助产士的道德困境的原因:一个范围审查
Michael Rost1, Caterina Montagnoli1,2, Johanna Eichinger1
1University of Basel.
Nursing ethics
|September 27, 2024
概括
助产士的道德痛苦源于社会忽视,工作场所问题和具有挑战性的护理情况. 解决这些原因对于保留助产士和改善分娩结果至关重要.
科学领域:
- 助产士 助产士的职业是助产士
- 医疗保健道德 医疗保健道德
- 公共卫生 公共卫生
背景情况:
- 在助产士中,道德上的痛苦是普遍存在的.
- 之前没有一项综合研究全面研究过助产士道德困扰的原因.
研究的目的:
- 进行范围审查,以识别,绘制和分类助产士道德困扰的原因.
- 识别现有的关于助产士道德困境的知识差距.
主要方法:
- 使用布尔逻辑对六个数据库进行了系统搜索.
- 包括的研究提供了关于助产士道德痛苦的原因的经验研究结果,以英语,德语,法语或意大利语.
- 总共有43项研究被纳入了审查.
主要成果:
- 造成道德困扰的原因被分为八个群体:社会忽视,当代出生文化,资源,机构特征,跨职业关系,对服务用户的人际虐待,防御性实践和具有挑战性的护理情况.
- 大多数确定的原因源于外部约束和个人道德标准之间的冲突.
- 大多数研究来自高收入国家,采用了定性方法.
结论:
- 道德上的困扰显著导致助产员工危机,对分娩经验和结果产生负面影响.
- 调查结果为缓解道德困难,减少助产士磨损和增强产妇护理的干预提供了杆.
- 需要进一步研究生态道德困境以及个人和系统层面的基于证据的干预措施.
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