Trends in East Asian nurses recognizing ethical behavioral practices

2021 ◽  
pp. 096973302110355
Author(s):  
Akiko Nishimura ◽  
Mitsuko Yamada
Keyword(s):  
Decision Making ◽  
Ethical Behavior ◽  
Ethics Education ◽  
Nursing Practice ◽  
Licensed Practical Nurses ◽  
Practical Nurses ◽  
The Mean ◽  
Behavior Scale ◽  
Education Training ◽  
Nursing Professionals

Background: Nurses are expected to make and implement autonomous decisions to provide patients with excellent quality nursing while practicing complex, high-level care. However, studies have shown that nursing practice based on autonomous decision-making is difficult, and a gap exists between decision-making and implementation. Research question/aim/objectives: This study aims to clarify trends among nursing professionals who recognize they are practicing ethical behavior in their nursing practice. Research design/Participants and research context: We surveyed the basic attributes of and used the Ode’s Ethical Behavior Scale for Nurses with 3467 nursing professionals working at 34 hospitals in suburban cities of Japan and investigated the relationships among these factors. Ethical considerations: This study was approved by the appropriate research ethics committee. The Ethical Behavior Scale for Nurses was used with the authors’ permission. Findings/results: Significant differences were found in the mean “ethical behavior” scores between nurses and licensed practical nurses and midwives and licensed practical nurses. Mean scores for the “justice” subscale differed significantly between the low experience group and mid-level experience group and between the high experience group and mid-level experience group. Significant differences were also found in the mean scores between those with ethics education experience and those without, those with ethics training experience and those without, and those with ethics conference experience and those without. Discussion: Midwives and nurses had higher ethical behaviors than licensed practical nurses. Nursing professionals with low and high experience had higher justice scores than those with mid-level experience. Finally, nursing professionals with ethics education, training, or conference experience had higher ethical behavior than those without such experience. Conclusion: Nursing professionals who recognize they are practicing ethical behavior tend to be midwives or nurses with low or high levels of experience who attended ethics education, training, or conferences.

Lecture-based versus problem-based learning in ethics education among nursing students

2018 ◽  
Vol 26 (6) ◽  
pp. 1753-1764 ◽  
Author(s):  
Mahnaz Khatiban ◽  
Seyede Nayereh Falahan ◽  
Roya Amini ◽  
Afshin Farahanchi ◽  
Alireza Soltanian
Keyword(s):  
Decision Making ◽  
Nursing Students ◽  
Moral Development ◽  
Moral Reasoning ◽  
Ethics Education ◽  
Problem Based Learning ◽  
Nursing Ethics ◽  
Moral Decision ◽  
Moral Decision Making ◽  
The Mean

Background: Moral reasoning is a vital skill in the nursing profession. Teaching moral reasoning to students is necessary toward promoting nursing ethics. Objectives: The aim of this study was to compare the effectiveness of problem-based learning and lecture-based methods in ethics education in improving (1) moral decision-making, (2) moral reasoning, (3) moral development, and (4) practical reasoning among nursing students. Research design: This is a repeated measurement quasi-experimental study. Participants and research context: The participants were nursing students in a University of Medical Sciences in west of Iran who were randomly assigned to the lecture-based (n = 33) or the problem-based learning (n = 33) groups. The subjects were provided nursing ethics education in four 2-h sessions. The educational content was similar, but the training methods were different. The subjects completed the Nursing Dilemma Test before, immediately after, and 1 month after the training. The data were analyzed and compared using the SPSS-16 software. Ethical considerations: The program was explained to the students, all of whom signed an informed consent form at the baseline. Findings: The two groups were similar in personal characteristics (p > 0.05). A significant improvement was observed in the mean scores on moral development in the problem-based learning compared with the lecture-based group (p < 0.05). Although the mean scores on moral reasoning improved in both the problem-based learning and the lecture-based groups immediately after the training and 1 month later, the change was significant only in the problem-based learning group (p < 0.05). The mean scores on moral decision-making, practical considerations, and familiarity with dilemmas were relatively similar for the two groups. Conclusion: The use of the problem-based learning method in ethics education enhances moral development among nursing students. However, further studies are needed to determine whether such method improves moral decision-making, moral reasoning, practical considerations, and familiarity with the ethical issues among nursing students.

