J Korean Acad Nurs.  2018 Dec;48(6):679-691. 10.4040/jkan.2018.48.6.679.

Types of Perception toward Ethical Issues in Perioperative Nurses: Q-Methodological Approach

Affiliations
  • 1Department of Nursing, Chonbuk National University Hospital, Jeonju, Korea.
  • 2College of Nursing·Research Institute of Nursing Science, Chonbuk National University, Jeonju, Korea. awesomeprof@jbnu.ac.kr

Abstract

PURPOSE
This study was aimed at identifying the types of perceptions of ethical issues among perioperative nurses.
METHODS
Q-methodology focusing on individual subjectivity was used with data collected in November 2016. Thirty-four Q-statements were selected and scored by the 35 participants on a 9-point scale with normal distribution. Participants were perioperative nurses working in advanced general hospitals and general hospitals. The data were analyzed using the PC-QUANL program.
RESULTS
total of 35 perioperative nurses were classified into 4 factors based on the following viewpoints: self-centered (type 1), onlooking and avoiding (type 2), patient-centered (type 3), and problem-centered (type 4). The 4 factors accounted for 57.84% of the total variance. Individual contributions of factors 1, 2, 3, and 4 were 41.80%, 7.18%, 5.20%, and 3.66%, respectively.
CONCLUSION
The major contribution of this study is the clarification of perioperative nurses' subjective perceptions of ethical issues. These findings can be used in formulating effective strategies for nursing educators, professional nurses, and nursing administrators to improve ethical decision-making abilities and to perform ethical nursing care by the appropriate management of ethical issues in everyday nursing practice.

Keyword

Nursing Ethics; Perioperative Nursing; Nurses; Perception; Q-Sort

MeSH Terms

Administrative Personnel
Ethics*
Ethics, Nursing
Hospitals, General
Humans
Nursing
Nursing Care
Perioperative Nursing
Q-Sort

