对护士处理和解决道德价值冲突的能力感知到的组织支持的作用:一种混合方法研究
Maria Skyvell Nilsson1, Christian Gadolin2, Pernilla Larsman3
1Department of Health Sciences, University West, Trollhättan, Sweden.
Journal of advanced nursing
|September 29, 2023
概括
感知到的组织支持赋予护士权力,减少道德价值冲突. 然而,这并不能消除冲突发生时的道德痛苦,强调需要支持和减少冲突的战略.
科学领域:
- 护理伦理学 护理伦理学
- 组织心理学 组织心理学
- 医疗保健管理的管理
背景情况:
- 伦理价值冲突和道德困扰是护士面临的重大挑战.
- 了解组织因素在缓解这些问题的作用对于护士福祉和患者护理至关重要.
研究的目的:
- 调查感知到的组织支持 (POS) 对护士与道德价值冲突和道德困境的经验的影响.
- 探索医疗保健组织如何促进POS以赋予护士权力.
主要方法:
- 一项纵向混合方法研究,涉及瑞典六家医院的711名护士.
- 通过调查 (2019-2021) 收集的定量数据,使用交叉滞后路径建模分析.
- 从焦点小组采访 (n=21) 获得的定性数据,使用"基础理论"原则进行分析.
主要成果:
- 强烈的感知到组织支持的气候与护士的角色安全性增加有关.
- POS有望减少护士遇到的伦理价值冲突的频率.
- 当发生道德价值冲突时,POS并没有显著减少道德痛苦.
结论:
- 促进感知到的组织支持对于赋予护士权力和增强他们的工作经验至关重要.
- 减少道德价值冲突的发生是必不可少的,因为单独POS并不能解决所有道德困境.
- 医疗管理人员应实施促进POS的策略,例如促进共享护理意识形态和支持性的组织结构.
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