BACKGROUND There are several studies that have targeted student nurses, but few have clarified the details pertaining to the specific ethical problems in clinical practice with the viewpoint of the nursing faculty. This study was to investigate the ethical problems in clinical practice reported by student nurses to Japanese nursing faculty members for the purpose of improving ethics education in clinical practice. METHOD The subjects comprised 705 nursing faculty members (we sent three questionnaires to one university) who managed clinical practice education at 235 Japanese nursing universities. We performed a simple tabulation of the four items shown in the study design. 1) the details of student nurse consultations regarding ethics in clinical practice (involving the students themselves, nurses, care workers, clinical instructors, and nursing faculty members); 2) the methods of ethics education in clinical practice; 3) the difficulties experienced by the nursing faculty members who received the consultations; and 4) the relationship between clinical practice and lectures on ethics. Furthermore, the analysis was based on the idea of ethical principles, respect for persons, beneficence, and justice. RESULTS The response rate was 28% (198 questionnaires). The nursing faculty members were consulted for various problems by student nurses. The details of these consultations were characterized by the principles of respect for patient by nurses, the principles of benevolence by faculty and clinical instructors, and the principle of justice pertaining to evaluations. The results indicate that there is an awareness among the nursing faculty regarding the necessity of some sort of ethics education at clinical settings. Moreover, based on the nature of the contents of the consultations regarding the hospital and staff, it was evident that the nursing faculty struggled in providing responses. More than half of subjects exhibited an awareness of the relationship between the classroom lectures on ethics and clinical practice. CONCLUSION The results suggest the need for analyzing the ethical viewpoints of student nurses, prior learning, and collaboration with related courses as part of ethics education in clinical practice.

中文翻译：

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咨询临床护理实践中的伦理问题：日本教职员工的观点。

背景技术有一些针对学生护士的研究，但是很少有人从护理学院的角度澄清有关临床实践中特定伦理问题的细节。本研究旨在调查学生护士向日本护理教职人员报告的临床实践中的伦理问题，目的是改善临床实践中的伦理学教育。方法研究对象包括705名护理系成员（我们向一所大学发送了3份问卷），他们在235所日本护理大学进行了临床实践教育。我们对研究设计中显示的四个项目进行了简单列表。1）有关临床实践道德的学生护士咨询的详细信息（涉及学生本人，护士，护理人员，临床讲师，和护理人员）；2）临床实践中的道德教育方法；3）接受咨询的护理人员遇到的困难；（4）临床实践与伦理讲座之间的关系。此外，分析是基于道德原则，对人的尊重，慈善和正义的理念。结果答复率为28％（198份问卷）。学生护士会就各种问题向护理教职人员进行咨询。这些咨询的详细内容以护士尊重病人的原则，教职员工和临床指导老师的仁慈原则以及与评估有关的正义原则为特征。结果表明，在护理人员中已经意识到在临床环境中进行某种道德教育的必要性。此外，根据有关医院和员工的咨询内容的性质，很明显，护理系在提供响应方面很费力。一半以上的受试者表现出对课堂道德与临床实践之间关系的意识。结论结果表明，有必要对学生护士的伦理观点，先前的学习以及与相关课程的合作进行分析，以此作为临床实践中道德教育的一部分。很明显，护理系在提供回应方面很挣扎。一半以上的受试者表现出对课堂道德与临床实践之间关系的意识。结论结果表明，有必要对学生护士的伦理观点，先前的学习以及与相关课程的合作进行分析，以此作为临床实践中道德教育的一部分。很明显，护理系在提供回应方面很挣扎。一半以上的受试者表现出对课堂道德与临床实践之间关系的意识。结论结果表明，有必要对学生护士的伦理观点，先前的学习以及与相关课程的合作进行分析，以此作为临床实践中道德教育的一部分。