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

Kiyomi Asahara, Wakanako Ono, Maasa Kobayashi, Junko Omori, Yumiko Momose, Hiromi Todome, Emiko Konishi

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


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

Original languageEnglish
Pages (from-to)98-108
Number of pages11
JournalJapan Journal of Nursing Science
Issue number1
Publication statusPublished - 2013 Jun
Externally publishedYes


  • Education
  • Ethical issues
  • Home care
  • Nurse
  • Work environment

ASJC Scopus subject areas

  • Research and Theory


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