Research on Ethical Sensitivity of Medical Staff and Its Countermeasures: Take Pediatric Medical Staff as an Example / 中国医学伦理学

Ethical sensitivity is a behavioral concept emerging in recent years, which has attracted high attention from all sectors of society. Ethical sensitivity not only affects the clinical decision-making, doctor-patient relationship and medical quality of medical staff, but also provides the possibility to identify, predict and solve ethical problems in clinical. Combined with previous studies, this paper analyzed the current situation of ethical sensitivity of medical personnel in China, and took pediatric medical staff as an example to analyze the factors affecting the ethical sensitivity of medical staff from clinical practice and related theories, including age, working years, occupational categories, education level, work environment, empathy ability, etc. At the same time, this paper analyzed the causes of the ethical sensitivity of medical staff from the perspective of clinical practice and related systems, and put forward corresponding countermeasures, so as to improve the ethical sensitivity of medical staff and help to build a harmonious doctor-patient relationship.

Research progress on ethical sensitivity of nurses / 中国实用护理杂志

This paper mainly introduced the research progress of ethical sensitivity of nurses from four aspects: the definition and concept of ethical sensitivity, measurement tools, influencing factors and intervention strategies, in order to provide basis for domestic scholars′ research and practice, improve the level of ethical sensitivity of nurses and effectively improve the quality of clinicalnursing service.

Clinical Ethic Conference / 医学教育

In the core curriculum for Medical Education, “Ethics and bioethics of medicine” is listed under the heading of “professionalism” . Medical ethics covers research ethics and clinical ethics. Clinical ethics deals with dilemmas encountered in the clinical practice.　When educating students on the four principles of medical ethics (respect for autonomy, beneficence, justice and nonmaleficence), it seems that it is effective for them to learn through experiencing a clinical ethics conference. However, it is difficult for students to experience an actual conference. Tence the in class use of case examples which will be introduced here.　One drawback to this approach is that there are many cases where the ethical dilemma is not clear even when those cases are presented at a clinical ethics conference. It is important to “discover the problem” through conference discussions, and interactions that cultivate ethical sensitivity. This is also one of the major goals of education.

Ethical sensitivity and related factors of nurses working in the hospital settings / Sensibilidad ética y factores relacionados con el trabajo de enfermera/o en hospitales / Sensibilidade ética e fatores relacionados com enfermeiros que trabalham em hospitais

The purpose of the study is to determine the level of ethical sensitivity and related factors of nurses working in the hospital settings. This descriptive study was conducted at a public hospital and a university hospital in Ankara, Turkey between April-July 2012. A total of 111 nurses participated in the study. The data were collected using a data collection tool consisting of two parts. The first part consisted of questions that determined the nurses’ personal and socio-demographic characteristics. The second part comprised of "Byrd’s Nurses Ethical Sensitivity Test". The data were evaluated by using frequency, percentage, t-test and one-way ANOVA. Of the 111 nurses, 39,7 percent had a work experience of 1-3 years, 51,4 percent was married and 38,7 percent did not have ethics education. Education levels of most of the nurses (62,2 percent) were bachelor’s degree. The mean ethical sensitivity score of nurses was 21,12+/-2,85. "It was determined that ethical sensitivity of nurses was found to be higher in those that had ethics education, older age group, and had bachelor’s degree than others (p<0,05)". The mean ethical sensitivity score of nurses was of medium level. It is concluded that ethical sensitivity was influenced by ethics education, age groups, and educational background.

