护士在机构范围内的道德困境
Adam T Booth1, Bridget F Dobson, Becky J Christian
1Author Affiliations: Nurse Researcher (Dr Booth), Office of Professional Practice Education, Nursing Research, and Nursing Excellence, University of Louisville Health; and Staff Nurse (Dobson), Surgical Intensive Care Unit, University of Louisville Hospital, Kentucky; Professor and PhD Program Director (Dr Christian), School of Nursing, University of Kansas; and Assistant Professor (Dr Clark) and Assistant Professor and Biostatistician (Dr Sha), School of Nursing, University of Louisville, Kentucky.
由于人员,资源和行政支持问题,护士们经历了道德上的痛苦. 这种痛苦与考虑离开工作的护士有关,在年轻的护士中更高.
科学领域:
- 护理 护理 护理
- 医疗保健道德 医疗保健道德
- 医疗保健管理的管理
背景情况:
- 由于限制,当医疗保健专业人员不能根据他们的道德信念行事时,就会出现道德困扰.
- 了解道德困境的流行和促成因素对于护理福祉至关重要.
研究的目的:
- 调查护士们的道德困境的存在和影响.
- 确定导致老年人群道德困境的关键因素.
主要方法:
- 采用了一种定量,探索性,横截面的研究设计.
- 使用了对医疗保健专业人员 (MMD-HP) 的道德困境的衡量标准.
- 数据是从一级创伤中心的护士收集的.
主要成果:
- 97名护士完成了MMD-HP,缺乏足够的人员,资源和行政支持被认为是道德困境的主要原因.
- 在道德困扰和护士离开职位的意图之间发现了显著的相关性 (解释了28.5%的差异).
- 与50岁及以上的护士相比,年龄在40-49岁之间的护士报告道德困扰水平更高.
结论:
- 人员,资源和行政支持的不足是护理道德困境的重要驱动因素.
- 建议采取专注于安全人员,充足资源和加强行政支持的干预措施,以减轻道德困扰.
- 对护理职业道德困境的有效干预措施的进一步研究是有必要的.
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