Reference

References

1. Business Dictionary. Ethical issue [Internet]. Austin (TX): WebFinance Inc;c2018. [cited 2018 Sep 06]. Available from:. http://www.businessdictionary.com/definition/ethical-issue.html.
2. Lee KJ, Yoo SY. Relationships between nurses’ ethical dilemma, coping types, job satisfaction and turnover intention in Korea. Journal of Korean Clinical Nursing Research. 2011; 17(1):1–15.
3. Oh YJ, Gastmans C. Moral distress experienced by nurses: A quantitative literature review. Nursing Ethics. 2015; 22(1):15–31. https://doi.org/10.1177/0969733013502803.
4. King CA. Ethics and human rights issues in nursing practice: A survey of perioperative nurses. Perioperative Nursing Clinics. 2008; 3(3):191–196. https://doi.org/10.1016/j.cpen.2008.04.009.
Article
5. Reeder JM. Ethical dilemmas in perioperative nursing practice. The Nursing Clinics of North America. 1989; 24(4):999–1007.
6. Ganz FD, Berkovitz K. Surgical nurses’ perceptions of ethical dilemmas, moral distress and quality of care. Journal of Advanced Nursing. 2012; 68(7):1516–1525. https://doi.org/10.1111/j.1365-2648.2011.05897.x.
7. Sung SY. Trends of United States court cases on ghost surgery. Korean Journal of Medical Ethics. 2015; 18(3):296–313.
8. Shapshay SM, Healy GB. The ethics of running multiple operating rooms simultaneously: Is this ghost surgery? The Laryngoscope. 2016; 126(9):1959–1960. https://doi.org/10.1002/lary.26022.
Article
9. Park EK, Na YK. A study on verbal abuse experience, sexual harassment damages and self-esteem of operating room nurses. Korean Journal of Scientific Criminal Investigation. 2015; 9(4):266–274. https://doi.org/10.20297/jsci.2015.9.4.266.
Article
10. Asl ZE, Abdollahzadeh F, Lotfi M, Aghazadeh Attari AM, Asghari E. The relationship of ethical climate and nurses’ job satisfaction in the operating room: A cross-sectional study. Nursing and Midwifery Studies. 2017; 6(3):137–139. https://doi.org/10.4103/nms.nms_15_17.
Article
11. Oliveira MAN, Oliveira TAVA, Fontoura EG, Freitas KS. Experiences of ethical dilemmas by the surgical team faced with iat-rogenes. Journal of Nursing UFPE on Line. 2017; 11(7):2795–2802.
12. Smith Z. Duty and dilemma: Perioperative nurses hiding an objection to participate in organ procurement surgery. Nursing Inquiry. 2017; 24(3):e12173. https://doi.org/10.1111/nin.12173.
Article
13. Seo HE, Kim M. Operation room nurses’ ethical value regarding their attitude and meaning of life about organ transplantation in brain death. Korean Journal of Adult Nursing. 2016; 28(4):355–366. https://doi.org/10.7475/kjan.2016.28.4.355.
Article
14. Park HJ. Ethical dilemma of nurses. Journal of Korean Academy of Nursing Administration. 2009; 15(1):128–135.
15. Park MH, Jeon SH, Hong HJ, Cho SH. A comparison of ethical issues in nursing practice across nursing units. Nursing Ethics. 2014; 21(5):594–607. https://doi.org/10.1177/0969733013513212.
Article
16. Shin JH, Jeong SH, Lee MH, Yang YR. Experiences of ethical issues and needs for ethics education in clinical nurses. Journal of Korean Academy of Nursing Administration. 2015; 21(3):327–339. https://doi.org/10.11111/jkana.2015.21.3.327.
Article
17. Kim HG. Understanding of Q-methodology for the study of subjectivity. The Seoul Journal of Nursing. 1992; 6(1):1–11.
18. Noh DB, Kim SA, Kim SH. Moral distress, moral sensitivity and ethical climate of nurses working in psychiatric wards. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2013; 22(4):307–319. https://doi.org/10.12934/jkpmhn.2013.22.4.307.
Article
19. Association of Perioperative Registered Nurses (AORN). Guidelines for perioperative practice. Denver (CO): AORN;2015. p. 711–732.
20. Kang JY, Joo ES. The influence of occupational stress and negative affect on somatization among female office workers: The mediation effectiveness of focusing manners. The Korean Journal of Woman Psychology. 2014; 19(1):31–54. https://doi.org/10.18205/kpa.2014.19.1.002.
21. Kim MS, Kim CH, Hong J, An AR, Choi EK, Keam B, et al. A survey of the ethical problems faced by healthcare professionals and the need for clinical ethics consultation services in university hospitals in South Korea. Korean Journal of Medical Ethics. 2017; 20(4):376–385.
22. Bruce CR. Emergent ethics consultation requested from the operating room. The American Journal of Bioethics. 2015; 15(1):69. https://doi.org/10.1080/15265161.2015.975599.
Article
23. Jeon JM, Lee KS, Park CJ, Woo HY. Effects of nurses’ transformational leadership on job attitude: The mediating effects psychological capital. Journal of the Korea Academia-Industrial Cooperation Society. 2016; 17(7):228–236. https://doi.org/10.5762/KAIS.2016.17.7.228.
24. Korean Nurses Association. Code of ethics for Korean nurses [Internet]. Seoul: Korean Nurses Association;c2018. [cited 2018 Sep 10]. Available from:. http://www.koreanurse.or.kr/about_KNA/ethics.php.
25. Jeong S, Jeong SH, Lee MH, Kim HK. Effects of perceived collaboration with nurses and physicians on nursing performance in perioperative nurses. Journal of Korean Academy of Nursing Administration. 2018; 24(3):253–264. https://doi.org/10.11111/jkana.2018.24.3.253.
Article
26. Lim EJ, Yi YJ. Comparison of operating room nurses and general ward nurses on communicative competence and interpersonal relationship ability within the medical team. Journal of Korean Academy of Nursing Administration. 2014; 20(3):313–321. https://doi.org/10.11111/jkana.2014.20.3.313.
Article
27. Wall S, Austin WJ, Garros D. Organizational influences on health professionals’ experiences of moral distress in PICUs. HEC Forum. 2016; 28(1):53–67. https://doi.org/10.1007/s10730-015-9266-8.
Article
28. Kim EH, Hong SJ, Kim HS. Correlations between the ethical values and critical thinking disposition in nursing student. Asia-Pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2015; 5(6):99–109.
Article
29. Jeong JM, Park JH, Jeong SH. Case development on nurses’ ethical dilemmas with physicians’ and nurses’ decision making. Journal of Korean Academy of Nursing Administration. 2013; 19(5):668–678. https://doi.org/10.11111/jkana.2013.19.5.668.
Article
30. Schroeter K. Ethical perception and resulting action in perioperative nurses. AORN Journal. 1999; 69(5):991–1002. https://doi.org/10.1016/s0001-2092(06)62297-7.
Article
Full Text Links
  • JKAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr