减少护士的道德痛苦 (PRMD) 的教育计划;设计和评估
Nahid Tavakol1,2, Zahra Molazem3, Mahnaz Rakhshan4
1Shiraz University of Medical Sciences, Shiraz, Iran.
BMC medical education
|July 11, 2023
概括
这项研究开发并评估了一项教育计划,以减少护士的道德痛苦. 该计划显著降低了道德困境得分,改善了护士的表现.
科学领域:
- 护理教育 护理教育
- 医疗保健道德 医疗保健道德
- 定性研究是指质量研究.
背景情况:
- 道德困扰是影响护士,患者和医疗保健系统的一个普遍问题.
- 需要有效的策略来缓解道德困境的负面后果.
- 这项研究探讨了为护士提供基于证据的教育干预的必要性.
研究的目的:
- 设计和评估一项旨在减少护士道德困境的教育计划.
- 确定护士职业道德困境的主要原因.
- 通过混合方法来评估教育干预的有效性.
主要方法:
- 这是一项多相混合方法研究,在伊朗的希拉兹进行,涉及40名护士.
- 程序设计遵循了Ewles和Sminett的模型,结合了定性数据,专家意见和文献评论.
- 准实验性设计,使用道德困扰问卷和内容分析进行干预前后测量.
主要成果:
- 确定道德困境的原因包括专业能力差距,组织文化,沟通问题和道德困境.
- 干预后观察到道德痛苦得分的显著降低 (p < 0.05).
- 护士报告说,他们提高了道德知识,改善了道德气候,增加了道德赋权.
结论:
- 结合多种方法和管理人员参与的教育计划有效地减少了护士的道德困境.
- 该干预成功地提高了护士的道德意识和赋权.
- 研究结果支持将此类计划纳入护理教育和实践.
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