在意大利一所大学的护理学生中,道德困扰及其决定因素:一项跨部门研究
Giampiera Bulfone1, Valentina Bressan2, Irene Zerilli3
1Department of Medical, Surgical Science, and Advanced Technology "GF Ingrassia", University of Catania, 95123 Catania, Italy.
护理学生经历了相当大的道德困扰 (MD),特别是那些不选择护理作为第一职业,缺乏孩子或失业的人. 教育计划需要加强道德培训,以减轻这种痛苦.
科学领域:
- 护理教育 护理教育
- 生物伦理学生物伦理学
- 心理学 心理学 心理学
背景情况:
- 当个人不能根据自己的道德信念行事时,就会出现道德困扰 (MD).
- 由于临床经验有限和伦理知识不足,护理学生面临MD,可能导致不良结果.
- 了解MD因素对于改善护理教育和学生福祉至关重要.
研究的目的:
- 为了量化护理学生所经历的道德痛苦的强度.
- 研究道德困境强度与学生的社会人口和学术特征之间的关系.
主要方法:
- 采用了横截面研究设计.
- 344名护理学生 (第二,第三和延迟毕业) 的方便样本参与了调查.
- 护理教育伦理情况的强度 (It-ESMEE) 尺度测量了MD;收集了社会人口和学术数据.
主要成果:
- 学生报告了高水平的MD,特别是在临床实习和课程期间.
- 较高的MD强度与护理不是第一个职业选择,分离/离婚,没有孩子和失业有关.
- 相反,护理作为第一个职业选择,生孩子和就业与较低的MD分数有关.
结论:
- 调查结果突显了护理学生的重大道德困扰,受到个人和学术因素的影响.
- 局限性包括局部环境,潜在的回忆偏差和选择偏差.
- 护理教育计划应整合加强道德决策和压力管理培训.
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