养老院护理的优先决策:一个定性研究
Pauliina Hackman1, Arja Häggman-Laitila1, Marja Hult1,2
1University of Eastern Finland.
Nursing ethics
|February 6, 2024
概括
养老院的护士因工作量和缺乏支持而难以做出优先级决定,经常隐未完成的护理. 解决这个隐藏的问题对于改善护理质量和护士福祉至关重要.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 护理中的道德.
背景情况:
- 优先级决策对护士来说是一个复杂的伦理挑战,特别是在养老院.
- 这种关于未完成的护理护理的现象尚未得到充分研究,可能会影响患者服务.
- 工作量增加和对后果的意识与这些关键决策有关.
研究的目的:
- 描述了关于养老院未完成护理的优先级决策过程.
- 探索影响护士在复杂护理环境中的伦理判断的因素.
主要方法:
- 一个使用个别主题访谈的定性描述性研究.
- 在2022年6月至2023年2月期间,从芬兰养老院的23名护士收集了数据.
- 用诱导性内容分析来分析采访数据.
主要成果:
- 护士的优先级决定受到以人为中心的护理挑战,工作社区文化,工作量和领导力问题的影响.
- 决策平衡了居民利益,工作流效率和个人护士利益.
- 护士缺乏支持,并建立了优先级的协议,导致隐藏未完成的护理.
结论:
- 护理领导必须承认并解决优先决策和未完成护理的隐藏现象.
- 建议让护士参与协议制定和公开讨论.
- 这些发现可以为支持护士,减少工作量,提高护士在养老院以人为中心的护理质量的策略提供信息.
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