J Korean Acad Nurs Adm.  2015 Jun;21(3):327-339. 10.11111/jkana.2015.21.3.327.

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

• Shin JH
• Jeong SH
• Lee MH
• Yang Y

• KMID: 2321314
• DOI: http://doi.org/10.11111/jkana.2015.21.3.327

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.

Keyword

Ethical issues; Nursing ethics; Nursing education; Nursing practice; Nurses

MeSH Terms

Cross-Sectional Studies
Education*
Education, Continuing
Education, Nursing
Employment
Ethics*
Ethics, Nursing
Nursing
Patient Rights
Statistics as Topic

Reference

1. Perrin KO, McGhee J. Quick look nursing: Ethics and conflict. 2nd ed. Sudbury, MA: Jones and Bartlett;Jones and Bartlett.

2. Lee KH, Chong SW. A study on the status and necessity of human rights education for nursing college. J Law Educ. 2013; 8(1):111–140.

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. J Korean Clin Nurs Res. 2011; 17(1):1–15.

5. Lee HK, Shin JS. Relationships among ethical dilemma experienced by nurses, burnout and coping. Korean J Med Ethics. 2012; 15(3):339–354.

6. Park JH, Kim YS, Kim WO. The present status and future directions of nursing ethics education. Korean J Med Ethics. 2009; 12(3):251–260.

7. Park M. Ethical issues in nursing practice. J Nurs Law. 2009; 13(3):68–77. DOI: 10.1891/1073-7472.13.3.68.

8. Kim EH, Lee EJ, Hong SJ. The ethical views of clinical nurses. Korean J Med 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. J Korean Bioethics Assoc. 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. J Korean Acad Nurs Adm. 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. J Korean Acad Nurs. 2001; 31(5):846–857.

13. Kim HR, Ahn SH. Moral sensitivity and moral distress among Korean hospital nurses. Korean J Med Ethics. 2010; 13(4):321–336.

14. Jeon HS. Consciousness of biomedical ethics in nursing students and non-nursing students. J Korean Acad Fundam Nurs. 2011; 18(3):401–410.

15. Fry ST, Damrosch S. Ethics and human rights issues in nursing practice: A survey of Maryland nurses. Md Nurse. 1994; 13(7):11–12.

16. Fry ST, Duffy ME. The development and psychometric evaluation of the ethical issues scale. J Nurs Scholarsh. 2001; 33(3):273–277. DOI: 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. J Am Psychiatr Nurses Assoc. 2003; 9(1):17–23. DOI: 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. Nurs Ethics. 2014; 21(5):594–607. DOI: 10.1177/0969733013513212.

24. McCloskey JC, McCain BE. Satisfaction, commitment and professionalism of newly employed nurses. Image J Nurs Sch. 1987; 19(1):20–24. DOI: 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. Educ Psychol Meas. 1970; 30:607–610.

27. Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009; 41(4):1149–1160. DOI: 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. Aust J Adv Nurs. 2004; 22(1):24–30.

29. Kim YS, Park JW, Yoo MS, Hyun MS, Kim GY. Nurses' moral judgments on ethical dilemmas. Korean J Med Ethics Educ. 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.