应对策略和干预措施,以减轻儿科ICU护士的道德痛苦:一个范围审查
Junqing Chen1, Nan Lin1, Xian Ye1
1Nursing Department, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Nursing ethics
|May 15, 2024
概括
儿科ICU护士经历道德困扰,影响护理质量. 本次审查确定了应对策略和干预措施,强调需要加强机构支持,并进一步研究干预效率和护士参与.
科学领域:
- 护理 护理 护理
- 伦理学 伦理学 伦理学
- 医疗保健的质量 医疗保健的质量
背景情况:
- 儿童重症监护室护士面临的道德困扰是一个重大问题,它导致了倦怠和流失.
- 这种人群中道德困境的有效管理策略尚未建立.
研究的目的:
- 系统地审查儿童ICU护士的道德困境应对策略和干预措施.
- 确定研究缺口,并建议未来的研究方向.
主要方法:
- 使用已建立的框架进行了全面的范围审查.
- 截至2023年11月,对11个数据库进行了搜索,随后进行了文献选和数据提取.
主要成果:
- 包括16篇文章,详细介绍护士使用的适应性和不适应性应对策略.
- 九篇文章评估了个人和机构层面的干预措施,其有效性各不相同.
- 干预措施包括道德教育,弹性计划和沟通轮,但护士的参与度很低.
结论:
- 护士主要使用自我调整策略;对道德性,反思和沟通的机构支持至关重要.
- 目前的干预措施显示出希望,但需要进一步验证有效性和探索障碍.
- 未来的研究应该专注于大规模试验和持续评估,以开发为儿科ICU护士提供强大的支持系统.
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