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What Moral Requirements Cause Ethical Dilemmas among Nurse Executives? Yumiko Katsuhara 1 1College of Nursing, Art and Science, Hyogo Keyword: 看護部長 , 倫理的ジレンマ , 道徳的要求 , nurse executive , ethical dilemma , moral requirement pp.1-10
Published Date 2003/9/30
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Abstract

 The purpose of this study is to clarify the moral requirements that cause ethical dilemmas among nurse executives. Ethical dilemmas are defined as situations where moral requirements conflict, and neither requirement is overridden.

 25 nurse executives were asked to describe the situations where they had faced their most difficult ethical decisions. A total of 41 stories were told. These included disclosure of medical errors (eight cases), performance evaluations (six cases), and discomfort regarding physicians' behavior (five cases), as well as other situations. There were 48 ethical dilemmas in 41 cases, and each of these dilemmas represented conflicts among more than two of 17 kinds of moral requirements.

 These moral requirements are: Protection of one's own pride, doing one's civic duty to society, acceptance of gender roles, treating others in a caring and benevolent fashion, protection of patients rights, assurance of nursing quality, protection of nurse's pride, protection of the lives of patients, organizational profit motives, protection of workers rights among the staff, representation of the interests of the nursing division, smooth collaboration with physicians, execution of organizational rules, maintenance of Japanese cultural norms, observation of legal standards, respect for community needs, and obedience to political imperatives.


Copyright © 2003, Japan Academy of Nursing Science. All rights reserved.

基本情報

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

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