"只是尿在尿布里" - - 一个建立在建设主义基础上的理论研究道德困境,使养老院的忽视成为可能
Stine Borgen Lund1, Wenche K Malmedal2, Laura Mosqueda3
1Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), 7491, Trondheim, PO Box 8905, Norway. stine.b.lund@ntnu.no.
挪威养老院的护理人员通过优先考虑效率和情绪脱节来管理被忽视的道德痛苦. 这些自我保护策略创造了一个以员工为中心的文化,使持续的疏忽和妥协居民护理质量.
科学领域:
- 养老院护理服务 养老院护理服务
- 组织文化 组织文化
- 医疗保健中的道德困境
背景情况:
- 有证据表明,养老院居民普遍忽视了基本护理需求.
- 这种忽视导致护理人员的道德痛苦,与他们的专业理想相冲突.
- 该研究调查了护理人员如何应对因疏忽护理实践而产生的道德痛苦.
研究的目的:
- 探索养老院工作人员如何处理道德困境.
- 了解应对疏忽性护理实践所使用的应对机制.
- 确定这些应对机制对工作文化和护理质量的影响.
主要方法:
- 使用构造主义立足理论进行定性设计.
- 通过10次个人访谈和5个重点小组收集的数据.
- 参与者包括来自17个挪威养老院的30名护理人员.
主要成果:
- 员工通过优先考虑效率和容忍不良护理来适应忽视.
- 情绪和身体的脱离被用来避免痛苦的情况.
- 这些策略培养了一种以员工为中心,自我保护的文化,使忽视成为可能.
结论:
- 从以居民为中心转向以员工为中心的工作文化是显而易见的.
- 工作人员的自我保护策略损害了护理质量,使疏忽延续.
- 需要紧急干预,以扭转护理质量下降的螺旋.
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