中国重症监护专业人员的伦理冲突经验:一项定性研究
Yuanfei Liu1, Yuping Zhang1, Jingfen Jin1,2,3
1Department of Nursing, The Second Affiliated Hospital Zhejiang University School of Medicine (SAHZU), Zhejiang University, Hangzhou, China.
Nursing in critical care
|February 16, 2024
概括
中国的重症监护专业人员因不确定性,家庭问题和社会经济困境而经历道德冲突. 尽管面临挑战,但他们从这些道德斗争中看到了个人和专业成长的潜力.
科学领域:
- 医学伦理 医学伦理
- 医疗保健 专业人员 福祉 健康
- 关键护理医学 关键护理医学
背景情况:
- 伦理冲突在全球重症监护机构中普遍存在.
- 在中国,关于道德冲突的研究是有限的,尽管文化和上下文的敏感性.
- 跨文化证据对于国际卫生保健伦理学话语至关重要.
研究的目的:
- 质量地探索中国重症监护专业人员在道德冲突中的生活经验.
- 确定这些专业人士面临的伦理困境的具体性质和影响.
主要方法:
- 与21名重症监护专业人员进行了半结构化的面对面采访.
- 数据来自中国一家三级综合医院的重症监护病房.
- 用专题分析来分析采访数据.
主要成果:
- 从分析中,出现了五个主要主题和14个子主题.
- 专业人士报告说,他们感觉无法应对不确定性,被家庭问题撕裂,并对不专业的行为感到愤怒.
- 参与者还描述了社会经济困境,以及将斗争转化为增长的感知.
结论:
- 中国重症监护专业人员之间的伦理冲突涉及复杂和混合的情绪.
- 了解这些经验可以增强对自我认知和专业身份的洞察力.
- 这些发现为制定有针对性的应对策略和优化重症监护实践提供了意义.
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