Thoughts and feelings that determine how Japanese nursing students deal with ethical issues: A qualitative study

Tanaka, Maki

doi:10.1007/s40889-021-00127-1

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…The complexities and diversity of human values, patients' growing awareness of their rights, and scientific advances emphasise the need for an advanced understanding of ethics in healthcare services (Tanaka, 2021). Ethics is a set of values that regulate people's attitudes and behaviours (Ağaçdiken & Aydoğan, 2017).…”

Section: Introductionmentioning

confidence: 99%

The relationship between ethical position and whistleblowing: A cross‐sectional study among nurses

Çekiç¹,

Tuna

Bacaksız

2022

Journal of Clinical Nursing

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Aim and Objectives:The aim of this study is to determine nurses' ethical positions, whistleblowing intention and its causes, and to analyse the correlation between them, while revealing the personal and professional characteristics causing significant difference.Background: In today's challenging healthcare settings, ethical dilemmas are inherent to nursing practices, leading to situations whereby nurses must consider whistleblowing and reasons such as reporting medical errors or misbehaviors. Design:The study is descriptive, cross-sectional and correlational. Methods:The data were collected from a convenience sample consisting of 294 nurses between 1 April and 30 June 2019, in four hospitals in two cities. An introductory information form, Ethics Position Questionnaire, Whistleblowing Scale and Causes of Whistleblowing Scale were employed to collect data. The data were analysed with descriptive, correlational, comparative and internal consistency analyses (Guidelines for reporting cross-sectional studies (Data S1)).Results: It was found that nurses encountered (31.3%) and reported (85.9%) unethical incidents. According to the subscales, they obtained higher scores from idealism (4.37 ± 0.52), supportive whistleblowing (3.75 ± 0.72), and moral and professional values (3.77 ± 0.67). The Ethics Position Questionnaire, as well as the Whistleblowing Scale (r = .302) and the Causes of Whistleblowing Scale (r = .211) had a positive weak correlation (p < .001). Nurses' age, marital status, and professional and institutional experiences all created a significant difference (p < .05). Conclusions:The nurses mostly encountered unethical incidents associated with management. The rates of reporting the unethical incidents were high, and they were found not hesitating to report using whistleblowing, yet intended to keep the incidents within the institution. In addition, idealistic nurses were more likely to whistleblow, and their causes for whistleblowing were mostly associated with moral and professional values.Relevance to Clinical Practice: It is recommended that nurses' ethical position, and whistleblowing intentions and causes should be supported and improved through the corporate culture.

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Section: Introductionmentioning

confidence: 99%

The relationship between ethical position and whistleblowing: A cross‐sectional study among nurses

Çekiç¹,

Tuna

Bacaksız

2022

Journal of Clinical Nursing

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Nurturing ethical insight: exploring nursing students’ journey to ethical competence

Hansen,

Hessevaagbakke,

Lindeflaten

et al. 2024

BMC Nurs

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Background Ethical competence is a key competence in nursing and the development of the competence is a central part in nursing education. During clinical studies, nursing students face ethical problems that require them to apply and develop their ethical knowledge and skills. Little is known about how ethical competence evolves during students’ initial clinical placements. This study explored the development of ethical competence in first-year nursing students during their first clinical placements in nursing homes. Methods This exploratory-descriptive qualitative study used focus group interviews to collect data and a phenomenological hermeneutical method for analysis. Twenty-eight first-year nursing students participated in six focus groups. The data were collected between March and April 2024 at Oslo Metropolitan University in Norway. Results The naïve reading of the data involved an awareness of the students applying their prior knowledge, modifying their prior knowledge and developing skills that allowed them to manoeuvre ethical practices that, in some cases, appeared excellent and, in other cases, grim. The structural analysis identified three themes: (i) ethical competence forges in practice, (ii) ethical competence evolves at the intersection of knowledge and skills and (iii) ethical competence unfolds through meaningful discussions. A comprehensive understanding of the data was formulated as ‘Being on a journey towards ethical competence’. This presents a metaphor illustrating that nursing students embark on a journey towards ethical competence; from their point of departure, their clinical experiences forge the essential waypoints along their path, knowledge and skills fuelling their navigation in rugged terrain towards their destination. Conclusions Nursing students’ ethical competence evolved in intricate ways during their initial clinical period. Being informed bystanders or participants in the care of nursing home residents in situations of ethical tension may be a unique position enabling students to evaluate care options differently from those immersed in the ward culture. The findings indicate that organised professional development in nursing homes needs to focus on more reflexively driven ways of supervising students in their first clinical study period. Educational institutions need to continue and further develop reflection-based learning activities and meeting points with students and their peers during their clinical placement periods.

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Thoughts and feelings that determine how Japanese nursing students deal with ethical issues: A qualitative study

Cited by 2 publications

References 13 publications

The relationship between ethical position and whistleblowing: A cross‐sectional study among nurses

The relationship between ethical position and whistleblowing: A cross‐sectional study among nurses

Nurturing ethical insight: exploring nursing students’ journey to ethical competence

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