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Types of Perception toward Ethical Issues in Perioperative Nurses: Q-Methodological Approach

수술실 간호사의 윤리적 이슈에 대한 인식 유형: Q방법론적 접근

  • Kim, Jin Nam (Department of Nursing, Chonbuk National University Hospital) ;
  • Jeong, Seok Hee (College of Nursing.Research Institute of Nursing Science, Chonbuk National University)
  • 김진남 (전북대학교병원 간호부) ;
  • 정석희 (전북대학교 간호대학.간호과학연구소)
  • Received : 2018.05.09
  • Accepted : 2018.11.14
  • Published : 2018.12.31

Abstract

Purpose: This study was aimed at identifying the types of perceptions of ethical issues among perioperative nurses. Methods: Q-methodology focusing on individual subjectivity was used with data collected in November 2016. Thirty-four Q-statements were selected and scored by the 35 participants on a 9-point scale with normal distribution. Participants were perioperative nurses working in advanced general hospitals and general hospitals. The data were analyzed using the PC-QUANL program. Results: A total of 35 perioperative nurses were classified into 4 factors based on the following viewpoints: self-centered (type 1), onlooking and avoiding (type 2), patient-centered (type 3), and problem-centered (type 4). The 4 factors accounted for 57.84% of the total variance. Individual contributions of factors 1, 2, 3, and 4 were 41.80%, 7.18%, 5.20%, and 3.66%, respectively. Conclusion: The major contribution of this study is the clarification of perioperative nurses' subjective perceptions of ethical issues. These findings can be used in formulating effective strategies for nursing educators, professional nurses, and nursing administrators to improve ethical decision-making abilities and to perform ethical nursing care by the appropriate management of ethical issues in everyday nursing practice.

