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Jpn J Nurs Sci. 2013 Jun;10(1):98-108. doi: 10.1111/j.1742-7924.2012.00216.x. Epub 2012 Jun 3.

Ethical issues in practice: a survey of home-visiting nurses in Japan.

Author information

  • 1Department of Nursing Science, St Luke's College of Nursing, Tokyo, Japan. asahara@slcn.ac.jp



The purposes of this study were to identify specific components and frequencies of ethical issues that home-visiting nurses encountered in their practice, relationships between ethical issues and demographic data, and experience of ethics education and workplace environment.


A self-administered questionnaire was distributed to home-visiting nurses in Japan. Usable data (1961) were analyzed.


Item and exploratory factor analysis for the frequency of encountering ethical issues revealed: (i) concern about respecting client or relationships with relevant professionals; (ii) differences in treatment or care-taking views among home-visiting nurse and client and family, or relevant professionals; and (iii) discrepancy of intention between family and client or home-visiting nurse. All factors were significantly positively related to the current position, duration of working experience as a home-visiting nurse, and type of nursing education; age was significantly negatively related. Home-visiting nurses noted that programmed continuing education systems and staff-training programs were not sufficiently available.


The findings of this study indicated the characteristics of ethical issues that home-visiting nurses encountered in their practice and insufficient continuing education system including ethics education. Ethics education programs tailored to home-visiting nurses ethical concerns and traits and continuing education systems are needed.

© 2012 The Authors. Japan Journal of Nursing Science © 2012 Japan Academy of Nursing Science.

[PubMed - indexed for MEDLINE]
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