早期职业护士和道德困境:综合性审查
Lauren A Loyd1, Lynnette Leeseberg Stamler1, Beth Culross1
1University of Nebraska Medical Center College of Nursing, 4111 Dewey Avenue, Omaha, NE 68198-5330, United States.
Nurse education in practice
|November 21, 2023
概括
职业生涯早期护士的道德压力显示出不一致的流行率,突出了研究差距. 需要进一步的研究来理解和解决这个问题,支持新的护士.
科学领域:
- 护理 护理 护理
- 医疗保健道德 医疗保健道德
- 专业发展专业发展
背景情况:
- 道德上的困扰对护士在身体和心理上产生负面影响,导致倦怠和护士短缺.
- 对于早期职业生涯的护士来说,过渡期特别脆弱.
- 护士教育者在准备护士管理道德困境方面发挥着关键作用.
研究的目的:
- 评估和综合过去40年出版的关于职业生涯早期护士 (0-5年经验) 精神困境的文献.
主要方法:
- 使用惠特莫尔和Knafl的方法和PRISMA 2020检查清单进行综合性审查.
- 搜索了五个数据库 (CINAHL,ERIC,PsychInfo,PubMed,Embase) 的"道德困扰"和"新毕业的护士"研究.
- 包括以英语进行的定性和定量研究,重点关注道德困境和多年的经验.
主要成果:
- 八份初级研究报告 (2016-2022) 符合标准,主要是量化报告,来自六个国家.
- 急性护理环境是最受代表的,有两项研究考虑了COVID-19大流行.
- 根据经验,年龄或教育水平,发现了不一致的道德困境报告.
结论:
- 关于在职业生涯早期的护士中存在道德困扰的普遍性,存在一个重要的文献差距.
- 需要进一步的研究,以了解这一群体在学术和临床环境中的道德痛苦.
- 护士教育者应实施策略,为学生准备道德困境,促进留守和职业承诺.
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