病院の倫理的風土と看護倫理に関する継続教育の関係について

京都大学新制・課程博士博士(人間健康科学)甲第24321号人健博第108号新制||人健||8(附属図書館)京都大学大学院医学研究科人間健康科学系専攻(主査)教授 若村 智子, 教授 任 和子, 教授 松村 由美学位規則第4条第1項該当Doctor of Human Health SciencesKyoto UniversityDFA

The relationship between hospital ethical climate and continuing education in nursing ethics.

BackgroundIn recent years, there has been a growing interest in the importance of creating a healthy ethical climate. Although relationship with various factors and the ethical climate have been reported, understanding of the relationship between ethical education and ethical climate is limited.AimThis study aims to investigate the relationship between ethical climate, personal characteristics, and continuing education for ethics.MethodsThis study conducted a quantitative cross-sectional survey of 605 nurses in 3 teaching hospitals in Japan. Multiple-regression analysis was used to assess the relationship between ethical climate and demographic characteristics and continuing education. Further mean of ethical climate scores were compared between received continuing education and did not, using analysis of covariance adjusted for demographic variables.FindingsThe ethical climate showed significant association with hospital, gender, specialty of the unit, experience of ethics education, in-service ethical training, and workshops/ academic conferences on nursing ethics. In multiple-regression analysis, attending in-service ethical training increased the mean of ethical climate score (p = 0.031) and workshops/ academic conferences decreased the mean score (p = 0.028). Adjusted-mean of ethical climate score of nurses who had in-service training was significantly higher than those who had not (p = 0.038), whereas adjusted-mean of it of nurses who had attended workshops/ academic conferences was significant lower (p = 0.033).DiscussionIn-service training on ethics was associated with the positive ethical climate. Hospital should enhance ethical education.ConclusionEthical climate related to the nurses' personal characteristics and continuing education. We propose that organizational support for ethical education may be effective in raising the ethical climate of the workplace