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"Ethics"

Original Articles
Purpose
This study aimed to evaluate the validity and reliability of the revised Korean version of the Nurses' Ethical Behaviors for Protecting Patient's Rights Scale (NEBPPRS-K25).
Methods
The participants in this study consisted of 311 nurses employed at university hospitals located in D, S, or U cities. Data were collected from July 1 to August 31, 2022. The collected data were analyzed utilizing SPSS and AMOS version 28.0.
Results
The statistical analysis led to the exclusion of three items from the original version, resulting in five subscales encompassing a total of 25 items. Confirmatory factor analysis demonstrated satisfactory model fit indices (normed χ2 =2.56, p<.001, RMR=.05, RMSEA=.07, GFI=.84, CFI=.86, TLI=.85, IFI=.87). The items' convergent and discriminant validity were verified using confirmed through the extracted mean variance (.54~.65) and composite reliability (.78~.90). The Cronbach's ⍺ value for the overall NEBPPRS-K instrument was .89, while the Cronbach's ⍺ value for each individual subscale ranged from .66 to .85.
Conclusion
The NEBPPRS-K25 is a valid and reliable scale, making it suitable for widespread use in measuring nurses' ethical behaviors to safeguard patient rights.

Citations

Citations to this article as recorded by  
  • Psychometric evaluation of the Vietnamese version of nurses’ ethical behaviors for protecting patient rights scale (V-NEBPPRS): a methodological study
    Ninh Do Thi, Gunjeong Lee, Dian Susmarini
    BMC Nursing.2024;[Epub]     CrossRef
  • Development of Ethical Competence Self-assessment Tool for Korean Physical Therapists
    JiYeon Cheon, MyungChul Kim, HaeIn Kim, Hyunsuk Kim
    The Open Public Health Journal.2024;[Epub]     CrossRef
  • 61 View
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  • 2 Crossref
  • 2 Scopus
Purpose
The purpose of this study is to identify the characteristics of Korean nurses' research participation experiences; their resulting consent satisfaction; pressure to participate; satisfaction in participating; and the factors influencing research participation satisfaction. Methods A descriptive cross-sectional design was used. Data were collected using a questionnaire distributed to nurses who are employed at hospitals or higher medical institutions nationwide and have participated in nursing research at least once. 197 nurses participated in this study. 173 data were analyzed using descriptive statistics, correlation, and regression. Results Senior nurses made the most participation requests (21.4%). The coercion to participate in the research (2.67±0.64) was lower than normal (3). However, the coercion level to participate in the study was significantly higher when notified by the institution or department (F=5.29, p<.001), the department head requested participation (F=5.17, p<.001), or senior nurses instructed other nurses to participate (F=7.96, p<.001). Satisfaction with informed consent (β=.55, p<.001) and coercion to participate in the research (F=93.16, p<.001) were significant variables influencing the satisfaction with research participation (R2=.52). Conclusion In order to protect the rights of nurses as research participants, it is necessary to improve researcher awareness and quality of nursing research, as well as provide ethical research environments for research participants.
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  • 1 Download
  • 0 Scopus
Development of Ethical Nursing Competence Self-rating Scale for Clinical Nurses
Borah Kang, Hee young Oh
Korean J Adult Nurs 2020;32(5):482-493.   Published online October 31, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.5.482
Purpose
The aim of this study was to develop an Ethical Nursing Competence Self-rating Scale for Clinical Nurses. Methods: A scale-development study was applied that comprised eight stages of DeVellis. The scale verification involved a convenience sample of 423 nurses from September to October 2019 at three general hospitals located in Korea. The content validity, factorial structure validity, item-convergent/discriminant validity, known-group validity, convergent validity, internal consistency reliability, and test-retest reliability of the Ethical Nursing Competence Self-rating Scale for Clinical Nurses were evaluated. Data were analyzed using exploratory and confirmatory factor analyses, Pearson’s correlation coefficient, Heterotrait-monotrait (HTMT), Cronbach’s ⍺, and intraclass correlation coefficient. Results: Exploratory and confirmatory factor analyses yielded five-factors. Known-group validity was demonstrated by clinical experience and nursing ethics education experience. Convergent validity was demonstrated using measures of defining issue. Internal consistency reliability and test-retest reliability were found to be acceptable, as indicated by a Cronbach’s ⍺ of .70~.85 and an intraclass correlation coefficient of .72~.89. Conclusion: The Ethical Nursing Competence Self-rating Scale for Clinical Nurses is a new instrument that comprehensively measures the aspects of ethical behavior, ethical decision-making and action, ethical sensitivity, ethical reflection, and ethical knowledge. It consists of 20 items scored on a 4-point Likert scale. The validity and reliability of the scale were verified. These findings indicate that the instrument can be applied in clinical practice, nursing education, and research.

