在大流行期间制定道德性协作计划
Linda Cole1, Carole Mackavey, Padmavathy Ramaswamy
1Department of Graduate Studies, Cizik School of Nursing, University of Texas Health Science Center, Houston (Drs Cole, Mackavey, Ramaswamy, and Mullassery); and University of Pittsburgh, Pittsburgh, Pennsylvania (Dr Vincent).
Holistic nursing practice
|June 19, 2023
概括
医疗保健工作者可以建立道德性来管理心理压力. 尽管在数据收集方面存在挑战,但试点计划的有效性得到了证明,这凸显了此类举措的必要性.
科学领域:
- 医疗保健管理的管理
- 职业健康心理学 职业健康心理学
- 护理教育 护理教育
背景情况:
- 医疗保健工作者的心理压力增加可能导致道德困境,对患者的护理,工作满意度和员工的保留产生负面影响.
- 道德困扰是医疗保健中的一个重要问题,它影响了个人从业者和组织结果.
- 需要有效的策略来支持面临道德困境的医疗保健工作者至关重要.
研究的目的:
- 实施和评估一个道德性协作计划的卫生保健工作者在康复设施.
- 为医疗保健工作者提供自我管理道德困境的技能,并培养道德性.
- 评估该计划对道德困境和弹性水平的影响.
主要方法:
- 护理学校和康复设施之间的学术合作伙伴关系促进了该计划的实施.
- 在实施前,使用"医疗保健专业人员的道德困境测量 (MMD-HP) "和"短期弹性调查" (SRS) 进行了道德困境和弹性测量.
- 通过汇报会议收集了定性数据,以评估计划的有效性,因为COVID-19的激增阻碍了实施后的定量数据收集.
主要成果:
- 报告会议的定性数据表明,该计划在解决道德困境方面是有效的.
- 实施前的数据表明,医疗保健工作人员经历的道德困扰与急症或重症监护机构的精神困扰相当.
- 诸如患者护理需求,繁忙的工作环境和外部因素等挑战可能会阻碍参与弹性计划.
结论:
- "道德性协作计划"在提高医疗保健工作者的道德性方面显示出有前途.
- 定性发现表明该计划的有效性,尽管在定量数据收集的局限性.
- 解决参与障碍对于在医疗保健机构成功实施和扩展这种弹性倡议至关重要.
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