Death Concern and Attitudes toward the Elderly in Nursing Home Personnel as a Function of Training

1994 ◽  
Vol 29 (3) ◽  
pp. 231-248 ◽  
Author(s):  
Stephen J. Depaola ◽  
Roberta Neimeyer ◽  
Stephanie K. Ross
Keyword(s):  
Nursing Home ◽  
Registered Nurses ◽  
The Elderly ◽  
Nursing Assistants ◽  
Licensed Practical Nurses ◽  
Positive Attitudes ◽  
Practical Nurses ◽  
Personal Anxiety ◽  
Nursing Professionals ◽  
The Relationship

The present project investigated the relationship between death fear, attitudes toward the elderly, and personal anxiety toward one's own aging in a group of nursing home employees. Contrary to predictions, nursing professionals (i.e., Registered Nurses, Licensed Practical Nurses) did not have higher levels of death concern when compared to Nursing Assistants; in fact, Nursing Assistants had higher levels of death concerns on four components of death fear (fear of the dead, fear of the unknown, fear of consciousness when dead, and fear for body after death). The results also indicated that Nursing Assistants displayed significantly fewer positive attitudes toward the elderly than did nursing professionals.

Ethics for Students Means Knowing and Experiencing

2015 ◽  
pp. 153-178
Author(s):  
Cynthia Roberts ◽  
Carolyn D. Roper
Keyword(s):  
Decision Making ◽  
Ethical Behavior ◽  
Ethics Education ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Multiple Perspectives ◽  
Ethical Thought ◽  
Business Programs ◽  
Scholarly Literature ◽  
Potential Impact

There is growing interest in ethics education and the literature is replete with methods for approaching this complex and challenging subject. This chapter reviews the state of ethics education in business programs from infusion across the curriculum to standalone courses, the potential impact it may have on ethical behavior, and outlines several approaches to addressing ethics in the classroom. An instructional module in ethical decision making, grounded in scholarly literature, is presented. The authors discuss implications for practice and suggest utilizing several approaches from multiple perspectives to facilitate the development of ethical thought and action.

Ethics for Students Means Knowing and Experiencing

2015 ◽  
pp. 598-623
Author(s):  
Cynthia Roberts ◽  
Carolyn D. Roper
Keyword(s):  
Decision Making ◽  
Ethical Behavior ◽  
Ethics Education ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Multiple Perspectives ◽  
Ethical Thought ◽  
Business Programs ◽  
Scholarly Literature ◽  
Potential Impact

There is growing interest in ethics education and the literature is replete with methods for approaching this complex and challenging subject. This chapter reviews the state of ethics education in business programs from infusion across the curriculum to standalone courses, the potential impact it may have on ethical behavior, and outlines several approaches to addressing ethics in the classroom. An instructional module in ethical decision making, grounded in scholarly literature, is presented. The authors discuss implications for practice and suggest utilizing several approaches from multiple perspectives to facilitate the development of ethical thought and action.

Exploring The Heart Ofethical Nursing Practice: implications for ethics education

2004 ◽  
Vol 11 (3) ◽  
pp. 240-253 ◽  
Author(s):  
Gweneth Doane ◽  
Bernadette Pauly ◽  
Helen Brown ◽  
Gladys McPherson
Keyword(s):  
Decision Making ◽  
Ethics Education ◽  
Ethical Decision ◽  
Nursing Practice ◽  
Ethical Decision Making ◽  
Student Nurses ◽  
Role Expectations ◽  
Direct Care ◽  
Ethical Practice ◽  
Educational Processes

