护士的道德伤害和心理健康结果:一个系统的审查
Giuliano Anastasi1, Francesco Gravante2, Paola Barbato3
1AOU G. Martino University Hospital.
Nursing ethics
|September 26, 2024
概括
道德伤害会对护士的心理健康产生负面影响,增加焦虑和抑郁,同时降低生活质量. 医疗保健系统必须解决道德伤害,以支持护理福祉.
科学领域:
- 护理 护理 护理
- 心理健康 心理健康
- 心理创伤学 心理创伤学
背景情况:
- 由于违反道德价值观的行为造成的道德伤害,具有深刻的心理和社会后果.
- 由于经常面临道德困境,护士是脆弱的人群.
- 道德伤害与护士心理健康结果之间的联系需要进一步调查.
研究的目的:
- 系统地审查和描述道德伤害,焦虑,抑郁和护士生活质量之间的联系.
主要方法:
- 按照PRISMA指南,在PROSPERO (CRD42023438731) 中注册的系统审查.
- 在2023年12月搜索了PubMed,CINAHL,Scopus和科学网.
- 包括以英语或意大利语出版的同行评审的护士初级研究;使用JBI检查表和GRADE方法评估偏见风险和证据质量.
主要成果:
- 八项研究符合从4730个已识别的文章中包含的标准.
- 在道德伤害,焦虑和抑郁之间发现了显著的积极关联.
- 观察到道德伤害和护士的生活质量之间存在显著的负面联系.
结论:
- 医疗保健系统需要策略来减轻护士的道德伤害.
- 未来的研究应该专注于因果推理和干预开发的纵向研究.
- 标准化道德伤害的概念和测量对于更好的理解和可比性至关重要.
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