伊朗重症监护病房护士的临床决策和道德困扰
Arefeh Arash1, GHolamreza Mahmoodi-Shan2, Fatemeh Mehravar3
1School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
BMC psychology
|November 26, 2024
概括
密切护理护士经历了中度的道德困扰,影响了他们的临床决策. 建议开展培训计划,以提高决策能力,并提供最佳的患者护理.
科学领域:
- 护理伦理学 护理伦理学
- 关键护理医学 关键护理医学
- 医疗保健决策 - - 医疗保健决策
背景情况:
- 集中护理单位 (ICU) 面临着独特的伦理挑战和关键的医疗保健决策.
- 由于患者亲属拒绝治疗和知情同意问题等因素,ICU的护士在决策中面临冲突.
研究的目的:
- 为了确定ICU护士之间的临床决策水平.
- 评估ICU护士所经历的道德困境的程度.
- 调查ICU护士临床决策和道德困扰之间的关系.
主要方法:
- 在伊朗对198名ICU护士进行了横截面描述分析研究.
- 数据采集使用了科利道德困扰问卷和劳里临床决策问卷.
- 使用独立T测试和ANOVA进行了双变量分析,显著度为0.05.
主要成果:
- 强化护理护士表现出中等程度的道德困扰 (92.2 ± 23.61) 和分析系统的临床决策 (60.98 ± 10.25).
- 在临床决策和道德痛苦之间发现了统计学上显著的积极关系 (P < 0.001,r = 0.370).
- 道德困扰和临床决策得分与人口统计和职业因素 (如婚姻状况,就业状况,教育,年龄和工作经验) 有关.
结论:
- 提高对ICU护士的道德困扰的注意力至关重要.
- 提高护士的决策能力,特别是对直观的解释,是必要的.
- 制定有针对性的培训计划和研讨会可以改善ICU的护理服务.
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