护士对道德困扰的经历以及它如何影响外科护理的日常工作 - - 一项定性研究
Maria Demir1, Elin Håkansson2, Jenny Drott1,3
1Department of Surgery, Department of Biomedicine and Clinical Sciences, County Council of Östergötland, Linköping University, Linköping, Sweden.
Journal of advanced nursing
|November 17, 2023
概括
由于人员短缺和复杂的患者需求,手术护理护士经历了严重的道德困扰,影响了患者安全和员工保留. 解决这些问题对于保留护士在外科手术角色至关重要.
科学领域:
- 护理 护理 护理
- 手术护理 手术护理
- 医疗保健道德 医疗保健道德
背景情况:
- 医疗保健专业人员越来越关注道德困境,特别是在外科护理等高压环境中.
- 了解面临道德困境的护士的生活经历,对于制定有效的支持策略至关重要.
研究的目的:
- 探索和描述在外科护理机构的护士和专科护士中道德困境的经历.
- 确定导致道德困境的因素及其对日常工作和患者安全的影响.
主要方法:
- 进行了一项定性描述性研究.
- 在瑞典两家医院进行了12次深入采访,对两个瑞典医院的护士和外科护士进行了深入采访.
- 数据使用传统的定性内容分析来分析.
主要成果:
- 缺乏人员和复杂的手术患者需求被确定为道德困境的主要来源.
- 对个体护士和团队工作动态的高要求也导致了道德困境.
- 后果包括对患者安全,个人护士福祉和未来护理服务的风险.
结论:
- 对外科护理护士来说,道德困扰是一个很重要的问题,需要采取干预措施,以防止从业人员退出这个行业.
- 确定优先级的挑战和道德上的困扰对患者的安全构成风险.
- 医疗保健组织必须实施支持结构,赋权护士的道德声音,并创造一个与专业价值观一致的环境,以提高外科护理的吸引力.
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