护理道德痛苦对意图离开就业的影响
Katherine Sheppard1, Catherine Smith, Merri K Morgan
1Author Affiliations: Manager (Dr Sheppard), Sentara Williamsburg Regional Medical Center; System Director (Dr Smith), Sentara Health, Norfolk; Manager (Dr Morgan), Sentara Obici Hospital, Suffolk; Chief Nursing Officer (Wilmoth) and Biostatistician (Dr Toepp), Sentara Health, Norfolk; and Professor Emeritus (Dr Rutledge) and Nurse Scientist (Dr Zimbro), Old Dominion University, Virginia Beach, VA.
The Journal of nursing administration
|August 21, 2024
概括
道德上的困扰显著增加了护士的离开意图,特别是对于新毕业生和早期职业生涯的护士. 解决系统层面的因素和提供有针对性的支持可以改善护士的留守率.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 职业心理学 职业心理学
背景情况:
- 患者护理中的组织约束可能导致道德困境 (MD).
- 道德上的困扰对注册护士 (RN) 的保留产生了负面影响.
- 由于工作场所的挑战,RN经历了精神和平障碍和身体不适.
研究的目的:
- 探索道德困境对企图离开工作的影响.
- 为了确定影响护士离开工作的决定的受访者特征.
- 了解有助于RN营业额的因素.
主要方法:
- 匿名在线调查分发给948名护士.
- 统计分析以探索MD和离开意图之间的关系.
- 检查分析中的潜在混因素.
主要成果:
- 打算离开工作的RN报告了显著更高的MD水平.
- 系统层面和团队层面的完整性是离开意图的重要预测因素.
- 新毕业的RN (147%),直接护理RN (124%) 和第二职业RN (63%) 的离开意图的几率更高.
结论:
- 调查MD的根本原因对于健康的工作环境至关重要.
- 缓解MD可以提高护理实践和患者护理质量.
- 针对新毕业生和第二职业RN的有针对性的支持对于减少劳动力流动是必不可少的.
相关概念视频
Ethical Issues
879
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:
879
Ethical Dilemmas I
867
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...
867
Obedience
32.8K
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,...
32.8K
Nursing Ethical Principles I
1.2K
Ethical principles serve as the moral compass in the longstanding tradition of nursing, guiding healthcare professionals in their interactions with patients and families. These principles, namely autonomy, beneficence, non-maleficence, justice, and fidelity, provide a robust framework for navigating the ethical complexities of daily nursing practice.
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting...
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting...
1.2K
Accountability and Responsibility of a Nurse II
678
Professional accountability in nursing is a multifaceted concept that encompasses professional ethics, legal standards, and employment expectations. This framework ensures that nurses maintain and elevate the quality of care while upholding the values of their profession. It compels them to treat patients, families, and colleagues with respect, compassion, and integrity.
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
678
Nursing Ethical Principles II
936
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
936


