"做正确的事情":在战争期间,军事护士所经历的道德冲突和伦理问题
Janice Agazio1, Diane L Padden2
1School of Nursing, The Catholic University of America, Washington, DC, USA.
概括
军事护士在战时部署期间面临着道德挑战,包括照顾被拘留者和平民伤亡. 了解这些问题对于准备护士和减轻道德困境至关重要.
科学领域:
- 护理伦理学 护理伦理学
- 军人卫生保健 军人卫生保健
- 定性研究是一种定性研究.
背景情况:
- 反恐战争,包括持久自由行动 (OEF) 和伊拉克自由行动 (OIF),为军事护士带来了独特的挑战.
- 护士遇到复杂的临床情况,包括多重创伤和文化复杂性,经常感到不准备.
研究的目的:
- 探索军事护士如何识别,评估,管理和解决战时部署期间遇到的伦理问题.
- 发展一个理论,指导在冲突期间的军事护理实践中的道德问题管理.
主要方法:
- 使用常数比较方法进行定性基础理论设计.
- 针对性的采访与部署支持OIF和OEF的现役陆军护士进行,直到理论和为止.
- 数据分析采用了基于理论的方法来识别核心结构和关系,通过既定的原则确保可信度.
主要成果:
- 护士们报告说,他们面临着与关押人员护理,文化差异,终身决策,疼痛管理和民用伤亡护理有关的道德困境的重大斗争.
- 参与者分享了他们的经验,强调了解决这些复杂的伦理情况的内部冲突和挑战.
结论:
- 该研究确定了军事护士在战时面临的关键道德问题,以及用于减轻道德冲突的策略.
- 了解这些道德挑战对于更好地为未来的部署做好护士准备和防止道德困扰至关重要.
- 解决尚未解决的道德冲突对于维护军事护士的福祉和确保高质量的患者护理至关重要.
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