重症监护护士应对道德冲突的经验:一种定性描述性研究
Yuanfei Liu1, Liying Ying2, Yuping Zhang1
1Department of Nursing, The Second Affiliated Hospital Zhejiang University School of Medicine (SAHZU), Zhejiang University, Hangzhou, China.
BMC nursing
|December 1, 2023
概括
中国的重症监护护士通过脱离和参与策略来应对道德冲突. 了解这些应对机制对于改善患者护理和护士福祉至关重要.
科学领域:
- 护理 护理 护理
- 定性研究是指质量研究.
- 医学伦理 医学伦理
背景情况:
- 集中护理设置为护士带来了独特的伦理挑战.
- 伦理冲突对患者护理和护士福祉都有负面影响.
- 了解护士的应对经验对于解决重症监护中的伦理冲突至关重要.
研究的目的:
- 探索在中国面临伦理冲突的重症监护护士的应对经验.
- 确定这些护士使用的特定策略.
主要方法:
- 与15名重症监护护士进行了深入采访.
- 从中国一家三级医院的五个重症监护病房有目的地采样样本.
- 对采访数据应用的感应性主题分析.
主要成果:
- 两个主要主题出现了:脱离和参与.
- 确定了四个子主题:忽视问题,表达情感,从视角来看,以及识别积极资产.
- 应对策略是一个持续的,多方面的过程.
结论:
- 密集护理护士利用各种各样的应对策略来解决道德冲突,包括以问题为中心,以情感为中心和创造意义的方法.
- 研究结果提供了对应道德冲突的差异性经验的见解.
- 关于为重症护理护士发展道德教育,培训和支持性环境的建议.
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