"它会杀死你的灵魂":一种混合方法研究关键护理护士的伦理敏感性
Denise Waterfield1, Susan Barnason1
1College of Nursing, University of Nebraska Medical Center, Kearney, NE, USA.
Western journal of nursing research
|April 27, 2024
概括
重症护理护士表现出高度的道德意识,但在管理疼痛,兴奋/镇静,妄想,不运动和睡眠障碍 (PADIS) 护理方面面临道德困难. 加强道德社区和领导力对于以患者为中心的PADIS护理至关重要.
科学领域:
- 临界护理护理重症监护护理
- 生物伦理学生物伦理学
- 患者的治疗结果.
背景情况:
- 危急病患者会出现痛苦的症状,如疼痛,兴奋/镇静,妄想,不运动和睡眠障碍 (PADIS).
- PADIS管理是重症监护护理的组成部分,并影响患者的康复和长期结果.
- 护理实践中的道德敏感性对于提供基于证据的PADIS护理至关重要.
研究的目的:
- 测量重症护理护士的道德意识.
- 探索重症护理护士对PADIS护理实施的伦理敏感性.
- 了解PADIS护理中的伦理意识和伦理敏感性之间的关系.
主要方法:
- 融合并行混合方法研究 (QUAL + quant).
- 民族学涉及观察,个人采访和与19名重症护理护士 (QUAL) 聚焦小组.
- 对参与者进行道德意识量表的管理 (量).
主要成果:
- 护士表现出高度的个人道德意识.
- 确定的主题包括模两可的慈善,无视自主,以及与PADIS护理相关的道德痛苦.
- 通过护士观察和采访,探索了道德敏感性.
结论:
- 尽管有很高的道德意识,但在PADIS护理中的挑战仍然存在.
- 道德上的困扰,模两可的慈善,和冷漠的自治与PADIS护理有关.
- 建立道德社区,道德领导和指导对于以患者为中心的PADIS决策至关重要.
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