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |