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Nursing Ethics
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A Comparative Study of Chinese, American and Japanese Nurses’ Perceptions of Ethical Role Responsibilities

Samantha Mei-che Pang

Hong Kong Polytechnic University, China, hsspang{at}inet.polyu.edu.hk

Aiko Sawada

Toyama Medical and Pharmaceutical University, Japan

Emiko Konishi

Nagano College of Nursing, Japan

Douglas P Olsen

Yale University School of Nursing, New Haven, CT, USA

Philip LH Yu

University of Hong Kong, China

Moon-fai Chan

Hong Kong Polytechnic University, China

Naoya Mayumi

Nagano College of Nursing, Japan

This article reports a survey of nurses in different cultural settings to reveal their perceptions of ethical role responsibilities relevant to nursing practice. Drawing on the Confucian theory of ethics, the first section attempts to understand nursing ethics in the context of multiple role relationships. The second section reports the administration of the Role Responsibilities Questionnaire (RRQ) to a sample of nurses in China (n = 413), the USA (n = 163), and Japan (n = 667). Multidimensional preference analysis revealed the patterns of rankings given by the nurses to the statements they considered as important ethical responsibilities. The Chinese nurses were more virtue based in their perception of ethical responsibilities, the American nurses were more principle based, and the Japanese nurses were more care based. The findings indicate that the RRQ is a sensitive instrument for outlining the embedded sociocultural factors that influence nurses’ perceptions of ethical responsibilities in the realities of nursing practice. This study could be important in the fostering of partnerships in international nursing ethics.

Key Words: care-based ethics • cultural study • principle-based ethics • virtue-based ethics

Nursing Ethics, Vol. 10, No. 3, 295-311 (2003)
DOI: 10.1191/0969733003ne607oa


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