护士道德规范的全球比较:一个混合方法的集体案例研究,区分抱负和强制性伦理。

IF 3.2 3区 医学 Q1 NURSING
Min Ji Kim, Jiyeon Choi
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引用次数: 0

摘要

目的:比较韩国护士协会与国际护士理事会制定的护士职业道德规范的特点。设计:一个混合方法的集体案例研究。方法:本研究采用案例定义与选择、资料收集、分析与解释等解释性方法。基于发达的理想与强制性伦理分析框架,我们区分了韩国护理协会和国际护士理事会的理想和强制性规范。结果:韩国护理协会(73.3%)比国际护士理事会(53.6%)更重视抱负伦理。韩国护理协会解决了有关适当服务和患者安全的法律影响,而国际护士理事会强调知情同意和授权实践。与韩国护理协会的守则相比,国际护士理事会的守则增加了一个章节,增加了67个单位。增加的一章侧重于全球卫生。结论:对今后修订韩国护士职业道德规范有一定启示。知情同意需要作为尊重病人自决权利的法律含义加以处理。此外,护士对全球健康的关注可以在全球化的背景下讨论。对职业的启示:对国家和国际护理组织现行道德规范的分析结果可能为未来的修订提供科学依据。研究结果建议对道德准则进行循证修订,强调了培养符合既定护理专业规范和价值观的道德认同的重要性。报告方法:遵循《定性研究报告准则》。无患者或公众参与:鉴于本研究基于文献,即伦理准则,没有患者或公众的直接/间接参与。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Global Comparison of Codes of Ethics for Nurses: A Mixed-Method Collective Case Study Differentiating Aspirational and Mandatory Ethics.

Aims: To identify the characteristics and compare the codes of ethics enacted by the Korean Nursing Association and International Council of Nurses.

Design: A mixed-method collective case study.

Methods: This study adopted interpretive approaches comprising case definition and selection, data collection, analysis and interpretation. Based on the developed aspirational versus mandatory ethics analytic framework, we differentiated the aspirational and mandatory codes of the Korean Nursing Association and International Council of Nurses.

Results: The Korean Nursing Association placed greater emphasis on aspirational ethics (73.3%) than the International Council of Nurses (53.6%). The Korean Nursing Association addressed legal implications regarding adequate services and patient safety, whereas the International Council of Nurses emphasised informed consent and authorised practice. Compared to the Korean Nursing Association's code, the International Council of Nurses' code had one additional chapter and 67 more units. The additional chapter focused on global health.

Conclusion: Some implications can be considered for future revisions of the code of ethics for Korean nurses. Informed consent needs to be addressed as a legal implication for respecting the patient's right to self-determination. Furthermore, nurses' attention to global health could be discussed in the context of globalisation.

Implications for the profession: The findings of the analysis of the current codes of ethics of national and international nursing organisations may provide scientific evidence for future revisions. An evidence-based revision of ethical guidelines, as proposed by the findings, underscores the importance of fostering a moral identity consistent with established professional norms and values for nursing.

Reporting method: We adhered to the Standards for Reporting Qualitative Research.

No patient or public contribution: Given that this study is based on the literature, namely the codes of ethics, there is no direct/indirect involvement of patients or the public.

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来源期刊
CiteScore
6.40
自引率
2.40%
发文量
0
审稿时长
2 months
期刊介绍: The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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