Keywords

References

  1. Business Dictionary. Ethical issue [Internet]. Austin (TX): WebFinance Inc; c2018 [cited 2018 Sep 06]. Available from: http://www.businessdictionary.com/definition/ethical-issue.html.
  2. Lee KJ, Yoo SY. Relationships between nurses’ ethical dilemma, coping types, job satisfaction and turnover intention in Korea. Journal of Korean Clinical Nursing Research. 2011;17(1):1-15.
  3. Oh YJ, Gastmans C. Moral distress experienced by nurses: A quantitative literature review. Nursing Ethics. 2015;22(1):15-31. https://doi.org/10.1177/0969733013502803
  4. King CA. Ethics and human rights issues in nursing practice: A survey of perioperative nurses. Perioperative Nursing Clinics. 2008;3(3):191-196. https://doi.org/10.1016/j.cpen.2008.04.009
  5. Reeder JM. Ethical dilemmas in perioperative nursing practice. The Nursing Clinics of North America. 1989;24(4):999-1007.
  6. Ganz FD, Berkovitz K. Surgical nurses' perceptions of ethical dilemmas, moral distress and quality of care. Journal of Advanced Nursing. 2012;68(7):1516-1525. https://doi.org/10.1111/j.1365-2648.2011.05897.x
  7. Sung SY. Trends of United States court cases on ghost surgery. Korean Journal of Medical Ethics. 2015;18(3):296-313.
  8. Shapshay SM, Healy GB. The ethics of running multiple operating rooms simultaneously: Is this ghost surgery? The Laryngoscope. 2016;126(9):1959-1960. https://doi.org/10.1002/lary.26022
  9. Park EK, Na YK. A study on verbal abuse experience, sexual harassment damages and self-esteem of operating room nurses. Korean Journal of Scientific Criminal Investigation. 2015;9(4):266-274. https://doi.org/10.20297/jsci.2015.9.4.266
  10. Asl ZE, Abdollahzadeh F, Lotfi M, Aghazadeh Attari AM, Asghari E. The relationship of ethical climate and nurses' job satisfaction in the operating room: A cross-sectional study. Nursing and Midwifery Studies. 2017;6(3):137-139. https://doi.org/10.4103/nms.nms_15_17
  11. Oliveira MAN, Oliveira TAVA, Fontoura EG, Freitas KS. Experiences of ethical dilemmas by the surgical team faced with iatrogenes. Journal of Nursing UFPE on Line. 2017;11(7):2795-2802.
  12. Smith Z. Duty and dilemma: Perioperative nurses hiding an objection to participate in organ procurement surgery. Nursing Inquiry. 2017;24(3):e12173. https://doi.org/10.1111/nin.12173
  13. Seo HE, Kim M. Operation room nurses' ethical value regarding their attitude and meaning of life about organ transplantation in brain death. Korean Journal of Adult Nursing. 2016;28(4):355-366. https://doi.org/10.7475/kjan.2016.28.4.355
  14. Park HJ. Ethical dilemma of nurses. Journal of Korean Academy of Nursing Administration. 2009;15(1):128-135.
  15. Park MH, Jeon SH, Hong HJ, Cho SH. A comparison of ethical issues in nursing practice across nursing units. Nursing Ethics. 2014;21(5):594-607. https://doi.org/10.1177/0969733013513212
  16. Shin JH, Jeong SH, Lee MH, Yang YR. Experiences of ethical issues and needs for ethics education in clinical nurses. Journal of Korean Academy of Nursing Administration. 2015;21(3):327-339. https://doi.org/10.11111/jkana.2015.21.3.327
  17. Kim HG. Understanding of Q-methodology for the study of subjectivity. The Seoul Journal of Nursing. 1992;6(1):1-11.
  18. Noh DB, Kim SA, Kim SH. Moral distress, moral sensitivity and ethical climate of nurses working in psychiatric wards. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2013;22(4):307-319. https://doi.org/10.12934/jkpmhn.2013.22.4.307
  19. Association of Perioperative Registered Nurses (AORN). Guidelines for perioperative practice. Denver (CO): AORN; 2015. p.711-732.
  20. Kang JY, Joo ES. The influence of occupational stress and negative affect on somatization among female office workers: The mediation effectiveness of focusing manners. The Korean Journal of Woman Psychology. 2014;19(1):31-54. https://doi.org/10.18205/kpa.2014.19.1.002
  21. Kim MS, Kim CH, Hong J, An AR, Choi EK, Keam B, et al. A survey of the ethical problems faced by healthcare professionals and the need for clinical ethics consultation services in university hospitals in South Korea. Korean Journal of Medical Ethics. 2017;20(4):376-385.
  22. Bruce CR. Emergent ethics consultation requested from the operating room. The American Journal of Bioethics. 2015;15(1):69. https://doi.org/10.1080/15265161.2015.975599
  23. Jeon JM, Lee KS, Park CJ, Woo HY. Effects of nurses' transformational leadership on job attitude: The mediating effects psychological capital. Journal of the Korea Academia-Industrial Cooperation Society. 2016;17(7):228-236. https://doi.org/10.5762/KAIS.2016.17.7.228
  24. Korean Nurses Association. Code of ethics for Korean nurses [Internet]. Seoul: Korean Nurses Association; c2018 [cited 2018 Sep 10]. Available from: http://www.koreanurse.or.kr/about_KNA/ethics.php.
  25. Jeong S, Jeong SH, Lee MH, Kim HK. Effects of perceived collaboration with nurses and physicians on nursing performance in perioperative nurses. Journal of Korean Academy of Nursing Administration. 2018;24(3):253-264. https://doi.org/10.11111/jkana.2018.24.3.253
  26. Lim EJ, Yi YJ. Comparison of operating room nurses and general ward nurses on communicative competence and interpersonal relationship ability within the medical team. Journal of Korean Academy of Nursing Administration. 2014;20(3):313-321. https://doi.org/10.11111/jkana.2014.20.3.313
  27. Wall S, Austin WJ, Garros D. Organizational influences on health professionals' experiences of moral distress in PICUs. HEC Forum. 2016;28(1):53-67. https://doi.org/10.1007/s10730-015-9266-8
  28. Kim EH, Hong SJ, Kim HS. Correlations between the ethical values and critical thinking disposition in nursing student. Asia-Pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2015;5(6):99-109.
  29. Jeong JM, Park JH, Jeong SH. Case development on nurses' ethical dilemmas with physicians' and nurses' decision making. Journal of Korean Academy of Nursing Administration. 2013;19(5):668-678. https://doi.org/10.11111/jkana.2013.19.5.668
  30. Schroeter K. Ethical perception and resulting action in perioperative nurses. AORN Journal. 1999;69(5):991-1002. https://doi.org/10.1016/s0001-2092(06)62297-7

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