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重症护理护士领导人的道德困境:一个定性描述性研究
Preston H Miller1, Elizabeth G Epstein2, Todd B Smith3
1University of Alabama in Huntsville College of Nursing; The University of Alabama Capstone College of Nursing.
Nursing ethics
|March 13, 2024
概括
基于单位的重症护理护士领导者 (UBCCNLs) 经常因为系统障碍和无能感而经历道德困境. 他们使用各种应对机制,他们的经历与床边护士相似,强调需要可访问的组织支持.
科学领域:
- 护理领导力 护理领导力
- 生物伦理学生物伦理学
- 医疗保健管理的管理
背景情况:
- 基于单位的重症护理护士领导者 (UBCCNLs) 在道德领导和解决道德困境方面是至关重要的.
- 现有的关于道德困境的研究主要集中在床边护士身上,在理解UBCCNL经验方面留下了一个差距.
研究的目的:
- 探索阿拉巴马州UBCCNLs关于道德困境的经验,应对和管理的实践经验.
- 为了更深入地了解重症监护机构护士领导者所面临的独特挑战.
主要方法:
- 使用感应性主题分析进行定性描述性设计.
- 通过查问卷和半结构面试收集的数据,来自阿拉巴马州七家医院的10名UBCCNL.
主要成果:
- UBCCNL经常遇到道德困境,通常是由系统和组织障碍引发的,导致无能感.
- 虽然道德困境可以促进倡导和同情,但它也会导致负面反应;UBCCNL采用内部和外部应对策略.
结论:
- UBCCNLs所经历的道德困难与床边护士相似,但受领导责任和系统障碍的影响.
- 组织应该为管理道德困境提供可访问的资源,UBCCNL的观点对于开发有效的干预和测量工具至关重要.
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