从日本护士的正义和护理角度看道德冲突:定性内容分析
Kayoko Tsunematsu1, Atsushi Asai2, Yasuhiro Kadooka3
1Department of Bioethics, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 8608556, Japan. buzzurg1995@gmail.com.
BMC medical ethics
|October 4, 2023
概括
由于正义与护理伦理交织在一起,医疗保健专业人员经历了道德冲突. 了解这些复杂的相互作用是有效解决护理冲突和道德决策的关键.
科学领域:
- 生物伦理学生物伦理学
- 护理伦理学 护理伦理学
- 伦理哲学 道德哲学
背景情况:
- 医疗保健专业人员使用正义和护理的伦理学来导航道德推理.
- 这些道德框架往往相冲突,导致在实践中出现复杂的道德困境.
- 了解这些冲突对于制定有效的解决策略至关重要.
研究的目的:
- 澄清医疗保健专业人员面临的道德冲突的结构和影响因素.
- 在道德决策中探索正义与护理伦理之间的相互作用.
- 为解决医疗保健环境中的伦理冲突提供建议.
主要方法:
- 对29名日本护士进行了半结构化采访,以了解他们的道德冲突经历.
- 采用雪球采样方法来招募参与者.
- 使用解释方法分析了采访成绩单,根据查利的分类学分类观点.
主要成果:
- 确定了六个司法和护理视角之间的冲突案例,或在单一视角内.
- 发现"规则" (正义) 和"他人的福利" (关心) 经常参与冲突.
- 观察到道德判断与正义和护理观点复杂地交织在一起.
结论:
- 护士的道德判断受到相互交织的正义和护理价值观的影响.
- 组织,专业和患者因素都会导致司法护理冲突.
- 有效的冲突解决需要考虑正义和护理的角度,并对护理伦理提出建议.
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