了解家庭护理护理中的道德困境:采访研究
Julia Petersen1, Ulrike Rösler2, Gabriele Meyer3
1Martin Luther University Halle-Wittenberg; German Federal Institute for Occupational Safety and Health.
Nursing ethics
|March 15, 2024
概括
家庭护理护士由于系统性问题,如不充分的护理和计费冲突而经历了重大道德困扰. 解决这些问题需要组织变革和更好的支持系统来保护护士健康.
科学领域:
- 护理 护理 护理
- 医疗保健道德 医疗保健道德
- 职业健康 职业健康 职业健康
背景情况:
- 道德困扰是影响各种医疗保健机构护士福祉的一个普遍问题.
- 了解家庭护理护理中道德困境的具体触发因素和后果至关重要.
研究的目的:
- 调查在家庭护理护理中造成道德困扰的情况.
- 探索家庭护理护士如何经历和应对道德困境.
- 确定道德困扰对护士健康和福祉的影响.
主要方法:
- 一个使用反射主题分析的定性研究.
- 在德国,对20名家庭护理护士进行了半结构面试.
主要成果:
- 关键的触发因素包括:患者护理不足,个人健康风险,广泛的责任,工作与生活之间的冲突,以及与计费系统的冲突.
- 由于在病人家中自主工作,护士们经历了道德上的痛苦,导致短期和长期的身体和情绪上的压力.
- 应对道德困境在机构和个人层面都带来了挑战.
结论:
- 当护理实践与服务和计费系统相冲突时,道德上的痛苦往往是不可避免的.
- 建议包括实施替代组织和计费模式,如基于时间的支付和扩展服务.
- 系统的案例和伦理会议,以及任务委托 (例如,为注册护士开处方的伤口护理材料),可以减轻道德压力的情况并提高患者护理质量.
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