The limitations of rational models of ethical decision making and the importance of nurses’ human involvement as moral agents is increasingly being emphasized in the nursing literature. However, little is known about how nurses involve themselves in ethical decision making and action or about educational processes that support such practice. A recent study that examined the meaning and enactment of ethical nursing practice for three groups of nurses (nurses in direct care positions, student nurses, and nurses in advanced practice positions) highlighted that humanly involved ethical nursing practice is also simultaneously a personal process and a socially mediated one. Of particular significance was the way in which differing role expectations and contexts shaped the nurses’ ethical practice. The study findings pointed to types of educative experiences that may help nurses to develop the knowledge and ability to live in and navigate their way through the complex, ambiguous and shifting terrain of ethical nursing practice.

scholarly journals The meaning of nursing practice for nurses who are retired yet continue to work in a rural or remote community

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Martha L. P. MacLeod ◽  
Lela V. Zimmer ◽  
Julie G. Kosteniuk ◽  
Kelly L. Penz ◽  
Norma J. Stewart
Keyword(s):  
Nursing Practice ◽  
Working Hours ◽  
Rural And Remote ◽  
Remote Communities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Licensed Practical Nurses ◽  
Work Settings ◽  
Conventional View ◽  
Practical Nurses

Abstract Background Although much research has focused on nurses’ retirement intentions, little is known about nurses who formally retire yet continue to practice, particularly in rural and remote settings where mobilization of all nurses is needed to assure essential health services. To optimize practice and sustain the workforce stretched thin by the COVID-19 pandemic, it is necessary to understand what it means for retired registered nurses (RNs) and licensed practical nurses (LPNs) to work after retirement. This study explored what nursing practice means for RNs and LPNs who have formally retired but continue to practice in rural and remote communities. Methods A pan-Canadian cross-sectional survey conducted in 2014–2015 of nurses in rural and remote Canada provided data for analysis. Textual responses from 82 RNs and 19 LPNs who indicated they had retired but were occasionally employed in nursing were interpreted hermeneutically. Results Retired nurses who continued to practice took on new challenges as well as sought opportunities to continue to learn, grow, and give back. Worklife flexibility was important, including having control over working hours. Nurses’ everyday practice was inextricably tied up with their lives in rural and remote communities, with RNs emphasizing serving their communities and LPNs appreciating community recognition and the family-like character of their work settings. Conclusions Retired nurses who continue to work in nursing see retirement as the next phase in their profession and a vital way of engaging with their rural and remote communities. This study counters the conventional view of retaining retired nurses only to combat nursing shortages and alleviate a knowledge drain from the workplace. Rural and remote nurses who retire and continue working contribute to their workplaces and communities in important and innovative ways. They can be characterized as dedicated, independent, and resilient. Transitioning to retirement in rural and remote practice can be re-imagined in ways that involve both the community and the workplace. Supporting work flexibility for retired nurses while facilitating their practice, technological acumen, and professional development, can allow retired nurses to contribute their joy of being a nurse along with their extensive knowledge and in-depth experience of nursing and the community.

Nursing Ethics Education: are we really delivering the good(s)?

2005 ◽  
Vol 12 (1) ◽  
pp. 5-18 ◽  
Author(s):  
Martin Woods
Keyword(s):  
Decision Making ◽  
Nurse Educators ◽  
Ethics Education ◽  
Ethical Decision ◽  
Nursing Practice ◽  
Ethical Decision Making ◽  
Student Nurses ◽  
Nursing Ethics ◽  
Research Projects ◽  
Current Health

The vast majority of research in nursing ethics over the last decade indicates that nurses may not be fully prepared to ‘deliver the good(s)’ for their patients, or to contribute appropriately in the wider current health care climate. When suitable research projects were evaluated for this article, one key question emerged: if nurses are educationally better prepared than ever before to exercise their ethical decision-making skills, why does research still indicate that the expected practice-based improvements remain elusive? Hence, a number of ideas gleaned from recent research about the current nature of nursing ethics, and especially teaching nursing ethics to student nurses, are analysed and critiqued in this article, which concludes with a cluster of ideas and conclusions based on that analysis. It is hoped that such a review may serve as a catalyst for nurse educators to re-examine their teaching practices with a view to enhancing good (i.e. ethical) nursing practice through educational means.

