社区护士所经历的道德冲突:一种定性研究
Caroline Porr1, Alice Gaudine1, Joanne Smith-Young1
1Faculty of Nursing, Memorial University of Newfoundland.
Nursing ethics
|October 6, 2023
概括
社区护士面临着伦理冲突,包括资源限制和客户倡导挑战. 了解这些问题至关重要,因为医疗保健转移到社区环境中.
科学领域:
- 护理伦理学 护理伦理学
- 医疗保健政策 医疗保健政策
- 定性研究是指质量研究.
背景情况:
- 关于加拿大社区医疗保健专业人员面临的伦理冲突的研究有限.
- 新闻报道强调了社区护理提供中道德上令人痛苦的情况.
- 随着医疗保健服务从机构向社区环境过渡,道德挑战正在增加.
研究的目的:
- 识别和分类社区护士所经历的伦理冲突.
- 提供关于社区护理实践中固有的伦理困境的见解.
主要方法:
- 与社区护士进行的半结构面试的定性内容分析.
- 在一个更大的研究项目中使用基于理论的方法.
- 与加拿大两个省的13名公共卫生护士和11名家庭护理护士进行了采访.
主要成果:
- 确定了七个不同的伦理冲突,并分为两类:义务/风险的挑战和过程/风险/后果的挑战.
- 关键的冲突包括对不充分服务的发展问题进行查,应对医疗保健不平等,以及为客户辩护感到无能为力.
- 其他冲突涉及平衡治疗关系与报告儿童福利问题,管理社区客户的保密性,并在不确定的结果中支持自主权.
结论:
- 持续的研究对于提高社区医疗保健的意识和发展道德支持至关重要.
- 全球社区护士将越来越多地面临复杂的伦理问题,原因是医疗保健的转变以及气候变化影响传染病等全球性挑战.
- 解决这些道德冲突需要社区护士的能力和同情心.
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