Nursing Ethics Research Research Articles

텍스트네트워크분석 및 토픽모델링을 적용한 국내 간호윤리 연구 동향

This study aimed to explore research trends of nursing ethics in Korea applying text network analysis and topic modelling. 306 articles published in KCI journals from 1998 to 2021 were identified and 516 author-provided keywords were collected. A co-occurrence matrix with 123 keywords, which appeared at least in two articles, were developed based on the Jaccard coefficient. Degree centrality and betweenness centrality were calculated and LDA topic modelling were performed using NetMiner software. The largest number of the articles (70, 23%) were published in Korean Journal of Medical Ethics. The most critical core-keywords, defined as the top 30 keywords in degree centrality and betweenness centrality, were ‘nursing students’ and ‘moral sensitivity’. The other core-keywords included ‘attitude,’ ‘awareness,’ ‘professionalism,’ ‘knowledge,’ and ‘critical thinking.’ related to ethical competence, ‘death,’ ‘hospice,’ ‘euthanasia,’ and ‘research ethics’ related to bioethical issues, and ‘job satisfaction,’ ‘burn out,’ ‘stress,’ ‘organizational culture,’ ‘ethical leadership,’ and ‘ethical climate’ related to organization and leadership. Five topics were identified and named as a) bioethics education for nursing students, b) knowledge and attitudes for bioethical issues, c) awareness and values of bioethics, d) ethical conflicts of RNs, and e) nursing ethics education. This study found that bioethics was the main topics in Korean nursing ethics research and suggested nursing research should focus on ethical issues RNs frequently experience in patient care. Also, research gaps were inferred in multiple topics including nurse-to-nurse relationships, theoretical perspectives of virtue ethics and care ethics, or witnessing healthcare professionals’ unethical behavior.

Ethical Problems and Moral Distress in Primary Care: A Scoping Review

Background: Since 1997, nursing ethics research has focused on solving ethical dilemmas, enhancing decision-making strategies, and introducing professional education. Few studies describe the triggers of ethical dilemmas among primary care nurses. The aim of this study was to explore the moral distress and ethical dilemmas among primary care nurses. Methods: A scoping review was performed following Arskey and O’Malley’s framework. PubMed, CINAHL, PsycINFO, Embase, and Scopus were searched systematically to retrieve relevant titles and abstracts. A temporal filter was applied to focus on the most recent literature (years of 2010–2020). The research was completed on 17 November 2020. Results: Of 184 articles retrieved, 15 were included in the review. Some (n = 7) studies had a qualitative design, and the most productive country was Brazil (n = 7). The total number of nurses involved in quantitative studies was 1137 (range: 36–433); the total number of nurses involved in qualitative studies was 144 (range: 7–73). Three main focus areas were identified: (a) frequent ethical conflicts and moral distress episodes among nurses working in primary care settings; (b) frequent moral distress measures here employed; (c) coping strategies here adopted to prevent or manage moral distress. Conclusion: Further research is needed to examine the differences between moral distress triggers and sources of ethical dilemmas among the different care environments, such as primary care and acute care settings.

국내 간호대학생을 대상으로 한 간호윤리 연구의 통합적 문헌고찰(2011-2020)

This study was conducted to determine the current state, and future directions, of research on nursing ethics for nursing students in Korea. The study analyzed and evaluated original research articles that explore nursing ethics issues for Korean nursing students using the integrative literature review method proposed by Whittermore and Knafl. Five Korean databases were searched with queries that combined the terms ‘nursing’, ‘student’, ‘ethic’, and ‘moral’. From the 246 articles published between 2011 and September 2020, 92 were finally selected based on the inclusion criteria and data evaluation. According to the analysis, descriptive studies(75.0%) were the most common designs of article and ethics awareness(37.9%) was the most common research topics. The most frequent keywords were ‘bioethics’, ‘ethics’, ‘(moral) sensitivity’, ‘(critical) thinking’, ‘(ethical) value’, ‘education’, and ‘professionalism’. Most of the research instruments used had been developed in previous studies(88.2%), and the types of journals in which the research was published included those in interdisciplinary medical fields(47.8%), nursing(27.2%), and ethics(10.9%). The number of articles per year has been increasing, especially in 2015 and 2018, and interest in ethical issues and professional ethics has also increased since 2015. This article argues that in order to improve the quality of nursing ethic sresearch, related research should be carried out using a variety of research designs on a wider range of topics, and further develop the knowledge specific to nursing.

간호윤리 연구 동향 분석: 2009년 이후 자료를 중심으로*

The purpose of this study was to explore the current state of nursing ethics research in Korea by analyzing original research articles published in the Korean Citation Index from 2009 to 2016. A total of 87 articles were analyzed and summarized in terms of topic, study respondent, design, publishing journal, and keywords. The three most frequently studied topics are (a) ethical awareness, (b) attitude and recognition about ethical issues, and (c) nursing ethics education, in order. Study respondents were mainly nurses (44.9%) and nursing students (42.7%). The most frequently used research design was survey (74.2%), and most articles were published in non-nursing journals. On the basis of these results, several recommendations concerning research topics, methodologies, and suggestions for the future nursing ethics research were made.

Trends in nursing ethics research: Mapping the literature production.

