Journal of Japanese Nursing Ethics
Online ISSN : 2434-7361
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Original Articles
  • Jun ODE
    2019 Volume 11 Issue 1 Pages 13-19
    Published: March 20, 2019
    Released: May 24, 2019

    This study aims to revise the nurses’ ethical behavior scale and assess its reliability and validity. After conducting preliminary surveys, we identified 28 question items that added and modified items already present in the existing nurses’ ethical behavior scale. Using these question items, we conducted a questionnaire-based survey involving 2,500 clinical nurses working at 27 centers, randomly selected from across the nation, and finally analyzed 1,295 copies of the questionnaire. The factor analysis extracted 3 of 15 factors as follows: “risk avoidance(5 items),” “good care(5 items),” and “fair care(5 items).” Their Cronbach’s alpha reliability coefficients were in the order of .78, .75, and .74, respectively, and the overall scale was .84. In addition, a moderately positive correlation was observed between scales that assessed the interfactor correlation and reference-related validity. This study ensures the reliability and validity of the revised version of the nurses’ ethical behavior scale, which could be revised as a roughly standardized scale using the nationwide survey.

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  • Mitsuko YOSHIDA
    2019 Volume 11 Issue 1 Pages 20-29
    Published: March 20, 2019
    Released: May 24, 2019

    This study’s objective was to examine certified nurse specialists’(CNS)narratives that led to development of role development in ethical coordination. An interview survey was conducted with nine CNSs based on the narrative approach. The findings suggested four themes within their narratives: 1)Experience keeping listening to the real voice of others and doing as much as possible. 2)Experience believing in myself and believing in judgment and action of “now and here.” 3)Experience asking themselves about the influence of their existence or sense of values on patients and staff. And 4)Experience seeking to overcome the differences in values that arise between organizations and other professionals. From the results of the structural analysis, the narrative of experiences that gave rise to role development was characterized as follows. 1)Contrary to the CNS’ expectations, turning points can emerge unpredictably. 2)The opportunity for practical knowledge / role development arose from the establishment of relationships built with doctors / other professionals and system creation. 3)CNS described their role in ethical coordination metaphorically and in their own words.

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    2019 Volume 11 Issue 1 Pages 30-39
    Published: March 20, 2019
    Released: May 24, 2019

    This study aimed to develop a scale assessing pediatric nurses’ ability to achieve practice that advocates for children’s rights and verify its reliability and validity. The draft scales were extracted from previous studies and their items and validity were examined by teachers and nurses engaging in pediatric nursing and education. Thirty one items of the draft scales were prepared. Furthermore, anonymous self-administered questionnaire survey using these items was conducted with 627 pediatric nurses in 30 health care facilities in the Kanto region, including 25 university and 5 pediatric hospitals. The effective recovery rate was 58.2%. Based on item analysis and factor analysis, nineteen items were classified into three factors: “ability to understand and support children and their family,” “ability to adjust medical staff who did not advocate for children’s rights” and “ability to explain to the child and confirming his or her own view.” Cronbach’s α coefficient for the overall reliability was 0.86 and its content validity was presented. However, there are additional challenges to study the items of the scales and criterion-related validity for another enlarged object of survey. It was confirmed that the scales could be practicable by improving accuracy of the scales.

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11th Annual Conference of Japan Nursing Ethics Association
President’s Address
Educational Lecture
Special Lecture