Nursing Ethical Concerns in End of Life Care:Using Hermeneutics Approach Shigeko Izumi 1 1Linfield College, USA Keyword: 看護倫理 , 倫理的関心 , 看護師 , ターミナルケア , 解釈学的現象学 , nursing ethics , ethical concerns , nurses , end of life care , hermeneutics pp.72-80
Published Date 2007/12/20
  • Abstract
  • Reference
  • Cited by


 Purpose: The purpose of this study was to explore and delineate the Japanese nurses' ethical values residing in their end-of-life care practice.

 Method: Thirty-two nurses with end-of-life care experiences were interviewed. The transcripts from the interviews were analyzed using hermeneutics approach developed by Benner et al.

 Findings: Seven ethical concerns were emerged as Japanese nurses' ethical values in end-of-life care: 1) not hurting the patient; 2) honesty; 3) concerns for isolation/loneliness; 4) regard for the patient's personhood; 5) respect for the patient's wishes; 6) comfort/relief from suffering; and 7) meaningful and pleasant time for the patient.

 Conclusion: These concerns embody the ethical values among Japanese nurses and are partly different from Western ethical principles in its meanings and reasoning.

Copyright © 2007, Japan Academy of Nursing Science. All rights reserved.


電子版ISSN 2185-8888 印刷版ISSN 0287-5330 日本看護科学学会