There have been a number of debates in the field of nursing ethics. Researchers have focused on various aspects of nursing ethics, such as professional ethics, professional, nursing and ethical values. Within this research, a variety of literature reviews have been conducted, but to the best of our knowledge, bibliometric mapping has not yet been used. This article aims to analyse the production of literature within nursing ethics research. In order to examine publishing patterns, we focused on publishing dynamics, prolific research entities and the most-cited articles. We additionally visualised the content of the literature using a novel mixed-method approach, combining bibliometric analysis and mapping with thematic analysis. Ethical considerations: In our study, ethical review was not required. A total of 1416 information sources were found in the Scopus database. Overall, literature production has increased; however, in recent years, the quantity of published material has begun to decrease. The most prolific countries are the United States, the United Kingdom and Canada, and the most prolific source titles are Nursing Ethics, Journal of Advanced Nursing and Nursing Times. Lately, research in the field of nursing ethics has been focused more on life care (providing for the basic needs of older residents), moral distress and community nursing. The dynamics of research literature production showed an exponential rise in the number of published information sources - a rise which started in the period between 1974 and 1998. Since that period, the trend has stabilised, which might indicate that nursing ethics research is starting a transition to a mature phase. The innovative use of bibliometric analysis and mapping, together with thematic analysis, is a useful tool for analysis of research production in the field of nursing ethics. The results presented can be an excellent starting point for literature reviews and more exhaustive data, information and knowledge seeking.

Dignity-enhancing nursing care

Starting from two observations regarding nursing ethics research in the past two decades, namely, the dominant influence of both the empirical methods and the principles approach, we present the cornerstones of a foundational argument-based nursing ethics framework. First, we briefly outline the general philosophical-ethical background from which we develop our framework. This is based on three aspects: lived experience, interpretative dialogue, and normative standard. Against this background, we identify and explore three key concepts--vulnerability, care, and dignity--that must be observed in an ethical approach to nursing. Based on these concepts, we argue that the ethical essence of nursing is the provision of care in response to the vulnerability of a human being in order to maintain, protect, and promote his or her dignity as much as possible.

한국 간호윤리 연구에 대한 양적 분석*

Purpose: The objective of this study was to analyze the evolution and nature of ethics research within the Korean nursing community. Method: For this retrospective quantitative study, articles related to biomedical issues published by nurses or nursing students in peer-reviewed Korean journals and master theses and doctoral dissertations written in Korea from 1968 to 2008 were collected via the databases at The Korean Nurses Association, The Korean Education and Research Information Service, The Korean Studies Information Service System, and The Korean Medical Database. Results: In total, 110 were articles published and 75 master theses and doctoral dissertations presented. Of these, 148 (80%) studies used an empirical design. The period 2001-2005 presented a higher number of studies (n=71, 38.4%). Eighteen peer-reviewed journals in the field of nursing published ethical studies. The main topics of research were professional ethics for nurses (25.4%, n=47), do-not-resuscitate orders (n=21), and ethical dilemmas (n=19). Most empirical studies employed quantitative designs (79.7%, n=118). Conclusion: The findings of this study highlight important issues for the development of nursing ethics research, including the diversity of research topics, subjects, and design, the selection and convergence of research topics, researcher training, and international multidisciplinary collaboration.

A narrative approach to empirical nursing ethics research: uncovering the everyday moral knowledge of nurses

In this paper we explore the use of Margaret Urban Walker's metaethical perspective, particularly the use of narratives, to inform the development of a research approach to uncover the everyday moral knowledge of nurses. A method based on Walker's work makes it possible to analyze the power dimensions inherent in nurses' moral experience, to ground a narrative approach to nursing ethics with a robust moral epistemology, and to differentiate different types of narratives. A number of analytic questions, which have their basis in Walker's work, are presented and are used to analyze a practice narrative written to illustrate how narratives can be used to draw out the moral knowledge of nurses within the context of their actual work.

Guest Editorial: We need more nursing ethics research

Guest Editorial: We need more nursing ethics research

Conceptual Issues in Nursing Ethics Research

Empirical studies that have attempted to describe nurses' ethical practice have used conceptual frameworks derived primarily from the disciplines of bioethics and psychology. These frameworks have not incorporated important concepts developed by nursing theorists over the past two decades. This article points out flaws in the past research frameworks and proposes a synthesis of ethical theory, nursing practice contexts, and empirical research methods to enrich theoretical development in nursing ethics.

Nursing ethics: current state of the art.

... The essays in this issue of the Journal highlight the types of insights that nursing ethics brings to health care ethics, in general, and attempt to address questions about the adequacy of the conceptual and theoretical foundations of bioethics for a practice discipline like nursing. The essays are written by nurses and non-nurses and bring a surprising balance to the discussion of important issues in nursing ethics from several perspectives. The essays do not represent the full scope of philosophical thought and normative judgements in nursing ethics at the present time, but they do provide a view of nursing ethics through the lens of nursing ethics research, past and present. [Introductions follow to essays by Joy H. Penticuff, Joan Liaschenko and Anne J. Davis, Nancy S. Jecker and Donnie J. Self, Betty J. Winslow and Gerald R. Winslow, Robert J. Connelly, Patricia A. Roth and Janet K. Harrison, and Kevin Wildes].