在COVID-19期间为黑人患者服务的医院中,护士的道德困境和领导力沟通在COVID-19期间为黑人患者提供服务
Eileen T Lake1, Jessica G Smith2, Jeannette A Rogowski3
1Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA.
Nursing outlook
|May 29, 2024
概括
服务于主要是黑人患者的医院的护士在COVID-19期间经历了较高的道德困境,原因是领导层的沟通和PPE访问能力较差. 解决这些问题对于支持缺乏资源的护士至关重要.
科学领域:
- 医疗保健管理的管理
- 护理伦理学 护理伦理学
- 健康差异 在健康上的差异
背景情况:
- 在COVID-19大流行期间,领导层沟通不佳可能加剧了护士们的道德困境.
- 这种痛苦特别在服务于主要是黑人患者群体 (BSH) 的医院中被注意到.
研究的目的:
- 为了比较护士的道德困境水平.
- 评估领导层沟通的有效性.
- 在COVID-19期间,检查这些因素在医院中不成比例地为许多或少数黑人患者服务.
主要方法:
- 2021年3月,对90家医院的全国样本进行了调查.
- 收集了关于道德困境和领导力沟通的护士调查数据.
- 线性回归模型分析了与医院类型 (BSH类别) 和领导沟通有关的道德痛苦.
主要成果:
- 高BSH医院的护士报告说,与低BSH医院的护士相比,他们的道德痛苦明显更大.
- 在高BSH环境中的护士也面临着更大的挑战,获得个人防护设备 (PPE).
- 在高BSH的医院中,高道德痛苦的患病率是高BSH的医院的两倍,而低BSH医院的患病率是低BSH医院的两倍,领导层的沟通能力较差是关键因素.
结论:
- 调查结果表明,服务主要为黑人患者,领导层沟通较差以及护士道德困境增加之间存在重要联系.
- 建议制定政策,以加强领导层的沟通,减轻痛苦,并为缺乏资源的医疗保健环境中的护士提供更好的支持.
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