[8-8] Ethical analysis of uncomfortable feelings in nursing practice described in narrative writing
Presentation language：Japanese
Objectives: The purpose of this study was to explore the significance of narrative writing by analyzing from an ethical perspective nurses’ narrative described based on uncomfortable feelings that they had in nursing practice.
Methods: The analyzed data were 86 nursing graduate students' narratives described as uncomfortable feelings in clinical settings. We examined what kinds of ethical issues had occurred from their narratives in light of the Code of Ethics for Nurses (2003) proposed by the Japanese Nursing Association and ethical principles. This study was conducted with the approval of St. Luke’s International University Research Ethics Review Committee (14-035).
Results: Many of the 86 narratives included their insincere attitudes to patients and what was associated with patients' autonomy such as respect for their will, the right to know, and the assurance of self-determination. The nurses appeared to struggle to preserve patients’ autonomy and be honest with patients amid various difficulties.
Conclusions: Narrative writing helped nurses notice and consider ethical issues in daily nursing practice in the described situations.