Citations

Citations to this article as recorded by  
  • Effects of Clinical Nurses' Ethical Climate and Ethical Nursing Competence on Moral Distress
    Sun Mi Ha, Yeong Ju Yoon
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 25.     CrossRef
  • Influence of Nurses' Moral Distress and Ethical Nursing Competence on Retention Intention
    Ji-Hyun Choi, Mi-Jin Byun, Thi Ninh Do
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 36.     CrossRef
  • Assessing educational needs of nurses’ ethical competence based on the four components model of moral behaviour: a cross-sectional study using the Borich needs assessment and locus for focus models
    Kyunghee Ha, Younjae Oh
    BMC Nursing.2025;[Epub]     CrossRef
  • Effects of Patient Safety Management System, Leadership, and Communication Types on Nurse’ Patient Safety Management Activities
    Eunji Lee, Haejung Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 367.     CrossRef
  • Factors Influencing End-of-life Care Competency in Nursing Students
    Jinryung Park, Minjeong Seo
    Korean Journal of Medical Ethics.2024; 27(4): 267.     CrossRef
  • The Influence of Ethical Nursing Competence and Positive Nursing Organizational Culture on Person-Centered Care in Intensive Care Unit Nurses: A Cross-Sectional Survey
    Jae Eun Lee, Hye-Young Jang
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 304.     CrossRef
  • Influence of Patient Safety Culture, Ethical Nursing Competence, and Nursing Professionalism on the Perception of Disclosure of Patient Safety Incidents among Nurses in Tertiary Hospitals
    Seulki Kim, Yoonju Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 392.     CrossRef
  • Development of Ethical Competence Self-assessment Tool for Korean Physical Therapists
    JiYeon Cheon, MyungChul Kim, HaeIn Kim, Hyunsuk Kim
    The Open Public Health Journal.2024;[Epub]     CrossRef
  • Nurses’ intention to care of COVID-19 patients in hospitals dedicated to infectious disease in South Korea: application of the theory of planned behavior and verification of the moderating effect of ethical nursing competence
    Mira Mo, Seongmi Moon, Eun Kyeung Song
    BMC Nursing.2024;[Epub]     CrossRef
  • Validity and Reliability of the Korean Version of Nurses' Ethical Behaviors for Protecting Patient's Rights Scale: A Methodological Study
    Jihye Yun, Heeyoung Oh
    Korean Journal of Adult Nursing.2023; 35(2): 138.     CrossRef
  • 122 View
  • 6 Download
  • 10 Crossref
PURPOSE
The purpose of study was to describe operation room nurses' ethical values in relationship to the attitude and meaning of life toward organ transplantation in brain death.
METHODS
This study used a descriptive correlational survey design. Participants were 174 nurses who had attended to organ transplantation surgery in brain death more than once. Data were collected from September 1 to 11, 2015 and were analyzed using independent t-test, ANOVA, Scheffé test, Pearson's correlation coefficients, and hierarchical multiple regression with SPSS 22.0.
RESULTS
Educational level, attitude on organ transplantation in brain death, and meaning of life were significant variables predicting the level of nursing ethical value, accounting for 82.6% of the variability.
CONCLUSION
Continued education and self-development programs should be encouraged for operating room nurses to establish professional nursing ethics as well as positive meaning of life and attitude toward the organ transplantation in brain death.

Citations

Citations to this article as recorded by  
  • Influencing Factors of Death Perception and Self-efficacy on Meaning in Life in Nurses who Experienced End of Life Care
    Hee Jung Hong, Sung Hee Choi, Bok Soon Shin
    The Korean Journal of Rehabilitation Nursing.2023; 26(1): 49.     CrossRef
  • Types of Perception toward Ethical Issues in Perioperative Nurses: Q-Methodological Approach
    Jin Nam Kim, Seok Hee Jeong
    Journal of Korean Academy of Nursing.2018; 48(6): 679.     CrossRef
  • Influence of Information Literacy and Perception of Patient Data Privacy on Ethical Values among Hospital Clinical Nurses
    Hyung-Eun Seo, Eun-Young Doo, Sujin Choi, Miyoung Kim
    Journal of Korean Academy of Nursing Administration.2017; 23(1): 52.     CrossRef
  • 17 View
  • 1 Download
  • 3 Crossref
An Ethical Appraisal of Informed Consent in the Clinical Setting
Byung Hye Kong, Won Hee Lee, In Sook Kim, Sue Kim, Sun Hee Lee
J Korean Acad Adult Nurs 2007;19(4):556-566.   Published online September 30, 2007
PURPOSE
This study attempted to analyze problems of informed consent in the clinical setting and appraise ethical aspects inherent in such issues in order to boost awareness of informed consent and its implementation among healthcare professionals.
METHODS
Study methods included identifying ethical meanings of informed consent in the clinical setting based on the principal ethics, and exploring the process of informed consent utilizing communicative ethics and feminine care ethics RESULTS: The ethical basis of informed consent encompasses not only respect for autonomy but also prohibiting malice, practicing beneficience, and establishing justice. These principles, however, are limited in illustrating the ethical aspects of communicative ethics and care ethics that are entailed in informed consent within clinical settings. The ethical meaning of informed consent involves a communicative and caring process between healthcare professionals, patients, and family built on mutual respect.
CONCLUSION
Healthcare professionals must fully understand the ethical meanings of informed consent and in turn respect and protect the clients' right to know and making decisions. Nurses especially, must take on the role of mediator and advocate throughout the process of obtaining informed consent, and practice ethical caring by facilitating communication grounded in mutual understanding among the physician, patient, and family members.
  • 16 View
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