scholarly journals Perceptions about medication errors: analysis of answers by the nursing team

2006 ◽  
Vol 14 (6) ◽  
pp. 887-892 ◽  
Author(s):  
Elena Bohomol ◽  
Lais Helena Ramos
Keyword(s):  
Medication Error ◽  
Medication Errors ◽  
Exploratory Study ◽  
Nursing Practice ◽  
Study Group ◽  
Incident Report ◽  
Licensed Practical Nurses ◽  
Practical Nurses ◽  
Nursing Team ◽  
Errors Analysis

Medication error is defined as any type of error in the prescription, transcription, dispensing and administration process which could bring about serious consequences or not. This descriptive and exploratory study assesses four scenarios showing situations from nursing practice. The study group was composed of 256 professionals and 89 questionnaires were analyzed. The answers given by the registered nurses were compared with those of licensed practical nurses and care aids. They should express their opinion if the situations represented a medication error or not, if it had to be communicated to the physician or an incident report had to be written. The two groups showed uniform answers. They expressed the same doubts to label the situation as an error and which measures should be taken, suggesting the need for further discussion on the matter within the institution.

scholarly journals Factors that interfer in the turnover time: opinion of nursing professionals

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Talitha Peralta ◽  
Fernando Bourscheit ◽  
Patrícia Treviso
Keyword(s):  
Content Analysis ◽  
Data Analysis ◽  
Data Collection ◽  
Qualitative Data ◽  
Analysis Data ◽  
Turnover Time ◽  
Southern Brazil ◽  
Licensed Practical Nurses ◽  
Practical Nurses ◽  
Nursing Professionals

To know the opinion of nursing professionals about the factors that interfere with the turnover time. Method: This is an exploratory,descriptive, prospective study, with qualitative data analysis. Data collection was carried out in a hospital complex in southern Brazil, with the applicationof a questionnaire on the perception of nursing professionals who work in the surgical center (SC). For data analysis, Bardin content analysis was used.Results: A total of 25 professionals participated in the study, four nurses and 21 licensed practical nurses. Two categories were listed, factors related tothe team and factors related to the processes of the SC, and seven subcategories. Conclusion: Several factors interfere in the turnover time, highlightingteam training, adequate staff, collaboration among teams, surgery size, and bureaucratic processes.

How far ethics education positively influences ethical decision making of the young lawyers in Kedah?

2007 ◽  
Vol 4 (2) ◽  
pp. 83
Author(s):  
Anida Mahmood ◽  
Haswira Nor Mohamad Hashim ◽  
Kamarul Ariffin Mansor
Keyword(s):  
Decision Making ◽  
Ethics Education ◽  
Ethical Decision ◽  
Current Practice ◽  
Ethical Decision Making ◽  
The State ◽  
Legal Ethics ◽  
Basic Premise ◽  
Law Faculty ◽  
Ethics Course

This paper was written based on part of the findings of a survey made on young lawyers who are practicing in the state of Kedah. Young lawyers are advocates and solicitors with less than seven y ears of active practice. The objective of this study is to determine what factors positively influenced young lawyers' ethical decision making. Data was collected from /33 young lawyers who are practicing in the state of Kedah between January - June 2006 through self-administered and close- end questionnaires. The finding suggests that knowledge in professional legal ethics gained at the law faculty, pupil age and short ethics course does not contribute much to the ethical decision making of the young lawyers. Moved by this finding. this paper attempts to discuss the current legal ethics education in Malaysia. The main contention of the writers is their firm belief that the current practice of professional legal ethics education in Malaysia is insufficient and far from being adequate in producing ethical lawyers. Therefore the writers have proposed for professional legal ethics education in Malaysia to be reformed and this proposal serves as the basic premise of this paper.

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