通过讲座和小组讨论对道德推理,道德痛苦和护士的道德敏感性进行道德决策培训的效果和比较:临床随机对照试验
Morteza Khaghanizadeh1, Aliakbar Koohi1, Abbas Ebadi1
1Behavioral Sciences Research Center, Life Style Institute, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.
BMC medical ethics
|August 4, 2023
概括
伦理决策培训显著提高了护士的道德推理和敏感性. 小组讨论比讲座更有效,而这两种培训方法都减少了与没有培训相比的道德痛苦.
科学领域:
- 护理伦理学 护理伦理学
- 医学教育 医学教育
背景情况:
- 护士的道德决策和行为对于质量护理至关重要.
- 道德发展对于有效的护理实践和道德决策至关重要.
研究的目的:
- 为了比较基于讲座和基于小组讨论的道德决策培训对护士道德推理,道德困扰和道德敏感性的影响.
主要方法:
- 一项随机临床试验,66名护士参加,分为讲座,小组讨论和对照组.
- 使用护理困境测试,道德困扰量表和道德敏感性问卷进行测试前后的设计.
- 二元物流回归分析,以评估培训干预措施的影响.
主要成果:
- 与讲座和对照组相比,小组讨论培训显著提高了护理原则思维和道德敏感性.
- 与对照组相比,讲座和小组讨论训练都显著降低了道德痛苦.
- 机会比率表明,在以讨论为基础的培训中,推理和敏感性有了显著的改善.
结论:
- 伦理决策培训有效地提高了护士的伦理推理和敏感性.
- 团体讨论是提高护士道德敏感性的特别有效方法.
- 建议在研讨会和护理课程中实施此类培训.
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