Journal of Korean Academy of Psychiatric and Mental Health Nursing (정신간호학회지)

The Korean Academy of Psychiatric and Mental Health Nursing (한국정신간호학회)
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Moral Sensitivity, Empathy and Perceived Ethical Climate of Psychiatric Nurses Working in the National Mental Hospitals

국립정신의료기관 간호사의 도덕적 민감성과 공감능력 및 지각된 윤리풍토의 관계

  • Jo, Hyekyung (National Center for Mental Health.Graduate School, Yonsei University) ;
  • Kim, Sunah (College of Nursing, Yonsei University)
  • 조혜경 (국립정신건강센터.연세대학교 대학원 간호학과) ;
  • 김선아 (연세대학교 간호대학)
  • Received : 2017.04.04
  • Accepted : 2017.06.09
  • Published : 2017.06.30
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Abstract

Purpose: The purpose of this study was to identify the relationships between Moral Sensitivity, Empathy and Perceived Ethical Climate for nurses working in national mental hospitals and to provide basic data for the development of interventions that enhance Moral Sensitivity and help psychiatric hospital nurses in Ethical Decision-making. Methods: This descriptive cross-sectional study was conducted with 182 psychiatric nurses working in the national mental hospitals. Data were collected through self-report questionnaires which included the Moral Sensitivity Questionnaire (MSQ), Interpersonal Reactivity Index (IRI), and Hospital Ethical Climate Survey (HECS). Results: The mean score for MSQ was 5.19, for IRI, 2.49, and for HECS, 3.73. There was a significant positive correlation between moral sensitivity and empathy (r=.24, p=.001), between moral sensitivity and perceived ethical climate (r=.17, p=.025) and between empathy and perceived ethical climate (r=.17, p=.025). Conclusion: Findings indicate that moral sensitivity can be enhanced by improving empathy, a personal factor, and ethical climate, an organization factor. Further identification of the relationship between moral sensitivity and personal and organizational factors will be useful in the development of interventions to enhance moral sensitivity of nurses working in psychiatric wards.

