从护士的角度看道德痛苦的特征:综合性审查
Mohannad Aljabery1,2, Isabel Coetzee-Prinsloo1, Annatjie van der Wath1
1Department of Nursing, University of Pretoria, Pretoria, South Africa.
International journal of nursing sciences
|December 19, 2024
概括
由于各种约束,护士无法根据自己的价值观行事时,他们会经历道德上的痛苦. 这种累积的痛苦影响着福祉和职业满意度,需要积极的冲突解决策略.
科学领域:
- 护理伦理学 护理伦理学
- 医疗保健 专业人员 福祉 健康
- 道德心理学道德心理学
背景情况:
- 对护士来说,道德困扰是一个很重要的问题,它会影响他们的福祉和专业实践.
- 现有的工具可能无法完全捕捉护士所经历的道德困境的细微差别.
研究的目的:
- 确定在护理中的道德困境的共同特征.
- 要区分道德困扰与其他形式的心理困扰.
- 为护士制定更好的支持策略和评估工具提供信息.
主要方法:
- 2018年至2023年间出版的综合性文献综述.
- 系统地搜索EBSCO Medline,CINAHL和PubMed,并通过手动搜索"生物伦理学"和"护理伦理学"杂志来补充.
- 包括定量,定性或混合方法研究,由两名研究人员进行独立选,提取和分析.
主要成果:
- 十九项研究揭示了道德困境的五个关键主题:经历道德情况,作出道德判断,面对约束 (个人,团队,系统),道德错误行为和道德痛苦.
- 道德上的困扰会对护士的身体,情感和心理健康产生负面影响.
- 升效应凸显了未解决的道德困境的累积和不断升级的性质.
结论:
- 提高对护理中的道德困境特征的理解.
- 积极解决道德冲突的重要性,以保持护士的道德诚信和工作满意度.
- 需要更新的工具和策略来支持经历道德困境的护士.
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