Questionnaire survey for challenging cases of ethical decision making in nurses

• Main Authors: Lin Hsiu Chen, 林秀珍
• Other Authors: H. M. Tseng
• Format: Others
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/51224946568690043000

碩士 === 長庚大學 === 管理學院碩士學位學程在職專班醫務管理組 === 100 === Background: Little information is available on evaluation of medical professionalism among Taiwanese nurses and on itsethical education in Taiwan's nursing schools.This study aims to assess professionalism in nursing by using a challenging case survey method. Method: We analyzed the responses to challenges to professionalism for different occupational hierarchy of nurses, i.e. interns, professional registered nurses, and nurse managers in a medical center of Taiwan. A ChallengingCase Questionnaire was developed based on one developed by Barry et al. (2000). Case scenarios included conflict of interest, confidentiality, nursesimpairment, sexual harassment, recording fidelity, improper medical request, and informed consent. Results: We collected valid data from 217 nurse. The agreement among nurse mangers concerning the answers towards these challenging cases is higher than that obtained from nursing residents. The most challenging was the confidentiality scenario, in which 45.62% provided the best or 2nd best answers, followed by the informed consent scenario with 62.13% and thenurses impairment scenario with 68.67%. Conclusions: Many Taiwan’s nurses were unable to provide an acceptable response to challenging cases of professionalism in several issues. Greater teaching of professionalism is needed in nursing education and on-job trainings in Taiwan.