Keywords

References

  1. Lutzen K, Dahlqvist V, Eriksson S, Norberg A. Developing the concept of moral sensitivity in health care practice. Nursing Ethics. 2006;13(2):187-196. https://doi.org/10.1191/0969733006ne837oa
  2. Han SS, Kim J, Kim YS, Ahn S. Validation of a Korean version of the moral sensitivity questionnaire. Nursing Ethics. 2010;17(1):99-105. https://doi.org/10.1177/0969733009349993
  3. Rest JR. Moral development: advances in research and theory. New York: Praeger. 1986. 224 p.
  4. Liaschenko J, Peter E. Nursing ethics and conceptualizations of nursing: profession, practice and work. Journal of Advanced Nursing. 2004;46(5):488-495. https://doi.org/10.1111/j.1365-2648.2004.03011.x
  5. Valimaki M, Taipale J, Kaltiala-Heino R. Deprivation of liberty in psychiatric treatment: a finnish perspective. Nursing Ethics. 2001;8(6):522-532. https://doi.org/10.1177/096973300100800606
  6. Lutzen K, Evertzon M, Nordin C. Moral sensitivity in psychiatric practice. Nursing Ethics. 1997;4(6):472-482. https://doi.org/10.1177/096973309700400604
  7. Choe K, Song EJ, Jung CH. Ethical problems experienced by psychiatric nurses in Korea. Archives of Psychiatric Nursing. 2012;26(6):495-502. https://doi.org/10.1016/j.apnu.2012.04.002
  8. Ohnishi K, Ohgushi Y, Nakano M, Fujii H, Tanaka H, Kitaoka K, et al. Moral distress experienced by psychiatric nurses in Japan. Nursing Ethics. 2010;17(6):726-740. https://doi.org/10.1177/0969733010379178
  9. Noh D, Kim S, Kim S. 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
  10. Rushton CH, Penticuff JH. A framework for analysis of ethical dilemmas in critical care nursing. AACN Advanced Critical Care. 2007;18(3):323-329. https://doi.org/10.1097/01.aacn.0000284434.83652.d5
  11. Terpstra TL, Terpstra TL, Pettee EJ, Hunter M. Nursing staff's attitudes toward seclusion & restraint. Journal of Psychosocial Nursing and Mental Health Services. 2001;39(5):20-28.
  12. Hoffman ML. Empathy and moral development: implications for caring and justice. Cambridge: Cambridge University Press. 2001. 24 p.
  13. Victor B, Cullen JB. The organizational bases of ethical work climates. Administrative Science Quarterly. 1988:101-125.
  14. Kim HR, Ahn SH. Moral sensitivity and moral distress among Korean hospital nurses. Korean Journal of Medical Ethics. 2010;13(4):321-336. https://doi.org/10.35301/ksme.2010.13.4.321
  15. Jo KH, Kim YJ. The impact of nurses' attitude toward dignified death and moral sensitivity on their end-of-life care performance. Korean Journal of Hospice and Palliative Care. 2013; 16(4):223-231. https://doi.org/10.14475/kjhpc.2013.16.4.223
  16. Olson LL. Hospital nurses' perceptions of the ethical climate of their work setting. Journal of Nursing Scholarship. 1998;30(4):345-349. https://doi.org/10.1111/j.1547-5069.1998.tb01331.x
  17. Lutzen K, Nordstrom G, Evertzon M. Moral sensitivity in nursing practice. Scandinavian Journal of Caring Sciences. 1995;9(3):131-138. https://doi.org/10.1111/j.1471-6712.1995.tb00403.x
  18. Davis MH. Empathy: A social psychological approach. Colorado: Westview Press. 1994. 272 p.
  19. Park, SH. Empaty and Prosocial Behavior. Seoul: Moonumsa. 1997. 197 p.
  20. Woo CH, Chae DH, Kang KH. The relationship between cultural awareness and empathy in armed forces nursing academy cadet. Journal of Military Nursing Research. 2013;31(1):43-56.
  21. Lutzen K, Johansson A, Nordstrom G. Moral sensitivity: some differences between nurses and physicians. Nursing Ethics. 2000;7(6):520-530. https://doi.org/10.1177/096973300000700607
  22. Cho HJ, Jung MS. Effect of empathy, resilience, self-care on compassion fatigue in oncology nurses. The Journal of Korean Nursing Administration Academic Society. 2014;20(4):373-382. https://dx.doi.org/10.11111/jkana.2014.20.4.373
  23. Davis MH. A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology, 1980;10:1-85.
  24. Khodabakhsh M. Attachment styles as predictors of empathy in nursing students. Journal of Medical Ethics and History of Medicine. 2012;5(8):1-7.
  25. Kliszcz J, Nowicka-Sauer K, Trzeciak B, Nowak P, Sadowska A. Empathy in health care providers-validation study of the Polish version of the Jefferson Scale of Empathy. Advances in Medical Sciences. 2006;51:219-225.
  26. Pauly B, Varcoe C, Storch J, Newton L. Registered nurses' perceptions of moral distress and ethical climate. Nursing Ethics. 2009;16(5):561-573. https://doi.org/10.1177/096973300910664
  27. Suhonen R, Stolt M, Gustafsson M-L, Katajisto J, Charalambous A. The associations among the ethical climate, the professional practice environment and individualized care in care settings for older people. Journal of Advanced Nursing. 2014;70(6):1356-1368. https://doi.org/10.1111/jan.12297
  28. Ghorbani AA, Hesamzadeh A, Khademloo M, Khalili S, Hesamzadeh S, Berger V. Public and private hospital nurses' perceptions of the ethical climate in their work settings, sari City, 2011. Nursing and Midwifery Studies. 2014;3(1):e12867. https://doi.org/10.17795/nmsjournal12867
  29. Schluter J, Winch S, Holzhauser K, Henderson A. Nurses' moral sensitivity and hospital ethical climate: a literature review. Nursing ethics. 2008;15(3):304-321. https://doi.org/10.1177/0969733007088357

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