新生儿重症监护病房护理护士所经历的新生儿重症监护病房的道德痛苦:一种现象学研究
Misako Sakai1,2, Koji Tanaka3, Kyoko Nagata3
1Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.
Journal of advanced nursing
|November 18, 2024
概括
新生儿重症监护室护士因组织问题和遗憾而经历道德困扰,导致自我否定和潜在的创伤. 提高护士的工作水平
科学领域:
- 护理伦理学 护理伦理学
- 新生儿重症监护中心
- 定性研究是指质量研究.
背景情况:
- 对护士来说,道德困扰是关心重症新生儿的重要问题.
- 了解这些护士的生活经验对于制定有效的支持策略至关重要.
研究的目的:
- 阐明在新生儿重症监护病房工作的护士的道德痛苦的含义.
- 探索在这个专门的护理领域与道德困境相关的主题和子主题.
主要方法:
- 使用胡塞尔方法的定性描述现象学.
- 在日本,11名经验丰富的新生儿重症监护病房护士进行了非结构化采访.
- 科拉伊齐的数据分析七步方法.
主要成果:
- 出现了三个核心主题:组织约束,遗憾和未分享的经验.
- 确定了七个子主题集群,包括摇摇欲的信念,对患者死亡的内,无能,和家庭不匹配.
- 道德上的痛苦往往被处理成个人问题,导致自我否定和潜在的创伤.
结论:
- 新生儿重症监护室护士的道德困扰源于各种因素,包括决策和与儿童最佳利益相冲突的感知.
- 解决护士的道德性和心理安全对于减轻道德困境至关重要.
- 阐明无能无能的含义可以帮助缓解压抑的情绪和不可避免的道德痛苦.
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