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"有些任务可能在情感上非常痛苦. 护理人员在任务中施加胁迫的经验 - - 一项定性研究
Anne Kristine Bergem1, Nina Øye Thorvaldsen1, Kristin Häikiö1
1Dept of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
PloS one
|January 2, 2024
概括
护理人员面临道德困境,因为法律不清楚,在使用武力对待患者时缺乏培训. 需要改善法律框架,设备和培训,以确保更安全的患者护理和员工福祉.
科学领域:
- 紧急医疗 紧急医疗
- 护理人员的实践实践
- 医疗保健伦理学 医疗保健伦理
背景情况:
- 护理人员经常对患者使用胁迫和武力,通常没有明确的法律依据或足够的培训.
- 现有的关于医疗保健中的胁迫研究主要集中在心理健康服务上,使护理人员的经验未得到充分记录.
- 在挪威的救护车服务中,缺乏标准化的日常工作和身体克制设备,这导致了员工的道德压力.
研究的目的:
- 探索护理人员在患者运输过程中使用武力和胁迫的经验.
- 确定在这些情况下导致护理人员道德压力的因素.
- 为在紧急医疗服务中制定支持性政策和实践提供信息.
主要方法:
- 在挪威东部 (2021年6月至8月) 的近400名救护车服务员工中分发了一个数字问卷.
- 一个特定的开放式问题涉及护理人员在运输过程中使用武力保护患者的经验.
- 通过格兰海姆和隆德曼的定性内容分析方法分析了回复.
主要成果:
- 85名护理人员完成了调查 (21%的响应率);62人报告使用武力.
- 分析揭示了两个主要主题:缺乏日常工作,设备和强制/武力的培训,以及护理人员在没有立法或管理支持的情况下面临道德困境.
- 护理人员报告说,由于法律不清楚,资源不足和雇主支持不足,他们感到不舒服.
结论:
- 护理人员在使用武力时,由于法律模两可,培训不足和资源缺乏,因此经历了重大道德困难.
- 更明确的法律指导方针,专用设备和定期培训对于提高护理人员信心和患者安全至关重要.
- 实施既定的例行程序和系统的伦理反思可以改善工作条件,并为救护人员提供更好的支持.
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