El propósito de este estudio es determinar el nivel de sensibilidad ética y los factores relacionados con el trabajo de enfermero/a en Hospitales. Este estudio descriptivo se realizó en un Hospital público y un Hospital universitario en Ankara, Turquía entre los meses de Abril y Julio en el 2012. Participaron en el estudio un total de 111 enfermeras/os. Los datos se recolectaron usando una herramienta de recogida de datos que consiste en dos partes. La primera parte consistía de preguntas para determinar las características personales y socio-demográficas de las/os enfermeras/os. La segunda parte consistía en la Prueba de sensibilidad ética de "Byrd". Se evaluaron los datos usando porcentajes, frecuencias, t-test y ANOVA en una dirección. De las/os 111 enfermeras/os, 39,7 por ciento tenían una experiencia de trabajo de 1 a 3 años, 51,4 por ciento casados y 38,7 por ciento no tenía educación ética. El nivel de educación de la mayoría de las/os enfermeras/os (62,2 por ciento) era de licenciatura. El puntaje medio en sensibilidad ética fue de 21,12+/-2,85. "Se determinó que la sensibilidad ética de las/os enfermeras/os era mayor en los que habían recibido educación ética, tenían mayor edad y con licenciatura (p<0,05)". El puntaje medio de sensibilidad ética de los/as enfermeros/as fue de nivel medio. Se concluye que la sensibilidad ética estaba influenciada por la educación ética, la edad y la base educacional.

O objetivo do estudo é determinar o nível de sensibilidade ética e fatores relacionados com enfermeiros que trabalham em setores hospitalares. Este estudo descritivo foi realizado em um hospital público e um hospital universitário em Ancara, Turquia, entre abril e julho de 2012. No total, 111 enfermeiros participaram do estudo. Os dados foram coletados por meio de um instrumento de coleta de dados que composto de duas partes. A primeira parte consistiu em perguntas sobre determinadas características pessoais e sócio-demográficas dos enfermeiros. A segunda parte composta de "Byrd’s Nurses Ethical Sensitivity Test". Os dados foram avaliados por meio de frequência, porcentagem, t-test e ANOVA one-way. Dos 111 enfermeiros, 39,7 por cento tinham uma experiência de trabalho de 1-3 anos, 51,4 por cento eram casados e 38,7 por cento não tiveram o ensino da ética. Os níveis de educação da maioria dos enfermeiros (62,2 por cento) eram do grau de bacharel. A pontuação média sensibilidade ética dos enfermeiros foi de 21,12 +/- 2,85. "Determinou-se que a sensibilidade ética dos enfermeiros encontrada foi maior naqueles que tiveram educação ética, no grupo de faixa etária mais velha, e que tinha o grau de bacharel em relação aos demais (p <0,05)." A pontuação média da sensibilidade ética dos enfermeiros foi de nível médio. Concluiu-se que a sensibilidade ética foi influenciada pela educação ética, faixa etária, e formação educacional.

Nurse Managers' Moral Self Concept and Ethical Sensitivity / 간호학회지

PURPOSE: This descriptive study was designed to find out the relationship between moral self concept and ethical sensitivity of nurse managers. METHODS: Study data were collected from Aug 6, 2001 to Aug 24, 2001. Study subjects were 283 nurse managers working in university hospitals. Moral self concept was measured with questionnaire developed by Chung (1965) and ethical sensitivity was measured with the questionnaire developed by the researchers. RESULTS: 1. The score for degree of nurse managers' moral self concept was shown to be an average of 3.06 out of 4.00, which is relatively high. The score for degree of nurse managers' ethical sensitivity was shown to be an average of 2.84 out of 4.00 2. Analysis of correlation between moral self concept and ethical sensitivity showed a statistically significant positive correlation (r= .34, p=.00). 3. In general characteristics, a variable that caused significant difference in moral self concept was the total period of experience as a nurse (F=3.52, p=.02). A variable that caused significant difference in ethical sensitivity was the current working department (F=3.91, p=.01). 4. Nurse administrator's moral self concept was significantly related to ethical sensitivity (r= .34, p= .00). CONCLUSION: It is important to intensify individual moral self concept in order to improve ethical sensitivity of nurse managers. Also, it is recommended that investigate variables affected moral self concept and develop a nursing education program to promote moral self concept in nurse administrators.