从外科护士的角度来看,道德痛苦发展的诱导过程:一种混合方法研究
Azam Hosseinpour1, Fatemeh Keshmiri2,3
1Department of Operating Room, School of Allied Medical Sciences, Qom University of Medical Sciences, Qom, Iran.
BMC nursing
|March 22, 2024
概括
护士在外科和手术单位中经历了中度的道德困扰,这是由医疗保健提供者的角色和系统问题所驱动的. 个体因素,如虚弱的自信和不敏感,加剧了痛苦,导致负面后果.
科学领域:
- 护理 护理 护理
- 医疗保健道德 医疗保健道德
- 医学心理学 医学心理学
背景情况:
- 道德困境是一个复杂的问题,受到个人,文化和系统因素的影响.
- 手术和手术科的护士面临着独特的挑战,导致道德困境.
研究的目的:
- 调查护士道德困境的频率和强度.
- 探索护士与道德困境风险因素的经验.
- 在外科和手术单位开发道德困扰风险因素的概念模型.
主要方法:
- 一个连续的混合方法研究,涉及四所教学医院180名护士.
- 通过"修订后的道德痛苦量表" (MDS-R) 问卷收集的定量数据.
- 通过半结构面试收集的定性数据,并使用传统内容分析进行分析.
主要成果:
- 护士报告道德困扰的频率中等,强度中等.
- "医疗保健提供者的作用"是道德困境的最重要原因.
- 定性发现揭示了"道德困境发展的诱导过程",涉及系统集成,权力动态和感知后果.
结论:
- 手术和手术科的道德困扰在中度至中度高水平.
- 由系统和个人因素影响的'诱导性道德过程'有助于痛苦.
- 系统因素 (缺乏支持,欺凌) 和个人因素 (自信不强,不敏感) 对护士产生负面影响.
相关概念视频
Ethical Dilemmas I
886
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
886
Ethical Issues
941
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
941
Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
Nursing Code of Ethics
2.3K
The Nursing Code of Ethics sets the ethical benchmark for the profession, and guides nurses in ethical analysis and decision making at the societal, organizational, and clinical levels. The code encompasses showing compassion and respect for the patient, their families, and communities in all circumstances while committing to providing patient-centered care. In addition, the code states that nurses must advocate for the patient by defending a cause or recommendation to protect their rights,...
2.3K
The Scientific Method in Nursing Process
10.3K
The scientific method provides the foundation for any research. It is the most reliable and objective of all forms of gaining knowledge and guides in applying research-based evidence in practice and conducting future research.
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
10.3K
Ethical Standards I
799
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
799


