新生儿重症监护室护士的临床决策与道德痛苦之间的关系:一个多中心的横截面相关描述性研究
Monir Nobahar1, Raheb Ghorbani, Zeinab Alipour
1Author Affiliations: Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran(Professor Nobahar); Department of Nursing, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran(Professor Nobahar); Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran (Professor Ghorbani); Social Medicine Department, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran(Professor Ghorbani); and Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran(Mss Alipour, and Jahan).
这项研究发现,新生儿重症监护室 (NICU) 护士的临床决策和道德困扰之间没有显著的联系. 然而,年龄和教育等因素影响了决策,而婚姻状况影响了痛苦水平.
科学领域:
- 护理科学 护理科学
- 临床心理学 临床心理学
- 医疗保健管理的管理
背景情况:
- 新生儿重症监护室 (NICU) 的护士面临着复杂的道德挑战和高度压力的情况.
- 在重症新生儿护理中,临床决策可能会导致护士们的道德困境.
研究的目的:
- 调查临床决策与护士在婴儿重症监护室所经历的道德痛苦之间的关系.
主要方法:
- 一项涉及190名NICU护士的横截式多中心研究.
- 通过人口调查问卷,临床决策劳里尺度和修订后的道德痛苦尺度 (MDS-R) 收集的数据.
主要成果:
- 在临床决策和道德困扰之间没有发现显著的相关性 (r = -0.03,P = .684).
- 报告的总体道德困境得分较低.
- 直觉分析在决策中很常见 (57.9%);年龄,教育和职位与决策相关;婚姻状况和生孩子与道德困境相反相关.
结论:
- 很大一部分护士 (20%) 使用解释性的直观决策,突出了护理的复杂性.
- 护理管理应该专注于提高NICU护士的决策策略.
- 未来的研究应该采用混合方法来进一步探索NICU护士的决策过程和道德困境.
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